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To:Date:12/2/2022 <br />Project:PCCO #: <br />Project ID#:HH Project #: <br />Contractor:Contractor #: <br />Description of change: <br />GC Materials (Attach list with Qty, Item, Unit $, Unit mh, total mh, OT mh, Total $)SUBTOTALS <br />1. Total Direct Cost of Materials 0 $0.00 <br />2. Sales Tax (NC, Orange County) 7.50% 0 $0.00 <br />3. Shipping, Transportation, Fees $0.00 <br />4. Total for Materials & Shipping $0.00 <br />5. Overhead and Profit on Item 4 10%$0.00 <br />(10% maximum)$0.00 <br />GC Labor:(Attach list(s) with Labor Scope(s), Labor Rate(s), Labor Hour(s) <br />6. Total Labor:62.50$ <br />7. Total Supervison:1,188.46$ <br />8. Payroll Taxes & Insurance 40.0%$500.38 <br />9. Total Labor + Burden (6+7+8)$1,751.35 <br />10. Overhead and Profit on Item 9 10.0%$175.13 <br />(10% maximum on straight labor cost, not premium)$1,926.48 <br />Equipment Rental: (Attach quotes) <br />11. Equipment Rental (Includes 7.5% Sales Tax, Delivery Fees)$0.00 <br />12. Waste/Dump Fees $0.00 <br />13. Total for Equipment Rental $0.00 <br />14. Overhead and Profit 10.0%$0.00 <br />(10% maximum)$0.00 <br />Subcontractors: (Attach quotes with material and labor backup) <br />15. Subcontractors $7,148.56 <br />16.Overhead and Profit on Item 15 5.0%$357.43 <br />(5% maximum)$7,505.99 <br />Subtotal Before Bonds and Insurance $9,432.47 <br />GC Bonds and Insurance: <br />17.Insurance (1% of of direct cost subtotal)$94.32 <br />18.Bonds (1% of direct cost sustotal)$94.32 o)$188.65 <br />Total:$9,621.12 <br />Time Extension Request of:0 day(s) is being requested for this change in scope of work. <br />Notice to Proceed Date: 7/11/2022 <br />Original/Revised Contract Days to Complete:120 <br />Original/Revised Substantial Completion Date:11/8/2022 <br />Additional Contract Days to Complete: <br />Adjusted Contract Days to Complete: <br />Adjusted Substantial Completion Date: 11/8/2022 <br />Contractor's Signature: ___________________________________________________________Date: ________________ <br />Approval Recommended by Design Consultant: ___________________________________________________________Date: ________________ <br />Owner's Representative Approval: ___________________________________________________Date: ________________ <br />cc: <br />WORK PROPOSAL <br />WB Brawley <br />The Contractor agrees to perform the work outlined in this change proposal for the amount specified above and in accordance <br />with the Contract documents if the work is authorized by the Owner. <br />Per RFP004: 1) additional glass insets to eight (8) office doors per door elevation FG; 2) Add two (2) qua outlets to the IT <br />wowrkroom #312. This work is contemplated as outside of the completed contract work and will be invoiced directly to Orange <br />County. The RFP005--additional upper cabinets to the secure file/print room (#327) along with the deferred phone room <br />wallcovering are individual scope components that may be included in this additional project entitiled "WCOB Minor Upfit <br />Components" <br />N/A <br />2022108 <br />Leah Filomena, HH Architecture <br />West Campus 3rd Floor Office Upfit <br />WCOB Minor Upfit Components <br />DocuSign Envelope ID: 270168C8-F741-48EF-B67D-C3C5DCCB71CE