A003_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)

A003 5/12/09 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

See page 2 for Revisions.

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

Amendment No. A003, dated 5/12/09 WA PFH 208-1(2) Solicitation No. DTFH70-09-B-00003 Camp Grisdale Road

REVISIONS ARE AS FOLLOWS:

ROAD USE PERMITS

Page K-1, Index. Deletes “Haul of up to 60,000 Cubic Yards of Rock Over FS Road 22, Milepost 0.0–21.8”. Adds “USDA Forest Service Contact Information.”

Old Pages K-23 through K-34. Removes Road Use Permit for “Haul of up to 60,000 Cubic Yards of Rock over FS Road 22, Milepost 0.0– 21.8”

New Page K-23. Inserts US Forest Service contact information concerning Road Use Permits.

New Page K-24 through K-34. These pages are now “Reserved”.

ENCLOSURES

Pages:

K-1 K-23 K-24 through K-34 (one page)

K-1

Revised by Amendment A003

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

INDEX

U.S. Forest Service – Olympic National Forest Road Use Permit Haul of up to 15,000 Cubic Yards of Pit Run Rock K-3 The Simpson Quarry

Haul of up to 17,000 Cubic Yards of Waste Material To a Disposal Site in Section T22N R7W K-13

U.S. Forest Service Contact Information K-23

Haul of up to 5,000 Cubic Yards of Crushed Rock from Forest Service Stockpiles K-35

K-23

Road use permits must be secured from the Olympic National Forest for the use of Forest Service roads as haul routes. Contractors may obtain road permits from the USDA Forest Service by contacting

Martha Krueger Olympic National Forest

P.O. Box 9, Quinault, WA 98575 Phone (360) 288-0278

FAX (360) 288-0286

Email mfkrueger@fs.fed.us.

K-24 through K-34

Reserved