Orange County NC Website
Browse       Search
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. 014 <br /> Project No. CIP 30044 <br /> Contractor No. C077 <br /> Description of Change: <br /> Pave Entrance to Pump Station <br /> Items will be paid by unit pricing in the contract <br /> Item Qty Unit Unit Price Extended Price <br /> Pave Entrance to Pump Stn 116.11 SY $ 22.00 $ 2,554.42 <br /> Total Cost $ 2,554.42 <br /> Time Extension Request 1 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 /> �Y_r�t��w C <br /> Approval Recommended by Engineer: Date 12/14/2018, r�, .Owner Representative: """ Date 12/17/2018 <br /> Approval Recommended: '" Date 12/14/2018 <br /> To meet the requirements laid out by the North Carolina Department of Transportation's Policy on Street and <br /> Driveway Access paving of the pump station driveway from the edge of West Ten Road to the edge of the NCDOT <br /> right of way was required.The pavement of the driveway is intended to protect the highway from damage as well <br /> as prevent tracking of mud or gravel onto the road surface.The total cost associated with this additional paving <br /> totaled$2,554.42 captured by this Change Proposal Request. <br /> CPR 014 <br />