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Revised 04/23 <br /> <br />ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br />NORTH CAROLINA <br /> <br />______________________________________________________________________________________________________________ <br />Date: 4/26/2023 Project: Motor Pool Fire Alarm System Replacement Change Order No. 02 Department: Asset <br />Management Services Department Address: 306 Revere Road, Hillsborough, NC 27278 Project: Motor Pool Fire Alarm System Replacement <br /> Contractor: Siemens Industry, Inc. Contractor Address: 215 Southport Drive, Ste 900 Morrisville, NC 27560 Effective date of original <br />contract: 5/16/2022 <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 completion is: May 30, <br />2023 <br />_______________________________________________________________________________________________________________ <br /> <br />Full Description of Change: This change is to add (1) pull station in the parts storage room, to include wire, conduit, and programming <br /> <br />Reason for Change: This is required by code. This was not found during the design due to the access available to the space. <br />_______________________________________________________________________________________________________________ <br /> <br />Original contract sum: $ 47,805.00 <br /> <br />Contract sum prior to this change order: $ 52,125.00 <br /> <br />Amount of this change order: $ 2,295.17 <br /> <br />Total sum of the contract including this change order: $ $54,420.17 <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, project, services, or <br />work in any other manner. All other terms of the Original Contract remain in effect. <br />Approved and executed this 28th day of April, 2023. <br />_______________________________ _____________________________ _____________________________ <br />Contractor Owner Architect (when retained) <br /> <br />By:____________________________ By:___________________________ By:___________________________ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DocuSign Envelope ID: 5DBB3CCB-B0A3-47D2-ADE8-484B82540CD0 <br />4/28/2023 <br />Branch General Manager County Manager <br />5/5/2023