Solicitation Amendment AG-3604-S-10-0022-P00001 SIGNED 061510.pdf

11. CONTRACT ID CODE OF PAGES

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT IPA~E

I 2

2. AMENDMENTIMODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITIONIPURCHASE REQ. NO. 15. PROJECT NO. (If applicable)

POOO01 06/15/2010 388553

6. ISSUED BY CODE 3604 7. ADMINISTERED BY (If other than Item 6) CODE 13604

USDA FOREST SERVICE SEE BLOCK 6.

NORTHERN RESEARCH STATION

11 Campus BLVD, STE 200 Newtown Square, PA 19073

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) (X) 9A. AMENDMENT OF SOLICITATION

I-'-' NO.

AG-3604-S-10-0022

9B. DATED (SEE ITEM 11)

05/28/2010 lOA. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

CODE IFACILITY CODE

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, [8j 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 1 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 APPROPRIATION 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 lOA.

D 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 D is not. D is required to sign this document and return _____ copies to the issuing office.

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

Referenced solicitation is hereby amended as follows:

1. A copy of the "Asbestos Demolition Impact Survey and ... Lead Based Paint Assessment" as referenced on page 4 of the solicitation is incorporated and attached to this amendment.

2. The following information is added to the statements under SOW heading "Electrical, Water and Sanitary Systems": the septic mound system holds a 1000 gallon tank with a tank lift system.

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

15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED15B. CONTRACTORIOFFEROR 15C. DATE SIGNED

(Signature of person authorized to sign) 06/15/2010

NSN 754()"01-152-8070 STANDARD FORM 30 (REV. 10-83)

Previous edition unusable Prescribed by GSA FAR (48 CFR) 53.243

775 Vandalia StreetL E G E N D St. Paul, MN 55114 Tel: 651.642.1150Technical Services, Inc.

Fax: 651.642.1239 w w W . leg end 9 rBlJL'k IMAfERIJ\t ASBESTOS ANALYSIS REPORT

Client: Rick Sindt Report Date: 9/30/05 U.S. Forest Service

1992 Folwell Ave.

Project No.: 0504172 St. Puul, MN 55108

Dale Received: 9122/05 Client Project: Marcell Disposal Date Analyzed: 9/29/05

0504172-1 Old Marcell Field Lab - Ceiling Tile Mastic

Brown, Cementitious

Homogeneous

None Detected 2% Cellulose

96% Nontibrous

2% Glass Fibers

2 0504172-2 Old Marcell Field Lab - Ceiling Drywall

White/Tan, Cemcntitious/Homogeneous

Layered

None Detected 10% Cellulose

90% Nonfibrous

3 0504172·3 Old Marcell Field Lab - Lab Countertop

Laminate

Black, Ceillenlitious

Homogeneous

None Detected 100% Nontibrous

4 0504172-4 Old Mart:ell Field Lab - Ceiling Insulation

, Pink, fibrous

H01l1og~ncous

None Detected 2% Cellulose

98% Glass FIbers

5 0504172-5 Old Marcell Field Lab· Ceiling Tile

Tan, Fibrous

Homogeneous

None Detected 30% Cellulose

60% Glass Fibers

10% Nontibrous

6 0504172-6 Old Marcell Field Lab - Floor Tile

Tun, Celllcntitious

Homogcncous

5% Chrysotile 95% Nonllbrous

7 0504172-7 Old Murcell Field Lab - Tile Mastic

Black/Gray, Cementitious

Homogeneous

None Detected 2% Cellulose

1% Hair

97% Nonfibrous

8 0504172-8 Marcell Offiee/Lab Roof Shingle

Red/BIu.;k, Cementitious/Fibrous

Heterogencous

None Detected 10% Cellulose

70% Nonfibrous

20% Glass Fibers

9 0504172-9 Marcell GurageiShop - Interior

Asphalt Puper

Black, Fibrous

Homogeneous

NOlle Detected 90% Cellulose

10"/0 NOl1fibrous

10 0504172-10 Marcell Garage/Shop - Roof Shingle

Brmvn/Black, CcmentitiotlsiFibrous

Hcterogencous

None Detected 10% Cellulose

65% NonJibrous

25% Glass Fibers

ApPLETON • FARGO • MOSINEE • PHOENIX • ST. PAUL • TUCSON

"Equal Opportunity Employer"

BULK MATERIAL ASBESTOS ANALYSIS REPORT (continued) Client: Rick Sindt Report Date: 9/30/05

Client Project: SI. Paul, MN SS 108 Project No,: 0504172

11 0504172-11 * Marcell Generator Shed - Roof Material 2% Chrysotile 70% Cellulose

Black, Cementitious/Fibrous 28% Nonllbrolls

Layered

"'sample v:as ashcd and compo5ited prior to analysis

The analysis was perfonned in accordance witb current U,S, Environmental Protection Agency (liSEPA) protocols, "Method for the Determination of

Asbestos in Bulk Building Materials," EPA 600IR-93!166, 1993, All reporled percentages are by visual estimates, In the case ofnonhomogeneous samples, each material or layer is analyzed separately and the reporled percentages are based On the tOlal sample as received, unless other instructions are received from the client. The samples were received in acceptable condition, NVLAP Laboratory Accreditation Number: 102081-0

ANALYST:

!~~k;ij{,) I e-"

Kathlyn Smith Todd Giorgi

Microscopist Microscopist

- This document cannot be duplicated, except in its entirety, without the express wrilten authorizution from LEGEND TECHNICAL SERVICES, INC.

- This report must not be used to claim product endorsement by NVLAl) or any agency of the U,S GO\'enmlenl.

- This report relates only to the above items tested, 775 Vandalia Street St Paul, MN 55114

651.642.1150

L E G E D Technical Services. Inc.

USDA Forest Service Project: Marcell Disposal

1992 Folwell Ave Project Number: [none] Date Reported:

St Paul MN, 55108 Project Manager: Mr. Rick Sindt September 28, 2005

ANALYTICAL REPORT FOR SAMPLES

Sample ID

Marcell Generator Shed-Exterior Paint

Old Marcell Field Lab-Interior Metal Door Frame

Old Marcell Field Lab-Exterior Paint

Old Marcell Field Lab-Ventilation Duct Work! Chimney Paint

Old Marcell Garage/Shop-Exterior paint

Case Narrative:

Laboratory ID

0504172-12

0504172-13

0504172-14

0504172-15

0504172-16

Matrix

Paint

Date Sampled Date Received

09/13/05 00:00 09/22/05 12:55

09/13/05 00:00 09/22/05 12:55

09/13/05 00:00 09/22/05 12:55

09/13/05 00:00 09/22/05 12:55

09/13/05 00:00 09/22/05 12:55

Legend Technical Services, Inc The results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must be reproduced in its entirety.

St Paul. MN 55114

651.642.1150

L E G E .. J D Technical Services, Inc.

USDA Forest Service Project: Marcell Disposal

1992 Folwell Ave Project Number: [none] Date Reported:

St Paul MN, 55108 Project Manager: Mr. Rick Sindt September 28. 2005

TOTAL METALS ANALYSIS

Legend Technical Services, Inc

Time Frame Reporting Sampled

Analyte Result Limit Units Batch Prepared Analvzed Method

Marcell Generator Shed·Exterior Paint (0504172·12) Paint

Lead 22000 22 mg/kg 8512606 09/26/05 09/27/05 EPA 6010B(M)

Old Marcell Field Lab·lnterior Metal Door Frame (0504172.13) Paint

Lead 8512606 09/26/05 09/27/05 EPA 601 08(M) 1500 23 mg/kg

Old Marcell Field Lab·Exterior Paint (0504172-14) Paint

Lead 18000 25 mg/kg 8512606 09/26/05 09/27/05 EPA 60108(M)

Old Marcell Field Lab-Ventilation Duct Work! Chimney Paint (0504172-15) Paint

Lead 8512606 09/26/05 09/27/05 EPA 60108(M) 3000 23 mg/kg

Old Marcell Garage/Shop·Exterior paint (0504172-16) Paint

Lead 22000 25 mg/kg 8512606 09/26105 09/27/05 EPA 6010B(M)

Legend Technical Services. Inc The results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must be reproduced in its entirety.

http:0504172.13

651.642.1150

L E G E D Technical Services, Inc.

USDA Forest Service Project: Marcell Disposal 1992 Folwell Ave Project Number: [none] Date Reported:

St Paul MN, 55108 Project Manager: Mr. Rick Sindt September 28, 2005

TOTAL METALS ANALYSIS - Quality Control

Legend Technical Services, Inc

Reporting Spike Source %REC %RPD Analyte Result Limit Units Level Result %REC Limits %RPD Limit Notes

Batch B512606 - EPA 3050B

Prepared: 09/26/05 Analyzed: 09/27/05Blank (B512606-BlK1) Lead

<25 25 mg/kg

Source: 0504137-61 Prepared: 09/26/05 Analyzed: 09/27/05Matrix Spike (B512606-MS1) Lead

199 22 mg/kg 179 <22 105 75-125

Source: 0504137-61 Prepared: 09/26/05 Analyzed: 09/27/05Matrix Spike Dup (B512606-MSD1) Lead

213 25 mg/kg 192 <25 105 75-125 0.00 20

Prepared: 09/26/05 Analyzed: 09/27/05 Reference (B512606-SRM1) Lead

5640 22 mg/kg 4990 113 80-120 legend Technical Services, Inc The results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must be

651.642.1150

L E G E D Technical Services. lnc.

USDA Forest Service Project: Marcell Disposal 1992 Folwell Ave Project Number: [none] Date Reported:

St Paul MN, 55108 Project Manager: Mr. Rick Sindt September 28, 2005

Notes and Definitions

< Less than value listed dry Sample results reported on a dry weight basis

RPD Relative Percent Difference

NA Not applicable. The %RPD is not calculated from values less than the reporting limit.

Legend Technical Services, Inc The results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must be