A002_PleasantValley.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 02/10/2016 N/A MT Flathead 543(1)

Pleasant Valley Road Relocation

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

DTFH70-15-B-00010

9B. DATED (SEE ITEM 11)

01/14/2016

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 Flathead 543(1), Pleasant Valley Road Relocation

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. A002, dated 2/11/16 MT FLATHEAD 543(1) Solicitation No. DTFH70-15-B-00010 Pleasant Valley Road Relocation

REVISIONS ARE AS FOLLOWS:

PHYSICAL DATA

Adds additional physical data files to FBO.

- Test Pit Memo

Disregard posting on FBO for the Landxml of existing ground surface file.

Use attached fax request form to provide your email information to our office OR email your request to wfl.contract@dot.gov with the information on the fax form and we will add you to our secure file site so you can download the Landxml of existing ground surface.

SPECIAL CONTRACT REQUIREMENTS

Page Section/Table Revision F10 622.02 Rental Equipment Revises description

ENCLOSURES

Pages:

F-10 Fax Request Form mailto:wfl.contract@dot.gov

F-10 DIVISION 600

Special Contract Requirements Project: MT FLATHEAD 543(1), PLEASANT VALLEY ROAD RELOCATION

Section 622. — RENTAL EQUIPMENT

01/01/14–FP14

Description

622.01 Delete the text of this Subsection and substitute the following:

This work consists of furnishing and operating equipment for the construction work as ordered by the CO and listed below. Work under this Section does not include equipment time used to perform work provided for under any other pay item shown in the bid schedule. The work anticipated under this Section includes:

(a) Minor drainage improvements as directed by the CO.

(b) Minor slope stabilization as directed by the CO.

(c) Removal of miscellaneous items as directed by the CO.

(d) Boulder relocation and placement as directed by the CO.

(e) Perform minor landscaping, as directed by the CO.

Construction Requirements

622.02 Rental Equipment. Delete the text of the first paragraph and substitute the following:

Furnish and operate the following equipment:

Number of Units Type of Equipment

Submit the model number and serial number for each piece of equipment before use. Make equipment available for inspection and approval before use.

Revised by Amendment A002

Hydraulic Excavator, 1 Cubic Yard Minimum Capacity with Thumb Attachment

Wheel loader, 3 cubic meter yards minimum rated capacity

1 Dump Truck, 10 cubic yard minimum capacity

FAX this completed form to 360.619.7932; if you have problems, call 360.619.7520.

MT FLATHEAD 543(1)

PLEASANT VALLEY ROAD RELOCATION

Physical Data Documents ( See Clause 52.236-4)

We will add you to our secure file site so you can download the Landxml of existing Ground Surface.

LAND XML OF EXISTING GROUND SURFACE

Company Name:

Contact Name:

Telephone:

Email:

REQUEST FORM