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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. 016 <br /> Project No. CIP 30044 <br /> Contractor No. C077 <br /> Description of Change: <br /> Time Extension: Weather Related Delay <br /> January 2018: In addition to 8 days allowed in contract,6 additional days requested <br /> Item Days <br /> Total Delay Days per Paragraph 12.03.C. 14 <br /> January Monthly Contract Allowanace 8 <br /> Time Extension Request 6 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: �vnH Ili �rvL Date 12/14/2018 <br /> 12/14/2018 <br /> Approval Recommended by Engineer: + Date <br /> Owner Representative: { n;aLfuA ui """ Date 1211112018 <br /> 14 2 <br /> Approval Recommended: ��F_; Date 12/ / 018 <br /> This item captures 6 additional days of abnormal weather conditions,beyond the Standard Baseline 8 days as defined in Modified Standard <br /> General Conditions Paragraph 12.03.C. McGill verified a total of 14 days in January 2018 where precipitation in the form of snow and ice <br /> occurred in abnormal amounts as defined in subparagraph 3 and dry-out days were required under subparagraph 4. This claim of time has been <br /> reviewed by the Engineer and believed to be reasonable and appropriate. <br /> CPR 016 <br />