Orange County NC Website
DocuSign Envelope ID: 3A334BE5-4684-4D93-8088-CAFAA2A7FFF0 <br /> ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br /> NORTH CAROLINA <br /> Date: 2/8/2017 Project: Fairview Park Parking Expansion Change Order No.CO-#1 Department: DEAPR <br /> Department Address: 306A Revere Rd Project: Fairview Park Parking Expansion Contractor: McQueen Construction Inc. <br /> Contractor Address: 619 Patrick Rd; Bahama, NC 27515 Effective date of original contract: 8/15/2016 <br /> This change order❑ increases❑decreases the contract time by days. Check here if no impact to contract time Z. <br /> Will this change order impact the date of substantial completion?❑ Yes® No. If yes,the amended date of substantial <br /> completion is: <br /> Full Description of Change:Added additional stone base to drive;additional conduit and landscaping. Did not use full amounts of <br /> allowances in base bid for rock excavation and unsuitable soil removal. <br /> Reason for Change: Additional stone,conduit and landscaping added to the project for improvements. Deducts are for rock excavation <br /> and unsuitable soil removal which were less than provided for in the base bid. <br /> Original contract sum: $339,000.00 <br /> Contract sum prior to this change order: $339,000.00 <br /> Amount of this change order: $-12,591.00 <br /> Total sum of the contract including this change order: $326,409.00 <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 /> Approved and executed this eighth day of February, 2017. <br /> McQueen construction ,Inc. County Manager Principal <br /> Contractor Owner DocuSigned by: Architect(when retained) <br /> DocuSigned by: DocuSigned by: <br /> By (kq,y+<,tt,il AtitA ,A, By: 156lA,lA,tt, lka mt-IrS(,t B : 9�i., G A-molt-n(1A <br /> F61 BECEBD05B441... `--0637994B755E477... 2ASFA59FC176457... <br /> 2/9/2017 2/16/2017 2/9/2017 <br /> Revised 6/16 <br />