Amendment_1_FBO.pdf

(x)

AG-52B1-S-17-0025

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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 ACKNOWLEDGEMENT 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 the solicitation and this amendment, and is received prior to the opening hour and date specified.

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56A1

MILWAUKEE WI 53202

626 E WISCONSIN AVE SUITE 300

ATTN ACQUISITION MANAGEMENT

EASTERN REGION USDA FOREST SERVICE

04/11/2017000001

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

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

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

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

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

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

04/11/2017

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

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

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

ORDER NO. IN ITEM 10A.

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

IGF::OT::IGF

Hoosier National Forest

Brownstown Ranger District

Hardin Ridge Recreation Area asphalt rejuvenation

Amendment 1 - Add optional item 5a to schedule of items and description of work per attached. Optional item 5a is for 1,290 SY of asphalt rejuvenation at Blackwell Horse Camp, FS Roads 4731.010 and 4731.011. The revised schedule of items which is attached to this amendment shall replace the original schedule of items when submitting your offer. All other terms and conditions and submission requirements remain unchanged. The response date for offers remains unchanged.

Continued ...

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

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

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

MELISSA JOHNSON

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

NSN 7540-01-152-8070

Previous edition unusable

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

04/18/2017

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 2

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

AG-52B1-S-17-0025/000001

This amendment must be acknowledged. Use of the revised schedule of items in your offer submission will indicate acknowledgement.

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

Description of Work Hardin Ridge Recreation Area Asphalt Rejuvenation

Addendum 1

This addendum consists of all work that is necessary to perform asphalt pavement rejuvenation within the Blackwell Horse Camp of the Brownstown Ranger District, Hoosier National Forest. This addendum contains one “Optional Item” for the contractor to quote (pricing is required for all base and optional items). The awarding of the Optional Items will be based on funding available throughout the life of the contract.

Begin Optional Item (Addendum 1):

Line Item 5a: FS Road 4731.010 Blackwell Horse Camp East and FS Road 4731.011 Blackwell Horse Camp West

FS 4731.010 begins at Tower Ridge Road and continues north to the intersection of FS Road 4731.011, then turns east. The first 300 feet of FS Road 4731.010 is asphalt, with the loop portion at the east end of the road being aggregate surfaced.

FS Road 4731.011 begins at the intersection of FS Road 4731.010 and continues west. The eastern 235 feet of FS Road 4731.011 is asphalt, with the loop portion at the west end of the road being aggregate surfaced. FS Road

4731.011 also contains an asphalt parking area near the western end of the asphalt surface on the south side of the road, which shall also be treated.

Includes all asphalt pavement within the Blackwell Horse Camp area.

The section of FS Road 4731.010 between Tower Ridge Road and FS Road 4731.011 shall be treated one lane at a time to allow visitors to enter and exit the horse camp. The section of FS Road 4731.010 east of the intersection of FS Road 4731.011 can be closed and treated for up to 4 hours provided that no forest users are occupying the eastern loop camping area; otherwise, treat one lane at a time. FS Road 4731.011 can be closed and treated for up to 4 hours provided that no forest users are occupying any of the sites along this road; otherwise, treat one lane at a time. One camping loop (east or west) must remain open at all times.

End Optional Item (Addendum 1)

E0 2 41 Miles

VICINITY MAP

SR 446

SR 46

City of Bloomington

SR

SR

Lake Monroe

Monroe County

Judah

Lawrence County

Br ow n C ou nty

Mo nro e C ou nty

Project Area

Project Area

E

0 700 1,400350 Feet

BLACKWELL HORSE CAMP MAP

Legend

4731.010 Blackwell HC East

4731.011 Blackwell HC West

Brooks Cabin

Blackwell Horse Camp

SR 446

Chapel Hill Rd

Tower Ridge Rd

Charles C. Deam WildernessPrivate Land

National Forest System Land