A001_WFLHD First Floor Bathroom Remodel.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)

A001 6/30/2011 N/A WFLHD First Floor Bathroom Remodel

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-Q-00011

9B. DATED (SEE ITEM 11)

06/14/2011

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.)

This amendment corrects page numbers on the Offer Submittal Checklist and clarifies a statement on Appendix 4.

Enclosures:

Offer Submittal Checklist Page 50, Appendix 4: Example of Concrete Stain/Floor Finish

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

Project: WFLHD First Floor Bathroom Remodel

Before submitting your offer, please review the following:

Done?

Is this in the envelope?

Bid Envelope

Did I correctly address the envelope? (See page 3, blocks 7 & 8) Does the lower left corner of the envelope include the Solicitation Number and the project name/number?

Offer Submittal (must be submitted on the SF 1442 or letterhead stationery)

Did I include the solicitation number?

Did I include the time specified in the solicitation for receipt of offers?

Did I include my name, address, and telephone number?

Did I include “Remit to” address, if different than mailing address?

Did I include my DUNS number?

Did I include the number & date of all amendments in block 19 of the 1442 or include the signed SF30?

Did an appropriate official sign the offer?

Bid Schedule/Price (see page 5) Did I insert a total lump sum fixed price?

Did I include the firm’s name on bid schedule?

Bid Guarantee

Did I submit an acceptable Bid Guarantee?

Authority to Sign Did I include a completed form for each person signing the SF1442 and/or Bid Bond if applicable?

Representations & Certifications & other fill-ins

Did I include the completed B-pages (beginning on page 7)?

Central Contractor Registration (CCR) http://www.ccr.gov Did I ensure our firm is currently registered in CCR?

Online Representations & Certifications Application (ORCA) http://orca.bpn.gov Are we up-to-date data in ORCA ?

Quotation Requirements Did I include a work schedule?

Did I include the Resume of the onsite Project Manager/Foreman?

Did I include Past Performance information for the past two years?

Did I include my submittals for sinks, partitions, tile and paint?

NOTE: The Contractor is fully responsible to verify that all data is correct each time a offerors package is submitted.

Revised by Amendment A001

Project: WFLHD First Floor Bathroom Remodel

Driving Directions to our Vancouver Washington Office:

See our web page at http://www.wfl.fhwa.dot.gov/about/directions.htm

The following is an example of the color and marbleized look that we would like for the first floor restrooms. We are not requesting the floor etching, border or the decorative pieces that are including in this photo. The focus is on the color and finish. The hues that we want are beige/amber/earthy light brown hues.

Photo electronically:

http://www.decorativeconcretesolutions.info/webadstainpics/score&stainSM.JPG

Revised by Amendment A001

Appendix 4: Example of Concrete Stain/Floor Finish Page 50 of 52