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~S~ <br />Appendix G <br />To Contract with The Resolute Building Company, Construction Manager at Risk, for (iiilsborough office <br />Commons in Hiilsbotough, NG <br />Change Request Form <br />:Proposal Summary <br />Project Name: Hiltsborough'0ffice .Commons <br />SubcgntractorNendor Wood Electrical Confractors,'Inca <br />.Date of Request: December 21, 2009 <br />CR :#2.2 <br />- - - -- -- <br />Descriptian of Change. Additional electrical circuits for four bathroom hand dryers and <br />installation:. <br />7 Materials, including- Sales Tax (itemized breakdown is attaehedj <br />2 Equipment Rental, including taxes & fees (Itemized breakdown is attached} <br />3 23.Q Hours tabor ptetnized breakdown is attached} <br />4 Labor Burden: 38% <br />(Labor Burden includes-Worker's Compensation, Social Security, General Liability Insurance Benefits; <br />Federal Taxes, and State unemployment 1'axesj <br />SUB-total #fi {Items 1 thru 4) <br />5 Overhead and Profit on Self-performed Work: <br />15.0Q% of Sub total #1 <br />6 Total of Stabcontractetl Work:: (sub brds are attached] <br />7 overhead and. Profit on Subcontracted Work:. <br />T,~O% Of Item #6 <br />SUB-total #2 (Items 5 th'ru 7) <br />8 P&P Bonds (if bonded] 1,2!]% of Sub-to#al #1 plus Stab-total #2 <br />TOTAL <br />TOTAL TIME REQUESTEQ F©f2 CHANGE lcafendar days) <br />521.98 <br />0 <br />609.b0 <br />231.61 <br />~,~s~.a9 <br />204;47 <br />0 <br />0 <br />_- 204.47 <br />18..81 <br />1,586.31 <br />Nptes fcr terns Above: <br />stern #4 Amounts for Item #4 exceeding 38% ofiabor cost shall require approval ey 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. Otheritems co be considered as <br />Qverhead include; Company-Insurances, Taxes and Fees, Field Supervisor (unless <br />teasonabljr justified},.clerks, timekeepers, watchpeople, small foal expense, home otl:I <br />expenses end any other direct expense: <br />Note Credit to Owner Change Request amounts that result in a net credit.#o the owner shall not include Qverhead <br />and Profit Adjustments <br />