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Revised 06/21 <br /> <br />ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br />NORTH CAROLINA <br /> <br />______________________________________________________________________________________________________________ <br />Date: October 1, 2021 Project: Emergency Services Moisture Inside Building Change Order No. 01 Department: <br />AMS Department Address: 300 W. Tryon Street, Hillsborough Project: Emergency Services Moisture Contractor: Sasser <br />Companies, LLC Contractor Address: PO Box 10, Whitsett, NC 27377 Effective date of original contract: 8/18/2021 <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: This change is to incorporation additional exploratory mitigation and atmospheric environmental <br />stabilization due to moisture being found inside the walls of the office portion of the building.This includes labor, containment, air <br />scrubbers, drying machines, removal of drywall and monitoring of dehumidifers. <br /> <br />Reason for Change: Additional areas of moisture found during the investigation that require additional services to mitigate <br />_______________________________________________________________________________________________________________ <br /> <br />Original contract sum: $ 16,500.00 <br /> <br />Contract sum prior to this change order: $ 16,500.00 <br /> <br />Amount of this change order: $ 20,103.50 <br /> <br />Total sum of the contract including this change order: $ 36,603.50 <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 1st day of October, 2021. <br />_______________________________ _____________________________ _____________________________ <br />Contractor Owner Architect (when retained) <br /> <br />By:____________________________ By:___________________________ By:___________________________ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DocuSign Envelope ID: F21A8751-3B2B-4114-916A-51B18943B5EE <br />10/1/2021 <br />President County Manager <br />10/7/2021