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Revised 06/21 <br /> <br />ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br />NORTH CAROLINA <br /> <br />______________________________________________________________________________________________________________ <br />Date: May 16, 2022 Project: Efland EMS Substation & Medical Examiner's Quarters Change Order No. 01 <br /> Department: Asset Management Services Department Address: 300 W. Tryon Street, Hillsborough NC 27278 Project: <br />Efland EMS Station and Medical Examiners Quarters Contractor: Jernigan Kester LLC dba J Kester & Rose Contractor <br />Address: 119 S. Fuquay Avenue Fuquay-Varina, NC 27526 Effective date of original contract: May 4, 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: This change order is to correct the spelling of the general contractor's business name. The contract was <br />issued to Jerrigan Kester LLC, the correct name is Jernigan Kester LLC dba J Kester & Rose. <br /> <br />Reason for Change: Administrative Change to correct the general contractor's business name spelling. <br />_______________________________________________________________________________________________________________ <br /> <br />Original contract sum: $ 5,564,319.00 <br /> <br />Contract sum prior to this change order: $ 5,564,319.00 <br /> <br />Amount of this change order: $ 0.00 <br /> <br />Total sum of the contract including this change order: $ 5,564,319.00 <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 16th day of May, 2022. <br />_______________________________ _____________________________ _____________________________ <br />Contractor Owner Architect (when retained) <br /> <br />By:____________________________ By:___________________________ By:___________________________ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DocuSign Envelope ID: D14CEB36-3A5D-4960-8FE4-C29D1FBF03AD <br />5/16/2022 <br />President <br />5/18/2022 <br />County Manager