Amendment_01_CTA.pdf

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 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 your 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.

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicable)

7. ADMINISTERED BY (If other than Item 6) CODE

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICITATION

NO.

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended, is not extended.

12. ACCOUNTING AND APPROPRIATION DATA (If required) copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

CHECK ONE 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.

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)

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.

15C. DATE SIGNED

15A. NAME AND TITLE OF SIGNER (Type or print)

16C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

NSN 7540-01-152-8070

Previous edition unusable

CTA Pedestrian Tunnel Repairs at Everett M. Dirksen U.S. Courthouse, 219 S. Dearborn Street, Chicago, Illinois

Amendment 01 hereby incorporates "Attachment E- Past Performance Questionnaire" to the existing RFP.

You must acknowledge receipt of this and all amendments as indicated in Block 11 shown above.

General Services Administration AMD, Chicagoland Construction Contracting Team 230 S. Dearborn St., Room 3600 Chicago, IL 60604

Same as Block 6

EQ5P2SS1P-16-5065

GS-05-P-16-GC-C-7000

1 2

05/03/2016

04/28/2016

PAST PERFORMANCE QUESTIONNAIRE

NOTE: IN ACCORDANCE WITH THE INSTRUCTIONS CONTAINED IN THE PARAGRAPH ENTITLED DESCRIPTION OF EVALUATION FACTORS, THE OFFEROR SHALL COMPLETE THIS FORM AND SUBMIT AS PART OF THEIR PROPOSAL. MAKE ADDITIONAL COPIES AS NECESSARY AND COMPLETE ONE FORM FOR EACH REFERENCE. PLEASE NUMBER EACH SHEET (E.G. 1 OF 3, 2 OF 3) BASED ON THE NUMBER OF REFERENCES THAT YOU ARE SUBMITTING

(MINIMUM OF TWO (2) REFERENCES PER PROJECT LISTED).

1. OFFEROR (CONTRACTOR NAME & ADDRESS):

2. REFERENCE # OF

3. PROJECT NAME AND LOCATION:

4. CONTRACT STATUS AND TYPE:

CURRENT PREVIOUS

GOVERNMENT NON-GOVERNMENT

5. CONTRACT NUMBER (IF FEDEERAL GOVERNMENT CONTRACT):

6. COMPANY NAME OR GOVERNMENT AGENCY:

7. CONTACT PERSON (NAME AND TITLE:

8. CONTACT PHONE NUMBER:

9. ADDITIONAL CONTACT PERSON (NAME AND TITLE:

10. CONTACT PHONE NUMBER:

11. IS THIS PROJECT FOR OR SIMILAR TO THE REPAIRS OF CONCRETE

TUNNELS/CONCRETE VAULTS OR EXTENSIVE STRUCTURAL REPAIR OF

CONCRETE STRUCTURES /EXTENSIVE?

YES NO

12. SIZE OF PROJECT:

13. VALUE OF PROJECT:

14. IF PROJECT COMPLETED, COMPLETED ON TIME?

YES NO (IF NO, EXPLAIN)

14A. START DATE: 14B. COMPLETION

DATE:

14C. NUMBER OF

DAYS:

15. IF CURRENT PROJECT, ON SCHEDULE?

YES NO (IF NO, EXPLAIN)

15A. START DATE: 15B. ESTIMATED

COMPLETION DATE:

15C. PERCENT

COMPLETED:

16. PROJECT DESCRIPTION AND COMPLEXITY:

(PLEASE PROVIDE DETAILS SUCH AS SIMILAR EQUIPMENT, REQUIREMENTS, CONDITIONS, ETC.)

17. LIST WHICH ELEMENTS OF THE PROJECT WERE SUBCONTRACTED

18. PROBLEMS ENCOUNTERED AND CORRECTIVE ACTIONS TAKEN:

PLEASE ADD A CONTINUATION PAGE IF ADDITIONAL SPACE NECESSARY.