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CHANcE ORDER REQuたS丁FORIVI <br />DA丁岳O管 <br />SUBMIS§10軸 <br />NO了で:し佃O巾胎queSt舟O調卸gine釣卯章e「 deto姓d凍嚇亡r匝ion 〇分pOge 2. <br />」uly 15事2020 <br />PROPOSED COST AND TIME ADJUSTMENT <br />co釘　器器竿I　寸 <br />The cost adiustme巾Shal∥nclude lump sum and estimated totaled unit-P轟ced item cos誌. AIねch a sepa昭te sheet of un龍price items <br />including item description, unit of measurement, eStimafed quan館fy and unit price, <br />CHECI( ÅpPROPRIATE BOXE§ PたR APPROPRIATE BASl§ OF COST CHANG∈こ <br />□ 109購Altered Quantities　図109.05佃) Ag「eed Price　□ 109.05(b洋orce Account　□ 109.05.02 Deねy Costs <br />PROPOS各DCOSTCHANG馴NCしUDES: □しabor □ MateriaI　□ Equipment　□しeaseAgreement　図 <br />Subco調t「acto「 <br />TI ME A馴uSTMENT INCREASE / (DEC則EASE) :(work days=　　　N/A <br />CH各CK AppROP則A丁各BOX各S P各R APPROPRIAr旺BASIS OF TIME CHANGE: <br />□ 1O8.08(a) Excusable, Non-Compensable　　　　　□ 108.08(b) ExcusabIe, Compensab!e <br />NO柑げの加雌の年寄b厄の的勃dg的確b瞭gd onヱαなの与.2砂A〃owαb厄De胸y C寄割き. <br />SUPPLEMEN丁AL INFORMATION <br />董董墨三重軸 <br />DOCuMENTS AFFE(コtD: <br />図周DO丁!し恥凶INPO丁/しPA <br />_」_--__「山 <br />□ Cont旧蹟o「