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Revised 06/21 <br /> <br />ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br />NORTH CAROLINA <br /> <br />______________________________________________________________________________________________________________ <br />Date: 6/22/2022 Project: Whitted Health Department Transaction Window Change Order No. 01 <br /> Department: AMS/OCHD Department Address: 300 W. Tryon Street, Hillsborough NC 27278 Project: Whitted HD <br />Transaction Window Contractor: C.T. Wilson Construction Co. Inc Contractor Address: 150 Golden Drive, Suite 200, <br />Durham NC 27703 Effective date of original contract: 06/10/2022 <br /> <br />This change order increases decreases the contract time by 28 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: September 27, 2022 <br />_______________________________________________________________________________________________________________ <br /> <br />Full Description of Change: No Cost Change Order to extend the contractual finish date by Twenty Eight (28) Calendar Days from August <br />30, 2022 to September 27, 2022 <br /> <br />Reason for Change: Due to the current lead times and economic conditions this change request is to extend the contract completion <br />date at no additional cost. <br />_______________________________________________________________________________________________________________ <br /> <br />Original contract sum: $ 35,138.00 <br /> <br />Contract sum prior to this change order: $ 35,138.00 <br /> <br />Amount of this change order: $ 0.00 <br /> <br />Total sum of the contract including this change order: $ 35,138.00 <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 24th day of June, 2022. <br />_______________________________ _____________________________ _____________________________ <br />Contractor Owner Architect (when retained) <br /> <br />By:____________________________ By:___________________________ By:___________________________ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DocuSign Envelope ID: 3F5CB03E-6FBA-4122-9B4E-8F7F913E94A0 <br />6/23/2022 <br />Project Manager <br />6/25/2022 <br />County Manager