Walkeramdmnt001.PDF

OMB Approval 2700-0042

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE PAGE OF

1 I

PAGES

2. AMENDMENT/MODIFICATION NO.

3. EFFECTIVE DATE

05/23/12

4. REQUISITION/PURCHASE REQ. NO.

583021

5. PROJECT NO. (If applicable)

AG-56A1-S-12-0002

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

USDA FOREST SERVICE

Regional Office, R9 626 E Wisconsin Avenue Milwaukee. WI 53202

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

AG-56A1-S-12-0002

9B. DATED (SEE ITEM 1 )

5/22/12

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

E The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers ❑ is extended, El 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 one (1) copy 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 DATA 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 data specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

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

. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN !TEM 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, El is required to sign this document and return 1_ copies to the issuing office.

The purpose of amendment 001 is to add the electrical drawings -19 pages to Section J — List of Documents, Exhibits, and Other Attachments.

Except at 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.

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

Ann M Ball

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

BY

16C. DATE SIGNED

5/23/12

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

NSN 7540-01-152-8070

30-105

STANDARD FORM 30 (REV. 10-83)

PREVIOUS EDITION UNUSABLE

Computer Generated

Prescribed by GSA

FAR (48 CFR) 53.243