W911KB21R0053 Amendment 3.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of this amendment is to update the notes on the proposal schedule.

The point of contact for this amendment is Jennifer Gosh at Jennifer.Gosh@usace.army.mil.

1. CONTRACT ID CODE PAGE OF PAGES

1 7

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

16C. DATE SIGNED

BY 08-Sep-2021

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street , County, State and Zip Code) X W911KB21R0053

X 9B. DATED (SEE ITEM 11)

11-Aug-2021

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

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 Offer is extended, X is not extended.

Offer 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)

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.

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)

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

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

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

08-Sep-2021

CODE

U.S. ARMY ENGINEER DISTRICT, AK

CEPOA-CT (W911KB)

PO BOX 6898

JBER AK 99506-0898

W911KB 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W911KB21R0053

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION B - SUPPLIES OR SERVICES AND PRICES

The following have been modified:

PROPOSAL SCHEDULE

QUALITY ASSURANCE MATERIALS TESTING LABORATORY FOR THE MOOSE CREEK DAM

SAFETY MODIFICATION PROJECT

NORTH POLE, ALASKA

Item No.

Description Estimated Quantity

Unit Unit Price

Amount

Base Items

0001.

Mobilize/Demobilize and Establish QA Testing Laboratory, complete.

1 Job $ $

0002.

Labor for Management, Monitoring, Sampling from NTP to 29 January 2024, complete.

1 Job $ $

0003.

QA Testing Laboratory Maintenance from NTP to 29 January 2024, complete

1 Job $ $

0004.* Testing SEE ATTACHMENT A $

Total of Base Items 0001 thru 0004

Item No.

Description Estimated Quantity

Unit Unit Price

Amount

Option Items

0005.

Labor for Management, Monitoring, Sampling from 30 January 2024 to 29 January 2025, complete.

1 Job $ $

0006.

QA Testing Laboratory Maintenance from 30 January 2024 to 29 January 2025, complete

1 Job $ $

0007.

Labor for Management, Monitoring, Sampling

1 Job $ $ from 30 January 2025 to 30 October 2025

0008.

QA Testing Laboratory Maintenance from 30 January 2025 to 30 October 2025

1 Job $ $

0009.** Testing SEE ATTACHMENT B $

Total of Option Items 0005 thru 0009 $

Notes:

1. NOT TO EXCEED VALUE: Denoted by the single asterisk (*). The quantities shown in the

“ESTIMATED QUANTITY” column in ATTACHMENT A for all unit priced items measured by each (EA) are estimated quantities. The actual number of tests will vary however the total amount of AM#03… CLIN0004 …AM#03 will not exceed $150,000.

2. NOT TO EXCEED VALUE: Denoted by the double asterisk (**). The quantities shown in the “ESTIMATED QUANTITY” column in ATTACHMENT B for all unit priced items measured by each (EA) are estimated quantities. The actual number of tests will vary however the total amount of AM#03… CLIN0009 …AM#03 will not exceed $350,000.

3. Round all proposal-item dollar amounts to a whole dollar value and do not include cents in the amounts shown.

-- END OF PROPOSAL SCHEDULE --

ATTACHMENT A

TESTING MATRIX – BASE ITEMS

No. Description Estimated Quantity

Unit Unit Price

Amount

Test in accordance with

ASTM C40

2 EA $ $

Test in accordance with

ASTM C114

10 EA $ $

Test in accordance with

ASTM C136

10 EA $ $

Test in accordance with

ASTM C143

40 EA $ $

Test in accordance with

ASTM C1603

10 EA $ $

Test in accordance with

ASTM C1064

90 EA $ $

Test in accordance with

ASTM D1140

5 EA $ $

Test in accordance with

ASTM D1556

10 EA $ $

Test in accordance with

ASTM D1557

5 EA $ $

Test in accordance with

ASTM D2166

155 EA $ $

Test in accordance with

ASTM D2216

10 EA $ $

Test in accordance with

ASTM D5084

80 EA $ $

Test in accordance with

ASTM D6938

50 EA $ $

Test in accordance with

API RP13A

5 EA $ $

Test in accordance with API RP13B-1 Water

10 EA $ $

Test in accordance with API RP13B-1 Slurry

50 EA $ $

Test in accordance with

ASTM D4380

50 EA $ $

Test in accordance with

ASTM D6023

40 EA $ $

Test in accordance with

ASTM D5982

40 EA $ $

Test in accordance with

ASTM D806 40 EA $ $

Total of Base Testing 1 through 20

ATTACHMENT B

TESTING MATRIX – OPTION ITEMS

No. Description Estimated Quantity

Unit Unit Price

Amount

Test in accordance with

ASTM C29

3 EA $ $

Test in accordance with

ASTM C40

30 EA $ $

Test in accordance with

ASTM C88

3 EA $ $

Test in accordance with

ASTM C114

20 EA $ $

Test in accordance with

ASTM C117

5 EA $ $

Test in accordance with

ASTM C1603

20 EA $ $

Test in accordance with

ASTM C127

3 EA $ $

Test in accordance with

ASTM C128

3 EA $ $

Test in accordance with

ASTM C131

3 EA $ $

Test in accordance with

ASTM C136

40 EA $ $

Test in accordance with

ASTM C566

15 EA $ $

Test in accordance with

ASTM C143

70 EA $ $

Test in accordance with

ASTM C1064

180 EA $ $

Test in accordance with

ASTM D1140

15 EA $ $

Test in accordance with

ASTM D1556

35 EA $ $

Test in accordance with

ASTM D1557

12 EA $ $

Test in accordance with

ASTM D2166

325 EA $ $

Test in accordance with

ASTM D2216

40 EA $ $

Test in accordance with

ASTM D5084

190 EA $ $

Test in accordance with

ASTM D6938

175 EA $ $

Test in accordance with

ASTM D1461

2 EA $ $

Test in accordance with

ASTM D2041

10 EA $ $

Test in accordance with

ASTM D2172

2 EA $ $

Test in accordance with

ASTM D2726

50 EA $ $

Test in accordance with

ASTM D2950

100 EA $ $

Test in accordance with

ASTM D4125

5 EA $ $

Test in accordance with

ASTM D5444

3 EA $ $

Test in accordance with

ASTM D6307

3 EA $ $

Test in accordance with

ASTM D6927

3 EA $ $

Test in accordance with

API RP13A

15 EA $ $

Test in accordance with API RP13B-1 Water

25 EA $ $

Test in accordance with API RP13B-1 Slurry

110 EA $ $

Test in accordance with

ASTM D4380

110 EA $ $

Test in accordance with

ASTM D6023

70 EA $ $

Test in accordance with

ASTM D5982

70 EA $ $

Test in accordance with

ASTM D806

70 EA $ $

Test in accordance with

AASHTO T 180

10 EA $ $

Test in accordance with

AASHTO T 88

40 EA $ $

Total of Option Testing 1 thru 38 $

(End of Summary of Changes)