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AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
| 1. CONTRACT ID CODE |
| PAGE OF PAGES |
| 2. AMENDMENT/MODIFICATION NO. |
| 3. EFFECTIVE DATE |
| 4. REQUISITION/PURCHASE REQ. NO. |
| 5. PROJECT NO. (If applicable) |
| 01 |
| 01/19/2010 |
| 353614 |
| CIM-0210-21F |
| 7. ADMINISTERED BY (If other than Item 6) |
| CODE |
Intermountain EROC 740 Simms Street Golden, CO 80401
| 8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State, and ZIP Code) |
| (X) |
| 9A. AMENDMENT OF SOLICITATION NO. |
FORMCHECKBOX
AG-82B1-S-10-0087
9B. DATED (SEE ITEM 11)
01/11/10
FORMCHECKBOX
10A. MODIFICATION OF CONTRACT/ORDER NO.
10B. DATED (SEE ITEM 13)
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
FORMCHECKBOX
The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers FORMCHECKBOX is extended, FORMCHECKBOX 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.
| (X) |
| 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 10A.
FORMCHECKBOX
FORMCHECKBOX
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).
FORMCHECKBOX
C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
FORMCHECKBOX
D. OTHER (Specify type of modification and authority)
E. IMPORTANT: Contractor FORMCHECKBOX is not, FORMCHECKBOX is required to sign this document and return 0 copies to the issuing office.
14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.
Solicitation No. AG-82B1-S-10-0087, Forest Wide Campground Toilet Replacement on the Arapaho-Roosevelt N.F., is amended as follows:
See Following Pages.
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.
| 15A. NAME AND TITLE OF SIGNER (Type or print) |
| 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print) |
| JUDY MARTIN, Contracting Officer |
| 15B. CONTRACTOR/OFFEROR |
| 15C. DATE SIGNED |
| 16B. UNITED STATES OF AMERICA |
| 16C. DATE SIGNED |
(Signature of person authorized to sign)
(Signature of Contracting Officer)
NSN 7540-01-152-8070
Previous edition unusable
| 30-105 |
| STANDARD FORM 30 (REV. 10-83) |
Prescribed by GSA
FAR (48 CFR) 53.243
Amendment 01
1) Refer to Pages 4-13, Section B, Schedule of Items, delete in its entirety and replace with the following:
B- 1 - Schedule of Items Item 1 – Columbine Campground – Existing Toilet Near Site 5
Bid
Item
| Item Description |
| MM* |
| Estimated |
Quantity Pay
Unit Unit
Price Amount
Bid
| 01442(01) |
| Quality Control & Quantity |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 01950(01) |
| Mobilization |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02205(01) |
| Barrier Rocks |
| AQ |
| 3 |
| EA |
| $________ |
| $________ |
| 02245(01) |
| Site Grading |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02370(01) |
| Aggregate Surfacing |
| AQ |
| 4 |
| CY |
| $________ |
| $________ |
| 02921(01) |
| Seeding & Mulching |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 03101(01) |
| Reinforced Portland Cement Concrete Sidewalk |
| AQ |
| 60 |
| SF |
| $________ |
| $________ |
| TOTAL AMOUNT BID (Item 1) |
| $________ |
Item 2 – Columbine Campground – Near Site 26 Bid
Item
| Item Description |
| MM* |
| Estimated |
Quantity Pay
Unit Unit
Price Amount
| 01442(01) |
| Quality Control & Quantity |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 01950(01) |
| Mobilization |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02112(01) |
| Removal of Toilet Building, Vaults, Floors, & Sidewalks |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02221(01) |
| Earthwork – Toilet Vault Excavation |
| DQ |
| 20 |
| CY |
| $________ |
| $________ |
| 02221(02) |
| Earthwork – Toilet Backfill, Bedding & Compaction |
| DQ |
| 5 |
| CY |
| $________ |
| $________ |
| 02245(01) |
| Site Grading |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02370(01) |
| Aggregate Surfacing |
| AQ |
| 1 |
| CY |
| $________ |
| $________ |
| 02921(01) |
| Seeding & Mulching |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 03101(01) |
| Reinforced Portland Cement Concrete Sidewalk |
| AQ |
| 220 |
| SF |
| $________ |
| $________ |
| 10100(01) |
| Pre-fabricated Toilet, & Toilet Installation |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| TOTAL AMOUNT BID (Item 2) |
| $________ |
Item 3 – Denver Creek Campground West – Near Site 18 Bid
Item
| Item Description |
| MM* |
| Estimated |
Quantity Pay
Unit Unit
Price Amount
| 01442(01) |
| Quality Control & Quantity |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 01950(01) |
| Mobilization |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02112(01) |
| Removal of Toilet Building, Vaults, Floors, & Sidewalks |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02205(01) |
| Barrier Rocks |
| AQ |
| 2 |
| EA |
| $________ |
| $________ |
| 02221(01) |
| Earthwork – Toilet Vault Excavation |
| DQ |
| 20 |
| CY |
| $________ |
| $________ |
| 02221(02) |
| Earthwork – Toilet Backfill, Bedding & Compaction |
| DQ |
| 5 |
| CY |
| $________ |
| $________ |
| 02245(01) |
| Site Grading |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02370(01) |
| Aggregate Surfacing |
| AQ |
| 3 |
| CY |
| $________ |
| $________ |
| 02475(01) |
| Dumpster Pad |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02921(01) |
| Seeding & Mulching |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 03101(01) |
| Reinforced Portland Cement Concrete Sidewalk |
| AQ |
| 140 |
| SF |
| $________ |
| $________ |
| 10100(01) |
| Pre-fabricated Toilet, & Toilet Installation |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| TOTAL AMOUNT BID (Item 3) |
| $________ |
Item 4 – Denver Creek Campground East - Near Site 9 Bid
Item
| Item Description |
| MM* |
| Estimated |
Quantity Pay
Unit Unit
Price Amount
| 01442(01) |
| Quality Control & Quantity |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 01950(01) |
| Mobilization |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02112(01) |
| Removal of Toilet Building, Vaults, Floors, & Sidewalks |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02205(01) |
| Barrier Rocks |
| AQ |
| 4 |
| EA |
| $________ |
| $________ |
| 02221(01) |
| Earthwork – Toilet Vault Excavation |
| DQ |
| 20 |
| CY |
| $________ |
| $________ |
| 02221(02) |
| Earthwork – Toilet Backfill, Bedding & Compaction |
| DQ |
| 5 |
| CY |
| $________ |
| $________ |
| 02245(01) |
| Site Grading |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02370(01) |
| Aggregate Surfacing |
| AQ |
| 14 |
| CY |
| $________ |
| $________ |
| 02475(01) |
| Dumpster Pad |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02921(01) |
| Seeding & Mulching |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 03101(01) |
| Reinforced Portland Cement Concrete Sidewalk |
| AQ |
| 105 |
| SF |
| $________ |
| $________ |
| 10100(01) |
| Pre-fabricated Toilet, & Toilet Installation |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| TOTAL AMOUNT BID (Item 4) |
| $________ |
Item 5 – Denver Creek Campground East - Near Site 11 Bid
Item
| Item Description |
| MM* |
| Estimated |
Quantity Pay
Unit Unit
Price Amount
| 01442(01) |
| Quality Control & Quantity |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 01950(01) |
| Mobilization |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02112(01) |
| Removal of Toilet Building, Vaults, Floors, & Sidewalks |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02221(02) |
| Earthwork – Toilet Backfill, Bedding & Compaction |
| DQ |
| 4 |
| CY |
| $________ |
| $________ |
| 02245(01) |
| Site Grading |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02921(01) |
| Seeding & Mulching |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| TOTAL AMOUNT BID (Item 5) |
| $________ |
Item 6 – Echo Lake Campground - Near Site 12 Bid
Item
| Item Description |
| MM* |
| Estimated |
Quantity Pay
Unit Unit
Price Amount
| 01442(01) |
| Quality Control & Quantity |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 01950(01) |
| Mobilization |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02112(01) |
| Removal of Toilet Building, Vaults, Floors, & Sidewalks |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02221(01) |
| Earthwork – Toilet Vault Excavation |
| DQ |
| 20 |
| CY |
| $________ |
| $________ |
| 02221(02) |
| Earthwork – Toilet Backfill, Bedding & Compaction |
| DQ |
| 5 |
| CY |
| $________ |
| $________ |
| 02245(01) |
| Site Grading |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02370(01) |
| Aggregate Surfacing |
| AQ |
| 1 |
| CY |
| $________ |
| $________ |
| 02921(01) |
| Seeding & Mulching |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 03101(01) |
| Reinforced Portland Cement Concrete Sidewalk |
| AQ |
| 175 |
| SF |
| $________ |
| $________ |
| 10100(01) |
| Pre-fabricated Toilet, & Toilet Installation |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| TOTAL AMOUNT BID (Item 6) |
| $________ |
Item 7 – Tunnel Campground - Near Site 49 Bid
Item
| Item Description |
| MM* |
| Estimated |
Quantity Pay
Unit Unit
Price Amount
| 01442(01) |
| Quality Control & Quantity |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 01950(01) |
| Mobilization |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02112(01) |
| Removal of Toilet Building, Vaults, Floors, & Sidewalks |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02205(01) |
| Barrier Rocks |
| AQ |
| 3 |
| EA |
| $________ |
| $________ |
| 02221(01) |
| Earthwork – Toilet Vault Excavation |
| DQ |
| 20 |
| CY |
| $________ |
| $________ |
| 02221(02) |
| Earthwork – Toilet Backfill, Bedding & Compaction |
| DQ |
| 5 |
| CY |
| $________ |
| $________ |
| 02245(01) |
| Site Grading |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02370(01) |
| Aggregate Surfacing |
| AQ |
| 6 |
| CY |
| $________ |
| $________ |
| 02921(01) |
| Seeding & Mulching |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 03101(01) |
| Reinforced Portland Cement Concrete Sidewalk |
| AQ |
| 60 |
| SF |
| $________ |
| $________ |
| 10100(01) |
| Pre-fabricated Toilet, & Toilet Installation |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| TOTAL AMOUNT BID (Item 7) |
| $________ |
Item 8 – Tunnel Campground - Near Site 7 Bid
Item
| Item Description |
| MM* |
| Estimated |
Quantity Pay
Unit Unit
Price Amount
| 01442(01) |
| Quality Control & Quantity |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 01950(01) |
| Mobilization |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02112(01) |
| Removal of Toilet Building, Vaults, Floors, & Sidewalks |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02221(01) |
| Earthwork – Toilet Vault Excavation |
| DQ |
| 20 |
| CY |
| $________ |
| $________ |
| 02221(02) |
| Earthwork – Toilet Backfill, Bedding & Compaction |
| DQ |
| 5 |
| CY |
| $________ |
| $________ |
| 02245(01) |
| Site Grading |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02370(01) |
| Aggregate Surfacing |
| AQ |
| 1 |
| CY |
| $________ |
| $________ |
| 02921(01) |
| Seeding & Mulching |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 03101(01) |
| Reinforced Portland Cement Concrete Sidewalk |
| AQ |
| 115 |
| SF |
| $________ |
| $________ |
| 10100(01) |
| Pre-fabricated Toilet, & Toilet Installation |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| TOTAL AMOUNT BID (Item 8) |
| $________ |
Item 9 – Tunnel Campground - Near Site 5 Bid
Item
| Item Description |
| MM* |
| Estimated |
Quantity Pay
Unit Unit
Price Amount
| 01442(01) |
| Quality Control & Quantity |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 01950(01) |
| Mobilization |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02112(01) |
| Removal of Toilet Building, Vaults, Floors, & Sidewalks |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02221(01) |
| Earthwork – Toilet Vault Excavation |
| DQ |
| 40 |
| CY |
| $________ |
| $________ |
| 02221(02) |
| Earthwork – Toilet Backfill, Bedding & Compaction |
| DQ |
| 45 |
| CY |
| $________ |
| $________ |
| 02245(01) |
| Site Grading |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02370(01) |
| Aggregate Surfacing |
| AQ |
| 1 |
| CY |
| $________ |
| $________ |
| 02921(01) |
| Seeding & Mulching |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 03101(01) |
| Reinforced Portland Cement Concrete Sidewalk |
| AQ |
| 115 |
| SF |
| $________ |
| $________ |
| 10100(01) |
| Pre-fabricated Toilet, & Toilet Installation |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| TOTAL AMOUNT BID (Item 9) |
| $________ |
Item 10 – Tunnel Campground - Near Site 16 Bid
Item
| Item Description |
| MM* |
| Estimated |
Quantity Pay
Unit Unit
Price Amount
| 01442(01) |
| Quality Control & Quantity |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 01950(01) |
| Mobilization |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02112(01) |
| Removal of Toilet Building, Vaults, Floors, & Sidewalks |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02221(01) |
| Earthwork – Toilet Vault Excavation |
| DQ |
| 40 |
| CY |
| $________ |
| $________ |
| 02221(02) |
| Earthwork – Toilet Backfill, Bedding & Compaction |
| DQ |
| 45 |
| CY |
| $________ |
| $________ |
| 02245(01) |
| Site Grading |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02370(01) |
| Aggregate Surfacing |
| AQ |
| 1 |
| CY |
| $________ |
| $________ |
| 02921(01) |
| Seeding & Mulching |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 03101(01) |
| Reinforced Portland Cement Concrete Sidewalk |
| AQ |
| 460 |
| SF |
| $________ |
| $________ |
| 10100(01) |
| Pre-fabricated Toilet, & Toilet Installation |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| TOTAL AMOUNT BID (Item 10) |
| $________ |
Item 11 – Tunnel Campground – Site 16 Replacement Bid
Item
| Item Description |
| MM* |
| Estimated |
Quantity Pay
Unit Unit
Price Amount
| 01442(01) |
| Quality Control & Quantity |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 01950(01) |
| Mobilization |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02205(01) |
| Barrier Rocks |
| AQ |
| 2 |
| EA |
| $________ |
| $________ |
| 02245(01) |
| Site Grading |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 02370(01) |
| Aggregate Surfacing |
| AQ |
| 19 |
| CY |
| $________ |
| $________ |
| 02462(01) |
| Pedestal Grill |
| AQ |
| 1 |
| EA |
| $________ |
| $________ |
| 02462(02) |
| Fire Ring |
| AQ |
| 1 |
| EA |
| $________ |
| $________ |
| 02921(01) |
| Seeding & Mulching |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 03400(01) |
| Wheel Stop |
| AQ |
| 1 |
| EA |
| $________ |
| $________ |
| 06129(01) |
| Timber Border |
| DQ |
| 250 |
| LF |
| $________ |
| $________ |
| 10474(01) |
| Spur |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 10474(02) |
| Facility Pad |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| 10474(03) |
| Tent Pad |
| LSQ |
| 1 |
| LS |
| $________ |
| $________ |
| TOTAL AMOUNT BID (Item 11) |
| $________ |
* Designated Method of Measurement:
DQ - Design Quantities, AQ - Actual Quantities, LSQ - Lump Sum Quantities
Note 1: The bidder shall bid on all items. Round all prices to the nearest cent.
Note 2: Payment for bond premiums in accordance with FAR Clause 52.232-5, Payment Under Fixed-Price Construction Contracts, shall not be in addition to the contract price.
B- 2 - Basis of Award: One contract will be awarded to the responsive and responsible bidder offering the lowest total acceptable bid.
