A004_MT_PRA_GLAC_10(39).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)

A004 05/10/2013 N/A MT PRA GLAC 10(39),

GTSR Rehabilitation Siyeh Bend to

Rising Sun, Phase XII

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

DTFH70-12-R-00007

9B. DATED (SEE ITEM 11)

09/26/2012

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.)

MT PRA GLAC 10(39), GTSR Rehabilitation Siyeh Bend to Rising Sun Phase XII

REVISIONS ARE AS FOLLOWS:

SPECIAL CONTRACT REQUIREMENTS

Page Section/Table Revision F-49 401-19 Payment Adds factor to interim pay adjustment for roughness.

Enclosure: F-49

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-49

Special Contract Requirements Project: MT PRA-GLAC 10(39), GTSR Rehabilitation, Siyeh Bend to Rising Sun, Phase XII

Payment will be full compensation for the work prescribed in this Section. See Subsection 109.05.

Payment for HMA or WMA pavement will be made at a price determined by multiplying the contract unit bid price by the material pay factor. The material pay factor is calculated as follows:

PF(material) = 1 + [(PFVolumetric – 1) + (PFPG – 1)]

Where:

PF(material) = Material pay factor.

PFVolumetric = Pay factor for HMA or WMA pavement. PFVolumetric is the lowest single pay factor determined for asphalt binder content, VMA, and core density.

PFPG = Pay factor for asphalt binder. The PFPG formula is as follows:

PFPG = (PF1 + PF2 + PF3 + ….PFn) / n

Where:

PF# = For each sample, the lowest pay factor determined from any test in Table 401-8. If the lowest pay factor for a sample is in reject, the sample’s pay factor is zero.

N = Number of samples tested.

If either the pay factor for the asphalt binder (PFPG) or the pay factor for HMA or WMA pavement (PFVolumetric) is below 0.75, the lot for HMA or WMA pavement is in reject.

A separate pay adjustment will be made for pavement roughness. An interim pay adjustment for each roughness type is calculated to the nearest dollar as follows:

PAType I = (0) (PFrough - 1.00) – (LRPR)

PAType II = (0) (PFrough - 1.00) – (LRPR)

PAType III = (1,827,200) (PFrough - 1.00) – (LRPR)

Where:

PAType I, PAType II, and PAType III = Interim pay adjustments for each roughness type.

PFrough = Applicable pay factor from Table 401-3, Table 401-4, or Table 401-5.

LRPR = Applicable localized roughness pay reduction from Table 401-6.

PArough = PAType I + PAType II + PAType III

Where:

PA rough = Final pay adjustment for roughness.

Revised by Amendment A004