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~ i~ <br />Appendix G <br />To Contract with The Resolute Building Company, Construction Manager at Risk, for Hillsborough Office Commons <br />in Hillsborough, NC <br />Change Request Form <br />Proposal Summary <br />Project Name: Hillsborough Office Commons <br />Subcontractor/Vendor: Martin Architectural Products <br />Date of Request: 7!15/2009 <br />Add 8070 9-1f2"JD 16 gauge hmf, 2 - 3070 45 min flush wood doors, 6 - 4-1/2"X41!2" <br />hinges, CL3555 lockset, DC8210 closer, oh stop, weatherstripping, smoke seal, flush CR # 01 <br />bolts and dust proof strike for added opening 627 <br />1 Materials, including Sales Tax (itemized breakdown is attached) <br />2 Equipment Rental, incuding taxes & fees (itemized breakdown is attached) <br />3 Labor (itemized breakdown is attached) <br />4 Labor Burden: 26 °~ included in Item # 3 <br />(Labor Burden includes .Workers Compensation, Social Security,General Liability kisurance, Benefits, <br />Federal Taxes, and State Unempbyemnt Taxes) <br />$1,371 <br />$0 <br />$178 <br />SUB-total #1 (items 1 thru 3)~- $1,549 <br />5 Overhead and Profit on Self-performed Work: <br />15.00 % of Sub-total #1 <br />$232 <br />6 Total of Subcontracted Work: (sub bids are attached) $p <br />(If applicable, present in identical txeakdown as shown above in items 1 tim, 5) <br />7 Overhead and Profit on Subcontracted Work: <br />7.00 % of Item # 6 <br />$0 <br />SUB-total #2 (kerns 3 thru 7)~- $232 <br />$ P&P Bonds (if bonded) <br />TOTAL COST OF CHANGE <br />0.00% % of Sub-total #1 plus Sub-total # 2 <br />TOTAL TIME REQUESTED FOR CHANGE (calendar days) <br />$0 <br />$1,781 <br />0 <br />as for kerns Above: <br /># 4 Amounts for Item #4 exceeding 38% of labor cost shall require approval by the Owner. <br />and Profit Overhead and Profit Percentages stated above in item # 5 and Item # 7 are fixed and shall not change throughout <br />the duration of the project Other items to be considered as Ovefiead include: Company Insurances, Taxes and <br />Fees, Field Supervisor (unless reasonablyjustified), clerks, timekeepers, watchpeople, small tool expenses, home <br />office expenses and any other indirect expense. <br />Credit to Owner Change Request amounts that result in a net credit to the Owner shall not include Overhead and Profit <br />Adjustments. <br />1 of 1 <br />