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~ zy <br />Appendix G <br />To Contract with T'he Resolute Building Company, Construction Manager at Risk, for liitlsborough Office <br />Commons in Hillsborough, NC <br />Change Reques# Form <br />Proposal Summary <br />Proje' ct Name: Hillsborough Office Commons <br />SubcontractorNendor: Wood Electrical .Contractors, fnc. <br />Date of Request: August. 5, 2009 <br />rR Ana <br />Description of Change: Existing Panel' LF is shown on the drawings as having a 175amp :Main <br />Breaker. This panel actually has a 225amp main. breaker which is too large for the- designed <br />feeder to this panel. Per mee~ng with :Dick Drake on'7t29/09, this change order is to replace the <br />existing 225amp breaker with a 175amp breaker. <br />'anel Schedule for EDP does not show a breaker to feed normal power to AT3. This change <br />order is to add a 1 OOamp 3 pole .breaker for ATS in Pane( EDP-'per meeting with Dick Drake on <br />7/29109. <br />1 Breakers, includir>g Safes lax (kemized breakdown is attached) <br />2 Eq'uipmenf Rental; including taxes & fees (Itemized breakdown is attached} <br />3 6.5 Hours' Labor (itemized breakdown is attached) <br />4 Labor Burden: 38% <br />(Labor Burden includes-Worker's Gompersafion~ Social Security, General Liability tnsur~ince Benefits, <br />Federal-Taxes, -and State Unemployment Taxes) <br />SUB-total #1 (Items 1 thru 4j <br />5 43verhead and: Profit<on Self-performed Work: <br />15.00% of Sub total #1 <br />6 Total of Subcontracted Work:: {sub tis"ds are attached} <br />7 C)verhead and Profit on Subcontracted Work: <br />7.00°/4 of item #6 <br />SUB-total #2 (Items 5 thru 7) <br />$ P&P Bonds (if banded? 1:20°ta of Sub-total #1 plus Sub-total #2 <br />TOTAL COST OF CHANGE <br />TOTAL TIME REQUESTED FOR CHANGE (calendar days) <br />567.91 <br />0 <br />172.25: <br />.65.46! <br />805.62. <br />12E). $5 <br />Q <br />0 <br />$120.85 <br />11.12 <br />$937.59 <br />0 da s <br />Notes. for items Above: _ <br />item #4 Amounts for Item #4 exceeding 38°!0 of laborcostshall require approval by the owner. <br />Overhead and' Profit Ovefiead and Profd percentages stated above in Item #5 and item #7 are fixed and shall <br />not change Throughout the duration of the project. Other items fo be considered. as <br />Overhead inctude: Company Insutances, Taxes and Fees, Fie}d Superviscsr (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 inctude Overhead <br />and Profit Adjustments <br />