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DocuSign Envelope ID:440B99OA-4490-4F53-ACCC-3254D5399C9C <br /> ORANGECOUNTY <br /> CHANGE ORDER REQUEST <br /> NORTH CAROLINA <br /> Date:June 8,2022 Project;Construction of Blackwood Farm Park Phasell Change Order No,G-4 <br /> Department: DEAPR Department Address:1020 US 70 West Hillsborough,NC 27278 Project: Construction of Blackwood <br /> Farm Park Phase II Contractor: J Kester&Rose LLC General Contractors Contractor Address: 119 S.Fuquay Ave, Fuquay- <br /> Varina, NC 27S26 Effective date of original contract: July 9,2021 <br /> This change order® increases❑decreases the contract tirne by 52 days, Check here if no impact to contract time❑. <br /> Will this change order impact the date of substantial completion?® Yes❑ No. If yes,the amended date of substantial <br /> completion is: July 31,2022 <br /> Full Description of Change:(1)Excavating rock within the right-of-way of Highway 86 for the turn lane as a component of the contract. <br /> 2) Extending the contract time to July 31,2022 for the guy wire relocation to be performed by Piedmont Electric and for the lead time <br /> on the Ranger Station windows as a component of the contract. <br /> (3)Revising the eaves at the Ranger Station and adding a custom built access door including framing as a component of the contract, <br /> Reason for Change: (1)Rock was encountered during excavation and rnust be removed to provide the new turn lane into the park, <br /> (2)Piedmont Electric needs to relocate their guy wires for one electrical pole to complete the new turn lane into the park,There is a long <br /> lead time on the Ranger Station windows. <br /> (3)Adjustments made to the Ranger Station to improve the quality and usability of the building. <br /> Original contract sum: $2,801,660.00 <br /> Contract sum prior to this change order: $2,801,660.00 <br /> Amount of this change order: $ 17,850.30 to be applied to allowance <br /> Total sum of the contract including this change order: $2,801,660.00 <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 Eighth day of June,2022. <br /> President County Manager President <br /> oacSioned by1 06cusigned by: retained) <br /> B GUMt,S ,Sft V 6/8/2022 1t' <br /> owm (� mvw Aws"/9/2022 By��Sp� 6/9/2022 <br /> SESBEFB76EAA472... 0637994B755E477... 54689A441590496... <br /> Revised 06/21 <br />