A002_sf30_Grisdale.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

N/A

PAGE

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

A002 5/1/09 N/A WA PFH 209-1(2)

CAMP GRISDALE ROAD

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

Department of Transportation Federal Highway Administration 610 East Fifth Street Vancouver WA 98661-3801

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

X DTFH70-09-B-00003

9B. DATED (SEE ITEM 11)

4/17/09

10A. MODIFICATION OF CONTRACT/ORDER NO.

N/A

10B. DATED (SEE ITEM 13)

CODE: N/A FACILITY CODE: N/A

N/A

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

| X | The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

(__ ) is extended, ( x ) 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)

N/A

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

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

ITEM 10A.

N/A

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).

N/A

C THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

N/A

D OTHER (Specify type of modification and authority) N/A

E. IMPORTANT: Contractor n/a is not, n/a is required to sign this document and return n/a copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

WA PFH 208-1(2), CAMP GRISDALE ROAD

PERMITS

Pages H-174, H-177, and H-178. Revises location for Elk Creek Pit Stockpile

ENCLOSURES

Pages: H-174, H-177, and H-178.

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) 15a. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

N/A

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

BY_________________________________________ BY N/A___________________________ N/A (Signature of person authorized to sign) (Signature of Contracting Officer)

NSN 7540-01-152-8070

PREVIOUS EDITION NOT USABLE

30-105 STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

H-174

Permits Project: WA PFH 208-1(2), Camp Grisdale Road bwallace Typewritten Text Revised by Amendment A002 bwallace Line bwallace Line bwallace Line

H-177 FS-2800-9 (7/2007)

0MB No. 0596-0081

Permits Project: WA PFH 208-1(2), Camp Grisdale Road

Exhibit A

Stipulations

The following conditions apply to the use of crushed rock from Forest Service stockpiles located at the Donkey Creek Road Siti (FSR 22, milepost 12.8) and the Elk Creek Pit Site (FSR 2204-031 milepost 02).

1) Seasonal Operating Restrictions

I) There are no seasonal operating restrictions associated with this permit.

2) Prevention of Spread of Invasive Plant Species

i) Off-road equipment used outside the limits of the road prism will be ensured to be free of invasive plant material including soil, seeds, vegetative matter, or other debris that could contain or hold seeds.

ii) Rock sources will be inspected for invasive plants before use and transport of pit materials.

The Forest Service will be responsible for the treatment of the Donkey Creek Road stockpile with herbicide, and will certify the weed-free status of the rock upon successful completion of the treatment.

3) Conditions of Rock Use

i) The Donkey Creek Road stockpile will be drawn from first, and the remaining quantity to equal the authorized volume of 5,000 cubic yards will be taken from the Elk Creek Pit stockpile.

H) Prior to removal of any rock, the permit holder will survey the stockpiles to determine the quantity present.

Hi) When rock removal is complete, the permit holder will resurvey the stockpiles to determine the quantity remaining, and will calculate the quantity removed.

iv) The permit holder will replace all material that is removed with crushed rock of equal quality no later than September 30, 2010.

4) Site Restoration

i) Site restoration will include an evaluation of the need to seed the site or use other erosion control measures, as determined by the Forest Service, When needed, weed-free straw will be used and priority given to seed mixes and plantings with local native species.

5) Sanitation

i) Garbage control measures will be used to prevent scavengers from being attracted to the project area.

No food scraps will be discarded or fed to wildlife.

6) Forest Service Contact

i) The Forest Service contact for operations under this permit is Bill Shelrnerdine, Forest Geologist; phone: (360) 956-2282; email: bshelmerdine@fs.fed.us.

Revised by Amendment A002

Typewritten Text Revised by Amendment A002 bwallace Line

Line