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DocuSign Envelope ID:4B735B44-FDA3-43D4-9F8F-3EDC4F31661 B <br /> ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br /> NORTH CAROLINA <br /> Date:July 7,2017 Project:Single Occupancy Restrooms Change Order No.1 Department:AMS <br /> Department Address:131 W.Margaret Lane,Hillsborough Project: 101 Edgar Road,Chapel Hill Contractor: Statler W <br /> Gilfillen Contractor Address:3302 St.Mary's Road Effective date of original contract: 9/19/16 <br /> This change order❑ increases❑decreases the contract time by days. Check here if no impact to contract time D. <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:This change request is to add an additional$225.00 to this contract to incorporation additional Structural <br /> Engineering Services required to complete this project. <br /> Reason for Change: This change request is for additional Structural Engineering Services.The Rogers Road Community Center Restroom <br /> required a new door to be installed.During construction it was found that this door was to be installed under a load bearing wall.Due to <br /> this wall being a load bearing wall,one additional header was required to be installed for support.This required additonal structural <br /> design to be performed to ensure the header for the support was sized correctly. <br /> Original contract sum: $10,200.00 <br /> Contract sum prior to this change order: $10,200.00 <br /> Amount of this change order: $225.00 <br /> Total sum of the contract including this change order: $10425.00 <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 /> App{oced and executed this 17th day of July,2017,„„,m, <br /> SW('a611LIA, 7/21/2017 bemuut Rammui 8/1/2017 <br /> Contractor Owner Architect(when retained) <br /> By: Architect By: county Manager By: <br /> Revised 2/17 <br />