W91248-23-B-0001-0003 SF30.pdf

0011727848

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 Basic Bituminous Material Index to the most current information.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 4

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

16C. DATE SIGNED

BY 17-May-2023

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 W9124823B0001

X 9B. DATED (SEE ITEM 11)

05-May-2023

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, 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 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

17-May-2023

CODE

MICC - FORT CAMPBELL

BLDG 6923 38TH AND DESERT STORM

FORT CAMPBELL KY 42223

W91248 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W9124823B0001

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION H - SPECIAL CONTRACT REQUIREMENTS

The following have been modified:

REQUIRED INSURANCE

In accordance with FAR clause 52.228-5 entitled, “Insurance--Work on a Government Installation” the following minimum amounts of insurance are required.

Workmen’s Compensation As required by Federal and State laws Employer’s Liability Insurance $100,000 General Liability Insurance:

Bodily Injury Liability $500,000 per occurrence

Auto Liability Insurance $200,000 per person Bodily Injury $500,000 per occurrence Property Damage $20,000 per occurrence

ASBESTOS PROHIBITION

“Asbestos”, including chrysotile, ammosite, crocidolite, tremolite asbestos, anthophyllite asbestos, actinolite asbestos and any of these materials that have been chemically treated and/or altered is prohibited from incorporation into the work under this contract. This prohibition does not apply to nor prevent the removal and disposal of asbestos materials.

ALTERNATE DISPUTES RESOLUTION

In furtherance of Federal policy and the Administrative Dispute Resolution Act of 1990 (ADR Act), Public Law 101-552 and FAR Clause 52.233-1, the Contracting Officer will try to resolve all post award acquisition issues in controversy by mutual agreement of both parties. Interested parties are encouraged to use alternative dispute resolution procedures to the maximum extent practicable in accordance with the authority and requirements of the ADR Act.

FIRE PREVENTION

The Contractor shall comply with fire prevention practices as set forth by the National Fire Protection Association in the National Fire Code and other recognized fire prevention agencies and post regulations.

ECONOMIC PRICE ADJUSTMENT

Economic Price Adjustment applies to Bituminous Material only. The following Price List Item Numbers (and subsequent Option Price List Item Numbers) will be afforded a price adjustment redetermination:

0005AD

INSTALL BITUMINOUS CONCRETE SURFACE

COURSE (1" DEPTH)

0005AE

INSTALL BITUMINOUS CONCRETE SURFACE

COURSE (2” DEPTH)

0005AF

INSTALL BITUMINOUS CONCRETE SURFACE

COURSE (3” DEPTH)

0005AG

INSTALL BITUMINOUS CONCRETE SURFACE

COURSE (4” DEPTH)

0005AH

INSTALL BITUMINOUS CONCRETE SURFACE

COURSE FOR AIRFIELDS (1" DEPTH)

0005AI

INSTALL BITUMINOUS CONCRETE SURFACE

COURSE FOR AIRFIELDS (2” DEPTH)

0005AJ

INSTALL BITUMINOUS CONCRETE SURFACE

COURSE FOR AIRFILEDS (3” DEPTH)

0005AK

INSTALL BITUMINOUS CONCRETE SURFACE

COURSE FOR AIRFIELDS (4” DEPTH)

0005AL

INSTALL BITUMINOUS CONCRETE BASE

COURSE (1" DEPTH)

0005AM

INSTALL BITUMINOUS CONCRETE BASE

COURSE (2” DEPTH)

0005AN

INSTALL BITUMINOUS CONCRETE BASE

COURSE (3” DEPTH)

0005AO

INSTALL BITUMINOUS CONCRETE BASE

COURSE (4” DEPTH)

0005AP

INSTALL BITUMINOUS CONCRETE BASE

COURSE (5” DEPTH)

0005AQ

INSTALL BITUMINOUS CONCRETE BASE

COURSE (6” DEPTH)

0005AR

INSTALL BITUMINOUS CONCRETE BASE

COURSE (7” DEPTH)

0005AS

INSTALL BITUMINOUS CONCRETE BASE

COURSE (8” DEPTH)

0005AT

INSTALL BITUMINOUS CONCRETE BASE

COURSE (9” DEPTH)

0005AU

INSTALL BITUMINOUS CONCRETE BASE

COURSE (10” DEPTH)

0005AV

INSTALL BITUMINOUS CONCRETE BASE

COURSE (11” DEPTH)

0005AW

INSTALL BITUMINOUS CONCRETE BASE

COURSE (12” DEPTH)

0005AX

INSTALL BITUMINOUS CONCRETE BASE

COURSE FOR AIRFIELDS (1" DEPTH)

0005AY

INSTALL BITUMINOUS CONCRETE BASE

COURSE FOR AIRFIELDS (2” DEPTH)

0005AZ

INSTALL BITUMINOUS CONCRETE BASE

COURSE FOR AIRFIELDS (3” DEPTH)

0005BA

INSTALL BITUMINOUS CONCRETE BASE

COURSE FOR AIRFIELDS (4” DEPTH)

0005BB

INSTALL BITUMINOUS CONCRETE BASE

COURSE FOR AIRFIELDS (5” DEPTH)

0005BC

INSTALL BITUMINOUS CONCRETE BASE

COURSE FOR AIRFIELDS (6” DEPTH)

0005BD

INSTALL BITUMINOUS CONCRETE BASE

COURSE FOR AIRFIELDS (7” DEPTH)

0005BE

INSTALL BITUMINOUS CONCRETE BASE

COURSE FOR AIRFILEDS (8” DEPTH)

0005BF

INSTALL BITUMINOUS CONCRETE BASE

COURSE FOR AIRFIELDS (9” DEPTH)

0005BG

INSTALL BITUMINOUS CONCRETE BASE

COURSE FOR AIRFILEDS (10” DEPTH)

0005BH

INSTALL BITUMINOUS CONCRETE BASE

COURSE FOR AIRFILEDS (11” DEPTH)

0005BI

INSTALL BITUMINOUS CONCRETE BASE

COURSE FOR AIRFIELDS (12” DEPTH)

The Basic Bituminous Material Index will be the basis for the adjustment and is defined as an average of the current quotations on P.G. 64-22 from suppliers furnishing asphalt cement to contractors in the state of Tennessee. The quotations are the cost per ton f.o.b. supplier’s terminals.

The Basic Bituminous Material Index for the contract is $651.82 per ton and will be effective for one (1) year from the date of contract award.

Sixty (60) days prior to the exercise of an option for this contract award, the Government will utilize the website https://www.tn.gov/content/dam/tn/tdot/construction/Const-bituminousindex.pdf to obtain the current $ / ton price. At this time, if the current price differs from the “basic bituminous material index” price by greater than five percent, the government will adjust the below listed Price List item numbers by the following formula:

Revised Price = GUP – (GUP * t * ((BB-AB)/BB)) where;

GUP = Government Unit Price (ex. $3.01/SY) t = 0.8 (80% GUP is attributed to asphalt) BB = Basic Bituminous Material Index ($651.82 per ton) AB = Adjusted Bituminous Material Index (as obtained from TDOT link 60 days prior to exercise of an option) (End of Section)

(End of Summary of Changes)