Attachment A - FD12 Francis Road.pdf

PDF 282 KB Posted

Attached to
FD12 DSA Francis Road
Solicitation number
6100065086
Issued by
Schuylkill County, Pennsylvania

About this file

This is an Attachment A specification acknowledgement document for the Pennsylvania Department of Conservation and Natural Resources (DCNR), Tiadaghton State Forest, Forest District 12, for solicitation #6100065086 concerning the delivery, placement, and compaction of approximately 4,090 tons of limestone Driving Surface Aggregate (DSA) to Francis Road in Stewardson Township, Potter County. The document presents two acknowledgement forms that contractors must complete and submit with their bid response: Form A.1 for contractors creating and supplying the DSA directly, and Form A.2 for situations where the DSA will be supplied by a third-party quarry. Only one form should be submitted with the bid, and failure to comply with this requirement may result in a non-responsive determination and contractor disqualification. The authorized representative completing the form must be knowledgeable of DSA specifications and capable of answering technical questions about the product.

The DSA specifications establish precise requirements for the aggregate material, including sieve analysis parameters with passive sieve percentages for particles passing 1 inch (100%), ¾ inch (65-97%), #4 (30-65%), #16 (15-32%), and #200 (11-15%). The material must have a pH range of 6 to 12.45, LA abrasion loss less than 45 percent per AASHTO T-96, and a plasticity index of 4 or below per ASTM D4318. Fines passing the #200 sieve must be rock material with no clay or silt soil permitted, though limestone and sandstone materials may be combined to meet distribution requirements. Material must be delivered and placed at optimum moisture content, or within ±1 percent of that value, as determined by Proctor Test ASTM D698, procedure C. The tonnage estimate of 4,090 tons may increase or decrease based on departmental needs.

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Text version

10/20/2025

ATTACHMENT A

Signed Acknowledgement of DCNR DSA Specifications

1. The Contractor must choose the appropriate acknowledgement letter:

a. DSA Contractor Acknowledgement of DSA Specifications (A.1) This form is used when the Contractor will be creating and supplying the DSA.

b. DSA Quarry Letter of Intent (A.2) This form is used when the DSA will be created and supplied by a quarry not owned by the Contractor.

2. The appropriate form must be printed, completed in its entirety, signed, and dated.

a. Both A.1 and A.2 must be signed only by approved representatives of the Contractor and Quarry respectively.

c. Representatives must be knowledgeable of DSA and be prepared to answer all questions on the product.

3. The Contractor must then include the appropriate fully executed form with their bid response (either A.1 or A.2.).

DO NOT attach both acknowledgements.

4. Failure to comply with this requirement could result in a non-responsive determination and subsequent disqualification for the Contractor.

BUREAU OF ADMINISTRATIVE SERVICES

A.1

CONTRACTOR ACKNOWLEDGEMENT OF DSA PRODUCT

(FORM MUST BE COMPLETED BY BIDDING CONTRACTOR)

Solicitation # 6100065086 FD12 - Tiadaghton Francis Road Approximate Tonnage – 4,090 (Tonnage is estimated and can increase or decrease based on the needs of the Department.)

By signing this acknowledgement I, _______________________________________ (Print Name), an authorized representative of ____________________________________________ (Name of Contractor), confirms that ___________________________________________ (Name of Contractor) has the ability to competently create and supply certified Driving Surface Aggregate (DSA) for the Solicitation listed above that meets the following specifications.

Passive Sieve

Low Percentage

High Percentage

1 ½ inch 100% -- ¾ inch 65% 97%

#4 30% 65% #16 15% 32%

#200* 11% 15%

The fines passing the #200 sieve must be rock material. No clay or silt soil may be added. Limestone material passing the #200 sieve may be used to make up a deficit in the distribution of sandstone aggregate rock, and vice versa. All added material passing the #200 sieve must be derived from rock material that conforms to program specifications. The amount of particles passing the #200 sieve will be determined using the washing procedures specified in PTM No. 100.

*If the Plasticity Index for the Material is 2 or below, then the #200 sieve is permitted to be 11-17%.

pH: 6 – 12.45 as measured by EPA 9045C

LA Abrasion: < 45% loss based on Los Angeles Abrasion test, AASHTO T-96 [ASTM C 131] Plasticity Index: ≤ 4 based on ASTM D4318 – Standard Test Method for Liquid Limit, Plastic Limit, and Plasticity Index of Soils.

Optimum Moisture: Material will be delivered and placed at optimum moisture content, or +/- 1% of that value, as determined for that particular source. The optimum percentage moisture will be determined using Proctor Test ASTM D698, procedure C, Standard.

Signature of Authorized Representative Date

Division of Procurement & Supply Rachel Carson State Office Building | P.O. Box 8769 | Harrisburg, PA 17105-8769 | 717.783.3332 | F 717.787.8624 | www.dcnr.pa.gov

BUREAU OF ADMINISTRATIVE SERVICES

A.2

QUARRY ACKNOWLEDGEMENT OF DSA PRODUCT - LETTER OF INTENT

(FORM MUST BE COMPLETED BY SUPPLYING QUARRY)

Solicitation # 6100065086 FD12 - Tiadaghton Francis Road Approximate Tonnage – 4,090 (Tonnage is estimated and can increase or decrease based on the needs of the Department.)

By signing this Letter of Intent I, _______________________________________ (Print Name), an authorized representative of ____________________________________________ (Name of Company), confirms that ___________________________________________ (Location or Name of Quarry) has the ability to competently create and supply to ____________________________________ (Name of

Contractor) certified Driving Surface Aggregate (DSA) for the Solicitation listed above that meets the following specifications.

The fines passing the #200 sieve must be rock material. No clay or silt soil may be added. Limestone material passing the #200 sieve may be used to make up a deficit in the distribution of sandstone aggregate rock, and vice versa. All added material passing the #200 sieve must be derived from rock material that conforms to program specifications. The amount of particles passing the #200 sieve will be determined using the washing procedures specified in PTM No. 100.

*If the Plasticity Index for the Material is 2 or below, then the #200 sieve is permitted to be 11-17%.

pH: 6 – 12.45 as measured by EPA 9045C LA Abrasion: < 45% loss based on Los Angeles Abrasion test, AASHTO T-96 [ASTM C 131]

Plasticity Index: ≤ 4 based on ASTM D4318 – Standard Test Method for Liquid Limit, Plastic Limit, and Plasticity Index of Soils.

Optimum Moisture: Material will be delivered and placed at optimum moisture content, or +/- 1% of that value, as determined for that particular source. The optimum percentage moisture will be determined using Proctor Test ASTM D698, procedure C, Standard.

Signature of Authorized Representative Date

Division of Procurement & Supply Rachel Carson State Office Building | P.O. Box 8769 | Harrisburg, PA 17105-8769 | 717.783.3332 | F 717.787.8624 | www.dcnr.pa.gov

Passive Sieve

Low Percentage

High Percentage

1 ½ inch 100% -- ¾ inch 65% 97%

#4 30% 65% #16 15% 32%

#200* 11% 15%

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