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UNIVERSAL, STEEL of NC LL <br />PO BOX 1862 <br />THOMASVILLE, NC <br />JOB NAME: Royal Oaks Elementary School <br />PH: 336 -476 -3105 <br />FAX.• 336- 476 -8995 <br />JOB NUMBER: 1607 <br />CONTRACTOR: <br />Edison Foard <br />14F._ . YaSTEErr FlE4t? <br />_ <br />ATE: May 24, 2016 <br />FIELD LABOR <br />HOURS: RATE: <br />CHANGE ORDER CP -01 <br />DESCRIPTION: <br />FOREMAN REG <br />16 _ 85. 0 0 <br />TOTAL COST.• <br />Installation of additional structural steel foist and decking $ <br />FOREMAN OT <br />0 106.x0 <br />_ 1,360.00 <br />.ems WELDER REG <br />16 $ 78,00 <br />$ <br />Installation of additional structural steel, oist, and decking $ 1,248.00 <br />WELDER OT' <br />0 $ 98.00 <br />IRON WORKER REG <br />$ 73,00 <br />$ <br />Installation of additional structural steel, oist, and decking $ 2,338.00 <br />IRON WORKER O <br />; 32 <br />0 $ 93.00 <br />- <br />RIGGER REG <br />4 $ 70.04 <br />$ <br />-_ <br />RIGGER OT <br />0 <br />$ 90.00 <br />CRANE OPER. REG <br />0 <br />$ 85.00 <br />- -- <br />$ <br />�.� .,�,:,,�,.,a I-- <br />CRANE OPER. OT <br />0 <br />$ 105.00 <br />STUD WELDING <br />0 <br />$ _.•�.r <br />EQUIPMENT <br />HOURS: <br />RATE: <br />DESCRIPTION. <br />TOTAL COST: <br />SNORKEL LIFTS <br />0 <br />$ 60.00 <br />SCISSOR LIFT <br />0 <br />$ 60.00 <br />$ <br />SKY TRACK <br />0 <br />$ 65.00 <br />$ <br />$ <br />CRANE <br />p <br />MOBILIZATION <br />0 <br />$ - <br />SUPPLIES & RENTALS <br />0 $ _ <br />S _ <br />$ <br />� MISQ. - STEeLjjjriLD,L , AaOR, <br />FIELD LABOR <br />HOURS: AA TE.- <br />DESCRIP 770_N: TOTAL COST. <br />FOREMAN REG <br />28 $ _ 85.00 <br />Installation of additional steel stair and rah—mg. $ 2,380,00 <br />FOREMAN OT <br />0 $ 105.00 <br />_ <br />$ - <br />WELDER OT <br />0 <br />$ <br />nsta a on OT add steel star and ra In " <br />a'OU <br />xsr <br />98.00 <br />$ - <br />IRON WORKER REG) <br />28 <br />$ 73.00 <br />Installation of additional steel stair and railin $ 2,044.00 <br />IRON WORKER OT <br />p <br />$ 93.00 <br />EQUIPMENT <br />HOURS: <br />RATE: <br />$ <br />. <br />DESCRIPTION TOTAL COST. <br />SNORKEL LIFTS <br />0 <br />$ 60.00 <br />SCISSOR LIFT <br />0 <br />$ 60.00 <br />$ <br />SKY TRACK <br />0 <br />$ 65.00 <br />$ <br />$ <br />CORE DRILLING <br />0 <br />$ 35.00 <br />MOBILIZATION <br />p <br />— $ <br />CABLE - SAFETY RAIL FT. <br />0 <br />$ 2b.00 <br />$ <br />_ $ <br />SUPPLIES & RENTALS <br />1 <br />$ 242.00 <br />$ 242.00 <br />ERECTION SUB - TOTAL - -- - - -_ $ 11 794.00 <br />SUB -TOTAL $ 49,613.53 <br />10% Profit $ 4 <br />5% overhead $ 2,480.68 <br />BOND $ 570.56 <br />TOTAL DUE: $ 57,626 <br />_ AUTHORIZATION TO PROCEED WITH CHANGE ORDER: <br />ROUND TO NEAREST DOL <br />WE ACKNOWLEDGE THIS CHANGE ORDER, AND CONFIRM THAT THE WORK LISTED ABOVE IS AN ADDITION TO THE ORIGINAL SCOPE OF WORK. <br />FURTHERMORE WE RELEASE UNIVERSAL STEEL TO PROCEED WITH THIS <br />WORK, IN AGREEMENTTHAT WE WILL ISSUE A CHANGE ORDER <br />TO ADD THE ADDITIONAL FUNDS TO <br />THE ORIGINAL CONTRACT AMOUNT IN ADDITITION WE VERIFY THIS DOCUMENT SATISFIES CONTRACTUAL <br />REQUIREMENT FOR WRITTEN AUTHORIZATION. <br />COMPANY NAME: <br />DATE: <br />PRINTED NAME: <br />SIGNATURE: <br />Attachment number 1 \n <br />G -3 Page 197 <br />