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DocuSign Envelope ID:69AD1 F06-F34D-47CE-9E90-CAC736E68170 <br /> ORANGE COUNTY <br /> CHANGE ORDER REQUE <br /> NORTH CAROLINA <br /> Date: 11/1/2018 Project: Sportsplex Field House Change Order No. 1 Department: AMS <br /> Address: 131 W. Margaret Lane, Hillsborough, NC 27278 Project: Sportsplex Field House 101 Meadowlands Drive, Hillsbc <br /> 27278 Contractor: Terracon (Vendor#60991, Original Contract#1802348) Contractor Address: 2401 Brent) <br /> 107, Raleigh NC 27604 Effective date of original contract: 5/11/2018 <br /> This change order® increases ❑ decreases the contract time by 152 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 sub <br /> completion is: Decenber 31, 2018 <br /> Full Description of Change:Additional site visits for site development observations,foundation observations, proofrolling <br /> denisty testing, concrete sampling and testing, concrete sample pick up, structural steel evaluation, masonry ovservation <br /> observations. <br /> Reason for Change: This change is a result of the Field House Connector addition, 14 additional visits beyond the original <br /> and 27 voided visits. See attached change order details for additional information. <br /> Original contract sum: $ 28,768.88 <br /> Contract sum prior to this change order: $ 28,768.88 <br /> Amount of this change order: $ 10,679.18 <br /> Total sum of the contract including this change order: $ 39,448.06 <br /> This change order is executed to amend the contract time and/or contract sum. It shall not be construed to impact the o <br /> project, services, or work in any other manner. <br /> Aooroved and executed this 1st day of November_ ?n1 R_ <br /> Pry 12/12/2018 �.�{-euu.wtysl� 4/16/2019 <br /> Co� C, ,kk,�, <br /> Contractor Owner Architect (when retainer <br /> By:Assistant Project Manager By: county Manager By: <br /> Revised 10/17 <br />