2011-151 AMS - H. M. Kern Corp for Change Order #3 for Health Department Renovations at Whitted Building

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~~a~ AIA Change Order Document G701 rM - 2001 PROJECT: (Name and address) CHANGE ORDER NUMBER: 003 OWNER ^ Qrange Co. Health Dept. Renov~Ans, Janie 7 2c}ll Richard L. Whined Bldg. ~ ARCHITECT ^ Hillsborough, NC ARCHITECT'S PROJECT NUMBER: 1001 CONTRACTOR ^ TO CONTRACTOR: (Nmne and address) FIELD ^ H. M. Kern Corp. CONTRACT DATE: February 16, 2011 160 'i7natchc_r Road OTHER ^ Greensboro, NC 2740`3. CONTRACT FOR: G. nerd Constrtu tic~n The Contract is changed as follows: (hulccde, where applicable, any undisputed amount attributable to previously executed Construction Change Directives) '[he following FC!J's are the results o.f concealed cond:iticros: PCO--03 Rev. 2: Additional wall ~ floor demolition ADD: $10,391.00 PCO•-04 Rev. 2: 1st and 2nd floor beam repairs ADD: 2,003.00 P00•-05: Modify sa~.urity screens ADD: 3,334.00 P00-O6: Add steel lintels to support exist. wall conditions ADD: 4,02.00 PCO•-10: Install isolation valve in water supply to "B" bldg. ADD: 630.00 1'00•-15: Waste line for toilets,#106 ~ 10$ ADD: 908.00 The original (Contract Sum) ( )was $763,800.00 ; .~~~~F~.'~ The net change by previously authorized Change Orders The (Contract Sum) ((q>![~~riee) prior to this Change Order was The (Contract Sum) ( will be (increased) (~~~i>l by this Change Order in the amount of The new (Contract Sum) (~ rice) including this Change Order will be The Contract Time will be (increased) ( d) by ( 37 )days ?:x,023-.~10 996,823.00 21.3+1.00 1,01$,164.00 The date of Substantial Completion as of the date of this Change Order therefore is August 17, 2011 (Note: This Change Order does not include changes in the Contract Sum, Contract Time or Guaranteed Maximum Price x hick have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the Owner and Contractor, in which case a Change Order is executed to supersede the Construction Change Directive.) NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACTOR AND OWNER. Corley Reelfoot 7,ack, Inc. ARCHITECT (Firm name) 222 Cloister Court Chanel Hill, NC X7514 ADDR~~ (Sigra •e) Kenneth F R~fm~t*_ ATA (Typed name) .IIvN~ 7. ~t 1 DATE H. M. Kern Corp. CONTRACTOR (Firm name) 160 `Il~atcher Road Greensboro}_ NL' 2740'9 ADDRESS BY (Signature) (Typed name) Orange County OWNER (Firm name) PO Box 81$1 H' 1 b ~ o h NC 27278 ADDRESS BY (Signatzrre) (Tipped name) ~ - s -- - i DATE CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured. l/ AIA Document G7017TA - 2001. Copyright ©1979, 1987, 2000 and 2001 by The American Institute of Architects. All rights reserved. WARNING: This AIA® Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, a-mail The American Institute of Architects' legal counsel, copyright@aia.org.