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Revised 06/21 <br /> <br />ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br />NORTH CAROLINA <br /> <br />______________________________________________________________________________________________________________ <br />Date: 101/04/2022 Project: 308 West Franklin Street, Chapel Hill Change Order No. 2 Department: AMS <br /> Department Address: PO Box 8181, Hillsborough NC Project: Visitor's Bureau Renovations Contractor: Josh Gurlitz <br />Architecture Contractor Address: 308 West Rosemary Street, Suite 304 Effective date of original contract: 06/15/2020 <br /> <br />This change order increases decreases the contract time by 365 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: Phase V; Will be invoiced hourly. Fees for consulting engineers for this phase <br /> <br />Reason for Change: Additional Services <br />_______________________________________________________________________________________________________________ <br /> <br />Original contract sum: $ 33,000.00 <br /> <br />Contract sum prior to this change order: $ 44,000.00 <br /> <br />Amount of this change order: $ 4000.00 <br /> <br />Total sum of the contract including this change order: $ 48,000.00 <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 4th day of January, 2022. <br />_______________________________ _____________________________ _____________________________ <br />Contractor Owner Architect (when retained) <br /> <br />By:____________________________ By:___________________________ By:___________________________ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DocuSign Envelope ID: 4678102C-951F-4651-87C1-F4A98A063D82 <br />1/7/20221/11/2022