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Revised 07/20 <br /> <br />ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br />NORTH CAROLINA <br /> <br />______________________________________________________________________________________________________________ <br />Date: May 15, 2021 Project: Orange County Sportsplex Roof Replacement Change Order No. 1 Department: <br />AMS/Sportsplex Department Address: 300 West Tryon Street / 101 Meadowlands Drive, Hillsborough NC 27278 Project: Orange <br />County Sportsplex Roof Replacement (54540030 880000) Contractor: Bar Roofing and Maintenance Contractor <br />Address: 2237 Bethel Church Road, Kernersville, NC 27284 Effective date of original contract: December 28, 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: Construction Contract Allowance Reconcilation. <br /> <br />Reason for Change: Reconcile construction allowances see attachment A Change Order Request Tracking log. <br />_______________________________________________________________________________________________________________ <br /> <br />Original contract sum: $ 429,050.00 <br /> <br />Contract sum prior to this change order: $ 429,050.00 <br /> <br />Amount of this change order: $ -17,863.25 <br /> <br />Total sum of the contract including this change order: $ 411,186.75 <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 15th day of May, 2021. <br />_______________________________ _____________________________ _____________________________ <br />Contractor Owner Architect (when retained) <br /> <br />By:____________________________ By:___________________________ By:___________________________ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DocuSign Envelope ID: 0EF7DD70-27CA-4E40-8E88-1E6140CEC524 <br />5/7/2021 <br />Principal Engineer, Atlas Engineering <br />5/10/2021 <br />Owner <br />5/18/2021 <br />County Manager