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Revised 07/20 <br /> <br />ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br />NORTH CAROLINA <br /> <br />______________________________________________________________________________________________________________ <br />Date: 11-05-2020 Project: LED lighting retrofit at Café 113 Change Order No. 01 Department: Asset <br />Management Services Department Address: 300 W. Tryon St. 3rd Floor, Hillsborough, NC 27278 Project: LED lighting retrofit at Café <br />113 Contractor: Lime Energy Services Company Contractor Address: 16810 Kenton Drive, Suite 240, Huntersville, NC <br />28078 Effective date of original contract: 09-22-2020 <br /> <br />This change order increases decreases the contract time by days. Check here if no impact to contract time . <br /> <br />Will this change order impact the date of substantial completion? Yes No. If yes, the amended date of substantial <br />completion is: <br />_______________________________________________________________________________________________________________ <br /> <br />Full Description of Change: As detailed in the attached "Change Order Authorization Form" provided by Lime Energy, the project costs <br />are increasing from $3740.43 to $5239.65 due to the unforeseen need for a lift rental as well as the discovery of additional electrical <br />work that is necessary to ensure code compliance. Specifically, this additional work relates to the need for 11 retrofit kits for battery <br />backup emergency lighting. <br /> <br />Reason for Change: These additional materials and services are necessary to ensure the safety of the worksite as well as code <br />compliance. <br />_______________________________________________________________________________________________________________ <br /> <br />Original contract sum: $ Not to exceed 4,203.00 <br /> <br />Contract sum prior to this change order: $ Not to exceed 4,203.00 <br /> <br />Amount of this change order: $ 1,499.22 <br /> <br />Total sum of the contract including this change order: $ 5,239.65 <br /> <br />_______________________________________________________________________________________________________________ <br />This change order is executed to amend the contract time or contract sum. It shall not be construed to impact the original contract, <br />project, services, or work in any other manner. All other terms of the Original Contract remain in effect. <br />Approved and executed this 5th day of November, 2020. <br />_______________________________ _____________________________ _____________________________ <br />Contractor Owner Architect (when retained) <br /> <br />By:____________________________ By:___________________________ By:___________________________ <br /> <br /> <br /> <br /> <br /> <br />DocuSign Envelope ID: A730494E-3099-4F2C-805D-ECEDB7250828 <br />Jami Barnhill <br />11/9/2020