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Quality Cutting & Breaking Inc <br />213 Webster Rd <br />Greensboro, NC 27406 <br />Phone # 336-370-9405 Fax # 336-510-7588 <br />QCB @triad.rr.com <br />Customer <br />H M Kern Corporation <br />PO Box 19424 <br />Greensboro, NC 27419 <br />Phone Fax <br />336-668-3213 336-668-2142 <br />Change Order Request <br />Date 5/2/2011, <br />Core Drilling /Wall Sawing <br />Flat Sawing <br />Gas /Diesel /Clean Air /Electric) <br />Removal /Bobcat Service <br />Concrete Replacement & Repair <br />Qty Description Ra#e Total <br /> Orange County Health Dept -Project # 759: Subcontract # <br /> S5221 <br /> Slab on grade extra wank <br />197 Man hours, cutting, jack hammer, removal ~ hauling debris off 19.00 3,743.00 <br /> site <br />8 extra round tripe 84 milts feet only 75.00 600.00 <br />1 Diamonds for cutting 328.00 328.00 <br />7 extra land fill fees 45.00 335A0 <br />1 Jack hammer 8c compressor fuel & use 275.00 275.00 <br />1 Bobcat fuel & use 275.00 275.00 <br />1 Dump truck fuel & use 315.00 315.00 <br />1 Over head 379.35 379.35 <br /> Wall opening extra work $460.00 <br />12 Man hours W cut and detrto openings to floor level 19.00 228.00 <br />0.5 extra round trips 84 miles fuel only 75.00 37.50 <br />1 Diamonds for cutting 45.00 45.00 <br />0.5 extra land fill fees 45.00 22.50 <br />l Bobcat fuel & use 50.00 50.00 <br />1 Dump [tuck fuel 8t use 50.00 50.00 <br />I Over head 27.00 27.00 <br /> All Quotations are in addition to contracted <br /> amount unless otfierwise stated. <br />Qualfity Cutting & Bresidog assumes no responslbillly Total $6 690 <br />35 <br />. <br />for Laq-Out ar aqy damage to hidden utilities. s <br />