AG52B1S090005-Amendment 001.pdf

In lieu of STANDARD FORM 30

1. CONTRACT ID CODE PAGE OF PAGES

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1 13

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

0001 02/03/2009 OPRB 09-3007

6. ISSUED BY CODE 52B1 7. ADMINISTERED BY (If other than Item 6) CODE

ORB-PC

c/o Hoosier National Forest 811 Constitution Ave Bedford, IN 47421

SAME AS BLOCK 6

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

AG-52B1-S-09-0005

9B. DATE (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER

NO.

X

PHONE: ( )

10B. DATED (SEE ITEM 13)

CODE FACILITY 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, 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 0 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 ACKNOWLEDG-MENT 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 you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF

CONTRACT/ORDERS,

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

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MDE 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 offices, 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):

By mutual agreement of the parties – Per FAR 52.212-4 Contract Terms and Conditions – Commercial Items (OCT 2003)

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

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

TITLE: FORESTWIDE ROAD MAINTENANCE – HOOSIER NATIO NAL FOREST

Amend solicitation to incorporate Zone 1 Task Orders 1 through 5 Amend solicitation to incorporate Zone 2 Task Orders 1 through 7 Include pricing for these task orders in your proposal.

Amend solicitation Section M as follows:

Zone 1 and Zone 2 Task orders incorporated by this amendment will be used, in addition to Section B, to evaluate price.

These task orders may be awarded at time of contract award, without additional competition in order to meet contract minimum guarantees.

Except as provided herein, all terms and conditions of this document referenced in Item 9A or 10A, 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)

Mark L. Corse

15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C DATE SIGNED

BY 02/03/2009

(Signature of person authorized to sign) (Signature of Contracting Officer)

In lieu of STANDARD FORM 30

Task Order #BT-1 SCHEDULE OF ITEMS - 2009 - Brownstown Ranger District Zone 1 Contract No.:

Item No./Title Description Unit Quantity Unit Price Total Price Road

Name/Number Mitchell Ridge

TOTAL

2. Roadbed 2.a.1 Grading Grading road surfaces, including Mile 1.6 1.6 scarification as needed, in accordance $ $ with all contract & task order spec.

2.a.2 Grading road surfaces ,including Mile 1.5 1.5 $ $ Heavy grading scarification as needed, in accordance with all contract & task order spec.

2.b.4 Aggregate Provide & place aggregate meeting Ton 120 120 $ $ INDOT #53 limestone aggregate

3. Drainage 3.c.4 Ditches Clean ditches to maintain free flow Mile 1.6 1.6 $ $

6. Mobilization

6.a Mobilization** Mobilization for Items 1-3. Contractor shall

Lump Sum 1 $ $ mobilize from business location. Mobilization is only chargeable once for each task order from the constractor's location to the first job site, no additional charges for movement between sites.

Task Order #1 Total Cost: $

**Mobilization to be paid once per Task Order.

OFFEROR

NAME

ADDRESS

CITY. STATE, ZIP

TELEPHONE

CONTACT

Task Order # BT-

Name/Number

Hickory Ridge HC

TOTAL

2. Roadbed 2.a.1 Grading Grading road surfaces,including Mile 0.14 0.14 scarification as needed, in accordance $ $ with all constract & task order spec.

2.a.2 Grading road surfaces,including Mile 0.1 0.1 $ $ Heavy grading scarification as needed, in accordance with all constract & task order spec.

2.b.4 Aggregate Provide & place aggregate meeting Ton 200 200 $ $ INDOT #53 limestone aggregate

3. Drainage 3.c.4 Ditches Clean ditches to maintain free flow Mile 0.2 0.2 $ $

6. Mobilization

6.a Mobilization** Mobilization for Items 1-3. Contractor shall

Lump Sum 1 $ $ mobilize from business location. Mobilization is only chargeable once for each task order from the constractor's location to the first job site, no additional charges for movement

NAME

ADDRESS

CITY. STATE, ZIP

Task Order #BT-3

Name/Number Shirley Creek HC

TOTAL

2. Roadbed 2.a.1 Grading Grading road surfaces,including Mile 0.4 0.4 $ $ scarification as needed, in accordance with all constract & task order spec.

2.a.2 Grading road surfaces,including Mile 0.25 0.25 $ $ Heavy grading scarification as needed, in accordance with all constract & task order spec.

2.b.4 Aggregate Provide & place aggregate meeting Ton 180 180 $ $ INDOT #53 limestone aggregate

3. Drainage 3.c.4 Ditches Clean ditches to maintain free flow Mile 4 4 $ $

6. Mobilization

6.a Mobilization** Mobilization for Items 1-3. Contractor shall

Lump Sum 1 $ $ mobilize from business location. Mobilization is only chargeable once for each task order from the constractor's location to the first job site, no additional charges for movement

NAME

ADDRESS

CITY. STATE, ZIP

Task Order #BT-4

Name/Number Brooks Cabin

TOTAL

2. Roadbed 2.a.1 Grading Grading road surfaces,including Mile 0.16 0.16 $ $ scarification as needed, in accordance with all constract & task order spec.

2.b.4 Aggregate Provide & place aggregate meeting Ton 150 150 $ $

INDOT #53 limestone aggregate

3. Drainage 3.c.4 Ditches Clean ditches to maintain free flow Mile 0.2 0.2 $ $

6. Mobilization

6.a Mobilization** Mobilization for Items 1-3. Contractor shall

Lump Sum 1 $ $ mobilize from business location. Mobilization is only chargeable once for each task order from the constractor's location to the first job site, no additional charges for movement

ADDRESS

CITY. STATE, ZIP

Task Order #BT-5

Name/Number Blackwell

HC

TOTAL

2. Roadbed 2.a.1 Grading Grading road surfaces,including Mile 0.43 0.43 scarification as needed, in accordance $ $ with all constract & task order spec.

2.b.4 Aggregate Provide & place aggregate meeting Ton 200 200 $ $ INDOT #53 limestone aggregate

3. Drainage 3.c.4 Ditches Clean ditches to maintain free flow Mile 0.2 0.2 $ $

6. Mobilization

6.a Mobilization** Mobilization for Items 1-3. Contractor shall

Lump Sum 1 $ $ mobilize from business location. Mobilization is only chargeable once for each task order from the constractor's location to the first job site, no additional charges for movement

ADDRESS

CITY. STATE, ZIP

Task Order # TC- SCHEDULE OF ITEMS - 2009 - Tell City Ranger District Zone 2

Name/Number German

Ridge Tower

1113.000

TOTAL

2. Roadbed 2.a.2 Grading road surfaces,including Mile 0.25 0.25 $ $ Heavy grading scarification as needed, in accordance with all constract & task order spec.

2.b.4 Aggregate Provide & place aggregate meeting Ton 200 200 $ $ INDOT #53 limestone aggregate 3.c.4 Ditches Clean ditches to maintain free flow Mile 0.4 0.4 $ $

6. Mobilization

6.a Mobilization** Mobilization for Items 1-3. Contractor shall

Lump Sum 1 $ $ mobilize from business location. Mobilization is only chargeable once for each task order from the constractor's location to the first job site, no additional charges for movement between sites.

Task Order #1 Total Cost:

**Mobilization to be paid once per Task Order.

OFFEROR

NAME

ADDRESS

CITY. STATE, ZIP

Name/Number Saddle Lake 1121.000

TOTAL

2. Roadbed 2.a.2 Grading road surfaces,including Mile 2.2 2.2 $ $ Heavy grading scarification as needed, in accordance with all constract & task order spec.

2.b.4 Aggregate Provide & place aggregate meeting Ton 300 300 $ $ INDOT #53 limestone aggregate

6. Mobilization

6.a Mobilization** Mobilization for Items 1-3. Contractor shall

Lump Sum 1 $ $ mobilize from business location. Mobilization is only chargeable once for each task order from the constractor's location to the first job site, no additional charges for movement between sites.

Task Order #1 Total Cost:

**Mobilization to be paid once per Task Order.

OFFEROR

NAME

ADDRESS

CITY. STATE, ZIP

Name/Number Tipsaw Dam Access 1122.101

TOTAL

2. Roadbed 2.a.1 Grading Grading road surfaces,including Mile 2.5 2.5 $ $ scarification as needed, in accordance with all constract & task order spec.

2.b.4 Aggregate Provide & place aggregate meeting Ton 80 80 $ $ INDOT #53 limestone aggregate

3. Drainage Culvert clean Clean culvert to maintain free flow Each 4 4 $ $

6. Mobilization

6.a Mobilization** Mobilization for Items 1-3. Contractor shall

Lump Sum 1 $ $ mobilize from business location. Mobilization is only chargeable once for each task order from the constractor's location to the first job site, no additional charges for movement

NAME

ADDRESS

CITY. STATE, ZIP

Name/Number Lanman Cemetery 1123.050

TOTAL

2. Roadbed 2.a.2 Grading road surfaces,including Mile 0.4 0.4 $ $ Heavy grading scarification as needed, in accordance with all constract & task order spec.

2.b.4 Aggregate Provide & place aggregate meeting Ton 400 400 $ $ INDOT #53 limestone aggregate 2.c.2 Riprap Provide and place riprap Ton 20 20 $ $

3. Drainage 3.c.1 Culverts 18" <5' Replace/install 18" diameter culverts where LF 30 30 $ $ fill staked. Fills < 5'. N-12 pipe 3.c.4 Ditches Clean ditches to maintain free flow Mile 0.8 0.8 $ $

6. Mobilization 6.a Mobilization** Mobilization for Items 1-3. Contractor shall Lump Sum 1 $ $ mobilize from business location. Mobilization is only chargeable once for each task order from the constractor's location to the first job site, no additional charges for movement between sites.

Task Order #1 Total Cost: $ **Mobilization to be paid once per Task Order.

OFFEROR

NAME

ADDRESS

CITY. STATE, ZIP

Name/Number West Fork Tower 1285.000

TOTAL

2. Roadbed 2.a.1 Grading Grading road surfaces,including Mile 0.6 0.6 $ $ scarification as needed, in accordance with all constract & task order spec.

2.a.2 Grading road surfaces,including Mile 0.4 0.4 $ $ Heavy grading scarification as needed, in accordance with all constract & task order spec.

2.b.4 Aggregate Provide & place aggregate meeting Ton 220 220 $ $ INDOT #53 limestone aggregate

6.a Mobilization** Mobilization for Items 1-3. Contractor shall

Lump Sum 1 $ $ mobilize from business location. Mobilization is only chargeable once for each task order from the constractor's location to the first job site, no additional charges for movement between sites.

Task Order #1 Total Cost:

**Mobilization to be paid once per Task Order.

OFFEROR

NAME

ADDRESS

CITY. STATE, ZIP

Name/Number North Indian

CR39A

TOTAL

2. Roadbed 2.a.1 Grading Grading road surfaces,including Mile 1 1 $ $ scarification as needed, in accordance with all constract & task order spec.

2.a.2 Grading road surfaces,including Mile 0.2 0.2 $ $ Heavy grading scarification as needed, in accordance with all constract & task order spec.

2.b.4 Aggregate Provide & place aggregate meeting Ton 400 400 $ $ INDOT #53 limestone aggregate

6. Mobilization

6.a Mobilization** Mobilization for Items 1-3. Contractor shall

Lump Sum 1 $ $ mobilize from business location. Mobilization is only chargeable once for each task order from the constractor's location to the first job site, no additional charges for movement between sites.

Task Order #1 Total Cost:

**Mobilization to be paid once per Task Order.

OFFEROR

NAME

ADDRESS

CITY. STATE, ZIP

Task Order #TC-7

Name/Number Hemlock Cliffs 1282.010

TOTAL

2. Roadbed 2.a.1 Grading Grading road surfaces,including Mile 0.5 0.5 $ $ scarification as needed, in accordance with all constract & task order spec.

2.b.4 Aggregate Provide & place aggregate meeting Ton 160 160 $ $ INDOT #53 limestone aggregate

3. Drainage 3.c.4 Ditches Clean ditches to maintain free flow Mile 0.6 0.6 $ $

6. Mobilization

6.a Mobilization** Mobilization for Items 1-3. Contractor shall

Lump Sum 1 $ $ mobilize from business location. Mobilization is only chargeable once for each task order from the constractor's location to the first job site, no additional charges for movement between sites.

Task Order #1 Total Cost:

**Mobilization to be paid once per Task Order.

OFFEROR

NAME

ADDRESS

CITY. STATE, ZIP