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DocuSign Envelope ID:4469B057-D1AA-45FE-A32F-766286B600AF <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. 018 <br /> Project No. CIP 30044 <br /> Contractor No. C077 <br /> Description of Change: <br /> This proposal is for hydrostatically testing the 12"sewer line between MH 12 and 13.We will set up a pump around <br /> between MH 14 and MH 11. We will use thru plugs on the upstream side of MH 12 and the downstream side of MH 13. <br /> We will bring in water on a water truck to fill the line between MH 12 and MH 13. We will use a test pump to pressurize <br /> the line to 9 psi for 2 hours witnessed by the engineer. Following pressure testing, we will remove the plugs and return <br /> the sewer to normal flow.We will also replace the ring and cover on MH 12 with a watertight ring and cover.The <br /> salvaged ring and cover will be taken to Mebane Public Works yard at 636 Corregidor St. Mebane, NC. <br /> Labor and Equipment 1 L.S. $ 3,800.00 $ 3,800.00 <br /> Watertight Ring& Cover 1 L.S. $ 468.00 $ 468.00 <br /> Total $ 4,268.00 <br /> Time Extension Request: 45 days after notice to proceed. <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 is authorized by the Owner. <br /> DocuSigned by: <br /> � �d�.l V("'" Date 5/23/2019 <br /> Contractor Signature: -DoGusigned by: <br /> Approval Recommended b Engineer 007W199°a'e - WJf V° A Date 5/23/2019 <br /> pp Y g s y <br /> Owner Representative: C840D10DA30FD4C2.. <br /> faio b1 'eq by•7 DateApproval Recommended: r Date 5/23/2019 <br /> 7' <br /> sF40994ccaoo490. <br />