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lope ID: F4E9815A-D9D2-4217-83BE-B882B3C57138 <br /> ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br /> NORTH CAROLINA <br /> Date: January 12, 2017 Project: Skills Development Parking (61370035-880000-30029) Change Order No. 1 <br /> Department: AMS Department Address: 131 W. Maragret Lane, Hillsborough Project: Skills Development Parking Lot <br />(61370035-880000-30029) Contractor: Asphalt Services on Demand (64082) Contractor Address: 959 Short Journey <br /> Road, Smithfield NC 27577 Effective date of original contract: November 03, 2016 <br /> This change order® increases ❑ decreases the contract time by 15 days. Check here if no impact to contract time '''. <br /> Will this change order impact the date of substantial completion? ® Yes ❑ No. If yes, the amended date of substantial <br /> completion is: February 10, 2017 <br /> Full Description of Change: Undercut 6" of the existing soil, remove soil from site, deliver to landfill, backfill area with fabric and ABC <br /> stone. <br /> Reason for Change: The existing soil is saturated with water and is no long compactable <br /> Original contract sum: $ 100,702.50 <br /> Contract sum prior to this change order: $ 100,702.50 <br /> Amount of this change order: $ 5,580.00 <br /> Total sum of the contract including this change order: $ 106,282.50 <br /> This change order is executed to amend the contract time and/or contract sum. It shall not be construed to impact the original contract, <br /> project, services, or work in any other manner. <br /> Apprpmed and executed this 16th day of January zQ ,7„y <br /> (iNtAAALII, E5ok,kAt.Ramomurstt �o kb-Rammerstui <br /> s9 ednv <br /> us A59,17a4s/ <br /> Contractor Owner Architect(when retained) <br /> By: Project Manager By: county Manager By: Principal <br /> Revised 6/16 <br />