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Change in Utilization Plan Request Template <br />To be completed by Prime Contractor requestina a change in Utilization Plan: <br />Project Name: 2022 CCMG Road Rehab <br />Prime ( Milestone Contractors North <br />Date of Occurrence: 11/30/23 <br />Date Request sent to PM: 12/1/2023 <br />Sub -Contractors impacted by <br />Sub -contractor MBE <br />Name or <br />W�BE <br />SIaiccarc lE AIRF I Chc <br />requested change in Utilization Plan <br />Brief Explanation for Requested Change in Utilization Plan <br />a inscoLe._ __ <br />Optional Additional Comments/Notes: <br />Quantity of sodding was decreased due to plan changes and excavation limits which decreased <br />Slussers total payment amount. <br />To be comoleted by Proiect Manager <br />Project Date of Date rec'd Change in Utilization Plan Date <br />Manager Occurrence (within24hours of Approved/Denied/or Requesting Approved/Denied <br />Date of Occurrence Additional information <br />for approval) <br />Leslie Biek 11/30/23 12/1/2023 Approved_ 12/4/2023 <br />Notes: <br />