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DocuSign Envelope ID: E0645F9B-3427-4AEC-BOD4-FF7860FOF502 <br /> CHANGE PROPOSAL FORM <br /> Time and Material / Unit Price Estimate <br /> Project: Orange County Jail Proposal#: RCO-1 <br /> Contract: 1804.001 Project#: 1804 <br /> Contractor: Applied Resource Management Contractor#: <br /> Description of change: <br /> Work associated with drilling a Geothermal Test Well and generating a Conductivity Report. <br /> Materials&Labor (Attach list with Qty, Item, Unit$, Unit mh,Total mh, OT mh,Total$) SUBTOTALS <br /> 1 Total Direct Cost of Materials <br /> 2 Overhead&Profit on Item 1. 15 % $0 <br /> 3 Sales Tax 6.75 % $0 <br /> 4 Shipping&Transportation <br /> $0.00 <br /> Labor <br /> 5 Total Manhours: MH @ 25/hr. <br /> 6 Overhead&Profit on Item 5 15 % $0 <br /> 7 Payroll Taxes&Insurance: 40 % $0 <br /> $0.00 <br /> Equipment Rental (Include quotes) <br /> 8 Equipment Rental <br /> 9 Overhead&Profit on Item 8 15 % $0 <br /> $0.00 <br /> Subcontractors (Include quotes with material&equipment backup) <br /> 10 Subcontractors $14,500 <br /> 11 Overhead&Profit on Item 10 10 % $1,450 <br /> $15,950.00 <br /> Subtotal of Proposal $15,950 <br /> Bonds(%of subtotal of proposal) 0 % $0 <br /> TOTAL OF CHANGE PROPOSAL $15,950 <br /> Time Extension Requests: days <br /> Schedule Activity#Affected: <br /> The Contractor agrees to perform the work outlined in this change proposal for the amount specified above and in accordance with the Contract <br /> documents if the work is authorized by the Owner. <br /> Contractor's Signature: Date: 1/16/2019 <br />