A003-AK DEN 2009_17_.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 12/6/2011 N/A AK DEN 2009(17), KWETHLUK-

JAY HAMMOND ROAD REPAIRS

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

DTFH70-11-B-00015

9B. DATED (SEE ITEM 11)

11/03/2011

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).

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

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.)

AK DEN 2009(17), KWETHLUK-JAY HAMMOND ROAD REPAIRS

SPECIAL CONTRACT REQUIREMENTS

Revises table 637-1 Minimum Requirements for Field Facilities 637-2 Minimum Facility Furnishings and Services

ENCLOSURES

Pages: F-15

F-16

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

F-15

Special Contract Requirements Project: AK DEN 2009(17), Kwethluk-Jay Hammond Road Repairs

Delete the Table 637-1 and substitute the following:

Table 637-1 Minimum Requirements for Field Facilities

Property Residential Housing

(Includes Field Office)

Size Single wide, 25 to 30 ft long travel trailer

Rooms – number and type 4: - bedroom, toilet room, living/kitchen, and field office

Locking outside door, deadbolt with keys 1

Steps with slip proof tread and handrails (1)

Number of windows (minimum), all with locks

Closet (minimum) 1

Electrical lighting Yes

Heat and air conditioning, maintain temperature of 72±7 ºF

Yes

Adequate electrical outlets 4 minimum

Surge protectors Yes

Adequate electricity (120 and/or 240 V, 60 cycle as applicable)

Yes

Internet Service, minimum download speed of 1.5 Mbps and minimum upload speed of 256 Kps

Yes

Adequate potable water supply Yes Bottled Water 1 gallon per day

Waste disposal services Yes

Television, 12-inch minimum with cable or satellite service

Yes

Sinks, with faucets for both hot and cold water

Yes

Adequate hot and cold water supply Yes

Shower/bath facilities Yes

Propane Yes

Laundry facilities Yes

(1) As required.

Revised by A003

F-16

Special Contract Requirements Project: AK DEN 2009(17), Kwethluk-Jay Hammond Road Repairs

Delete the Table 637-2 and substitute the following:

Table 637-2 Minimum Facility Furnishings and Services

Property Combined Residential

Housing and Field Office Unit

Table — 10 square feet 1

File cabinet, 2-drawer, fire resistant, metal, with lock 1*

Desk/Table — 12-square foot 1

Desk lamp 1

Office chair 1

Bookcase 1

Fire extinguisher 1

Smoke Alarms 2

Refrigerator, 8-cubic foot 1

Range and oven, standard 22-inch 1

Microwave oven, 900 watts, 0.5 cubic foot 1

Kitchen table with 2 chairs/Dinette booth 1

Easy chair/Standard RV sofa 1

Lamps 2

Double bed 1

Dresser 1

*May be included as part of the desk.

Revised by Amendment A003