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Revised 06/21 <br /> <br />ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br />NORTH CAROLINA <br /> <br />______________________________________________________________________________________________________________ <br />Date: 12/2/2022 Project: WCOB 3rd Floor Renovations Change Order No. 2 & 3 Department: AMS <br /> Department Address: PO Box 8181, Hillsborough NC 27278 Project: West Campus 3rd Floor Renovation Contractor: HH <br />Architecture Contractor Address: 1100 Dresser Court, Raleigh NC 27609 Effective date of original contract: 01/05/2022 <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: WCOB 3rd Floor Renovation-Amendment# 2 & 3 <br /> <br />Reason for Change: Prepare bulletin drawings and submit to Orange County Inspections for approval.Add glass inserts to some doors, <br />repainting of accent walls and adding a quad receptacle. Adding a wall built and a door to convert a previous storage area into a office. <br />_______________________________________________________________________________________________________________ <br /> <br />Original contract sum: $ 42900.00 <br /> <br />Contract sum prior to this change order: $ 42900.00 <br /> <br />Amount of this change order: $ 2600.00 <br /> <br />Total sum of the contract including this change order: $ 45500.00 <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 6th day of December, 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: F454FF55-F55E-4CFB-997C-56E589F65B1C <br />12/13/202212/15/2022