Additional work authorization form, undated

NYC 9/11 Public Portal Document

z ADDITIONAL WORK AUTHORIZATION MAZZOCCHI WRECKING 32 WILLIAMS PARKWAY P. O. BOX 331 EAST HANOVER, NJ 07936-0331 PHONE: (973) 884-8682 FAX: (973) 377-7464 OWNER'S name STREET Evergreen Recycling Of Corona (EROC) PHONE [718] 446-7000 JOB NAME DATE

IzSzzI JOB NUMBER Willets Point Boulevard World Trade Center CITY STATE STREET

Corona New York EXISTING CONTRACT NUMBER DATE OF EXISTING CONTRACT CITY STATE New York City New York You are authorized to perform the following specifically described additional work:

L pat 2*6 Skid Steer I Campbell Housfeld Compressor 4>..

Hitachi 450 w/Grapple ISfleTsoTlRand Air Compressor ^z-^Z^obile Power Washer Miller Maintenance Trailers ) ^^^^Roll-Off Truck(s) Welders Maintenance Trailers Z- Service Trucks^ I X I Mechanics I -z Man Basket I Foreman Z xZ^Tractor Trailer(s) 50 CY Burners LA Tractor Trailer(s)Low Bed 3 Laborers LA Kobe!co 850 I Mechanics 1 7. I Oilers.... ? Brokk 180 Robot Brokk 250 Robot I Tl ,2 Operators ri,,. Generator{s) IT. 2. Working Supervisors .__LAz. . Safety Supervisors ^-x-^Z'ruck Drivers

I h L&.^oorr«x“

ADDITIONAL CHARGE FOR ABOVE WORK IS: $ Payment will be made as follows:

Above additional work to be performed under same conditons as specified in original contract unless otherwise stipulated.

Date Authorizing Signature (OWNER SIGNS HERE)

We hereby agree to furnish labor and ials - complete in accordance with the above specifications, at above stated price.

orized Signature Date (CONTRACTOR SIGNS HERE)

I THIS IS CHANGE ORDER NO. NOTE: This Revision becomes part of. and in conformance with, the existing contract. z CITY_21MC100_0 05404299

NYC-WTC_000182114