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CHILBERG CONSTRUCTION COMPANY , INC . <br /> CHANGE ORDER WORKSHEET <br /> DATE : 20- Feb-06 <br /> PROJECT : 43rd Ave Sub-Complex <br /> DESCRIPTION : <br /> Orignal contract 382LF @ $53 . 69 per LF and 3 manholes 20 , 510 . 00 <br /> New Pipe Runs 1 , 370 LF @ $53 . 69 per LF and 3 manholes 73 , 555 . 30 <br /> tax 41413 . 00 <br /> Admininstrative 957 . 00 <br /> Total Change 58 ,415 . 30 <br /> CODE TASK VENDOR AMOUNT <br /> GEN'L CONDITION <br /> A 01025 General Liability Insurance C . C . C ./Zurich Insurance Services 268 . 71 <br /> B 01030 Builders Risk Insurance C . C . C ./Zurich Insurance Services175 . 25 <br /> C 01035 Worker's Compensation C . C . C ./FCCI 190 . 08 <br /> D 01620 Auto Expense Chilberg Construction Company <br /> E <br /> F <br /> LABOR <br /> A 01041 Project Management Chilberg Construction Company <br /> B 01043 Project Supervision Chilberg Construction Company A581415 . 00 <br /> C <br /> D <br /> SUBCONTRACTOR <br /> A 02375 Pipe runs & Manholes (add ' I ) Precision Paving <br /> B <br /> C <br /> D <br /> MATERIALS <br /> A <br /> B <br /> C <br /> D <br /> EQUIPMENT <br /> A <br /> B <br /> PREPARED BY: SUBTOTAL 59 , 709 . 03 <br /> NOTE. General Liability Insurance .0046 on Subs and .0497 on Labor Overhead <br /> Builders Risk Insurance .30 per $ 100.00 Profit/Builder's Fee % 71176 . 58 <br /> Workers Comp . 0476 Supero/.2880 Carp ./. 0059 Mgt. Bond Expense @. 1604 per 100 . % 95 . 77 <br /> Auto Expense is $ 3.73 per hour TOTAL 66 , 981 . 39 <br /> See attached. <br />