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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. 005 <br /> Project No. CIP 30044 <br /> Contractor No. C077 <br /> Description of Change: <br /> Relocate By-Pass Connection at Pump Station <br /> Item Qty Unit Unit Price Extended Price <br /> Material 1 LS $ 2,079.29 $ 2,079.29 <br /> Labor and Equipment 1 LS $ 2,250.00 $ 2,250.00 <br /> O&P @ 15% 1 LS $ 649.39 $ 649.39 <br /> Total Cost By-Pass Relocation $ 4,978.68 <br /> Time Extension Request 5 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: �1eL +�Y�,,w <br /> Date 12/14/2018 <br /> 12/14/2018 <br /> Approval Recommended by Engineer: Date <br /> �l r!ur� <br /> Owner Representative: _' C "-- Date 12/17/2018 <br /> Approval Recommended: Date 12/14/2018 <br /> At the request of the City of Mebane,a detail was created to show the possible relocation of the by pass <br /> pumping connections from inside the valve vault to an area immediately next the valve vault and above grade. <br /> This detail was then given to the Contractor to price,once the price was received and reviewed by the Engineer, <br /> County and City it was found to be reasonable and appropriate.The$4,978.68 cost and 5-day extension were <br /> captured by this Change Proposal Request. <br /> CPR 005 <br />