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~# 23 <br />Appendix G <br />To Contract with The Resolute Building Company, Construction Manager at Risk, 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, Inc. <br />Date of Request: July 27, 2009 <br />CR #03 <br />Description of Change: Relocate existing outlets already installed for changes per Field Memo <br />#10. Wood to remove sheetrock where needed to access wiring. <br />1 Materials, including Sales Tax (Itemized breakdown ;s attached) <br />2 Equipment Rental, including taxes & fees (Itemized breakdown is attached) <br />3 4.0 Hours Labor (Itemized breakdown is attached) <br />4 Labor Burden: 38% <br />(Labor Burden inGudes-Worker's Compensation, Social Security, General Liability Insurance Benefits, <br />Federal Taxes, and State Unemployment Taxes) <br />SUB-total #1 ({terns 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: (sun bids are attached) <br />7 Overhead and Profit on Subcontracted Work: <br />7.00% of Item #6 <br />SUB-total #2 (Items 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 />16.02 <br />0 <br />106.00 <br />40.28 <br />$ 162.30 <br />24.35 <br />0 <br />0 <br />24.35 <br />2.24 <br />$188.89 <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 shalt <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 />reasonablyjustified), Gerks, 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 Overhead <br />and Profit Adjustments <br />