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Revised 07/20 <br /> <br />ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br />NORTH CAROLINA <br /> <br />______________________________________________________________________________________________________________ <br />Date: 05/18/2021 Project: Emergency Office Upfit-Whitted Change Order No. #9 Department: AMS <br /> Department Address: 300 West Tryon ST Project: Whitted Upfit-Managers Office Contractor: HH Architecture <br /> Contractor Address: 1100 Dresser Court, Raleigh NC 27609 Effective date of original contract: <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: To convert Office 250A into a Commissioner's Office and workroom. HH Architecture will submit amended <br />drawings required by the County Inspectors and coordinate for approval for Owner- requested changes to Suite 250. <br /> <br />Reason for Change: See attached Amendment #9 dated May 11,2021 <br />_______________________________________________________________________________________________________________ <br /> <br />Original contract sum: $ 36900.00 <br /> <br />Contract sum prior to this change order: $ 82150.00 <br /> <br />Amount of this change order: $ 910.00 <br /> <br />Total sum of the contract including this change order: $ 83,060.00 <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 18th 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: D1B21250-0775-44A2-8A04-434923BA3569 <br />5/24/20215/28/2021