W911WN21B8003-0001.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

RE: Solicitation W911WN21B80003 for the Repairs to the Summerfield, North Recreation Area, Youghiogheny River Lake.

The purpose of this modification is to Include the Bid schedule w hich w as inadvertently left out of the original solicitation.

Details are specified in the Summary of Changes Below .

1. CONTRACT ID CODE PAGE OF PAGES

1 3

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

16C. DATE SIGNED

BY 04-May-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 W911WN21B8003

X 9B. DATED (SEE ITEM 11)

03-May-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

04-May-2021

CODE

U.S. ARMY ENGINEER DISTRICT, PITTSBURGH

ATTN CELRP-CT

W S MOORHEAD FEDERAL BUILDING

1000 LIBERTY AVENUE ROOM 2203

PITTSBURGH PA 15222-4186

W911WN 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W911WN21B8003

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION 00 10 00 - SOLICITATION

The following have been added by full text:

BID SCHEDULE

YOUGHIOGHENY RIVER LAKE, PENNSYLVANIA

REPAIRS TO SOMERFIELD NORTH RECREATION AREA

W911WN21B8003

Bid Schedule

Item Description Quantity Unit Unit Price Total

0001 REIMBURSEMENT FOR

ACTUAL PERFORMANCE AND

PAYMENT BONDS PREMIUMS

1 JOB $______.__ $______.__

0002 DIGITAL PROGRESS IMAGES 4 SET $______.__ $______.__

0003 PROTECTION AND

MAINTENANCE OF TRAFFIC

DURING CONSTRUCTION

1 JOB $______.__ $______.__

0004 EROSION AND SEDIMENT

CONTROLS

1 JOB $______.__ $______.__

0005 REMOVAL AND DISPOSAL OF

EXISTING GUIDERAIL AND NO

PARKING SIGNS

1 JOB $______.__ $______.__

0006 REMOVAL AND DISPOSAL OF

BITUMINOUS PAVEMENT (6"

DEPTH)

32,350 SF $______.__ $______.__

0007 GROUT EXISTING STORM

DRAINAGE STRUCTURES AND

PIPING

11 CY $______.__ $______.__

0008 LOWER LOT EXCAVATION 1,100 CY $______.__ $______.__

0009 LOWER LOT FILL PLACEMENT 60 CY $______.__ $______.__

0010 UPPER LOT FILL PLACEMENT 1,020 CY $______.__ $______.__

0011 FURNISH AND PLACEMENT

OF TOPSOIL

300 CY $______.__ $______.__

0012 FURNISH AND INSTALL 12"

DIA. HDPE PIPE AND INLET

1 JOB $______.__ $______.__

0013 R3 RIPRAP APRON 1 JOB $______.__ $______.__

0014 FURNISH AND INSTALL 12"

DIA. HDPE PIPE FOR CHANNEL

1 JOB $______.__ $______.__

W911WN21B8003

0015 CHANNEL CONSTRUCTION 1 JOB $______.__ $______.__

0016 GUIDERAIL INSTALLATION 90 LF $______.__ $______.__

0017 REPAIR CONCRETE INLET 1 JOB $______.__ $______.__

0018 CLEAN OUT OF EXISTING

CHANNEL

1 JOB $______.__ $______.__

0019 SEEDING AND MULCHING 42,000 SF $______.__ $______.__

0020 FURNISH AND INSTALL 30 FT.

SWING GATE ASSEMBLY

1 EACH $______.__ $______.__

0021 FURNISH AND INSTALL 15 FT.

SWING GATE ASSEMBLY

1 EACH $______.__ $______.__

0022 REMOVAL OF JERSEY

BARRIERS

20 LF $______.__ $______.__

0023 REMOVAL OF SWING GATE 1 EACH $______.__ $______.__

0024 GEOTEXTILE LOWER

PARKING LOT

23,670 SF $______.__ $______.__

0025 FURNISH AND INSTALL

GRAVEL PARKING LOT -

PENNDOT 2A

430 CY $______.__ $______.__

0026 FURNISH AND INSTALL

GRAVEL PARKING LOT -

AASHTO #1

440 CY $______.__ $______.__

0027 INSTALLATION OF CONCRETE

IN LOWER PARKING LOT

15 CY $______.__ $______.__

0028 PAVEMENT MARKINGS 1 JOB $______.__ $______.__

TOTAL, ITEMS 0001 THROUGH

(End of Summary of Changes)