A002.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 04/05/2016 N/A WA LEWIS 707(1), Cispus Road Improvements

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 DTFH70-16-B-00003

9B. DATED (SEE ITEM 11)

03/14/2016

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).

N/A

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

N/A

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.)

WA LEWIS 707(1), Cispus Road Improvements

Amendment A002 is issued to revise the Bid Schedule:

ENCLOSURES: Pages A-7 – A-9

NOTICE TO BIDDERS: Please submit revised pages A-7 through A-9 with your bid.

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

A - 7

Bidder please note: Before preparing the bid, carefully read the Solicitation Provisions.

Insert a unit bid price, in figures, for each pay item for which a quantity appears in the bid schedule. Multiply the unit price by the quantity for each pay item and show the amount bid. Should any mathematical check made by the Government show a mistake in the amount bid, the corrected unit price extension shall govern.

When the word "LPSM" (Lump Sum) appears as a unit bid price, insert an amount for each lump sum pay item.

When a sum based on a fixed rate appears for any pay item in the amount bid column, include the Government inserted amount bid for the item in the total bid amount.

Total all of the amounts bid for each pay item and show the total bid amount.

Bid Schedule

Project No:WA LEWIS 707(1), Cispus Road Improvements

A-8

B I D S C H E D U L E Schedule A Account: ALL

Project No: WA LEWIS 707(1)

Name: Cispus Road Improvements CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

15101-0000 Line A0020 ALL LPSM $

15401-0000 Line A0040 ALL LPSM $

15501-0000 Line A0060 ALL LPSM $

15702-1000 Line A0080 ALL LPSM $

25101-0200 Line A0100 50 CUYD $ $

25101-0300 Line A0120 20 CUYD $ $

40601-0000 Line A0140 100 TON $ $

40702-1100 Line A0160 150,000 SQYD $ $

40710-0000 Line A0180 340 TON $ $

40712-0000 Line A0200 10 TON $ $

41801-1000 Line A0220 1,075 SQYD $ $

41801-2000 Line A0240 2,300 SQYD $ $

41801-3000 Line A0260 850 SQYD $ $

60201-0600 Line A0280 520 LNFT $ $

60201-0800 Line A0300 130 LNFT $ $

60201-1000 Line A0320 105 LNFT $ $

62201-0050 Line A0340 20 HOUR $ $

62201-0450 Line A0360 20 HOUR $ $

62301-0000 Line A0380 40 HOUR $ $

MOBILIZATION

CONTRACTOR TESTING

CONSTRUCTION SCHEDULE

SOIL EROSION CONTROL, TEMPORARY DIVERSION CHANNEL

PLACED RIPRAP, METHOD A, CLASS 2

PLACED RIPRAP, METHOD A, CLASS 3

GENERAL LABOR

ASPHALT CONCRETE PAVEMENT PATCH, TYPE 3

18-INCH PIPE CULVERT

24-INCH PIPE CULVERT

FOG SEAL

CHIP SEAL, TYPE 2A(RUBBER)

ASPHALT BINDER(RUBBER)

BLOTTER

ASPHALT CONCRETE PAVEMENT PATCH, TYPE 1

ASPHALT CONCRETE PAVEMENT PATCH, TYPE 2

36-INCH PIPE CULVERT

DUMP TRUCK, 5 CUBIC YARD MINIMUM CAPACITY

BACKHOE LOADER, 4 CUBIC FOOT MINIMUM RATED CAPACITY BUCKET, 18-INCH WIDTH

Schedule Total: ________________________

Submitted by: _________________________

A-9

B I D S C H E D U L E Schedule A Account: ALL

Project No: WA LEWIS 707(1)

Name: Cispus Road Improvements CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

Schedule Total: ________________________

Submitted by: _________________________

63401-0300 Line A0400 202,500 LNFT $ $

63401-0300 Line A0420 151,900 LNFT $ $

63401-0400 Line A0440 50,600 LNFT $ $

63502-0600 Line A0460 4 EACH [A001] $ $

63502-1250 Line A0480 300 EACH $ $

63503-0700 Line A0500 50,400 LNFT $ $

63504-1000 Line A0520 276 SQFT [A001] $ $

63506-0600 Line A0540 190 HOUR $ $

63507-0700 Line A0560 55 DAY $ $

63509-1000 Line A0580 1,100 FXHR [A002] 56.00$ 61,600.00$

PAVEMENT MARKINGS, TYPE B, SOLID(WHITE)

PAVEMENT MARKINGS, TYPE B, SOLID(YELLOW)

TEMPORARY TRAFFIC CONTROL, PAVEMENT MARKINGS

TEMPORARY TRAFFIC CONTROL, CONSTRUCTION SIGN

TEMPORARY TRAFFIC CONTROL, PILOT CAR

TEMPORARY TRAFFIC CONTROL, TRAFFIC CONTROL SUPERVISOR

TEMPORARY TRAFFIC CONTROL, FLAGGER

PAVEMENT MARKINGS, TYPE B, BROKEN(YELLOW)

TEMPORARY TRAFFIC CONTROL, BARRICADE TYPE 3(8-FOOT)

TEMPORARY TRAFFIC CONTROL, TUBULAR MARKER, TYPE 42-INCH

A001

A001

A002

A002