SF 30.pdf

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RECOVERYFISH CREEK LOOP SURFACING PROJECT
Solicitation number
AG-82B1-S-10-0356
Issued by

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AG-82B1-S-10-0356

x x

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.

x

82B1

GOLDEN CO 80401-4720

740 SIMMS STREET

EROC INTERMOUNTAIN

US FOREST SERVICE

82B1

GOLDEN CO 80401-4720

740 SIMMS STREET

EROC INTERMOUNTAIN

US FOREST SERVICE

40902407/26/2010000001

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

07/01/2010

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.)

TAS::12 1102::TAS 2010 RECOVERY FUNDS - CIM-0105-24R Fish Creek Loop

THE PURPOSE OF THIS AMENDMENT IS TO CHANGE THE MAGNITUDE.

1. THE MAGNITUDE OF THIS PROJECT IS HEREBY CHANGED FROM BETWEEN $100,000 AND $250,000 TO

READ "BETWEEN $250,000 AND $500,000. and CHANGE PAGES 6 AND 10 OF THE ORIGINAL SOLICITAION.

2. ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED.

Delivery: 120 Days After Notice to Proceed

Delivery Location Code: 0295

USDA FOREST SERVICE

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)

JAN D. BLACK

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 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 4

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

AG-82B1-S-10-0356/000001

NEZ PERCE NATIONAL FOREST

104 AIRPORT ROAD

GRANGEVILLE ID 83530 US

FOB: Destination

002 TAS::12 1102::TAS 2010 RECOVERY FUNDS - Fish DO Creek loop surfacing project Option A Product/Service Code: Z222 Product/Service Description:

MAINT-REP-ALT/HWYS-RDS-STS-BRDGS-RA

003 TAS::12 1102::TAS 2010 RECOVERY FUNDS - Fish DO Creek loop surfacing project - Option B Product/Service Code: Z222 Product/Service Description:

MAINT-REP-ALT/HWYS-RDS-STS-BRDGS-RA

004 TAS::12 1102::TAS 2010 RECOVERY FUNDS - Fish DO Creek Loop Surfacing Project Option B part 2 Product/Service Code: Z222 Product/Service Description:

MAINT-REP-ALT/HWYS-RDS-STS-BRDGS-RA

PLEASE PROVIDE THE FOLLOWING INFORMATION:

TIN#:_______________

DUNS:_______________

E-MAIL ADDRES:________________________

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

Sponsored by GSA

FAR (48 CFR) 53.110

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