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DocuSign Envelope ID: E2E6C483-4F14-4CB9-B11E-E7821877138EC <br /> U <br /> 6SUAND I ENGINEERING <br /> Request for Additional Services <br /> Client Name: Orange County <br /> Project Name: Orange County Piedmont Food &Ag Freezer Addition <br /> Summit Project Number: 18-0299.010 <br /> Date: 11/26/2018 <br /> The Following represents a request for additional services as defined in the Contract Dated: 10/23/2018 <br /> Scope of Work <br /> Description Phase/Task No. Lump Sum Cost <br /> (CMT) - Construction Materials Testing $2,806 <br /> Total: $2,806 <br /> The above services will be performed in accordance with the referenced lump sum amount <br /> to be billed monthly on a percent complete basis. <br /> Approved By: Approved By: <br /> Client Summit Design & Engineering, PLLC <br /> Date Date <br />