HomeMy WebLinkAbout34637 / 87-328 November 5, 1957 11328 RESOLL'TION
(CAARIED LOST LAID OVER WITHOAAWN )
PURPOSE: APPROVE CHANGE ORDERS FOR BOILER/GARAGE RENOVATION
INITIATED BY: CITY ADMINISTRATION
BE IT RESOLVED by the Common Council of the City of Oshkosh that the
following Change Order, a copy of which is a[tached, is hereby approved:
CHANGE ORUEA N0. �1
FLUOR BROS. CONSTRUCTION C0.
P. 0. Box 2326
Oshkosh, WI 54903
Amount added: $11,331.00
CHANGE OR�ER N0. M-E-1
VANASTEN HEATING 6 SHF.ET METAL
912 Randolf Drive
Appleton, WI 54915
Amount added: $6,796.94
Parpose: Alterations - 1987, Garag� Boiler Plant, City
Hall Si[e
BE IT FURTHER RESOLVEP [hat money for [his purpose is hereby appropriated
from: Account No. 354-999 -- City Hall Garage Expenditures.
SUB�ITTED HY
APPROY$b � . � . ... � �
- is -
Res. #328
� ' ROBE.RT L. YARB.RO, pIA, ARCHITECT
route t box .7057 • wl �d roae, wlecon �in 54884 • �i�iaas -�so�
CHANGE ORDER No. �—i OWNER'S COPY _
FI�E N0. 85Z9 �City Contract 87-07) �
CONTRACTOF'S COPY _
DATE ZS September 1987
ARCHITECT'S COPY
OwNER THE CITY OF OSHKOSN, WISCONSIN
FLUOR BROS. CONSTRfICTION CO. , P.O. Box 2326,
CONTRACTOR Oshkosh, Wisconsin 54903
Alterations - 1987, Garage/Boiler Plant, City Hall Site
215 Church Avenue, Oshkoah, Wiaconsin
CON7RACTFOR
IT IS HEREBY AGREED THE FOLLOW ING CHANGE IN THE INORK SHALL BE COMPLETED IN ACCORDANCE W RH THE
ATTACHED PROPOSAL AND SU&IECT TO TERMS OF THE ORIGINAL CONTRACT DATED Ma y 7, 1987
SEE ATTACHMENT
FORTHESUM OF(ADD- �) ELEVEN THOUSAND THREE HIINDRED THIRTY ONF
AND NO/100THS--------------------- DOLLnRS (S I1 �931 00� -
1
ADD DE�UCT ORIGINAL CONTiiACT
a �a . z�s o0
PRIOR TO
THISORDEF NONE NONE . EXTRAORDERS ADDV 11 . 331 .00
THISORDER 11 , 331 .00 NONE CREDITORDERS
NONE
TOTALTODATE 11 � 331 . 00 NONE NETTOTALTODATE
. 89. 606. 00
APPROVED ACCEPTED � � - �- " ""-�-"---
ROBERT L. YARBRO CITY OF OSHKOSH, WISCONSIN
ARCHITE T � �
BY BY Citv Manager
BY Citv Clerk
ACCEPTED BY Citv Attorney
FLUOR BROS. CONSTRUCTION C0. APProved as to Form
I hereby ceztify tha[ the netessary provisions
n have been made to pay [he liability that will
BY ` � � 1 � actrue under this Contract �
G BY Citv Comptroller
- 18a -
. � Res. tt328
ATTACAMENT
CHANGE ORDER �0. G-1
Fluor Bros. Construction Co.
� 25 September 1987 -
RE: File 8529
Altera[ions - 1987
Garage/Boiler Plant
City Hall Site/215 Church Av.
. Oahkosh, Viaconsin
ITEM N0. 1 : Reset existing catch 6asin rim and cover
in Room No. 107. Patch ia new concrete
around reseC rim. �
' Per Contractor 's Proposal dated Sune 12 ,
1987 ; copy attached. No Change
ITEM N0. 2: Repair the east wall of Hoom No. 107 from
Che outaide [o stop foundation vall leaks _
in [he seme manner as sped fied for the �
south vall of that room.
Per Contractor 's Proposal dated June 12, �
1987, capy attached. . ADD $ 3,421.00
ITEM N0. 3: Perform ell work required by the Architec[ '�s
Draving No. 103, dated 18 June 1987 for re- -
visions to the east side loading dock ex-
cept omit [he hydraulic lift.
Per Contractor 's Proposals da[ed lune 26 and
July 8, 1987 , copy attached ADD :4,046.00
ITEM N0. 4 Room 102, Ezcavate and install a concrete
foundation wall under the new masonry wall
closing up the removed overhead door and
place a aew founda[io❑ wall under poor No.
7.
Per Contractor 's Proposal dated July 28,
1987 , copy attached ADD 609.00
ITEM N0. 5: Remove and replace the concrete floor in Room
No. 102.
Per Contrac[or 's Proposal dated August 3, �
1957, copy attached � ADD 1 , 557. 00
ITEM N0. 6: Perform the following work:
Equipment Rm 103, West Double Doors:
' Add Weatherstripping and Door Sweep
Equipment Rm 103 , East Door:
Add Weathers[ripping , Door Sweep
and Threshold
Garage 104: .
South Door - Add Wea[herstripping
and Door Sweep
Eas[ Door - Add weatherstripping
ag$bDoor Sweep
Page 1 of 2
. ' RES. @328
ATTACHMENT - �
� CHANGE ORDER NO.� G-1
Fluor Bros. Construction Co.
25 September 1987 �
RE: File 8529
Alteretions - 1987
Garage/Boiler Plent
City Hall Site/215 Church Av.
Oshkoeh, Wieconsin
ITEM N0. 6:
(Continued) Electrical Equipment Rm No. 107 ,
South Wood Door: Replace door
using esisting butts , nev Rwikset
passage aet, nex weathers[ripping
& door sxeep and apply 2 coats of
paint on the replaced wood door.
. Thresholds, veatherstripping and �
sweeps are to be Reese or equal -
brand.
Per Constractor 's Proposal dated qugust 26,
1987, copy attached. � ADD 611.00
ITEM N0. 7: Repair finishes in Toilet Room No. .
106 vhere ahower stall vas removed.
Patch concrete block wall, fur out
North vall and pa[ch concrete floor.
Patch ceramic tile floor and valls vith
as close. as possible color match.
� Patch hole in plaster ceiling. Paint �
valls and ceiling.
Per Constractor ' s Proposal dated
__ SepS�nm�Qr1Z�14BZ,__cn.p.y attached --ADII-1-,D8Z.-00-
� CONTRACT CHANGE ADD $11,331.00
- lSc -
Page 2 of 2
� , � ra xo. ecu�-aa�-aam � 'rEP/f $ A/0. � 1� Z
RES. N328 4
�".....e.
FLUOR BROS, CONSTRUCTION CO3
ti�
�eneta� �okfzacfota
403 OTTEA AYENUE, OSNI(OSH, WISCONSIN 54903 '
r.o.eox vs
June 12� 1987
Robert L. Yazbro� ArchCiece
Route 1 Hox 1057
Ilild Rose, Wisconsin 54984
Re: A1[exa[ions 1987 �
Garage/HeaCing Plant
Ciry of Oshkosh�, Wisconain
Dear Sir:
Our proposal for [he change of voxk a[ the Catch Basin in Room 107
Elec[rical Equipmen[, see Draving No[e No, 39 is: NO CHANGE IN PRICE.
Afcer •inspecting [he East vall of Room 107, to xepair [he foundation
wall [o stop the leaks, ve vill open approximately 42'0'.' lin. ft., _ �
poaer wash [he founda[ion; pacge and dampproof, including surface �.
restoration for the sum of: THREE THOUSAND FOUR HUNDRED TWENTY
ONE ($3,421.00) DOLLARS including [axes.
If you have any questions, please call. Thank you. �
Very truly yours,
FLUOR SA05. CONSTRUCTION C0.
By
Chris Frei erg - Estima[
CF:dm
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•.r..u.��v �em
� , , ra. Ho. �c�is-aa�-saao �rEM N�, 3
" RIDe. #328
\.�,,.+•
FLUOR BROS, CONSTRUCTION CO3
,.�..o..,m
C�e,�e�l CoKtt�to�s
203 OTTEfl AYENUE, OSHKOSH, WISCOXSIN 54903
�.o. wx zns
June 26. 1987
Robert Yarbro, Architect �
Rou[e 1 Box 1057
Wild Rose, Wisconsin 54984
.Re: Garage/Heating P1anC
City of Oshkosh, Wisconsin
Dock Change
Deac Bob:
As per your reques[� we are herewith submit[ing our Change Order
addition fox the Loading Dock changes, overhead door and freight �
lift all per your draving and apecificationa.
All vork comple[e for an ADD of: TEN TNOUSAND SEVEN HI7NDRED FOORTEEN
($10,714.00) DOLLAEtS.
Thank you for your consideration in this mae[er and please advise
us as [o your decision.
Very [ruly yours,
FLUOR BROS. CONSTRUCTION C0.
BY �c�. oZ° .��,d�--
D. L. Wolfe - ice-Presiden[ a�.✓d�ry
�LW:dm V
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ur..u.�m u.n
' , � r¢. xo. won�-sa�-�aeo ��M �/Q . �
y Res. '�328
�.».
FLUOR BROS, CONSTRUCTION CO3
IMCOI��OMTm
�eH.e'[RG CO/tftlLCfOtl . �
103 OTTEA AYENUE, OSHKOSN, WISCOMSIN 54903
r.o.eox vu
. July 8� 1987
Mr. Aoher[ Yarbro, Architec[
Route 1, Box 1057
Wild Rose, Wisconsin 54984
Re: City of Oshkosh
Eoiler Rouae �
Dear Bob:
As per your requese, we are herewith providing our deduction from
our quote dated dune 26, 1987 concerning Che unloading ramp and _ 7
dock at [he Boiler House. �
To omi[ [he Northvestern eleva[or From our vork, yow may DEOUCT
$6,668.00 leaving a net ADD, for the Loading Dock Reviaions in
[he amoun[ of: FOOR THOUSAND FORTY SIX and No/100 ($4,046.00)
DOLLARS.
Very truly yo�rs,
� FLUOR BROS. ONSTRUCTION C0.
gY `���C.�tJ[r`��
D. L. Wolfe - Vice-P siden[
DLW:dm
- 18f -
, , rv_. No. we�u—sa�—aam . IT�EM NO , L�
Res. �328
�
FLUOR BROS, CONSTRUCTION CO3
✓7C/fR2Q`x COKf'[KLGOtS
J
103 OTTEA AYENUE, OSNKOSH, WISCOMSIN 54903
r.o.sox xru
July 28, 1987
Robert Yarbro, Archi[ect
Route 1 Box 1057
Wild Rose, Wiaconsin 54984
Re: Garage/Hea[ing Plan[
City of Oshkoah, Wisconsin �
Foundation a[ Garage Door -
Room 102 Work Area
Dear Bob:
We propose [o do the folloving vork for [he subjec[ projec¢: -
Ezcavate and install a concze[e Foun&[ion wall .in [he area
whece ve are [o mason up [he exis[ing garage door opening. '
All vork complete including Cax $609.00.
Remove and replace [he 4" concre[e slab inside Room 102� r(OT acce�rs�
Glork Acea, on exis[ing fill. Our price including tax is
$2,129.00.
Thank you for your consideration in this mat[er. Please advise us
as [o your decision in this matter.
Very truly yours,
FLUOR SROS. CONSTAUCTION CO.
By
ris F eib g — Es i tor
CF:dm
— 18g —
s....�un.e �e.e
. , , rc. xo. mu�-aa�-saso ITEr� N� , ,j
u
�� Res. #32A
`..�r'
FLUOR BROS, CONSTRUCTION CO3
�ene¢a� Cokttactacs
203 OTTEA AVENUE, OSHKOSN, WISCONSIN 54903
�.O.!OX T]36
August 3, 1987
Ro6ert Yarbro� Arthi[ec[
Rouee 1, Box 1057
Wild Rose, Wisconsin 54984
, Re: Garage/Heating Plant
City Hall
Ci[y of Oshkosh
Room 102 Work Area
Dear Sob:
Our revised price to remove and replace the 19'-4" x 17'-0" z 4"
concre[e slab inside Room 702 Work Area,on existing fill, is: ONE . ,
THOUSAND FIVE HUNDRED FIFTY SEVEN (51,557.00) DOLLARS, Cax included,
Thand you for the oppor[uniCy to quo[e.
Very Cruly youcs�
FLUOR BROS. CONSTRUCTION CO
By
Chris Frei er , Estimator
CF:dm
- 18h -
nueu�xm �avn
, ieL Ho. �e���—sa�_exeo I 1 ���I /ylhi 1�
�V
Res. A328
�'':.».�.
FLUOR BROS, CONSTRUCTION CO3
/— IMfAVOYIm
l.il¢/Z¢tQL COitftlLLfOtS
l
403 OTTEA AYENUE, OSHKOSN, WISCONSIM 54903
r. o.eox xsu
Augus[ 26, 1987
Robert L. Yarbro, Archi[ect
Route 1 Box 1057
Wild Rose, Wisconsin 54984 �
Re: Alterations 1987
Garage/Hea[ing Plan[
City of Oshkosh, Wisconsin
Dear 8ob:
Our proposal for addi[ional wea[hers[irpping of existing doozs and -
the replacement of one wooden door is as followr. �
EquipmenC Room 103 - West Double Doors - Weathers[rip, Door Sveep ���
Equipment Room 103 - Eas[ Door - Weathera[rip, Door Sweep, Threshold
Garage 104 - SouCh Door - Aea[herstrip Door Sweep
Garage 104 - Eas[ Door - Wea[herstrip, Door Sweep
Elec[ric Equipmen[ Room - Sou[h Wood Door - Replace Door using exis[ing
bu[CS, new Kvikse[ passage
se[, wea[hers[rip and door
sueep.
Threshold, wea[hers[rip and door sweeps co he Reese or an equal brand. �
Our price vill include [wo (2) coats of paint on the replaced wooden
door.
All for [he sum of SIR HI7NDRE0 ELEVEN ($611.00) DOLLARS including all
materials� labor and [ax. -
Thank you for [he opportunity [o quoCe.
Very [ruly yours,
FLUOR BROS. CONSTROCTION C0. �
By
CF:dm Chris F ib g
- lfli -
. t¢. Ha. �cai�—ea�—asso IrEM ND• /
' Res. N328
� :�„a�.
FLUOR BROS, CONSTRUCTION CO3
w�e..e...m
�eneta� Cvkttactots
403 OTTEA AYEXUE, OSNROSN, WISCONSIN 54903
�.O. BOX 21]t .
September 17� 1987 �
Robert L. Yar6ro, Architect
Rouee 1 Box 1057
• Wild Rose, Wisconsin 54984
Re: Altera[ions 1987
Garage/Hea[in� Plant
City of Oshkosh� Wisconsin
Dear Bob:
Our proposals for [he following exera work are: �
Paint valls of Room 102 [o underside oF the roof rafters
including a 4" high dark base all exposed condui[ and �`f0 r
piping. Our price including tax is: $632.00
A�E pTED
To add radio conCrols [o garage doors number 2 and
3 including three (3) remo[e opera[ors. Our price
including [ax is: . $257.00'
To repair Toile[ Room 106 vhere shower s[all was
removed. Pa[ch concre[e block vall� fur ouc Nor[h
wall and patch concre[e floor� will then pa[ch ceramic
tile floor and valls wi[h an available color, paech
hole in ceiling and paint walls and ceiling. Our price
for [his work including cax is: $1,087.00
Thank you for the oppor[uni[y [o quo[e.
Very Cruly yours,
FLUOR BAOS. CONSTRUCTION C0.
BY
Chris �rei rg - s[i a[or
CF:dm
_ lgJ _
nu.u.�.n uvn
Res. �328
ROBERT L YARB.RO, AIA, ARCHITECT
roule 1 6oz 1057 • wlld rose, wlsconsin 54984 • �isiess -�soe
CHANGE ORDER NO. M-E-1 OWNER'SCOPV ��
FILENO. 8529 ( i v ontract 87-07) CONTFAC70R'SCOW _
DATE 25 Seotember 1987 ARCHITECT'SCOPY _
OWNER THE CITY OF OSHKOSH WISCONSIN
VANASTEN HEATING & SHEET METAL, 912 Randolf Drive ,
CONTRACTOR Aonleton. W+ o in 491
� Mechanical & Electrical Work , Alterations - 1987 ,
CONTRAC7fOR f�/Ba�1 r P� �n ('i H°11 / 1 h h Av 0 hk sh, Wis.
ITISHEREBVAGREEDTHEFOLLOWINGCHANGEINTHEWORKSHALLBECOMPLETEDINACCORDANCEWITNTHE
ATTACHED PROPOSAL AND SU&IECT TO TERMS OF THE ORIGINAL CONTRACT DATED May 7 19ft7
SEE ATTACHMENT
FOflTHESUMOF(ADD - �J[;z) STX THORCANP CFVFN HIINPRFP NTNFTV CTY eNn
94/1f1f1TUC_________'________ "DOLLARS ($ F � �4a ot � )
ADD DEDUCT pRIGINAL CONTFiACT
$135. 000. 00
PRIOfl TO
rnisoaoEa eManoaoeAS ADD 6, 796. 94
THIS ORDER CREDIT OR�ERS
NONE
TOTAL TO DATE NET TOTAL TO OATE �
. � $141 . 796. 94
APPROVED ACCEPTED - -
ROBERT G. YARBRO CITY OF OSHROSH, WISCONSIN
ARCHITECT I �
1J
BY 0� BY Citv Manager
BY City Clerk
ACCEPTED BY City Attorney
VANASTEN HEATING & SHEET METAL APPtoved as to Form
I hereby cer[ify [hat the necessary provisions
� have been made to pay the liabili[y [ha[ will
By � �.�,� � �Q/LV-tt� � accrue under this Contrac[
�—
BY City Como[roller
- 18k -
� � Res. #328
ATTACHMENT
CNANGE ORDER NO.M-E-1
, Vanasten Heating & Sheet Metal
25 September 1987
RE: File 8529
� A1[era[ions - 1987
Garage/Boiler Plant
City Hall Site/215 Church Av.
• Oshkosh, Wisconsin
ITEM N0. .1 : Change sump pump discharge from
sanitary sewer and connect [o
storm drain.
Per Cons[ractor's Proposal dated
August 6, 1987, Copy attached ADD $ 575.00
ITEM N0. 2: Disconnect Storm Water Conductor
in Room 107 from Sanitary Sewer
and repipe to discharge through
North wall of Boiler Room.
Pe� Contractor 's Proposal dated
August 6, 1987, copy attached ADD 3, 162.00
r
ITEM N0. 3: Change Chiller breaker from 400
amp to 600 amp and conne[t 300
amp service [o each side of chiller
Per Constractor 's Proposal dated
August 6, 1987, copy attached ADD 3, 059.9Z
CONTRACT CHANGE ADD $6, 796. 94
- 18L -
�I,M��izn1 Page Na. of P::ges
a� v«L
Res. k328
VANASTEN HEATING & SHEET METAL, INC.
Route 5 Boz 351D
APPLETON. WISCONSIN 54915
(410) 78&5633
anovasu suernmeo ro vnonc onrz
:?obert L. Yarbro , AIp, Architect 1-622-4508 Aug 6, 1987
STflEET JOB N�ME
9.a..t�a 1 , Dox 105'] Oshkosh City Gara�e
CIiY. STAiE �NO ZIP CODE JOB LOC�TION ��
:'ilsl ?oce � ;II 54984 Cshkosh� Y!I
•FCrvIiER D.�iE Oi MNS
lOB GNONE
We hereby submif specifi<alions antl eslimates foc
. . . . . .. _.... .._..
'rro�o�z1 £rom Hcnsen Plumbin� to remove sump pump discn�^�� !'rom
�..:,nitary sewer and install in stowm drain. � � � ��
. . . . . .... .._ ... -.. For-t he- sum oP: .. $..575.00 . . . . .._..
P:cpcsal £rom Hansen Plu^!bing to move 6" roo£ drain� to north end ��� ��
. . . .. . . .. .. . .. . _. ... . . .. .._. _....
o£ boilar rnon: � �
. . ..... .. . .. . .... . . . �'or the sum of: b3>152.00 ..... ... . . .. ...
PY.asa items have-been -requesced as cha�ge orders to mur-co�traet . --- -
_ .. _._ . .. . .... . .. _ . � .
. . .... . . .. .. _. .. .._. . ..... __..
_ _ .. ... _ . . .... . . . . .: . . _. _ _. . . . � ��
. . _ . _. .. . . __ . _.. .
. . _. .. . . . . . . .. .. . . .. . . ... _ . . .. _ ..... _ . ..... ._.__.
�P pIP{�DSP hereby to hrnish material and labor — complete in acmrdance with above spxi}ications, for the sum of:
Payment to Oe maee as follows: dollars ($ ).
As ::.,; farth in specs.
•n m.«,�n i: v�.�,�e.va w o.,:.x��e.a. nu .oa m ee�omom.a �,�,.o.xm,�nx. � •
co,a�ne ro.�a�mm Poc�ice..�nr.nenemn o,aevueonimm aeo.e spenrica. Authorizetl
�ions m.m.mg e.o-e msu .ni ee e.«mec omy vpon.,�nm oraers,a.a.ai eemme an Slgnature J ) 2�LQ�
eana�na,qeoveranaaw.�emeese�mam.en.a�eemennm�nneeneuponsn��es..cneems �—'
or eeian eeyona ou.mnbot Owner m u.ry rrq m.n.00 ana ome.n«e:say m:umo�e. Note:This pmposal may Ee
Our�wMers velully mwM by WorkmensCOmpenaatbnlnxunn<e. wilM1tlldwO �y u5 i� nOt aCCep�ed wi�hin tlays,
..�CLF}1tFl11IP Uf '�IA}lA9Fl�-rne ato�e p,i�es. .ce=���i�=��o�:
ane conaNOns are saUS�actory ana are nereby a¢ep�ee. rou are autnorrzea 5ignature
to Eo tM1r work as sce���leE.Paymentwill be ma0e asmtlineG above.
�a�e of Acceptanre: SignaWre
- 18m -
]kt,.����tt, Paqe No. af P. _es
{a 1
Res. $328 E
� VANASTEN HEATING & SHEEi METAL, INC.
Route 5 Box 351D �
APPLETON, WISCONSIN 56915 1
� (414) �8&5611 �j
II PFOPoS�L SOBmITE� i0
� xobert L. Yaroro , AIA, Architect °X0�`-622-4508 °�uguat 24, 1987
STFEET
. l08 NMIf � �
�-:.ucF '_ 3ox 10-7 � � Oshk:sh Cit- Ga_raae � - � � - �
icm, srnre eno zir cooe �� �aa �ounon .
� ����,-i � � _ ���_ u au csnko�n arz
nnCMrt:C O�iE Oi RANS
AB RqNE
W<b¢lP�y SYOI�Ii�SpKdICd11OO5 dfd PSbRIdIPS�OI:
n^ooqe�l i°cc T. RL'ck �l-c�r^' c , Ino .'. _to �ir sa'_i �EGO St. . _. . _
a�F� � 3 0 __...
:'- or. sker;...ir.a`all 2�'� ' �*'.T �wi.th-3CG-acp� to� 2r.3.-.�i3e � of.-cnill=r.-.. . -.
, ..
. . . . . . _..._ _ .. . . .. .. Fcr the �si:m ..o£; 3.,4jq.�+- . . .:..� . _.. ... �__. .
� . . ... _ . ...___ _. _... .. __ . ...: ._ _. .. _. __
I . , .=_�c� ����� a� chang�_.order� �°erffiLSwark. ._._. . _ _ _...-. . �. ._ . _�_..
F1 __.�
� . . .. . ... . ._._. _ __- ``_---_,- ' _.�_ ._.._ . -._ '-
I
. . . _. _ .. .. . . . . .. ... . ... _ .... . _.._ . .. . .
.. . _ .. .. _. .. .. . ._. _ . . .. .. . _.. . _. ._. .
._ .._..__ . ._ _ _ ..__...
3{7r jlrnyure hereby to fumish materiai and labor —complete in accordance with abave specifiwtions, lor the sum ot:
Tr:_� --' ^_��-.>p.=`J »=i"_"! I�I:^B A'-�iD M�/1C0 ' doliare (S 3 +�5G• �`�" ).
_ . "-� '-` ------------
Paymenl �o Oe made as lollaws:
� ' ee' t in srec ' s
I
�i� m ,,,i n e+.,.��Ke�o ea ...p«�rm �n wn m x�omm.in�.,.o,�m.�n�. .. �
e��—a��a�o.i.�mm v,.��Kn.e�y n�.�.uo�w e..�.ca.i.om .eo..�x�nm.-�mnodeea I
uo� n.o�..�e e.�n con. .�u ne e,ecune om�uoan.nne.omen. em.m ee�ome m Signalure !�� �
I ..v.�nn,a.o..,.uaLw..m...um.i..nu.e.«m m�u�a.mwooei,�x«..«m.�n
or Euun �evone o n�.ol Ownn ta cerry L.q�o neEO n alnei nec mry in:u.nnce Nole:This proPoSal may�e
Ow.o�.ns.m w y m..rm e�wonm.�s Comce�++��an insu.mu. wilhdrawn by us ii no� accepted.�tl:in days
� s`�ttrpf;tnrr nf �JrnpnBnl —r�e,e��e,,,«� s��<„�.,,,o�, �i
xna mna,00ns are saeslacmry ona are nereey acceo�ed. vou me aumoraeo 5ienarure _ II
� Io4otM1eworkasspeufictl_PepnenlwillbemadeasoWlincdabove.
D.no ol A¢epunco�. SSnature — I
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