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DocuSign Envelope ID: B94F2D40-3B3C-47A7-86C2-6F1 B4F92C62C <br /> SECTION 01 26 00 -CONTRACT MODIFICATION PROCEDURES <br /> CLAIM FOR EXTENSION OF CONTRACT TIME DUE TO EXCESS ADVERSE WEATHER <br /> Complete this form indicating each day of delay in a given month. <br /> Attach documentation: Daily reports, approved weather data, dated photographs required. <br /> Submit with Application for Payment. <br /> Claim for Month of: <br /> Day: Delayed Critical Activity: Weather Condition Causing Delay: <br /> Total days delayed to date <br /> Days normally adverse weather(from <br /> table above <br /> Total excess adverse days= claim <br /> Respectfully submitted this—day of ,200_ By: <br /> (Name of firm or corporation) <br /> By: <br /> (Signature) <br /> (Type or print name) <br /> END OF SECTION 01 26 00 <br /> ©BOOMERANG DESIGN#1835 01 26 00-3 510 Meadowlands Drive,Hillsborough, NC <br /> ORANGE COUNTY,NC 12/07/2018 <br />