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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. 013 <br /> Project No. CIP 30044 <br /> Contractor No. C077 <br /> Description of Change: <br /> Bid Alternate 1-Quantities that will not be required to complete the project <br /> Rock Excavation,Surface Restoration, Erosion Control Items <br /> Item Qty Unit Unit Price Extended Price <br /> Fittings with Thrust Blocking -745 LB $ 16.00 $ (11,920.00) <br /> Silt Fence -205 LF $ 3.00 $ (615.00) <br /> Double Row Silt Fence -225 LF $ 6.00 $ (1,350.00) <br /> Coir Wattle -78 EA $ 180.00 $ (14,040.00) <br /> Rock Excavation,Lines B&C -40 CY $ 190.00 $ (7,600.00) <br /> Gravel Drive Repair -50 LF $ 20.00 $ (1,000.00) <br /> Asphalt Mill and Repair -223 SY $ 28.00 $ (6,244.00) <br /> Rem/Repl Unsuitable Soil -744.67 CY $ 32.00 $ (23,829.44) <br /> Inlet/Outlet Protection -30 EA $ 320.00 $ (9,600.00) <br /> Inlet/Outlet Protection -3 EA $ 360.00 $ (1,080.00) <br /> Inlet/Outlet Protection -2 EA $ 350.00 $ (700.00) <br /> Total Additional Cost per Field Conditions $ (77,978.44) <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: y- ��� Date 12/14/2018 <br /> O )sjlR—«�IL�LYY LL <br /> 2018 <br /> Approval Recommended by Engineer: r}+. ,,, Date / / <br /> e..Hs.,^.y: Date Owner Representative: L a u,L 12/17/2018 <br /> Con L° 12/14/2018 <br /> Approval Recommended: �,�f_: Date <br /> CPR 013 <br />