W9128F20Q0062_AMD 002.pdf

W59XQG01430303

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

07/29/2020: Rachael Taylor Contract Specialist, 701-654-7717

This amendment is to make changes to the Statement of Work (changes are noted in RED TEXT) and to change the quantity on CLIN 0008 from 170 LF to 185 LF.

No other changed to the Terms and Conditions

1. CONTRACT ID CODE PAGE OF PAGES

1 9

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

16C. DATE SIGNED

BY 01-Aug-2020

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 W9128F20Q0062

X 9B. DATED (SEE ITEM 11)

10-Jul-2020

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 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

01-Aug-2020

CODE

U.S. ARMY CORPS OF ENGINEERS, OMAHA

CONTRACTING OFFICE

1616 CAPITOL AVENUE

OMAHA NE 68102-4901

W9128F 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

DANIEL.D.MONAHAN@USACE.ARMY.MILEMAIL:402-995-2886TEL:

DANIEL D MONAHAN / CS

W9128F20Q0062

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION B - SUPPLIES OR SERVICES AND PRICES

CLIN 0008

The pricing detail quantity has increased by 15.00 from 170.00 to 185.00.

The following have been modified:

PRICING SCHEDULE

PRICING SCHEDULE

ITEM NO. DESCRIPTION QUANTITY UNIT UNIT PRICE AMOUNT

BASIC ITEMS

Fog Seal CSS-1H

Gal $_______ $_______

Emulsified Asphalt CRS-2P

10679

Gal $_______ $_______

Cover Coat Material Class 41

Ton $_______ $_______

Traffic control

LS $_______ $_______

0005 Short Term Painted 4-Inch Line 2300 LF $_______ $_______

Pavement Markings Painted 4-inch Line

22015

LF $_______ $_______

Pavement Markings Painted - Message

SF

Remove and Replace 3-Cable Guardrail

LF

TOTAL AMOUNT (ITEMS 1 THRU 8) $_________________

NOTES:

1. Prices must be entered for all items of the schedule. CLIN amounts submitted without unit prices will be rejected. All amounts shall be subject to verification by the Government. In the event of a discrepancy between the unit price and the CLIN amount, the unit prices will be considered the bid.

SECTION C - DESCRIPTIONS AND SPECIFICATIONS

The following have been modified:

STATEMENT OF WORK

STATEMENT OF WORK

PIPESTEM DAM BITUMINOUS SEAL COAT

1.0 General Information.

1.1 Background.

1.1.1 Pipestem Dam is located on the Pipestem Creek Northwest of Jamestown, North Dakota. The Pipestem Dam Crest Road was rebuilt in 2009 from Sta. 32+00 to Sta. 83+62 with 6 inches of salvaged bituminous base course and 2 inches of asphalt pavement. The Pipestem Dam Access Road was overlaid in 2013 from Sta. 0+00 to Sta. 32+00 with 2 inches of asphalt pavement.

1.2 Scope of Work.

The Contractor shall accomplish the following tasks:

The Contractor is responsible for applying a bituminous seal coat with an additional fog seal on the asphalt access road (31st St. SE) and crest road from US Highway 52/281 through the project to the parking area at the west end of Pipestem Dam. This also includes the Pipestem Dam office entrance road.

The bituminous seal coat shall consist of emulsified asphalt applied to the existing asphalt pavement at a rate of 0.4 gallons per SY. After the application of the emulsified asphalt, Class 41 Aggregate shall be applied uniformly at a rate of 25 pounds per SY onto the emulsified asphalt with an aggregate spreader.

The aggregate will be rolled with a self-propelled pneumatic-tired roller immediately behind the spreader and continue for a minimum of four complete passes. Following preparation of the surface, a water diluted asphalt emulsion Fog Seal shall be applied at a rate 0.05 Gallons per SY.

After minimum cure time of the Fog Seal the contractor shall apply roadway pavement marking as per

NDDOT Section 762 Pavement Marking and Detail D-762-4 Rural Roadway.

A single 4-inch white line along both shoulders and centerline marking as per Table 1 located on the drawings.

Remove and replace 185 feet of damaged 3-cable guard rail as shown on the drawings and replace 2 broken guard rail posts at approximate stations 74+00 and 75+00. These broken posts are approximately 13 feet apart.

1.3 Period of Performance: The period of performance shall be 365 days after date of award.

1.4 Contractor Personnel

1.4.1 The contractor shall perform the preponderance of work under this contract using his or her own forces except as provided in Paragraph 1.4.2 Subcontracting. Employees who perform this work shall be qualified persons on the contractor’s own payroll. The contractor is required to be a NDDOT qualified contractor to perform this work.

1.4.2 Subcontracting. Subcontracting is permissible for work such as striping, replacement of guardrail and traffic control signage performed under this contract. Any additional work to be subcontracted is permissible with written approval of the Contracting Officer. Compliance with the provisions of this contract by subcontractors shall be the responsibility of the contractor.

1.5 Quality Control

1.5.1 The contractor shall designate, in writing, a member of each work crew who shall serve as the contact for matters involving quality and performance or nonperformance of the required work assigned to that crew. The employee(s) shall be qualified and fully competent with full authority to act for, and on behalf of, the contractor as necessary to insure that the required work is performed in accordance with the specifications and standards contained herein. The contractor shall furnish the above written designation to the Contracting Officer’s Representative (COR) no later than the first day of work. The contractor shall include the name(s), address(s), and telephone number(s) of the responsible individual(s).

1.5.2 The Contracting Officer reserves the right to disapprove any individual whom he considers incompetent to perform the work required. The Contracting Officer will provide a written notice of any disapproval to the contractor.

1.6 Quality Assurance Surveillance Plan. The government will use the methods stated in this PWS to ensure that the Contractor is performing the services required by this PWS in an acceptable manner. The Government may use Quality Assurance Evaluators (QAE(s)) to provide assistance with the quality assurance methods.

1.6.1 The government has the right to inspect all work called for by the contract, to the extent practicable at all times and places during the term of the contract. The government shall perform inspections in a manner that will not delay the work.

1.6.2 If any of the work does not conform to contract requirements, the government may require the contractor to perform the work in conformity with contract requirements and at no increase in cost. If the contract requirements are not met after a second attempt the government may (1) require the contractor to take necessary action to ensure that future performance conforms to contract requirements and (2) reduce the contract price to reflect the reduced value of the work performed.

1.6.3 The government may take action, if the contractor fails to perform the work again or to take the necessary action to ensure future performance is in conformity with the contract requirements. The government may (1) by contract, or otherwise, perform the work and charge to the contractor any cost incurred by the government that related to the performance of such work or (2) terminate the contract in whole or in part.

1.6.4 The contractor is responsible to replace/repair any damage to government property due to negligence, at his or her own cost. The government may take action, if the contractor fails to replace/repair any damage to government property. The government may (1) by contract, or otherwise, replace/repair damaged government property and charge to the contractor any cost incurred by the government to replace/repair any damage or (2) make a determination to not exercise any future option periods on the contract.

1.7 Hours of Operation. The contractor is responsible for conducting business between the hours of 0700 - 1700 hours Monday thru Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. The Contractor must maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential.

1.8 Pre-Work Meeting. Prior to commencing any activities, the contractor shall arrange a Pre-work Meeting with the COR. The Meeting shall discuss the work requirements, scheduling, submittal process, review of the Activity Hazard Analysis (AHA), and Abbreviated Accident Prevention Plan (AAP). At least one (1) week prior to commencing work, the Contractor shall coordinate their proposed work schedule with the COR.

1.9. Submittals. Prior to commencement of work, the Contractor shall submit all preconstruction submittals (SD- 01), product data (SD-03), and certificates (SD-07) to the Government COR, Robert Willcuts at the Garrison Project Office for routing and approval. Submittals shall be submitted with a 4025 transmittal form. A 4025 transmittal form and submittal register are provided as attachments of this PWS.

a. All product data (SD-03), and certificates (SD-07) listed in the Technical Specifications;

b. Activity Hazard Analysis (AHA);

c. Abbreviated Accident Prevention Plan (APP);

d. Traffic Control Plan;

e. List of who will perform work on this contract;

f. Proof of Insurance for Contractors and Subcontractors;

g. Railroad Protective Liability Insurance for crossing of Red River Valley& Western Company Railway

1.9.1 The Contractor shall submit all items listed in the Submittal Register attached in the specifications. The Contractor is advised not to order the materials included in the submittal until after it is approved.

1.9.2 Submit all deliverables electronically to the COR.

1.10 Standards and Regulations. The Contractor shall perform to the standards in the contract and comply with all Local, State, and Federal Regulations during the services performed. The Contractor is responsible for ascertaining the extent to which these regulations affect the operations resulting from this contract. The Contractor shall comply will all applicable regulations. Please reference the specifications for specific standard and regulations requirements.

1.10.1 Activity Hazard Analysis (AHA). Contractor shall prepare AHAs IAW Paragraph 01.A.14 or 01.A.15 of the EM 385-1-1. If using Paragraph 01.A.15, prepare AHAs IAW Figure 1-2. Submit the AHA electronically for review at least five (5) calendar days prior to the start of on-site work. The analysis should be used during daily inspections to ensure the implementation and effectiveness of the activity's safety and health controls. The Activity Hazard Analysis Template will be provided. An electronic copy of the AHA may be downloaded from the following site.

http://www.usace.army.mil/Portals/2/docs/AHA2.pdf

Note: Contractors and other individual employers typically use Job Safety Analyses (JSAs), Job Hazard Analyses (JHAs), or similar Risk Management assessment tools. These documents are considered equivalent to, and acceptable substitutes for, the USACE’s AHA provided the data collected is the same as that required by the AHA, commensurate with the type of services being performed.

1.10.2 Abbreviated Accident Prevention Plan (APP). EM 385-1-1 in its entirety may be too complex for the type of work performed under these contracts; contractors may reference Appendix A, for abbreviated Accident Prevention Plan (APP). The contractor shall only need to submit items in Appendix A that are pertinent to the contract. The contractor shall use a qualified person to prepare the site-specific abbreviated Accident Prevention Plan (APP). The contractor shall prepare the APP in accordance with the format and requirements of the EM 385-1-1 and supplemented herein. The contractor shall sign and submit the APP for approval prior to the start of work onsite.

1.10.1 Safety Equipment. The following is a list of minimal safety equipment the Contractor is expected to supply.

The safety equipment shall meet the requirements in EM385-1-1: Steel Toe Boots, Hard Hat, Safety Glasses, High Visibility Vests, and Hearing Protection.

1.11 Physical Security

1.11.1 The Contractor shall be responsible for safeguarding all Government facilities, property, and materials provided for Contractor use. The Contractor shall secure at all times all Government facilities, property, and materials. Specific security conditions may change based on threats to national defense, and based on the risk of specific facilities to these threats. The Contractor shall abide by these changing conditions at all times.

1.12.2 Key Control. The Contractor shall ensure all keys issued by the Government are not lost, stolen, duplicated, or used by unauthorized persons.

1.12.2.1 The Contractor shall immediately report to the COR any occurrences of lost or stolen keys.

1.12.2.2 In the event keys, other than master keys are lost or stolen, the Contractor may be required, upon written direction of the COR, to re-key or replace the affected lock or locks without cost to the Government. The Government may, however, at its option, replace the affected lock or locks or perform re-keying and deduct the cost of such from the total payment due the Contractor. If a master key is lost or stolen, the Government may need to replace all locks and keys for that system. The Government will deduct the total cost to replace the locks and keys from the Contractor’s total invoice.

1.12.2.3 The Contractor shall prohibit the use of keys issued by the Government by any persons other than the Contractor’s employees. The Contractor shall not facilitate access of secured areas to persons other than Contractor personnel or subcontractors engaged in performance of contract work requirements.

1.13 Antiterrorism/Operation Security Requirements.

1.13.1 Pre-screen candidates using E-Verify Program. The Contractor must pre‐screen candidates using the E‐ verify Program (http://www.dhs.gov/E‐Verify) website to meet the established employment eligibility requirements.

The vendor must ensure that the candidate has two valid forms of government issued identification to ensure the correct information is entered into the E-verify system. An initial list of verified/eligible candidates must be provided to the COR no later than three (3) business days after the initial contract award.

1.14 Payment

1.14.1 The government will make payment after services have been inspected and accepted, and the contractor’s invoice has been reviewed, approved, and processed. The contractor shall submit the invoice to the COR and/or any other person that has been designated in the contract to receive the invoice.

1.14.2 The contractor must provide the contractor’s name, address, contract number, period of services completed (i.e., for the month of January or for the period of performance of January 1 through February 23), CLIN number and specific quantities of work performed (i.e., 1 Month, 40 days, 100 acres, etc.), and total requested, for an invoice to be considered proper. The contractor shall submit the invoice by the fifth (5th) of the month for services completed the previous month or submit the invoice upon completion of all services, in accordance with the period of performance stated in the CLIN.

2.0 Definitions. The following definitions and descriptions apply wherever the word(s) or phrase(s) is/are stated in this PWS:

Acceptable Level of Performance (ALP): The maximum percent defective, the maximum number of defects per hundred units, or the number of defects in a lot considered satisfactory on the average. The allowable leeway or variance from a standard before the government will reject the specific service.

Contracting Officer’s Representative (COR): means an individual designated an authorized in writing by the Contracting Officer to perform specific technical or administrative functions.

Performance-Based Contract (FAR 2.101): Structuring all aspects of an acquisition around the purpose of the work to be performed with the contract requirements set forth in clear, specific, and objective terms with measurable outcomes as opposed to either the manner by which the work is to be performed or broad and imprecise.

Performance Requirements Summary (PRS): The PRS shows contract requirements, the component requirements related to each contract requirement, the price of each work requirement as a percentage of the associated contract requirement (Fixed Price Contracts), the standard of performance, and the acceptable level of performance (ALP) for each work requirement.

Quality Assurance Surveillance Plan (QASP): An organized written document used by the Government for quality assurance surveillance. Document contains sampling/evaluation guides, checklists, and the performance requirements summary (PRS).

3.0 Government Furnished Items and Service

3.1 Utilities No utilities are available for contractor use.

4.0 Contractor Furnished Items and Responsibilities

4.1 General. The Contractor shall furnish all supplies, equipment, facilities and services required to perform work under this contract that are not listed under Section 3 of this PWS. Contractor shall implement an accountability system to ensure no tools or equipment are left in or around the work area. Contractor shall do a final walkthrough upon completion of work to check for any remaining tools, equipment or debris left in, on, or around the work area.

4.2 Materials. The Contractor shall furnish materials and supplies necessary to meet the requirements under this

PWS.

4.3 Equipment. The Contractor shall furnish all necessary equipment to meet the requirements under this PWS.

5.0 Specific Tasks

5.1 Basic Services. The contractor shall provide the basic services summarized below. See the project Technical Specifications and Drawings for more specific requirements.

5.1.1 Task No. 1 - Apply CSS-1H Fog seal.

5.2.2 Task No. 2 - Prepare the existing asphalt surface and apply CRS-2P Emulsified Asphalt.

5.2.3 Task No. 3 - Place, roll and sweep loose Cover Coat Material Class 41 Aggregate.

5.2.4 Task No. 4 – Install and remove traffic control.

5.2.5 Task No. 5 – Install short term painted 4-inch line.

5.2.6 Task No. 6 – Install permanent painted 4-inch line pavement markings on centerline and shoulder of roadway.

5.2.7 Task No. 7 – Install painted pavement marking message per NDDOT Standard Drawing 762-01 at the railroad crossing located at Sta. 21+70.

5.2.8 Task No. 8 – Remove and replace 3-cable guardrail.

6.0 Performance Requirements Summary. The contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success.

Performance Objective (The Service required— usually a shall statement)

Standard PERFORMANCE THRESHOLD

(THIS IS THE MAXIMUM ERROR

RATE. IT COULD POSSIBLY BE

“ZERO DEVIATION FROM

STANDARD”)

Method of Surveillance

PRS #1

Apply CSS-1H Fog seal

COR will inspect and check application to ensure all areas are covered and applied at the correct application rate.

Zero deviation from standard COR performs 100% inspection

PRS #2

Prepare the existing asphalt surface and apply CRS-2P Emulsified Asphalt.

COR will inspect asphalt surface to ensure it is prepared in accordance with plans and specifications and check application to ensure all areas are covered and applied at the correct application rate.

Zero deviation from standard

COR performs 100% inspection

PRS #3

Place, roll and sweep loose Cover Coat Material Class 41 Aggregate

COR will inspect placement and check placement rate to ensure it is in accordance with plans and specifications.

PRS #4

Install and remove traffic control.

COR will inspect installation to ensure it is in accordance with plans and specifications.

PRS #5

Install short term painted 4-inch line

COR will inspect installation to ensure it is in accordance with plans and specifications.

Zero deviation from standard COR performs

PRS #6

Install permanent painted 4-inch line pavement markings on centerline and shoulder of roadway.

COR will inspect installation to ensure it is in accordance with plans and specifications.

PRS #7

Install painted pavement marking message per NDDOT Standard Drawing 762-01 at the railroad crossing located at Sta.

21+70.

COR will inspect installation to ensure it is in accordance with plans and specifications.

Zero deviation from standard COR performs 100% inspection

PRS #8

Remove and Replace 3-Cable Guardrail

COR will inspect removal installation to ensure it is in accordance with plans and specifications.

7.0 Attachments

a. Technical Specifications

1. Section 32 12 36.13

2. Section 32 17 23

3. Section 34 71 13.16

b. Design Drawings

c. NDDOT Standard Drawings

d. Submittal Register

e. 4025 Transmittal Form

f. AHA Template

** Attachments listed in paragraph 7.0 have been consolidated for easier access and download.

See Advertisement for attachments listed as:

W9128F20Q0062_Specs & Technical Data (1 of 2) W9128F20Q0062_Specs & Technical Data (2 of 2)

W9128F20Q0062 REFERENCE DRAWINGS

SECTION F - DELIVERIES OR PERFORMANCE

The following Delivery Schedule item for CLIN 0008 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

365 dys. ANP 170 COE PIPESTEM LAKE PROJECT

DAVID BECK

US ARMY CORPS OF ENGINEERS

PIPESTEM LAKE PROJECT CENWO-OD-

GA-N

8125 31ST STREET SE

JAMESTOWN ND 58401

701-654-7754 FOB: Destination

968711

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

365 dys. ANP 185 COE PIPESTEM LAKE PROJECT

DAVID BECK

US ARMY CORPS OF ENGINEERS

PIPESTEM LAKE PROJECT CENWO-OD-

GA-N

8125 31ST STREET SE

JAMESTOWN ND 58401

701-654-7754 FOB: Destination

968711

(End of Summary of Changes)