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Revised 06/21 <br /> <br />ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br />NORTH CAROLINA <br /> <br />______________________________________________________________________________________________________________ <br />Date: 10/19/2022 Project: WCOB 3rd Floor Renovation Change Order No. 3 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: Add accent paint to all offices, re-paint accent wall in IT offices, Enclose office 127 on the first floor <br /> <br />Reason for Change: See above and attached Change Order Proposal Dated 10/13/2022 <br />_______________________________________________________________________________________________________________ <br /> <br />Original contract sum: $ 356554.00 <br /> <br />Contract sum prior to this change order: $ 362279.51 <br /> <br />Amount of this change order: $ 15082.14 <br /> <br />Total sum of the contract including this change order: $ 377361.65 <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 19th 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: 0927427F-915E-4075-9556-BF5787C4C876 <br />11/30/2022 12/15/2022