67T0S164004-AmendmentOne.docx

CONTRACTING OFFICER

US FOREST SERVICE

1019 N FIFTH ST

CUSTER, SD 57730-8214

9B. DATED (SEE ITEM 11)

August 10, 2016

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

|X| The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers |_| is extended, |X| 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 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.

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.

THE CONTRACT ORDER NO. IN ITEM 10A.

E. IMPORTANT: Contractor |_| is not, |X| is required to sign this document and return 1 copies to the issuing office.

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

The purpose of this amendment is to:

1. Replace Camping wording in Appendix A page 7, 3.4 Camping to read: “A camping permit is required, locations will be agreed upon. See example of camping permit in Section J, Attachment #5.”

2. Add to Section J – Attachment 5 – Sample Camping Permit (3 Pages) – example provided.

3. Add to Section J – Attachment 6 – Temporary Road Gate Installation Diagram (1 Page). Example provided. (Coordinates with Appendix B, B RO-K-F.4.1# Closure to Use by Others. -provides temporary gate installation instructions.).

4. Add to Appendix B, WO-K-C.3# - Reserve Trees.(9/04) – Title to table of contents and add full text clause to Page 16.

5. Question and Answers

6. Cruse Data is provided for information onlt but does not become a part of the soliciation nor any resulting contract.

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.

(Signature of person authorized to sign)

(Signature of Contracting Officer)

NSN 7540-01-152-8070

Previous edition unusable

Prescribed by GSA

FAR (48 CFR) 53.243

· (1) Replace Camping wording in Appendix A page 7, 3.4 Camping

3.4 CAMPING

A camping permit is required, locations will be agreed upon. See example of camping permit in Section J , Appendix 5.

· (2 &3) Add to Section J

PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS

SECTION J - LIST OF ATTACHMENTS

J.1 LIST OF ATTACHMENTS

5. Sample Camping Permit (3 Pages) example attached.

6. Temporary Road Gate Installation Diagram (1 Page).

Example attached

· (4) Add to Appendix B, WO-K-C.3# - Reserve Trees. (9/04), title to Table of contents on Page 1 and Add full text clause on Page 16.

Appendix B, K.0—SPECIAL K CLAUSES

WO-K-C.3# - Reserve Trees. (9/04) Notwithstanding the designations for cutting under C3.1, C3.2, C3.3 or C3.4, live or dead Wildlife reserve trees or groups of reserve trees within such cutting units or clearings shall be left uncut. Reserve trees are identified by pink painted “x”s or pink painted “W”’s at 4.5 foot and pink stump marks and shall be protected. Units with reserve trees are shown on the Contract Area Map.

Atttachment 5

UNITED STATES FOREST SERVICE

ARAPAHO ROOSEVELT NATIONAL FOREST

CANYON LAKES RANGER DISTRICT

TERMS AND CONDITIONS OF

AUTHORIZED OCCUPANCY OF THE NATIONAL FOREST

AUTHORIZATION IS HEREBY GRANTED TO:

Name: Last: First: M.I.

D.O.B.: Drivers License #: State:

Phone #: Vehicle License #: State:

Residence Address:

City: State: Zip:

Mailing Address:

(If different than residence address)

TO OCCUPY:

Location:

Legal Description:

Section: Township: Range: M.D.M.

(as shown on attached map) Purpose of Occupancy:

Mining: Logging: Contractual: Other:

PERMIT DURATION:

From: To:

This permit shall be valid from 0800 hours, the date of issuance, until 1700 hours, the date of expiration. This permit may be revoked by the District Ranger or the Ranger's designated representative at any time.

The permittee agrees to abide by all applicable State and Federal regulations, including but not limited to:

(1) Permittee's camp will comply with all FIRE REGULATIONS, including:

(2) Permittee will comply with all SANITATION REGULATIONS, including;

(4) Furthermore,

(5) THE AUTHORIZATION TO OCCUPY NATIONAL FOREST LANDS, MUST

BE IN THE PERMITTEE'S POSSESSION AT ALL TIMES

-OR-

DISPLAYED IN A PROMINENT LOCATION READILY VISIBLE

AT THE CAMP LOCATION, WHEN THE CAMP IS UNOCCUPIED.

(36 CFR 261.10 k)

I, the undersigned, certify that I have read and understand and will abide by all the requirements, terms, and conditions of this Authorization of Occupancy (if approved) as described above.

Signed (PERMITTEE) Date:

Approved DISTRICT RANGER Date:

ADDITIONAL TERMS AND CONDITIONS:

1) Full Name(s), Last, First, Middle

D.O.B. D.L.

Vehicles(s) Lic. #, Make Yr Color

2) Full Names(s), Last, First, Middle

D.O.B. D.L.

Vehicles(s) Lic. # Make Yr Color

3) Full Names(s), Last, First, Middle

D.O.B. D.L.

Vehicles(s) Lic. # Make Yr Color

Distribution:

Attachment 6 image1.emf