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#~'ZS <br />Appendix G <br />To Contract with The Resolute Building Company, Construction Managerat Risk, forlitflsborough Office <br />Commons in Idlilisborough, NC <br />Change Request Form <br />Proposal Summary <br />Pro)ect Name: Hiltsb~rough Gffrce Cornmans <br />SubcontractorJVendor: Wood- Electrical Contractors, lnc. <br />Date of Request: August- 5, 2009 <br />CR #~~ <br />DescrptioriE t~f Change:. changes required per-Field -Memo #11. Add Type H fixture in Corridor <br />447. Demo and reinstall work already in places to apow for 1 hourseparatian. <br />1 Materials and Type H fixture, .including Safes Tax (itemized breakdown is attached] <br />2 Equipment. Rental, including taxes ~ fees (Itenuzed breakdown Is attached} <br />3 28,0 ROUTS Labor (Remixed breakdown is attached) <br />4 Labor Burden: 38% <br />(Labor Burden includes<Worker's Compensation, Social Security, General Liabi6ity Insurance 8enefitS, <br />Federal:Taxes, and State Urrempioyment Taxes] <br />SUB total #~ (Items 1 thru 4) <br />S overhead and Profit on Self-performed Work: <br />15.04°!0 of Subtotal #1 <br />6 Total of Subcontracted Work: (sub bids are attached] <br />7 Overhead and- Profit on Subcontracted. Work: <br />7.00% of Item #ti' <br />SUB-total #2 (Items 5 thru 7) <br />397:11 <br />0 <br />742.OQ <br />28'l_ g6 <br />$1,421.07 <br />213.16 <br />Q <br />$213.1.6. <br />8 P&P Bonds (if banded} 1,20°~, of Sub-total #1 plus Sub-total #2 '19;61 <br />TOTAL COST OF CHANGE 1;1fi53.$4 <br />TOTAL TIME REQUESTED FOR CHANGE (calendar days) 0 da s <br />Aiotes for Items Above: <br />Item #4 Amounts for item #4 exceeding 38°! of1abor cost shall require approval by the owner. <br />Overhead and Profit Overhead and Profit percentages stated above in Item #5 and Item #Z are fixed and shall <br /> not change tfiroughout the duration of the project. Other items to be considered as <br /> Overhead include: Company Insurances, Taxes and Fees, Field Supervisor (unless <br /> reasonably jusiifredj, clerks, timekeepers, watchpeople, small tool expense, home office <br /> expenses and any other direct expense. <br />`Note Credit to Owner Change Request amdunts that: result in a net credit. tr> the owner shall not include Overhead <br /> and Profit Adjustments <br />