AMENDMENT1.PDF

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

2 AMENDMENT/MODIFICATION NO

OC0001

6 ISSUED BV CODE

3 EFFECTIVE DATE

02/04/2011

9A4 7

1 CONTRACT ID CODE

4 REQUISITION/PURCHASE REQ NO

PAGE OF PAGES

1 1

5 PROJECT NO tlf applicable)

7 ADMINISTERED BY (Homer than Item 6} CODE 9^47

SIX RIVERS NATIONAI

1330 BAYSHORE WAY

EUREKA CA 95501

FOREST SIX RIVERS NATIONAL FOREST

133C BAYSHORE. WAY

EUREKA CA 95501

8 NAME AND ADDRESS OF CONTRACTOR (No street count-/ Stare ana ZIP Coae>

CODE FACILITY CODE

(x)

X

9A AMENDMENT OF SOLICITATION NO

AC— 9A47-S-11-0005

9B DATED (SEE ITEM 11)

02/04/2011

10A MODIFICATION OF CONTRACT/ORDER NO

108 DATED ISEE ITEM 13)

X Tne above numoered solicitation is amended as set forth in Item 14 The hour and date specified for receipt of Offers is extended Xis not extended

Offers must acknowledge receipt of this amendment pnor to the hour and date specified in the solicitation or as amended by one of the following methods (at By completing items 8 and 15 and returning 1 copies of the amendment, (bi By acknowledging receipt of this amendment on each copy of the offer submitted or (cj 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 Oy 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 ana is received pnor to the opening hour and date specified

12 ACCOUNTING AND APPROPRIATION DATA (Itrequired)

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTSIORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

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 ITEM10A

B THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (Sucfi as changes in faying office appropriation flafe etc) SET FORTH IN ITEM 14 PURSUANT TO THE AUTHORITY OF FAS 43 103(bj

C THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF

D OTHER {specify type of modification and authority)

E. IMPORTANT: is required to sign this document and return copies to the issuing office

14 DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section Headings including solicitation/contract suoject master Mere feasio/e)

SECTION B - SCHEDULE OF ITEMS AND SECTION C-l.l SCOPE OF CONTRACT.

Statement regarding California State License is amended to now read:

CONTRACTOR SHALL BE LICENSED IN THE STATE OF CALIFORNIA AMD HAVE AN ACTIVE CLASS A (GENERAL

ENGINEERING CONTRACTOR) AND/OR AN ACTIVE CLASS C42 (SANITATION SYSTEM CONTRACTOR) LICENSE.

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 orpnnt)

156 CONTRACTOR/OFFEROR

(Signature at person autnonied to sign)

15C DATE SIGNED

16A NAME AND TiTLE OF

PJ VILHAUER

CONTRACTING OFFICER (Type orpnnt)

16B UXTrjED STATES OF AMERICA i/fctnJ ll &>^/^/f~~^' — 'rfwtf&rms*

NSN 7540-01-152-8070

Previous edition unusable eenlraamg omcerl

16C DATE SIGNED

HM-&I,

STANDARD FORM 30 (REV 10-83)

Prescribed by GSA

FAR (48 CFR) 53 243