A22_am01_16B12.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

Referenced Invitation for Bids (IFB) No. W912EE-16-B-0012, FC/MR&T, Yazoo River Basin, Coldw ater River, Hickahala and Senatobia, Cane and Mussacuna, Hurricane and Wolf Creeks Watersheds, Desoto, Tate, Panola, and Marshall Counties, MS, Mississippi Delta Headw aters Project, Riser Pipe Grade Control Structures, RP-09-03, scheduled to open 16 Aug 16 at 1400 hours. Referenced IFB is amended as follow s:

SEE CONTINUATION PAGE FOR SUMMARY OF CHANGES.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 8

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

16C. DATE SIGNED

BY 27-Jul-2016

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 W912EE-16-B-0012

X 9B. DATED (SEE ITEM 11)

15-Jul-2016

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

27-Jul-2016

CODE

VICKSBURG CONTRACTING OFFICE

4155 CLAY ST

VICKSBURG MS 39183-3435

W912EE 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION 00600 – REPRESENTATIONS AND CERTIFICATIONS

Page 34 is revised and replaced.

Pages 34.1 through 34.5 are added.

Page revised by this amendment has the notation “This page revised by Amendment 0001” at the bottom of the page. Added pages have the notation “This page added by Amendment 0001” at the bottom of each page.

Enclosure Section 00600, Pages 34, 34.1, 34.2, 34.3, 34.4, and 34.5

W912EE‐16‐B‐0012

(iv) Special Access Program (SAP) information; or

(v) Sensitive Compartmented Information (SCI).

(b) Prohibition on award. No contract under a national security program may be awarded to an entity controlled by a foreign government if that entity requires access to proscribed information to perform the contract, unless the Secretary of Defense or a designee has waived application of 10 U.S.C. 2536(a).

(c) Disclosure. The Offeror shall disclose any interest a foreign government has in the Offeror when that interest constitutes control by a foreign government as defined in this provision. If the Offeror is a subsidiary, it shall also disclose any reportable interest a foreign government has in any entity that owns or controls the subsidiary, including reportable interest concerning the Offeror’s immediate parent, intermediate parents, and the ultimate parent. Use separate paper as needed, and provide the information in the following format:

Offeror’s Point of Contact for Questions about Disclosure (Name and Phone Number with Country Code, City Code and Area Code, as applicable)

Name and Address of Offeror

Name and Address of Entity Controlled by a Foreign Government

Description of Interest, Ownership Percentage, and Identification of Foreign Government

(End of provision)

ATTACHMENTS (AS APPLICABLE)

ATTACHMENT 1 – CORPORATE SEAL CERTIFICATE

ATTACHMENT 2 – PAST PERFORMANCE DATA

ATTACHMENT 3 – DESCRIPTION OF CONTRACTOR'S PLANT

ATTACHMENT 4 – SUBCONTRACTS

ATTACHMENT 5 – AGENT FOR SUBMITTING SMALL BUSINESS SUBCONTRACTING PLAN

This page revised by Amendment 0001

Page 34.1 of 162

ATTACHMENT 1

CORPORATE SEAL CERTIFICATE

IF BIDDER IS A CORPORATION OR IF CORPORATION IS PARTICIPATING IN A JOINT

VENTURE, PLEASE COMPLETE THE FOLLOWINGCERTIFICATION:

I, ______________________________ _________, certify that I am secretary of the corporation named as contractor herein; that________ _________________ who signed this contract on behalf of the contractor, was then

_________________ of said corporation by authority of its governing body and is within the scope of its corporate powers.

(CORPORATE SEAL) Secretary

IF A CORPORATION IS PARTICIPATING AS A JOINT VENTURE, ITS SECRETARY MUST

SUBMIT A CERTIFICATE STATING THE CORPORATION IS AUTHORIZED TO PARTICIPATE.

This page added by Amendment 0001

Page 34.2 of 162

ATTACHMENT 2

PAST PERFORMANCE DATA

Prior to award of a contract under this Invitation for Bids, the Contracting Officer is required to make a determination of the prospective Contractor's responsibility. One of the requirements to be met is that regarding the bidder's past performance. Therefore, in the event your firm has not performed construction work in this District within the last five (5) year period, please list below at least three (3) of your major construction contracts during the last five (5) year period, as follows:

Type of Work Approximate Date Completed

For Whom Performed Dollar ($)Amount

Page 34.3 of 162

ATTACHMENT 3

DESCRIPTION OF CONTRACTOR'S PLANT

(KIND, CAPACITY, SIZE, LOCATION, OWNERSHIP, AND COMMITMENTS)

Available plant for prosecuting the work (kind, capacity, size)

Location Ownership and existing commitments, if any

Date proposed to be placed on work

Page 34.4 of 162

ATTACHMENT 4

SUBCONTRACTS

In order to provide opportunity to small business concerns to learn of and solicit subcontracting, in accordance with policy of the Government to bring about greatest utilization of small business consistent with efficient production, the information requested below should be inserted in the space provided:

In the event of award, the Bidder will have subcontracts open in connection with work to be prosecuted under this Invitation for Bids, and desires subcontractors for the following industries, crafts, processes or component items:

Bidder desires that subcontractors for above work be located in:

(Insert here general area desired, if any, such as Southeast States, New England, West Coast, etc.)

Bidder will have no subcontracts open in connection with work being prosecuted under this Invitation for Bids ( ) (Check block if applicable).

Page 34.5 of 162

ATTACHMENT 5

AGENT FOR SUBMITTING SMALL BUSINESS SUBCONTRACTING PLAN

The offeror agent for submitting the small business subcontracting plan is:

THIS AGENT IS AUTHORIZED TO ACT FOR THE PRINCIPAL FOR THE PURPOSE OF SUBMITTING AND

ADMINISTERING THE "SMALL BUSINESS AND SMALL DISADVANTAGED BUSINESS

SUBCONTRACTING PLAN" IN ACCORDANCE WITH CLAUSE ENTITLED "SUBMITTAL OF

SUBCONTRACTING PLAN" AND CONTRACT CLAUSES ENTITLED, "UTILIZATION OF SMALL

BUSINESS CONCERNS" and "SMALL BUSINESS SUBCONTRACTING PLAN - ALTERNATE I."