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{~ ZZ <br />Appendix G <br />To Contract with The Resolute Building Company, Construction Manager at R1sk, for Hillsborough Office <br />Commons in Hillsborough, NC <br />Change Request Form <br />Proposal Summary <br />Project Name; Hillsborough Office Commons <br />SubcontractorNendor: Wood Electrical Contractors, fnc. <br />Date of Request: July 27, 2009 <br />CR #02 <br />Description of Change: Add 20amp dedicated circuit for refrigerator in Board Room 605 per <br />Field Memo #10. Unit Priced per contract. <br />1 Materials, including Sales Tax (Itemized breakdown is attached) <br />2 Equipment Rental, including taxes & fees (Itemized breakdown is attached) <br />3 0.0 HOUrs Labor (Itemized breakdown is attached) <br />4 Labor Burden: 38% <br />(Labor Burden includes-WorkePs Compensation, Social Security, General Liability Insurance Benefits, <br />Federal Taxes, and State Unemployment Taxes) <br />SUB-total #1 (Items 1 thru 4) <br />5 Overhead and Profit on Self-performed Work: <br />15.00% of Sub total #1 <br />6 Total of Subcontracted Work: (sub bids are attached) <br />7 Overhead and Profit on Subcontracted Work: <br />7.00% of Item #6 <br />SUB-total #2 ({terns 5 thru 7) <br />8 P&P Bonds (if bonded) 1.20% of Sub-total #1 plus Sub-total #2 <br />TOTAL COST OF CHANGE <br />TOTAL TIME REQUESTED FOR CHANGE (calendar days) <br />0 <br />0 <br />0 <br />0 <br />D <br />0 <br />0 <br />D <br />0 <br />317.00 <br />0 da s <br />Notes for Items Above: <br />Item #4 Amounts for item #4 exceeding 38% of labor cost shall require approval by the owner. <br />Overhead and Profit Overhead and Profit percentages stated above in Item #5 and Item #7 are fixed and shall <br />not change throughout the duration of the project. Other items to be considered as <br />Overhead include: Company Insurances, Taxes and Fees, Field Supervisor (unless <br />reasonably justified), clerks, timekeepers, watchpeople, small tool expense, home office <br />expenses and any other direct expense. <br />Note Credit to Owner Change Request amounts that result in a net credit to the owner shall not include Ovefiead <br />and Profit Adjustments <br />