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Exhibit B — Change Order Request <br /> JOB NAMEILOCATION BILL TO GENERAL INFO AS <br /> ----- APPLICABLE <br /> Name Name Date Of Request <br /> Address Address Chance Order# <br /> city citv Proied Number <br /> State Zip State Zeo Order Taken By <br /> Contact information Contact information Customer PQ# <br /> Description of Work: <br /> The work descdt&d above may result in a change the mo of the Master Agreement, r for chanaing the n <br /> wok e` 'WiQ andlor.Impact ft riQbt is expressty resented to mahe claims for any y a 11 of It=relaw <br /> yAof to AM final setil-ement of this Master Agreement, <br /> Customer Aporoval to Proceed: <br /> r., <br /> Signature <br /> Print Name: l Date <br /> Orange County NC Government SeMces SOW—0111412013 7 of 13 <br />