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Revised 06/21 <br /> <br />ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br />NORTH CAROLINA <br /> <br />______________________________________________________________________________________________________________ <br />Date: 02/17/2023 Project: Whitted Health Department Transaction Window Change Order No. 03 <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 60 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: June 28, 2023 <br />_______________________________________________________________________________________________________________ <br /> <br />Full Description of Change: Time extension for substantial completion. $0 added to the contract with this change. <br />The new Substantial Completion Date for the Project is 6/1/2023 pending building permit receipt by 3/1/2023. <br /> <br />Reason for Change: Due to lead time on permitting and materials this project must be extended to accommodate. <br />_______________________________________________________________________________________________________________ <br /> <br />Original contract sum: $ 35,138.00 <br /> <br />Contract sum prior to this change order: $ 39,639.00 <br /> <br />Amount of this change order: $ 0.00 <br /> <br />Total sum of the contract including this change order: $ 39,639.00 <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 20th day of February, 2023. <br />_______________________________ _____________________________ _____________________________ <br />Contractor Owner Architect (when retained) <br /> <br />By:____________________________ By:___________________________ By:___________________________ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DocuSign Envelope ID: 1B50AF0F-E277-48C1-A2A4-F34475D3BB76 <br />2/17/2023 <br />President County Manager <br />2/21/2023