Time and Materials Extra Work Order
Understanding that the Work described here is an EXTRA to ICON GROUP Contract and that it will be reimbursed on a Time and Material basis, I/we , authorize ICON GROUP to perform the following work.
Labors to perform work
| Employees | Hours | Total |
|---|---|---|
Scope of work description:
Suffolk Suffolk Superintendent's signature is for the verification of labor and material quantities only | |
Contractor: | By: |
Authorized Signature: | Date: |
Print Name: | Job #: |