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DocuSign Envelope ID:76865915-80B4-4DED-A27B-62FD8E3D323A <br /> ORANGE COUNTY <br /> CHANGE ORDER REQUE <br /> NORTH CAROLINA <br /> Date: 7/15/2019 Project: Emergency Services Remediation Change Order No. 001 <br /> AMS Department Address: PO Box 8181, Hillsborough, NC 27278 Project: Emergency Services Remediation -Trailer RE <br /> Contractor: Summey Portable Restrooms Contractor Address: 2805 Miller Rd. Hillsborough NC 27278 <br /> of original contract: March 30, 2019 <br /> This change order® increases ❑ decreases the contract time by 184 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: <br /> Full Description of Change: Increase the trailer restroom service tank rental and monthly pumping services from July 2011. <br /> 2020 <br /> Reason for Change: Extending services due to unforseen conditions inside the facility that have extended the overall pro. <br /> Original contract sum: $ 1,800.00 <br /> Contract sum prior to this change order: $ 1,800.00 <br /> Amount of this change order: $ 2,700.00 <br /> Total sum of the contract including this change order: $4,500.00 <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 /> Approved and executed this 30th day of July, 201c?0, ,,, <br /> 7/15/2019 Tvnv�s ley 7/24/2019 <br /> contractor Owner Architect (when retainer <br /> Harold Summey <br /> By: owner By; Deputy County Manager By: <br /> Revised 12/18 <br />