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Consultant Work Order <br /> (Local Projects) <br /> Project No: Control No.: <br /> BRO-7040(25) 42322 <br /> Consultant(Manse aid ) Agreement No.: Work Oder No.: <br /> Felsburg Holt&Ullevig(FHU) BK1347 2 <br /> LPA:(Neme and ) - 'Cora Clump Order No.:(Iaapreable) <br /> Hall County/Steve Riehle n/a <br /> All parties agree the following described work needs to be performed by the consultant as part of the referenced project. <br /> All parties concur and hereby give notice to proceed based on the followng: justification to modify contract, scope of <br /> services,deliverables,schedule,and estimated total fee.All other terms of existing agreements between the parties are <br /> still In effect it is understood by all parties that the work described herein will become part of a future supplement to the <br /> agreement indicated above. <br /> Juseficetion to modify agreement(Include scope dsewlcer,dearw&das,and schedule) <br /> The Categorical Exclusion for Grand Island NW was approved April 25, 2018. During the right-of-way (ROW) <br /> process a field entrance was added, The permanent ROW and temporary easement amounts were also <br /> updated. The field entrance and new ROW amounts will need to be evaluated by the NDOT PQS personnel and <br /> documented in the NDOT Re-evaluation Roam. The Green Sheets will need to be updated and rerouted. <br /> Wok Title Summary of Fee <br /> A. Total Direct Labor Cost = 1,153.92 <br /> Re-evaluation of approved Categorical Exclusion,and B. Overhead(Factor'x A) is 1,932.93 <br /> rerouting of Green Sheets. C. A+B = 3,088.85 <br /> D. ProfiVFee(Factor"x C) = 412.09 <br /> 'Overhead Factor. 167.51% E. Direct Non-Labor Cost = 0.00 <br /> "Profit/Fee Factor. 13.35% F. Subconsufant Servkes = 0.00 <br /> Total Fee Notes: TOTAL FEE: C.+D+E+F = $3,498.95 <br /> ❑ ESTIMATED TOTAL FEE: $3,490.95 <br /> o FINAL TOTAL FEE: $3,498.95 <br /> Work Order Authorization-May be granted by email and attached to this document. <br /> Consultant <br /> - �G1 T <br /> v y 7A-o y <br /> signature / ti <br /> Date Notice to Proceed <br /> will be granted by <br /> C email by:LPA: <br /> LPS PC for <br /> N P (LA ci♦-cr -412.12 ^e rl,Er9meter zZra�-u�2( Preliminary N <br /> Engineering& <br /> LPS PC pier Prelhnlnary Engineering)and State Rep.(for Construction Engineering): CD PC for <br /> SrrevrA P g-4641'te Zit 'S--a)- el Construction Engineering. <br /> Name Signature Date <br /> LPS Unit Head Review(for PE Phase) , / jj <br /> / DtBe <br /> In Es�in®er or Construction Engineer(Construction Phase): <br /> Name Signature Date <br /> FHWA: (FHWA Approval on Full Oversight Projects Only) j�Pr D ocee Date: <br /> Name Sign a pate / 2r0",i tr-r' <br /> Distributor': CansoNant, LPd—RC. She Rap.. FHWA, tPS PC, MOOR Arnim*Engtrresr. HOMY Funds Menacer, CD Pc <br /> DR Fora 250,March 2014 <br /> EXHIBIT"B" <br /> Page 1 of 7 <br />