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CHILBERG CONSTRUCTION COMPANY, INC. <br />CHANGE ORDER WORKSHEET <br />tvl ' r <br />DATE: s <br />PROJECT: `� r <br />DESCRIPTION: <br />Furnish and insta <br />CODE <br />TASK <br />VENDOR <br />AMOUNT <br />OEML CONDITION <br />A <br />01025General <br />Liability Insurance <br />C.C.C./Zurlch Insurance Services <br />B <br />01030 <br />Builders Risk Insurance <br />C.C.C.Ourich Insurance Services <br />C <br />01035 <br />Worker's Compensation <br />C.C.C./FOCI <br />D <br />01620 <br />Auto Expense <br />Chilberg Construction Company <br />E <br />F <br />Total General Conditions _ <br />LABOR <br />A <br />01041 <br />JProject Management <br />Chilberg Construction Company <br />B <br />01043 <br />Protect Supervision <br />Chilberg Construction Company <br />C <br />61300 <br />Submittals <br />Chilberg Construction Company <br />Total La9gr <br />BUBOONTRAOTO <br />1&450 <br />®Ink, laemaker hook up <br />Snyder Plumbing <br />793.51 <br />Total Subcontractor 793.51 <br />MATERIALS <br />A <br />B <br />C <br />D <br />Total Materials _ <br />EQUIPMENT <br />A <br />B <br />Total Equipment <br />PREPARED BY: <br />SUBTOTAL <br />793.51 <br />NOTE General Uablllly Insurance .0046 on Subs ane .0497 on Labor <br />Bulxlers Risk Insurance .30 per S 100.00 <br />Workers Corp .0476 Supery/.2880 Carpd.0QS9 Mgt. <br />Auto Expense Is $ 3.73 per hour <br />Overhead % <br />Profit/BUIlde FeFee % <br />158.70 <br />Bond Expense % <br />TOTAL <br />952.21 <br />See arleche. <br />