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Revised 06/21 <br /> <br />ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br />NORTH CAROLINA <br /> <br />______________________________________________________________________________________________________________ <br />Date: 10/24/2022 Project: WCOB 3rd Floor Renovation Change Order No. 1 Department: AMS <br /> Department Address: PO Box 8181, Hillsborough NC 27278 Project: WCOB 3rd Floor Renovation Contractor: WB <br />Brawley Company Contractor Address: 5121 Kingdom Way, Suite 305 Effective date of original contract: 06/06/2022 <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: Remove white boards and repair wall areas so they will be ready for painting. Provide boards to owner for <br />storage. See attached Proposal Dated 08/25/2022 <br /> <br />Reason for Change: See above and attached Change Order Proposal Dated 08/25/2022 <br />_______________________________________________________________________________________________________________ <br /> <br />Original contract sum: $ 356554.00 <br /> <br />Contract sum prior to this change order: $ 356554.00 <br /> <br />Amount of this change order: $ 2113.51 <br /> <br />Total sum of the contract including this change order: $ 358667.51 <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 October, 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: 40A229C5-D4FB-45FE-AB8A-DFDF4EE51ADF <br />10/31/2022 11/2/2022