Amendment1.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE PAGE OF PAGES

1 5

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

Amendment #1 April 7, 2011

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

USDA Forest Service Southern Sierra Province 1600 Tollhouse Road Clovis, CA 93611

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

AG-9A40-S-11-0014

9B. DATED (SEE ITEM 11)

02/28/2011

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

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, is required to sign this document and return Original 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-9A40-S-11-0014, Painting – Los Angeles River Ranger District, is amended as follows:

1. Replace Page 2, Schedule, with the attached Page 2, Revised Schedule.

2. The attached Q&A document is incorporated into the resultant contract.

3. Contractor’s shall complete and return the attached Experience Questionnaire with their quotation.

4. Incorporate FAR Clause 52.217-7, Option for Increased Quantity – Separately Priced Line Item (Mar 1989), and FAR Clause 52.217-4, Evaluation of Options Exercised at Time of Contract Award (June 1988). (See full text on page 2)

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)

MARY CANTRELL, Contracting Officer

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

04/12/2011

(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

PART I - REVISED SCHEDULE

SECTION B

SUPPLIES, SERVICES, OR CONSTRUCTION AND PRICE/COST

HOTSHOT BARRACKS DRYWALL INSTALLATION

STANISLAUS NATIONAL FOREST

OPTIONAL ITEMS

2 Wrought Iron Fence Painting EA LS 1 $_________

3 Block Retaining Wall Painting EA LS 1 $_________

TOTAL: ALL ITEMS $___________

Contractor shall furnish all equipment, labor, supplies, supervision, transportation, and incidentals necessary to perform the work in accordance with the specifications, terms, and conditions contained within. Only one award will be made.

____ I certify that I attended the mandatory pre-bid tour.

____ I certify that I am registered with Central Contractor Registration (www.ccr.gov).

Signature Date

Company Name DUNS# (Required)

FAR Clause 52.217-4, Evaluation of Options Exercised at Time of Contract Award (June 1988).

Except when it is determined in accordance with FAR 17.206(b) not to be in the Government’s best interests, the Government will evaluate the total price for the basic requirement together with any option(s) exercised at the time of award.

FAR Clause 52.217-7, Option for Increased Quantity – Separately Priced Line Item (Mar 1989) The Government may require the delivery of the numbered line item, identified in the Schedule as an option item, in the quantity and at the price stated in the Schedule. The Contracting Officer may exercise the option by written notice to the Contractor within 60 days from date of award. Delivery of added items shall continue at the same rate that like items are called for under the contract, unless the parties otherwise agree.

ITEM

NO.

DESCRIPTION MM

PAY

UNIT

EST.

QTY.

AMOUNT

BID

1 Exterior Painting EA LS 1 $_________

Painting – Los Angeles River Ranger District Solicitation Number: AG-9A40-S-11-0014

US Forest Service – Angeles National Forest Site Visit Q&A April 6, 2011

1. What contractor license will be required for this contract? A painting contractor’s license C-33 is required for this contract.

2. Is this an 8A contract? This is a small business set-aside contract.

3. What colors will be required? Colors will be determined after award of contract.

4. Are the vents on the roof included in the scope of work? Yes, painting the vents on the roof of the building are included in the scope of work.

5. Will the wrought iron fence across the driveway be included in the scope of work? Yes, painting the wrought iron fence is included in the scope of work. (see Revised Schedule)

6. Will the block retaining wall be included in the scope of work? Yes, painting the block wall adjacent to the building 2318 extending around the parking lot and back toward the District Office is included in the scope of work. (See Revised Schedule)

7. Are the benches and tables adjacent to the District Office included in the scope of work? No, these benches are not included in the scope of work.

EXPERIENCE QUESTIONNAIRE

1. CONTRACTOR NAME, ADDRESS AMD PHONE#

2. SUBMITTED TO (Office Name & Address)

3. BUSINESS:

__Company ___Co-partnership __Corporation ___Individual __Non-profit Organization

4. How many years do you or your firm have in the line of work contemplated by this solicitation?

5. HOW MANY YEARS EXPERIENCE IN CONTRACTING HAVE YOU OR YOUR FIRM HAD AS A:

PRIME CONTRACTOR_________________ AND/OR SUB-CONTRACTOR_____________

6. LIST BELOW THE PROJECTS YOUR BUSINESS HAS COMPLETED WITHIN THE LAST THREE YEARS:

CONTRACT

AMOUNT

TYPE OF PROJECT

DATE

COMPLETED

NAME,ADDRESS,&PHONE OF OWNER /PERSON TO

CONTACT FOR PROJECT INFORMATION

7. LIST BELOW ALL OF YOUR CONTRACTUAL COMMITMENTS RUNNING CONCURRENTLY WITH THE

WORK CONTEMPLATED BY THIS PROJECT:

CONTRACT

NUMBER

AMOUNT

OF AWARD

NAME, ADDRESS & PHONE # OF

BUSINESS/GOVERNMENT AGENCY INVOLVED

AWARDED

(UNITS)

PERCENT

COMPLETED

DATE

COMPLETED

8a. HAVE YOU EVER FAILED TO COMPLETE ANY WORK AWARDED TO YOU? ______YES _____NO 8b. HAS WORK EVER BEEN COMPLETED BY PERFORMANCE BOND? ______YES _____NO 8d. IF “YES” TO ANY ITEMS SPECIFY LOCATION(S) AND REASON(S)WHY:

EXPERIENCE QUESTIONNAIRE PAGE 2

9. ORGANIZATION AND WORKERS THAT WILL BE AVAILABLE FOR THIS PROJECT:

a. MINIMUM NUMBER OF EMPLOYEES:___________ AND MAXIMUM NUMBER OF EMPLOYEES:__________

b. ARE EMPLOYEES REGULARLY ON YOUR PAYROLL? ______YES _______ NO

c. SPECIFY EQUIPMENT AVAILABLE FOR THIS CONTRACT:_______________________________________________

d. ESTIMATE RATE OF PROGRESS BELOW (SUCH AS 2.0 ACRES/MAN/DAY):

MINIMUM PROGRESS RATE:______________________ AND MAXIMUM PROGRESS RATE:_________________

10. LIST BELOW THE EXPERIENCE OF THE PRINCIPAL INDIVIDUALS OF YOUR BUSINESS:

INDIVIDUAL’S NAME

PRESENT

POSITION

YEARS

OF EXP.

MAGNITUDE AND TYPE OF

WORK

11. REMARKS: SPECIFY BOX NUMBERS (Attach sheets if extra space is needed to fully answer any of the above questions):

CERTIFICATION

I certify that all of the statements made by me are complete and correct to the best of my knowledge and that any persons named as references are authorized to furnish the Forest Service with any information needed to verify my capability to perform this project.

12a. CERTIFYING OFFICIAL’S NAME AND TITLE

12b. SIGNATURE (Sign in Black Ink)

13. DATE