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DocuSign Envelope ID: D776FCD3-A986-470D-9E2B-8853B19D52DF <br /> CHANGE PROPOSAL FORM <br /> Project: Efland SS to Mebane to Mebane Phase 2 <br /> Contract: 16.01904 <br /> Contractor: JF Wilkerson Contracting Inc. <br /> Utility <br /> Construction Proposal# 20 <br /> Project# CIP 30044 <br /> Contractor# C077 <br /> Description of Change: <br /> Add/Relocate Alarm Light at Pump Station <br /> Bitting Electric 1 L.S. $ 2,242.50 $ 2,242.50 <br /> Total $ 2,242.50 <br /> Time Extension Request 30 days <br /> The Contractor agrees to perform the work outlined in this change proposal for the amount specified above and in accordance with the <br /> Contract documents if the work' �y'DocuSigned bye <br /> Contractor's Signature: 2l, 0-vu Aykrw' Docusigned by: Date: 4/15/2019 <br /> 1313A899D'384C2. �q� J 4/15/2019 <br /> Approval Recommended by Design Consultant: f�Upl�[� _ u5.9ned by Date: <br /> 6CABB174ESD04DC + 4/16/2019 <br /> Owner's Representative Approval: � ((- Date: <br /> a�nn•nra�r.�n-c� <br />