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STORE # City and State: T&M DAILY REPORT WALMART STORE CONSTRUCTION GENERAL CONTRACTOR: CHANGE CONDITION NO. SUBCONTRACTOR (s): DATE Description of Daily Work: REPORT NO. OF PAGE NO. OF EMPLOYEE NAME POSITION MHRS EQUIPMENT/MATERIAL UNITS UOM UNIT RATE TOTAL LABOR TOTAL MATL. TOTAL EQUIP. TOTAL COST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 TOTAL DIRECT COST $ - $ - $ - $ - $ - 1 2 3 General Contractor and Subcontractor by signing this Unforeseen Conditions Changes to the Work Form confirm that the work performed as stated on this report does not overlap with any base bid work. Additionally, the General Contractor and Subcontractor agree to submit this form and all substantiating back-up as required per Walmart's change request format including all Labor Rate Forms, Material Quotes and Blue Book Rental Rate Forms. General Contractor and Subcontractor agree that Walmart reserves the right to confirm the validity of the change in accordance with the contract documents. 4 All total line items of cost are to be reported weekly to the Construction Manager Subcontractors Superintendent (signature) (date) General Contractors Superintendent (signature) (date) Testing Firm / Field Representative (signature) (date) NOTE: This report must be completed and signed off by the superintendent and Testing Firm Rep. for every day and every different change that is a time and material issue. NOTE: This report must be submitted to the General Contractor on daily basis no later than 10am the following day. Change Order Exhibit 2/1/2007 27
EXHIBIT “K” CHANGE REQUEST PROCEDURES, INSTRUCTIONS, AND FORMS (Issued at Out to Bid or as Modified by Addendum) TABLE OF CONTENTS Procedures to Prepare Change Requests For Submittal and Approval Change Request Instructions Change request submittal workbook Mixed Crew Hourly Labor Rate Workbook Remodel Projects Labor Rate Workbook Unforeseen Conditions Change Procedures Unforeseen Conditions or Time and Material Form
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WAL-MART STORES, INC. * 2001 S.E. 1
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On - Line Change Request Instructio
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l. Material Quotes: All major mater
Page 7 and 8: 03 Mixed Crew Hourly Labor Rate Wor
Page 45 and 46: Wal-Mart Stores, Inc. Change Reques
Page 47 and 48: 4 Summary Sheets Populate all blue
Page 49 and 50: Wal-Mart Stores, Inc. City, ST Stor
Page 51 and 52: 04 Change Request Submittal Workboo
Page 53 and 54: Wal-Mart Stores, Inc. Approved Mixe
Page 55 and 56: For use on non Crew Labor Rate proj
Page 57: Unforeseen Conditions Changes to th
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