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Revised 06/21 <br />ORANGE COUNTY <br />CHANGE ORDER REQUEST <br />NORTH CAROLINA <br />______________________________________________________________________________________________________________ <br />Date: 12/01/2022 Project: WCOB 3rd Floor Renovation Change Order No. 4 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 />This change order increases decreases the contract time by days. Check here if no impact to contract time . <br />No.Will this change order impact the date of substantial completion? Yes If yes, the amended date of substantial <br />completion is: <br />______________________________________________________________________________________________________________ <br />_ <br />Full Description of Change: Credit for wall covering in phone rooms <br />Reason for Change: See above and attached Change Order Proposal Dated 11/15/2022 <br />______________________________________________________________________________________________________________ <br />_ Original contract sum: $ 356554.00 <br />Contract sum prior to this change order: $ 377361.65 <br />Amount of this change order: $ -841.81 <br />Total sum of the contract including this change order: $ 376519.84 <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 1st day of December, 2022. <br />_______________________________ _____________________________ _____________________________ <br />Contractor Owner Architect (when retained) <br />By:____________________________ By:___________________________ By:___________________________ <br />DocuSign Envelope ID: D704809F-D65E-4E2D-9B85-B21A752AFDFE <br />1/3/2023 1/6/2023