Amendment_2.pdf

(x)

DTFH6116R00015

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

WASHINGTON DC 20590

HCFA

1200 NEW JERSEY AVENUE, SE

OFFICE OF ACQUISITION & GRANTS MGMT

OFFICE OF THE CHIEF FINANCIAL OFFICER

FEDERAL HIGHWAY ADMINISTRATION

01/12/2017000002

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

12/14/2016

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.)

This amendment is issued to:

1. Delete attachment J.12 "CONFLICT OF INTEREST AND NON-DISCLOSURE AGREEMENT" and replace it with "NON-DISCLOSURE AGREEMENT – CONTRACTOR PERSONNEL."

Accordingly, the Request for Proposals is amended as follows:

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)

Tiffany A. Youther

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

Amendment 0002

RFP DTFH611600015

Attachment J.12 “Non-Disclosure Statement”:

DELETE:

CONFLICT OF INTEREST AND NON-DISCLOSURE AGREEMENT

1. I, the undersigned, certify that I will not discuss or reveal any information pertaining to DTFH6116R00015 to anyone who has not been approved by the Contracting/Agreement Officer (CO/AO).

2. I further agree that at any time I discover that I have an interest in or connection with, a company submitting a proposal, I shall promptly report, in writing, the fact of my interest or connection, and the nature of it, to the CO/AO. I recognize that a reportable interest or connection includes, but is not limited to, the following:

a. Ownership of a company’s securities by me or my spouse.

b. A close family relationship to an official of a company submitting a proposal or participating as a subcontractor.

c. Any other interest in or connection with a company that might subject Federal Highway Administration to criticism on the basis that such interest or connection would impair my objectivity in participating in the proposal evaluation proceedings including conduct of cost/price analysis.

3. I further agree that, upon completion of my review of subject proposals, I will return all copies of the proposals (including any abstracts thereof) and any related documentation to the CO/AO or their duly authorized Government representative.

4. In addition, I fully realize that any breach by me of my obligation to safeguard and not disclose to unauthorized persons any information made available to me concerning the subject RFP/RFA, may result in appropriate disciplinary action, provided for by law or regulation, being taken against me by duly constituted authority.

To the extent that my participation in this procurement requires access to proprietary, business confidential, or financial data of other companies, and as long as such data remains proprietary or confidential, I will protect such data from unauthorized use and disclosure and agree not to use it to compete against such companies.

Any questions on this document shall be immediately addressed to Matthew M. Carr by phone at (202) 366-8404 or e-mail at Matthew.Carr@dot.gov.

Print Name: (Insert Name of Panel Member) Print Organization Name: US DOT FHWA (insert routing code _________________) mailto:Matthew.Carr@dot.gov

Signature: Date: _____________(insert date)

Form Version Date: October 10, 2014

Note: These provisions are consistent with and do not supersede, conflict with, or otherwise alter the employee obligations, rights, or liabilities created by existing statute or Executive order relating to (1) classified information, (2) communications to Congress, (3) the reporting to an Inspector General of a violation of any law, rule, or regulation, or mismanagement, a gross waste of funds, an abuse of authority, or a substantial and specific danger to public health or safety, or (4) any other whistleblower protection. The definitions, requirements, obligations, rights, sanctions, and liabilities created by controlling Executive orders and statutory provisions are incorporated into this agreement and are controlling.

INSERT:

NON-DISCLOSURE AGREEMENT – CONTRACTOR PERSONNEL

I, the undersigned, certify that I will not discuss or reveal any information concerning the following to anyone who is not a Federal Highway Administration (FHWA) employee with a need to know, or an approved FHWA contractor employee* involved in the following:

Any technical and / or program information concerning current and future work, work statements, plans, reports; any procurement sensitive information, including contractor proposals, and proprietary information of other Contractors under any FHWA contracts and agreements;

information on Government programs and initiatives , including all confidential and proprietary data and information of the Federal Government, and specifically, any work related to this contract, ____________________, and more specifically as related to work being performed under this contract for the ____________________ and / or its customers.

I certify that such information and data will not be shared , copied, discussed, or shown to anyone who is not a FHWA employee or an approved FHWA contractor employee* and will be used exclusively and internally for the FHWA ____________________.

I certify that no one other than a FHWA employee with a need to know will receive access to the information and data described above unless they have signed this Non-Disclosure Agreement and submitted the signed agreement to the FHWA Contracting Officer with cognizance over FHWA Contract number ____________________.

In addition, I fully realize that any breach by me of my obligation to safeguard and not to disclose to unauthorized persons any information made available to me concerning the above items may result in appropriate disciplinary action, provided for by law or regulation, being taken against me by duly constituted authority.

Any questions regarding this document shall be immediately addressed to the FHWA Contracting Officer.

Print Name: ____________________________________________ Print Firm Name: ____________________________________________ Working Under FHWA Contract No. ____________________________________________ entitled “____________________________________________” Signature: ____________________________________________ Date: ____________________ *Denotes contractor employee(s) previously approved to participate on related FHWA ____________________________________________ work, programs and initiatives by the FHWA Contracting Officer.

Note: These provisions are consistent with and do not supersede , conflict with, or otherwise alter the employee obligations, rights, or liabilities created by existing statute or Executive Order relating to (1) classified information, (2) communications to Congress, (3) the reporting to an Inspector General of a violation of any law, rule, or regulation, or mismanagement, a gross waste of funds, an abuse of authority, or a substantial and specific danger to public health or safety, or (4) any other whistleblower protection.

The definitions, requirements, obligations, rights, sanctions, and liabilities created by controlling Executive Orders and statutory provisions are incorporated into this agreement and are controlling.