AG-05K3-S-17-0003-Amendment-3.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

2. AMENDMENT/MODIFICAITON NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicble)

7. ADMINISTERED BY (If other than Item 6) CODE

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICIATION NO.

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended, is not extended.

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

(a)By completing items 8 and 15, and returning copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment your desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPIRATION DATA (If required)

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc. ) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15C. DATE SIGNED

15A. NAME AND TITLE OF SIGNER (Type or print)

16C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

14. DESCRIPTION OF AMENDMENT/MODIFICATION ( Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

NSN 7540-01-152-8070

Previous edition unusable

1 4

USDA Forest Service Gifford Pinchot National Forest 10600 NE 51st Circle Vancouver, WA 98682

AG-05K3-S-17-0003

Oct 28, 2016

Dry Creek East Quarry - Rock Production

This amendment replaces the existing revised Schedule of Items with a second revision which is attached. The intent of the revised Schedule of Items is to provide clarity regarding the requirements of two line items.

Also included in this amendment are photos of the project site representing work associated with the revised work items. Finally, there was an inquiry regarding the existing riprap at the project site and whether it was to be crushed and incorporated in the fianal product (See final note on drawing 3 of 3 in the attachments). This material (approx. 370 CY) may be incorporated in the final product at the discretion of the selected Contractor. No other changes are made by way of this amendment.

Justin Holder

12/9/2016

X

PART b – CONTINUATION OF SF 1449

SCHEDULE OF ITEMS

Dry Creek East Quarry Production Mt Adams Ranger District

Gifford Pinchot National Forest

Skamania County

Sub‐ Item Description

Award Quantity Unit Unit Cost Cost

15101 Mobilization 1.0 LS $_______ $_______

BASE

15401 Contractor Sampling and Testing 1 LS $_______ $_______

20503 Blasting 1 LS $_______ $_______

32001 Stockpiled Aggregates, FSSS Table 703‐3 Grading A 7,000 TON $_______ $_______

20301 Removal of Structures and Obstructions, earthen material disposal area within 5 miles of site. Work entails removal of debris in drainage crossing FS Road 708 (approx. 10 CY) and relocating two waste material piles (approx. 10 CY) to the base of the vegetated area.

1 LS $_______ $_______

20401 Excavation and Embankment, FS 708 Road:

Excavate stockpiled material adjacent to road to fill in rutting

0.3 MI $_______ $_______

BASE TOTAL $_______

OPTION

15401 Contractor Sampling and Testing 1 LS $_______ $_______

20503 Blasting 1 LS $_______ $_______

32001 Stockpiled Aggregates, FSSS Table 703‐3 Grading A 2,000 TON $_______ $_______

OPTION TOTAL $_______

UNIT MEASUREMENTS:

Mi = Mile; LS = Lump Sum TOTAL $_______

NOTES:

1. The quantity ordered against the base item and the option items will be dependent upon unit pricing and funding available at the time of award. Partial quantities from either the base or option item may be ordered.

2. Furnish the material, according to the specifications. For the purpose of this contract furnish is defined as screening or crushing the material.

3. Work incidental to 32001 sub‐items includes:

a. Erosion Control, FP03 157, FSSS 157

b. Dust Control, FP03 158

c. Temporary Traffic Control, FP03 635, FSSS 635

Debris flow down the drainage, crossing the road into Dry Creek material source.

Prior to excavation, move the waste disposal material to the base of the Vegetated Area, to reduce contamination of the crushed aggregate.

At Contractors discretion, utilize the riprap stockpile (approx.. 370 cy) in with the excavated rock.