17
CITY OF WAVERLY Holland Contracting Corporation DATE DATE BY (Signature) Eric Kingland (Typed name) 69 7 CONTRACTOR (Firm name) 1400 South 4th Street, Forest City, Iowa 50436 ADDRESS OWNER (Firm name) 200 1st Street NE - PO Box 616, Waverl , Iowa 50677 ADD ATA Document G70 I - 2001 Change Order PROJECT (Name and address): Waverly Fire Station Waverly, Iowa TO CONTRACTOR (Name and address): Holland Contracting Corporation 1400 South 4th Street Forest City, Iowa 50436 CHANGE ORDER NUMBER: 016 DATE: May 22, 2007 ARCHITECT'S PROJECT NUMBER: CONTRACT DATE: CONTRACT FOR: General Construction OWNER: ARCHITECT: CONTRACTOR: FIELD: 0 OTHER: q THE. CONTRACT IS CHANGED AS FOLLOWS: (Include, where applicable, any undisputed amount attributable to previously executed Construction Change Directives) Replace projection screen in meeting room with larger unit per fire department request. Add vinyl tile to second floor storage and exercise areas per fire department request. Add ceramic tile to cooridor no. 9 per fire department request. Misc. electrical changes and additions / modifications per fire department request. The original Contract Sum was The net change by previously authorized Change Orders The Contract Sum prior to this Change Order was The Contract Sum will be increased by this Change Order in the amount of The new Contract Sum including this Change Order will be The Contract Time will be unchanged by Zero ( 0 ) days. The date'of Substantial Completion as of the date of this Change Order therefore is 3,059,000.00 54,155.00 3,113,155.00 6,590.08 3,119,745.08 NOTE: This Change Order does not include changes in the Contract Sum, Contract Time or Guaranteed Maximum Price which have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the Owner and Contractor, in which case a Change Order is executed to supersede the Construction Change Directive. NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACTOR AND OWNER. GARDNER ARCHITECTURE, P.L.C. ARCHITECT (Firm name) 11502 390TH STREET, STRAWBERRY POINT, IOWA 52076-8232 ADDRESS 4111b, I 1111•11116,-- BY (Signature) Thomas Gardner, AIA (Typed name) S .- • 42--- 0 -7 DATE AIA Document Document G701 T"" 2001. Copyright © 1979, 1987, 2000 and 2001 by The American Institute of Architects. All rights reserved. WARNING: This AlA® Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AlA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 17:33:57 on 05/29/2007 under Order No.1000286464_1 which expires on 2/15/2008, and is not for resale. User Notes: (633628144)

ATA Document G70 I - 2001 - agendas.waverlyia.comagendas.waverlyia.com/documents/public/City Council/2007 Agenda...1159 Rave.. Fierce Streei; Council Bluffs, Iowa S003,4746 Phone (712)

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CITY OF WAVERLYHolland Contracting Corporation

DATEDATE

BY (Signature)

Eric Kingland (Typed name)

69 7

CONTRACTOR (Firm name)

1400 South 4th Street, Forest City, Iowa50436ADDRESS

OWNER (Firm name)

200 1st Street NE - PO Box 616,Waverl , Iowa 50677ADD

ATA Document G70 I - 2001Change OrderPROJECT (Name and address):

Waverly Fire StationWaverly, Iowa

TO CONTRACTOR (Name and address):

Holland Contracting Corporation1400 South 4th StreetForest City, Iowa 50436

CHANGE ORDER NUMBER: 016

DATE: May 22, 2007

ARCHITECT'S PROJECT NUMBER:

CONTRACT DATE:

CONTRACT FOR: General Construction

OWNER:

ARCHITECT:

CONTRACTOR:

FIELD: 0OTHER: q

THE. CONTRACT IS CHANGED AS FOLLOWS:(Include, where applicable, any undisputed amount attributable to previously executed Construction Change Directives)Replace projection screen in meeting room with larger unit per fire department request.Add vinyl tile to second floor storage and exercise areas per fire department request.Add ceramic tile to cooridor no. 9 per fire department request.Misc. electrical changes and additions / modifications per fire department request.

The original Contract Sum wasThe net change by previously authorized Change OrdersThe Contract Sum prior to this Change Order wasThe Contract Sum will be increased by this Change Order in the amount ofThe new Contract Sum including this Change Order will be

The Contract Time will be unchanged by Zero ( 0 ) days.The date'of Substantial Completion as of the date of this Change Order therefore is

3,059,000.0054,155.00

3,113,155.006,590.08

3,119,745.08

NOTE: This Change Order does not include changes in the Contract Sum, Contract Time or Guaranteed Maximum Price whichhave been authorized by Construction Change Directive until the cost and time have been agreed upon by both the Owner andContractor, in which case a Change Order is executed to supersede the Construction Change Directive.

NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACTOR AND OWNER.

GARDNER ARCHITECTURE, P.L.C. ARCHITECT (Firm name)

11502 390TH STREET, STRAWBERRYPOINT, IOWA 52076-8232 ADDRESS

4111b, I1111•11116,--

BY (Signature)

Thomas Gardner, AIA(Typed name)

S.- • 42--- 0 -7 DATE

AIA Document Document G701 T"" — 2001. Copyright © 1979, 1987, 2000 and 2001 by The American Institute of Architects. All rights reserved. WARNING: This AlA®Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AlA® Document, or anyportion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This documentwas produced by AIA software at 17:33:57 on 05/29/2007 under Order No.1000286464_1 which expires on 2/15/2008, and is not for resale.User Notes: (633628144)

v .., I •-• I VA vV 4-11.11. VY1 V .., V. V lig 003

LIANDCMG

1400 South 4th St. Forest City, Iowa 50436 Ph. 641 -58.5 -2231. r.,; 641-5 Z5. -55 SS•

Thursday, April 26, 2007

Mr. Brian StarkGardner Architecture, P.L.C.11502 390th.•StreetStrawberry Point, IA 52076

RE: Change Order Request Number COIF -038Waverly Fire Station-3608

Dear Mr. Stark,

We have finalized gathering all the required quotations for PCO Number 024, for the followingextra work: New 10 x 10 projection screen. We have reviewed the scopes of work and haveverified that a,11 extra work items are in compliance with our contract agreement. The following isa detailed itemization of all extra costs.

Item Number Description Proposed Amount Corm p v001 New 10' x 10' projections

screen$1,029.00 Epco Ltd., Inc.

002 HCC credit for original screen ($514.00) Holland ContractingCorporation

Total Amount $515.1,:0

If you have any questions regarding this Change Order Request, please call me at your earliestconvenience,

Respectfully,

Brett WestEstimator/APM

< r

TO: Holland Contracting Colpora&gnAttn: BrettFax: 641,585-55g8

Date% April 19, 2007Project: Fir:: Station

• Locatioz; Waverly, IowaAddendum Seem 0

vi.JV VRA v1. vov vvoo8rm9u-oUl MOAN FROM-EPCO LTD., INC. 7128217575

tel 004

T-513 P.001/001 F-T15

WE ARE LEASED TO QUO i THg FOLLOWING:

P_LoAsi_ion Ser_ee17,1– x 10'-0" screen with of back drop Total S1,U29.00

41 Ni T" tz a rgft ktef,P

Terms: 1) Pric are quoted delivered to job site2) Prices do Rot include sales3) Prices re material only unless otherwiac noted.

Thi9 proposal subject to change !t oc:copteLl within 30 dnys,• „

5) Net 30 days, we are a supplier Rot a contractor, and as such cannot allow rater.(Org ti:ZP field.

ACCEPTED BY:ACtliie SUBIWITTEri BY: Steve Epperson

Date: zr--100-7

1159 Rave.. Fierce Streei; Council Bluffs, Iowa S003,4746Phone (712) 322-0393 Fax (712) 323-757

www.epeo.raiz

Brett WestEstimator/APM

U4/ZU/ZUU7 16:UU VA.& 041 *65 5566

le) 001

CX) 1 CM1400 South 411a Fortse City. low; 50436 Ph. 641 -585 -2231 Fax 641.585-5588

•stmatmcossmatztattordma amTF-7-27

Thursday, April 26, 2007

Mr. Brian StarkGardner Architecture, P.L.C.11502 390th. StreetStrawberry Point, IA 52076

RE: Change Order Request Number COR-037Waverly Fire Station-3808

Dear Mr. Stark,

We have finalized gathering all the required quotations for PCO Number 023, for the followingextra work: Vinyl base upstairs rooms. We have reviewed the scopes of work and haveverified that all extra work items are in compliance with our contract agreement. The following isa detailed itemization of all extra costs.

Item Number Description Proposed Amount Company001 Furnish and install vinyl base $300.00 Floor Show Furniture

& Flooring002 HCC overhead and profit $30.00 Holland Contracting

Corporation

Total Amount $330,00

If you have any questions regarding this Change Order Request, please call me et your earliestconvenience,

''J i g dal)/ fol./ I ..4V 0 11.11.V'JcP VVV

I U V

Apr 26 07 03:45p FloorShow Companies

(bb"...15)

P.

-Ft orShmfu-rniture &flooring., ''PROPOSAL1475 Associates Drive - Dubuque, Iowa 52002 - Phone:(563) 557-9§52-i7ax: (563) 557-9988

Contract Flooring De artnent Mike Timmerman Tom Pfiffner Mike Widmeieir

Holland Contracting

Fore, City, IAAttifJ;Brett West

Waverly Fire Station

DESCRIPTION

PhoneFax 641-585-55nDate 4-26-07Salesperson Mike Timmerma

QTY PRICE.- TOTAL Furnish and install

Vigi •base in upper level rooms 28, 29 and elevator lobbyJohnsonite Charcoal $300.00

Floor Shaw Cornponles propose hereby to furnish materiel IriJbor complete In scoordence with show epeollicaVoris for the amount of :

j4, es-Azad...dam:a S.,300,134

4Oaptance of propof. The above prices.. speaicatIons flc conditions sre sa5sfectory and am hzi'oby aec epi2d. Floor Show Compart;est*'01*9tiloriZed to c10 tile Work as specifi4d. AmeptarkM retusl b z.iurtoti. –A proposal is voic12ftr 30 c-ays, Floor Slow CornpapIes reserves

the right to th raw thel Prl5P-e.Wi et anytime, for any reason, under soy oireurnstanm.

v.., ( ■••••• • 0“, 41:11 VZ1 VV../ 4J UUL

re; a CONTRAC MS'1400 South 4th ST..., For lowz;.%436 Ph. 641 .555-2231, F�..x641,

5ty,m=117-2"-- ,

Monday, May 07, 2007

Mr. Brian StarkGardner Architecture, PLC.11502 390th. StreetStrawberry Point, la. 52076

RE: Change Order Request Number COR-042Waverly Fire Station-3605

Dear Mr. Stark,

We have finalized gathering all the required quotations for PCO Number 026, for the followingextra work: Add Floor the in corridor 0.. We have reviewed the scopes of work and haveverified that all extra work items are in compliance with our contract agreement. The following isa detailed itemization of all extra costs.

Item Number Descri tIon Pro osed Amount001 Furnish and install floor tile

HOC overhead and profit

$2,420.00

$242_00

Floor Show Furniture& FlooringHolland ContractingCorporation

002

Total Amount $2,M;',t.00

If you have any questions regarding Change Order Request, please coil me et your earliestconvenience,

Respectfully,

Brett WestEstimator/APIVi

....1.■■■•■•■■17-17,13.1■ !J.

No floor prep

No floor protecl.lon

No sealingtile or grout

Weekend or night wort additional

TOTAL $2,420.00

Furnish and install Ceramic ti e in hall and elevator lobby

Florida Liberty Series 12 12

dydroment Epoxy grout

05/U7/ZUU7 U6:'46 FAA U41 565 5566may UZ I 5 • 12 t-loornow c:ompan*s hbf-V,VU13

16 003P2

Cep:: A.,-.4rrw• a_ -tigi7 4-71t

. . . ja.

14T5 &wed . D$ L9FF%,74-)4 (Les) zsv-vmeCow&gase .Fkoetiew ex# EtiPo Howageamews no= 0;r2;T;'.,7-7Gr, lake; MFATI----

HoUrend Corttraireg Phone

Fa.x 641-585-550'Forest City, L-4. Date -

Attn:Br2 WezE

SpigfeL.,Frsfr.sui Mike nr#71.317071W7:

Waverly Fire Stalio-a cratza=g-z-airg.,,i,F.awit.SIOOtirvhinz000nrapicryalets.co.:u

rIPScRPF11014 - OTY . PP CE TOTAL

Floor Show Companies propose flooring 'AT/ rk inaocordanoa with above Fdadfications for the Mourn of :

crwa e49.gacmE5., aaRaftp

Accoptan of proposal. T above: prims, specificalr.t-rts o re Satifavtory and e.re flaK-J?y Ftoor Show Companiesis authorized to do the work as specified. Accopien Filk$Sf be signed. The proposal is volt! viler0 dayo. Floor Show Copies reservw-

the right to withdraw the prep:L.90 et anytime, for any reason, under env oi.poornet4o.

05/07/2007 08:29 FAX 641 585 5588May: 02 07 11:32a

a 004

RETURN RAI

CJ

IA

EXPOSED SiOUUUR&L S41\

COLUMNS, P WEL TtICAL

s

PLASTIC LE:: I

\ Cif CONTI:TICQS

\-PGE, 2A" 1..t-LI.:1•' En

INMATE, l'OViDEvAawiNc:. eew-.3(f_i

„ ., _AI 42 AL.. SEE

. \

C,f..,.

TRENCH NrA SE

IAECHACir i . DRNA

.4 CJ

CHANNE1,'V-14

FRCS fio•

ABOVF„..1 ”

/ C•.`

DEEC' :7; IDDICATUI, Pr:CA.1

/VIOUNITA C, 111,6,CA

1/ P,,T

99 -9

DIRECT ADHEAR DITYLL

PRECAST PAW:1.5,10

LOCATION

—UNE

05/14/2007 07:31 FAX 641 585 5588

0002

uLLANDCOMMAC MFG

1400 Soith4. 4th St- Purest City. Iow a 50436 Ph. 641 -585 -2131, F.2:tr. 641.585,55881.17177=7:111=2:7,7,77,

Monday, May 14, 2007

Mr. Brian StarkGardner Architecture, P.L.C.11502 390th. StreetStrawberry Point, IA 52076

RE: Change Order Request Number COR-043Waverly Fire Station=3608

Dear Mr. Stark,

We have finalized gathering all the required quotations for PCO Number 028, for the followingextra work: Electrical Changes_ We have reviewed the scopes of work and have verified that allextra work items are in compliance with our contract agreement, The following Is a detaileditemization of all extra costs.

item Number Description Proposed Amount Cori. f

001 Electrical Changes $2,803.08 Wubbens Electric Inc.002 HCC Overhead and Profit $280.00 Holland Contracting

Corporation

Total Amount $3,083.00

If you have any questions regarding this Change Order Request, please call me at your earliestconvenience,

Respectfully,

Brett WestEstimator/APM

Labore . 'Hours 4... 7

TOTAL CHANGE ADD $376,93l •

WUBBENS ELECTRIC INC. !CHANGE ORDER800 NORTH MAIN ST I

---daikLES CITY "iii -60816 .1...• ..._...Jim Wubbens, President

job iqame: !Waverly Fire Wireless Phone Byetern Wires..............._ ''''' ................._ _.Degcr iethn- i

Description

.' ;Date!

and Outlet 1

i1 , -Unit

Ent

1''' 11200.---11

. . ..

• 301412 THHN i 0,09; $2.70. . . . lIduplex recpt

• 214 so boxes 2 1/8 deep„i 2.071 $2.07

- 1 1.191 ,,$238ilIdupiex cover raised

• 100/2 EMT..,,,..' I 0.84! $0.84 „ ..

0.28 • $.80 i ,211/2 EMT SS conri 0.51; $1.021: ,_„....„..„111/2 Bell box 3.11 $3,11 li .11Bell box w/p cover ... „. ., 1.43 $1.43!1 1 1/2 romex cone

,0.52; cr0 52'* '

211/2 PVC corm : 0.17: $0.341

111/2 PVC corm 0.18! $0.181. 1l4” so blank cover l 0.28! $0,28!

10;314 EMI •• 0.54; $5.401213/4 1 hole straps ! 0.211 $0,4211:314 EMT es steel coup i 1.03; $1.0312 r3/4 EMT ss steel Conn .

1

- • -I-: 0,001 $0.001

0.00 $0 .00'

. , 0.00! $0.00•0.00; $010010.00 $0-00

Total $26,34

7 111 11 1•

'Total Material .ix 15% Overhead $3.95:ix 10% Profit $2.63 i ...

1 7%. . • ... ....

'Total Material wi r.narkup $32.931

a003VW./ C,(9

•05/14/2007 07:31 FAX 641 585 5588 .Lut.; no.L.Lania corre.racting

WUBBENS ELECTRIC MC.. _ ..,..,.... _BOO NORTH MAIN ST

CHARCES CITY, IA 50616Jim Wubberis, President

••'

iCHANGE ORDERi - '

IDate

. . . .

.5/11/2007:

■ '

Job Name; iWaveriy Fire Genera-tor Conduit Overhead 1 ! iDescription: l i i

, ty ; Des'aiptiOn i ,. Unit E1.4-- • ••••,,

.130 1 `1 4 EMT - : 0.93; $120,901

)1

15 1" EMT ss steel coup , I 1_72i $25.80 I •

i 8 li ir EMT 5s steel corm. '•, 1.501 $12.00! . ;

. 1i4 11/16 box, 1. i 1;4 11/16 Gover

1.61 i $1,61: ' .; . .. ;!

. 10 il strut straps: 116x6x4 box, ... .

.4 :8.3,5

4 •.,,$5.,85!

.,

200 ! #14 THHN. i 50;9841 beldon 0.28 $14.00 :

0.00 $0.00;

, .„ .. — •,: , . 0.000.0W

30.00! -$0,00: •

- f , „.., —

• 0.00; $0.000.00 '$0,00

410 01 111- 1

0.001 $0.000.00 $0.00 0 ..

. n,

0,00 .• $0.00

$217.26;

.. , :

, Total Material $217.26ix 15% Overhead $32.59iX 10% Profit $21.73„ ..'Total Material w/ m8rIcu p $271.581

Labo.ru$430.00:10, Hours , 0 $43.00

.. „„ ....701.58;TOTAL CHANGE :Apo

...

0.5/14<ZUg7 0.7 .; yA.A. [2)004.r=.4,,w6ay zstpc“..14,v 411c --- molna uorctractIng 1d)003/

..., , ._ WUBBENS ELECTRIC INC. ! !CHANGE ORDERboo NORTH MAIN ST i

CHARLES CITY, IA 60618.... 1. .... _ ... ._ , _ __....! Date 5/11/2007)

_. .. Jim Wubbens, President ! . I..

Job Name: Waverly. FireSound System boxes

--, _Qty l Description Unit Ext

•_ 12013/4 EMT 0.54' 364,801.,

. i114 sq bracket box 1.34i -31.341

10i3/4 EMT ss steel Donn 0.91; $9.10;. 12,3/4 EMT ss steel coup

..1.0a 0. 1 • —. . .7 . .

'-''

...■‘... • 7

513/4 bushins , 0.07 s0.361 "',2 ! , 1412 gang mud rings 0.70 _ ,

0.001 30.000,00 " , 36.00.0.00 $0.000.00;0.001 30.00, .

• 0.00: $0.00.0.001 $0.0o:0.0610.00 $0.00:0.00: $0.00:0.00 $0.00:0.001 $0.00;0.001 $0.00;0.00 $0.00:

0.00: 30.00

Total

--1 $90.751:1! !: i •

• Total Material - •:x 15% Overhead

1 $90.751i$13.611

• $9.081 1;Tote l 'Material w/ markup : $113.441,-

;LabQrT5 Hours (9, $43.00 U15.00

TOTALCHANGE iADD 3328.44

. . ..Description:

x 10% Profit

1

05/14/2007 07:32 FAX 641 585 5588 aqt1 0 05

4.14Q GIV4U1). LOULr CtLng UPJUrc/09

.. •0.000.000.000,00

n • I

!Total

Z006telum,u05/14 / 2007 07:33 FAX 6 i 1;- 58.LUUAv 4 . 7 r TNkit./wz g ia .72,J-ct:t.L.I.V muiLdua t-ontractiag

WUBBENS ELECTRIC INC. !CHANGE ORDER_ , . , .... ,,. __,000 RORTH MAN ST i

CHARLES CITY, IA $0818

. 5/1 1/2007°'DateJim krk►ubbens, President

.___

i ,job me: !Waverly Fire Johnson C9ritrfil Power —D—ei Name:

1Qty i Description . Unit , Ext1211/2 EMT 0.28i $3.36 .:

2 112 BM- ss steel conn0,511 $1.021 ,,111/2 EMT ss steel coup

, .. . .

0.801 $0.801 ...__..,. 2;1/2 mini 0.221 $0.44!

00.009011' ' " :05.40001601#12 THHN

0.00 $0.001I • 0.001 $0.00l

0.001 '0.001 60 00:0.00 $0.0010.00 $0.00 . •0.00 $0.00:0.00 $0.000.001 $0.000.00 $0.00o 00 $0.00

$0.00$0.00$0.00$6.00

$11.021 .

Total Material $11.02,,,,x 15% Overhead $1.65 , .x 10% Profit $1.10

'Total Material vv/ markup $13.78:--i.- . i • —

•,,,,, ,,!Labor

3 i Hours $43.00 .,.,. $129.00i • . . , . . i .

i -. .• i i ..•

• :TOTAL CHANGE - ;ADD l $149,78; .

WUB$ENS ELECTRIC INC.; ;CHANGE ORDER800 NORTH MAIN ST 1 1

a 007Upt.T607f!FI

05/14/2007 07:34 FAX 641 5G5 5588rq;414t.. aLct.:L4-1-C OCILLaIla earutracting

CHARLES CITY, IA 50616 ! Date .... 6/11/2007i• Jim Vitubberie, President....... .. __ I

! !Job Name: ; I:Navel-1y Fire Softenerr Outiet De36ript9on:1• :.

_

City !Description : . Unit Ext_ 1 .. .

•,-,,

1 , 1l4 sq box ; 1,13lid. sq raised duplex cover 0.8lIdupIex receptacle 2.07 i211/2 ss steel co. nn 0.S1

0.6T1 ..

• i 2 1/2 ss steel couplirip•5 1/2 mini -

100 #12 THHN0.00: 6100.

, : %'s, , 6

0.00! ,, $0.000.00: i6.06

0.00! $0.00

0 ‘.697 $0.000.00 $0.00;

;,

0.00: $0.001; . ' 1 0.001 $0.001

0,00; $0.001i0.00; $0.00! .

0.00; $0.001

0.00: $0.00

Total , $25.16!

0111-1.‘” r ,

lTotal Material $25.161$3.77 tx 15% Overhead...., . .

x 10% Profit , $2.52!Total Ma terial vv/ markup•,. 1

Labor

...Pr. 0.09;

.,

$1.13!.. ..

.0.84:

$2.071-

.• ,,

‘01.021' ' s1.601 ' ".

°'

■• . -• . --• • • •.• ■ •

$1.10!$9.00

41nours ,0 $43.09 ! 5172.0011 ;

• i

TOTAL CHANGE ADD 203.-15!

WIJIBBENS ELECTRIC INC. ;CHANGE ORDER800 NORTH MAIN ST

CHARLES CITY, IA 50616 i Date • 5/11/2007 •Jun Wubbens, President

•Job ides Waverly Fire Dryer OutletDescription: jr

...... .. ,•.

._. Q ! Description . Unit i, EIrt .

. .1;3 pole Sq D bolt on SKR 15 A 1$2.35 $132.351

: ...6!12./4 cord 1.05 $6.30:. ,

13 kale 20A male cord end 4 wire .. 13.77' . :

i •li 3/4 romex connector 0.86i $0.861 •113 pole 20A receptacle 4 wire __,..„...,......

0.00: $0.00

18.101 $18.161

0,0 $0.001 0.00; $0.00

I, I If I

0.00! $0.00;0.001 $0.0010.001 $0.001. ...

0.00: $0.00;„

- 0.001 $0.00:

0.00' $0,00

0.001 $0.00

0,001 $0.00:1 0.001 $0.00:

0.001 $0.00:

0.001 $0,00;

;Total

0.00,i

$i

$609 .,4D140

i!Total Material $169.. ...... . .. .lx 44::- ! —!x 15% Overhead i $25.42;

10% Profit i $16.941Total Material w/ markup ; $211.80

Labor2 Hours $43.00 $88.00

:TOTAL CHANGE ADD $797.80

[No8tap

05(14(2007 07:34 FAX 641 5H5588,,,,,FL.LcUt.,..tv stiV --* Mid.balaU c.utizact.t.n9

WUBBENS ELECTRIC INC.80CNORTH MAIN ST

;CHANGE ORDER„

CFI' ARLES CITY, IKI6516 , 5/11/2007„„....Jim Wubbens, President

Jo:6 Name: IWaveeiy Fire Washer OutletDescription: ; . •

,,, ......... , ,,, .....,.......... ,,,,,, . • --1.-------• . ---

Qty 1 Description . Unit Ext

, 1;3 pole Sq D bolt on eKR 40a breek6 132.35• : $132.3„ ..,

818/4dcor f 2.651 $2120 .„„. , ..,....._, .; 1 ;3 pole 50A male cord end 4 wire -. : 92.70: 502.70.1- 1" romex conn. 1.34: $1.34

0.00! $0.000.00: $6.000.00i $0.000.00 To.00lo.00l $0.b0io.00i so_ool0.00 $0.00

1111

0.00 $0.000.00 $0.00

„. 0.00 $0.000.00 $0.000.00 $0.00

11 11

, • 0.000,00 $0.000.00 $0.00

. , 0.000.00

$0.0080.00

;Total $247.50

Tot „

al MateriaI $247.591ix 159 Overhead $37.141IX 10% Profit $24.76'Total Material wi markup $309.49

• ,,,,, II

1 11 ,,,,

Labor2 ;Hours i $43.00 $86.00

i. i-1 ' ; i 1, . . . ;-;TOTAL CHANGE TADD i $395.491 -

05/14/20_07 07: 35 yAa;... 04.1 585 ,5,588„, 0009.7,1UCCLLC AUC tioLarsa contraetirag U00 /009

WUBBENS ELECTRIC INC. (CHANGE ORDER800 NORTH MAIN ST .

CHARLES CrrY, IA 50616 5/11/2007iWubberes, President

Job Name: Waverly Fire oPnacake Mixer •.„ , ... ..... ..... .......

Qty i Description i _ Unit Ext2001#12 THEIN0.091 $18.001

1 i Hubbell L15-20R 33.101 $33.10111Hubbell L5-20p 30.051 $30.0512 Leviton 84025 plate 1.421 28411 !Sq D 3 pole 20 amp Oolt in breaker. 132.50) $132.501

$0.001$0.001$0.001$0.00!

••

$0.0W$0.00i$0.001$0.00$0.00:$0.00:$0.00;$0,00$0.00$0.00$0.001$0.00

Total

'Total Material $216.x 15% Overhead$32.47x 19% Profit $21.65Total Material WI markup $270.61

:Labor2:Hours © $43.00 i$86.00

TOTAL CHANGE- iAD6 $356.61'

$216.49 1

05/14/2007 07:36 FAX 641 585 5588VP... 7;V7 K4A 4084L40101, wu p an5 Z1BCEZ1C Inc HoLLoo, cont.ractlngzon

4.1009/QQ