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Revised 06/21 <br /> <br />ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br />NORTH CAROLINA <br /> <br />______________________________________________________________________________________________________________ <br />Date: 11/17/2021 Project: Hillsborough Commons ADT Security Change Order No. 1 Department: AMS <br /> Department Address: PO Box 8181, Hillsborough NC Project: HBOC Contractor: ADT Security Contractor <br />Address: 2700 Perimeter Park Drive, Suite 100, Morrisville, NC Effective date of original contract: 01/11/2022 <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: Change order to add 2 DMP Wireless Montions to replace the 2 that are not working and to add 3 DMP <br />Wireless Panics to replace the ones that aren't working <br /> <br />Reason for Change: Additional Scope <br />_______________________________________________________________________________________________________________ <br /> <br />Original contract sum: $ 4721.71 <br /> <br />Contract sum prior to this change order: $ 4721.71 <br /> <br />Amount of this change order: $ 828.02 <br /> <br />Total sum of the contract including this change order: $ 5549.73 <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 March, 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: 7C77D7BE-E243-4646-BA8A-32270D5963A7 <br />3/22/2022 3/28/2022