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DocuSign Envelope ID:701EAF9E-D724-42ED-A571-523FBF449F2C <br /> ORANGE COUNTY <br /> CHANGE ORDER REQUE <br /> NORTH CAROLINA <br /> Date: 6/6/19 Project: Sheriff's Office Carpet Installation Change Order No. 1 Department: AN <br /> Department Address: 106 E. Margaret Lane, Hillsborough NC Project: Orange County Sheriff's Department- Inst� <br /> carpet for two small rooms, including cove base over weekends. Contractor: Sasser Flooring and Design <br /> Address:481 Compass Dr, Mebane NC 27302 Effective date of original contract: 5/20/2019 <br /> This change order® increases ❑ decreases the contract time by 25 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: July 31, 2019 <br /> Full Description of Change:This change order is to increase the scope of work to install additional carpet, cove base and <br /> materials for two additional offices per the Sheriff's request. <br /> This change order is for the amount of$2,341.14 to be added to the existing PO# 1902222-00. <br /> Reason for Change: This change is to improve the overall flooring at the Sheriff's office per the Sheriff's request. <br /> Original contract sum: $ 32,814.96 <br /> Contract sum prior to this change order: $ 32,814.96 <br /> Amount of this change order: $ 2,341.14 <br /> Total sum of the contract including this change order: $ 35,156.10 <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 /> Aaoroved and executed this 6th day of June, 2019. <br /> ­M <br /> ik.S xsst+ 6/6/2019auv t.�{euu.wtvS 6/10/2019 <br /> Contractor Ownerr' Architect (when retainer <br /> By: President By: County Manager By: <br /> Revised 10/17 <br />