A004.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 11/16/2017 N/A OR BLM SAL 040727(1)

NESTUCCA RIVER BACK

COUNTRY PHASE I

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 DTFH70-17-B-00026

9B. DATED (SEE ITEM 11)

10/17/2017

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.)

OR BLM SAL 040727(1), NESTUCCA RIVER BACK COUNTRY BYWAY PHASE I

Amendment A004 is issued to revise the following:

See Page 2

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. A004, dated 11/16/2017 Project No OR BLM SAL 040727(1) Solicitation No. DTFH7017B00026 Project Name NESTUCCA RIVER BACK

COUNTRY BYWAY PHASE I

REVISIONS ARE AS FOLLOWS:

BID SCHEDULE

Page A-7 Through A12. Deletes Item 26001-0000 Rock Bolt

PLANS

Plan sheet B.2 Deletes Item 26001-0000 Rock Bolt Plan sheet G.2 Deletes Item 26001-0000 Rock Bolt

SPECIAL CONTRACT REQUIREMENTS

Page F-35, Subsection 622.01, Description Deletes requirement of 204.14 from this work.

ENCLOSURES

Pages:

A-7 through A-12 F-35

Plan Sheets:

B.2 G.2

Notice to Bidders: Please submit revised pages A-7 through A-12 with your bid.

A-7

Bid Schedule Project: OR BLM SAL 040727(1)

Nestucca River Back Country Byway Phase 1

Bid Schedule

Project: OR BLM SAL 040727(1) Nestucca River Back Country Byway Phase 1

Bidders 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 bid 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 Amount Bid for the item will be based on the Unit Bid Price.

When a “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 the amounts bid for all pay items and insert the total bid amount.

BRAND NAME OR EQUAL NOTIFICATION

If providing other than the listed brand name products, complete the following (See FAR Provision 52.211-6, Brand Name or Equal):

A. Our firm offers in lieu of the brand name Natina® Steel, manufactured by Natina Products, LLC specified in Subsection 725.19 Weathering Agent.

Brand: __________________________________________

Manufacturer’s Name: _____________________________

B. Our firm offers in lieu of the Pedestrian Railing produced by American Precast Concrete, Inc. or Phoenix Precast Products specified in Subsection 725.20 Pedestrian Railing.

Brand: __________________________________________

Manufacturer’s Name: _____________________________

Revised by Amendment A004

A-8

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

Project No: OR BLM SAL 040727(1)

Name: NESTUCCA RIVER BACK COUNTRY BYWAY PHASE 1 CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

15101-0000 Line A0020 ALL LPSM $

15201-0000 Line A0040 ALL LPSM $

15301-0010 Line A0060 ALL LPSM $

15401-0000 Line A0080 ALL LPSM $

15501-0000 Line A0100 ALL LPSM $

15702-1000 Line A0120 ALL LPSM $

15702-2000 Line A0140 ALL LPSM $

15704-1000 Line A0160 2,500 SQYD $ $

15705-0100 Line A0180 8,700 LNFT $ $

15705-1400 Line A0200 7,000 LNFT $ $

15706-0200 Line A0220 82 EACH $ $

15706-0200 Line A0240 36 EACH $ $

15801-0000 Line A0260 1,400 MGAL $ $

20101-0000 Line A0280 15.5 ACRE $ $

20301-1900 Line A0300 35 EACH $ $

20301-2400 Line A0320 15 EACH $ $

20301-3400 Line A0340 9 EACH $ $

20302-1200 Line A0360 3,159 LNFT (CQ) $ $

20302-1300 Line A0380 145 LNFT (CQ) $ $

Schedule Total: ________________________

Submitted by: _________________________

REMOVAL OF SIGN

REMOVAL OF WHEELSTOP

REMOVAL OF GUARDRAIL

MOBILIZATION

CONSTRUCTION SURVEY AND STAKING

CONTRACTOR QUALITY CONTROL AND ASSURANCE

CONTRACTOR TESTING

CONSTRUCTION SCHEDULE

SOIL EROSION CONTROL, TEMPORARY DIVERSION CHANNEL

REMOVAL OF GUARDRAIL, CONCRETE BARRIER

WATERING FOR DUST CONTROL

CLEARING AND GRUBBING

REMOVAL OF PIPE CULVERT

SOIL EROSION CONTROL, TURBIDITY MONITORING

SOIL EROSION CONTROL, PLASTIC LINING

SOIL EROSION CONTROL, SILT FENCE

SOIL EROSION CONTROL, FIBER ROLL

SOIL EROSION CONTROL, CHECK DAM, TEMPORARY

SOIL EROSION CONTROL, CHECK DAM, PERMANENT

Revised by Amendment A004

Glenn.Kutzera Rectangle

A-9

Account: ALL

Project No: OR BLM SAL 040727(1)

Name: NESTUCCA RIVER BACK COUNTRY BYWAY PHASE 1 CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

Schedule Total: ________________________

Submitted by: _________________________

20303-1600 Line A0400 272 SQYD $ $

20401-0000 Line A0420 28,500 CUYD $ $

21101-1000 Line A0440 950 SQYD $ $

25101-2300 Line A0460 1,000 CUYD $ $

25110-2300 Line A0480 16 CUYD $ $

25120-2100 Line A0500 750 LNFT $ $

25126-0000 Line A0520 6 EACH $ $

25201-1000 Line A0540 1,100 CUYD $ $

25501-1000 Line A0560 10,106 SQFT $ $

25501-1000 Line A0580 2,105 SQFT $ $

26001-0000 Line A0600 60 LNFT $ $

30101-2000 Line A0620 15,000 TON $ $

30201-1000 Line A0640 3,100 CUYD $ $

30201-2000 Line A0660 500 CUYD $ $

40101-5600 Line A0680 8,400 TON $ $

40105-3000 Line A0700 84 TON $ $

40301-0200 Line A0720 200 TON $ $

41201-0000 Line A0740 20 TON $ $

60103-0000 Line A0760 2 EACH $ $

TACK COAT, GRADE CSS-1

CONCRETE, HEADWALL, 14' X 7' COLORED REINFORCED COLLAR

ASPHALT CONCRETE PAVEMENT, GYRATORY MIX, 1/2-INCH OR 3/4-INCH NOMINAL MAXIMUM SIZE AGGREGATE, 0.3 TO <3 MILLION ESAL

ANTISTRIP ADDITIVE, TYPE 3

ASPHALT CONCRETE PAVEMENT, TYPE 2

MECHANICALLY STABILIZED EARTH WALL, WELDED WIRE FACE, 1:12 BATTER SLOPE

MECHANICALLY STABILIZED EARTH WALL, WELDED WIRE FACE, 1:24 BATTER SLOPE

ROCK BOLT

ROADWAY OBLITERATION, METHOD 1

PLACED RIPRAP, METHOD B, CLASS 3

GROUTED RIPRAP, METHOD B, CLASS 3, PARTIALLY

AGGREGATE BASE GRADING D

ROADWAY AGGREGATE, METHOD 1

ROADWAY AGGREGATE, METHOD 2

REMOVAL OF PAVEMENT, ASPHALT

ROADWAY EXCAVATION

RIPRAP DITCH, METHOD B, CLASS 1

REMOVE AND RESET BOULDER

SPECIAL ROCK EMBANKMENT, MECHANICALLY-PLACED

A004

Revised By Amendment A004

Glenn.Kutzera Rectangle

Glenn.Kutzera Cross-Out

Glenn.Kutzera Cross-Out

Cross-Out

A-10

Account: ALL

Project No: OR BLM SAL 040727(1)

Name: NESTUCCA RIVER BACK COUNTRY BYWAY PHASE 1 CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

Schedule Total: ________________________

Submitted by: _________________________

60103-0000 Line A0780 2 EACH $ $

60201-0800 Line A0800 539 LNFT $ $

60201-0900 Line A0820 731 LNFT $ $

60201-1000 Line A0840 204 LNFT $ $

60201-1000 Line A0860 94 LNFT $ $

60201-1200 Line A0880 203 LNFT $ $

60201-1200 Line A0900 198 LNFT $ $

60201-1600 Line A0920 284 LNFT $ $

60201-2400 Line A0940 70 LNFT $ $

60302-0000 Line A0960 68 LNFT (CQ) $ $

60510-1200 Line A0980 63 LNFT $ $

60901-1700 Line A1000 174 LNFT $ $

61501-0100 Line A1020 180 SQYD $ $

61701-1950 Line A1040 1,275 LNFT $ $

61702-0800 Line A1060 6 EACH $ $

61708-1000 Line A1080 130 LNFT $ $

61901-0000 Line A1100 901 LNFT $ $

61902-1400 Line A1120 2 EACH $ $

62201-0250 Line A1140 64 HOUR $ $

FENCE, ORANGE PLASTIC, TEMPORARY

GATE, METAL, 16 FEET WIDTH

DUMP TRUCK, 10 CUBIC YARD MINIMUM CAPACITY

12-INCH OUTLET PIPE

CURB, CONCRETE, 18-INCH DEPTH

SIDEWALK, CONCRETE

GUARDRAIL SYSTEM G4, TYPE 4, CLASS B STEEL POSTS

TERMINAL SECTION TYPE TANGENT

REMOVE AND RESET, GUARDRAIL

36-INCH PIPE CULVERT, CONCRETE, DEEP CULVERT

48-INCH PIPE CULVERT

48-INCH PIPE CULVERT, CONCRETE, DEEP CULVERT

72-INCH PIPE CULVERT, CONCRETE, DEEP CULVERT

132-INCH PIPE CULVERT

STRUCTURAL PLATE PIPE-ARCH 14' X 7' OPEN BOTTOM WITH CONCRETE FOOTING

CONCRETE, HEADWALL, 132" COLORED REINFORCED COLLAR

24-INCH PIPE CULVERT

30-INCH PIPE CULVERT

36-INCH PIPE CULVERT

Revised by Amendment A004

A-11

Account: ALL

Project No: OR BLM SAL 040727(1)

Name: NESTUCCA RIVER BACK COUNTRY BYWAY PHASE 1 CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

Schedule Total: ________________________

Submitted by: _________________________

62201-0550 Line A1160 16 HOUR $ $

62201-2300 Line A1180 16 HOUR $ $

62201-3650 Line A1200 16 HOUR $ $

62201-3750 Line A1220 48 HOUR $ $

62301-0000 Line A1240 160 HOUR $ $

62302-0100 Line A1260 24 HOUR $ $

62403-0000 Line A1280 260 CUYD $ $

62515-3000 Line A1300 17.0 ACRE $ $

62901-1100 Line A1320 1,400 SQYD $ $

63302-0000 Line A1340 880 SQFT $ $

63309-0100 Line A1360 139 EACH $ $

63313-0000 Line A1380 2,640 LNFT $ $

63316-1000 Line A1400 3 EACH $ $

63316-3000 Line A1420 2 EACH $ $

63401-0300 Line A1440 433,500 LNFT $ $

63401-0300 Line A1460 35,800 LNFT $ $

63401-0400 Line A1480 10,100 LNFT $ $

63401-0400 Line A1500 19,000 LNFT $ $

63405-0850 Line A1520 1 EACH $ $

PAVEMENT MARKINGS, TYPE B, SOLID YELLOW

PAVEMENT MARKINGS, TYPE B, BROKEN WHITE

PAVEMENT MARKINGS, TYPE B, BROKEN YELLOW

PAVEMENT MARKINGS, TYPE B, ACCESSIBILITY SYMBOL

SIGN SYSTEM

DELINEATOR, TYPE 1

RUMBLE STRIP, TRANSVERSE

REMOVE AND RESET SIGN

REMOVE AND RESET OBJECT MARKER

PAVEMENT MARKINGS, TYPE B, SOLID WHITE

CHAIN SAW

GENERAL LABOR

SPECIAL LABOR, SLOPE SCALING

FURNISHING AND PLACING TOPSOIL

MULCHING, HYDRAULIC METHOD, BONDED FIBER MATRIX

ROLLED EROSION CONTROL PRODUCT, TYPE 4

BACKHOE LOADER, 6 CUBIC FOOT MINIMUM RATED CAPACITY BUCKET, 24-INCH WIDTH

BRUSH MOWER, WITH 72-INCH DIAMETER ROTARY MOWER, 50HP

CHIPPER

Revised by Amendment A004

A-12

Account: ALL

Project No: OR BLM SAL 040727(1)

Name: NESTUCCA RIVER BACK COUNTRY BYWAY PHASE 1 CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

Schedule Total: ________________________

Submitted by: _________________________

63501-1000 Line A1540 ALL LPSM $

63502-0400 Line A1560 50 EACH $ $

63502-0600 Line A1580 6 EACH $ $

63502-1250 Line A1600 300 EACH $ $

63502-1300 Line A1620 40 EACH $ $

63502-1500 Line A1640 50 EACH $ $

63502-1700 Line A1660 12 EACH $ $

63504-1000 Line A1680 1,044 SQFT $ $

63509-1000 Line A1700 1,440 FXHR 57.00$ 82,080.00$

64603-2100 Line A1720 1 EACH $ $

64604-3000 Line A1740 328 LNFT $ $

64631-0000 Line A1760 1,100 LNFT $ $

64631-0000 Line A1780 278 LNFT $ $

64632-0000 Line A1800 3,000 SQYD $ $

64702-3500 Line A1820 120 LNFT $ $

64703-6000 Line A1840 42 EACH $ $

64704-1000 Line A1860 184 CUYD $ $

65101-1000 Line A1880 1,400 SQYD $ $

MITIGATION, STORMWATER MANAGEMENT, DRY SWALE

MITIGATION, FISH PASSAGE BOULDER

MITIGATION, STREAMBED MATERIAL

DRAPED ROCKFALL PROTECTION, WIRE MESH

TEMPORARY TRAFFIC CONTROL, FLAGGER

FIXTURE, STAIRWAY, CONSTRUCT PEDESTRIAN STAIR

FIXTURE, PEDESTRIAN RAILING, PRECAST CONCRETE

ROADSIDE DEVELOPMENT, TREATMENT DITCH

ROADSIDE DEVELOPMENT, CONSTRUCTION ACCESS TRAIL SUBGRADE

ROADSIDE DEVELOPMENT, CONSTRUCTION TURNOUT ROADBEDS

TEMPORARY TRAFFIC CONTROL, BARRICADE TYPE 3, 8 FT WIDE

TEMPORARY TRAFFIC CONTROL, TUBULAR MARKER, TYPE 42-INCH

TEMPORARY TRAFFIC CONTROL, DRUM

TEMPORARY TRAFFIC CONTROL, WARNING LIGHT TYPE A

TEMPORARY TRAFFIC CONTROL, WARNING LIGHT TYPE C

TEMPORARY TRAFFIC CONTROL, CONSTRUCTION SIGN

TEMPORARY TRAFFIC CONTROL, TRAFFIC CONTROL SUPERVISOR

TEMPORARY TRAFFIC CONTROL, BARRICADE TYPE 1

F-35 DIVISION 600

Special Contract Requirements Project: OR BLM SAL 040727(1), Nestucca River Back Country Byway Phase 1

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) Miscellaneous drainage improvements;

(b) Selective clearing and thinning vegetation on Bald Mountain and Bible Creek Access Road;

and

(c) Dispose approximately 800 cubic yard of existing unsuitable material stockpiled near Bible Creek Access Road to Dovre Peak Disposal Site. Requirements of Subsection 204.14 do not apply to this work.

Construction Requirements

622.02 Rental Equipment. Amend as follows:

Delete the text of the first paragraph and substitute the following:

Furnish and operate the following equipment:

Number of Units Type of Equipment 4 Dump Truck, 10 Cubic Yard Min.

Capacity 1 Backhoe Loader, 6 CF Min. Rated

Capacity Bucket, 24-inch Width 1 Brush Mower, with 72-inch

Diameter Rotary Mower, 50 HP 1 Chipper 3 Chain Saw

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

Add the following:

The CO will mark the exact location at Dovre Peak Disposal Site for placing the disposed material listed in Subsection 622.01(c). Place the disposed material as directed by the CO.

Sheet and Description

Section C Section D Section E Section F Section G Section H Section I Section J Section K Section L

Typical Section

Plan & Profile

Approach Roads, Turnouts & Parking

Erosion & Sedimentation

Control

Walls & Rockeries Drainage Guardrail

Temporary Traffic Control

Plan

Permanent Traffic Control

Plan

Dovre Peak

Disposal Site

ALLOWANCE Bid Schedule

A0540 25201-1000 SPECIAL ROCK EMBANKMENT,

MECHANICALLY-PLACED CUYD 1,002 98 1,100

A0560 25501-1000 MECHANICALLY STABILIZED EARTH

WALL, WELDED WIRE FACE, 1:12

BATTER SLOPE SQFT 10,106 10,106

A0580 25501-1000 MECHANICALLY STABILIZED EARTH

WALL, WELDED WIRE FACE, 1:24

BATTER SLOPE SQFT 2,105 2,105

A004 A0600 26001-0000 ROCK BOLT LNFT 60 60 Revised by Amendment

A0620 30101-2000 AGGREGATE BASE GRADING D TON 14,078 922 15,000

A0640 30201-1000 ROADWAY AGGREGATE, METHOD 1 CUYD 3,100 3,100

A0660 30201-2000 ROADWAY AGGREGATE, METHOD 2 CUYD 475 25 500

A0680 40101-5600 ASPHALT CONCRETE PAVEMENT,

GYRATORY MIX, 1/2-INCH OR

3/4-INCH NOMINAL MAXIMUM SIZE

AGGREGATE, 0.3 TO <3 MILLION

ESAL TON 7,991 409 8,400

A0700 40105-3000 ANTISTRIP ADDITIVE, TYPE 3 TON 80 4 84

A0720 40301-0200 ASPHALT CONCRETE PAVEMENT,

TYPE 2 TON 185 15 200

A0740 41201-0000 TACK COAT, GRADE CSS-1 TON 18 2 20

A0760 60103-0000 CONCRETE, HEADWALL, 14' X 7'

COLORED REINFORCED COLLAR EACH 2 2

A0780 60103-0000 CONCRETE, HEADWALL, 132"

COLORED REINFORCED COLLAR EACH 2 2

A0800 60201-0800 24-INCH PIPE CULVERT LNFT 539 539

A0820 60201-0900 30-INCH PIPE CULVERT LNFT 731 731

A0840 60201-1000 36-INCH PIPE CULVERT LNFT 204 204

A0860 60201-1000 36-INCH PIPE CULVERT,

CONCRETE, DEEP CULVERT LNFT 94 94

A0880 60201-1200 48-INCH PIPE CULVERT LNFT 203 203

A0900 60201-1200 48-INCH PIPE CULVERT,

CONCRETE, DEEP CULVERT LNFT 198 198

A0920 60201-1600 72-INCH PIPE CULVERT,

CONCRETE, DEEP CULVERT LNFT 284 284

A0940 60201-2400 132-INCH PIPE CULVERT LNFT 70 70

A0960 60302-0000 STRUCTURAL PLATE PIPE-ARCH Contract Quantity

14' X 7' OPEN BOTTOM WITH

CONCRETE FOOTING LNFT 68 68

A0980 60510-1200 12-INCH OUTLET PIPE LNFT 63 63

Estimated Quantities

Remarks and/or Determination of Estimated

Quantity

-N ov -2

1:

P M c:

\m yf ile s\ pw

_p ro du ct io n\ d0

N es tu cc a

B yw ay P ha se

1_ Es tim at e-

.x ls x] Sh ee t

(2

SUMMARY OF QUANTITIES

A M E N D

Line Item No.

Pay Item Number Pay Item Description Unit

STATE PROJECT

B.2BLM SAL 040727(1)OR

SHEET

NUMBER

SHEET 2 of 2

TABULATION OF QUANTITIES

G.2

STATE PROJECT

NUMBER

SHEET

I n t_ ft

D c m y fi le s p w p r o d u c ti o n d o r b s a l4 g b .d g n

OR BLM SAL 040727(1)

A

M

A u g u s t

B

C o ll in s

E r ic L im

C h e c k e d b y

D e s ig n e d b y

Revised by Amendment A0044