A002_ID_PFH_98(1) _Goose_Lake_Road_Reconstruction.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 7/01/2015 N/A ID PFH 98(1) Goose Lake Road Reconstruction

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-R-00005

9B. DATED (SEE ITEM 11)

6/10/2015

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

(__X ) is extended, ( ) 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.)

ID PFH 98(1) Goose Lake Road Reconstruction

Amendment A002 is issued to extend the due date for Past Performance Questionnaires to align with the due date for the

SOQ.

ENCLOSURES: Form P1-Past Performance-Design Page 1 and Form P1-Past Performance-Construction Page 1

The new date for submission of Past Performance Questionnaires is July 9, 2015.

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

Design‐Build Request for Qualifications (RFQ) Appendix A

Revised by Amendment 002

Form P1 - Past Performance Questionnaire (Design), Page 1 (Submitted by Owner/Agency)

REQUEST FOR PAST PERFORMANCE

Type of Contract: The Federal Highway Administration (FHWA) is currently in the process of soliciting qualifications for a design-build project.

What do you need to do? WFLHD is looking for past performance information on design projects completed since January 1, 2007 or that are ongoing with at least 75% of the design work complete as of the date this questionnaire is filled out.

Please complete and submit the attached questionnaire directly to FHWA no later than July 9, 2015. The completed questionnaire may be mailed, e-mailed or faxed to:

Mail or Delivery Address:

Attn: Susan Yenne

(Mailroom – Do not open) Western Federal Lands Highway Division 610 East Fifth Street Vancouver WA 98661-3801

FAX: (360) 619-7932 (ATTN: Susan Yenne) E-MAIL: WFL.Construction@dot.gov (ATTN: Susan Yenne) Telephone verification of receipt: 360.619.7601

Design‐Build Request for Qualifications (RFQ) Appendix A

Revised by Amendment A002

Form P2 - Past Performance Questionnaire (Construction), Page 1 (Submitted by Owner/Agency)

REQUEST FOR PAST PERFORMANCE

Type of Contract: The Federal Highway Administration (FHWA) is currently in the process of soliciting qualifications for a design-build project.

What do you need to do? FHWA is looking for past performance information on construction projects completed since January 1, 2007 or that are ongoing with at least 75% of the onsite work complete as of the date the questionnaire is filled out.

Please complete and submit the attached questionnaire directly to FHWA no later than July 9, 2015. The completed questionnaire may be mailed, e-mailed or faxed to:

Mail or Delivery Address:

Attn: Susan Yenne

(Mailroom – Do not open) Western Federal Lands Highway Division 610 East Fifth Street Vancouver WA 98661-3801

FAX: (360) 619-7932 (ATTN: Susan Yenne) E-MAIL: WFL.Construction@dot.gov (ATTN: Susan Yenne) Telephone verification of receipt: 360.619.7601