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DocuSign Envelope ID:A6E80449-4F51-48F6-85DB-7136A80CD513 <br /> Change Proposal Form <br /> Project: Efland SS to Mebane Phase 2 <br /> Contract: 16.01904 <br /> Contractor: JF Wilkerson Contracting,Inc. <br /> Utility <br /> Construction Proposal No. 004 <br /> Project No. CIP 30044 <br /> Contractor No. C077 <br /> Description of Change: <br /> Delete MH1 and Associated Piping <br /> Items will be paid by unit pricing in the contract <br /> Item Qty Unit Unit Price Extended Price <br /> Delete 5' MH 28+ 1 EA $ 13,000.00 $ (13,000.00) <br /> Delete 12" DIP 28+ 19 LF $ 310.00 $ (5,890.00) <br /> Total Cost Reduction $ (18,890.00) <br /> Time Extension Request 0 Days <br /> The contractor agrees to perform the work outlined in thes change proposal for the amount specified above and in accordance with the <br /> Contract documents if the work is authorized by the Owner. <br /> Contractor Signature: Date 12/14/2018 <br /> g 1=x�su, tJ�Y�cr,ew <br /> C er: :.. Date Approval Recommended by Engineer: �,t r�� <br /> C, . <br /> Owner Representative: " Date 12 17 2018 <br /> Approval Recommended: Date <br /> Elimination of Manhole#1 located just 19 feet north of Manhole#2 and having no discernible added value at this <br /> time was purposed as a cost and time saving measure.The proposal was reviewed by the Engineer,County and City <br /> of Mebane all agreeing that the elimination of Manhole#1 and associated sewer line would be appropriate at this <br /> time.The$18,890.00 cost savings of this cut is captured by this Change Proposal Request. <br /> CPR 004 <br />