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Wal-Mart Stores, Inc. CR # 0<br />

Divisional Change Request Summary CO Version 0<br />

See bottom of form for detailed instructions.<br />

Store<br />

0-0<br />

City, ST<br />

,<br />

General Contractor<br />

0<br />

Trade<br />

Subcontractor<br />

Date<br />

Scope of Work Description:<br />

Walmart Cost Analysis (Walmart use only):<br />

Scope of Work<br />

Description<br />

Materials Units<br />

Labor Equipment<br />

Item Description UOM Qty Cost Per Unit Total per MH MHRS Rate Total Eq. Type # Hrs. Rate Total<br />

$ -<br />

$ -<br />

$ - $ -<br />

$ -<br />

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$ -<br />

$ -<br />

$ - $ -<br />

Subtotals $ -<br />

0.0 $ -<br />

0.0 $ - $ -<br />

$ -<br />

Sub-Contractors Profit $ Overhead 0.00% $ -<br />

Grand Total $ -<br />

$ -<br />

0.0 $ - $ -<br />

GC and Sub-Summary Instructions<br />

1. All Change Requests need to be completed per “Change Request Procedures to Prepare for Submittal" and "Change Request Instructions."<br />

2. All material costs for major items must have a quote or invoice attached.<br />

3. All labor rates must be accompanied by Labor Wage Breakdown sheet and / or union agreement as applicable.<br />

4. All Owned Equipment rates must be calculated by using the Equipment Worksheet or the Equipment Watch website.<br />

5. All Rented Equipment rates shall utilize the monthly rental rate supported by the specific and reasonable vendor quote / purchase order and attached to the change request.<br />

6. Calculation of the Unit per Manhour, manhours divided by quantities, example #8 wire, 1,000 LF, 8 manhours, 8/1000 = .008 MHRS/LF.<br />

7. Overhead and Profit of % includes all items identified in the General Conditions Article 3.1.2, "fee includes all overhead, profit, and operational items such as taxes, bonds, and insurance..."<br />

Total Cost

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