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Revised 04/23 <br /> <br />ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br />NORTH CAROLINA <br /> <br />______________________________________________________________________________________________________________ <br />Date: 5/19/2023 Project: Board of Elections Fire Alarm Replacement Change Order No. 01 Department: AMS <br /> Department Address: 306 Revere Road, Hillsborough NC 27278 Project: Board of Elections Fire Alarm Replacement Contractor: <br />Siemens Industry, Inc. Contractor Address: 215 Southport Drive, Morrisville, NC 27560 Effective date of original contract: 1/10/2023 <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 completion is: <br />_______________________________________________________________________________________________________________ <br /> <br />Full Description of Change: Provide and install 11 Heat Detectors FDT421, 1 Horn/Strobe wall mounted, 2 Strobes ceiling mounted, Rewiring/conduits <br />to install FA Panel in a different location and extra rewiring/conduits for 10 NAC devices. <br /> <br />Reason for Change: The existing fire alarm panel was located inside a storage closet behind the door. The new panel is to large to fit within this space <br />and therefore had to be relocated. The additional heat detectors and strobe are to cover the basement where the hot water heater and dehumidifiers <br />are located to meet code. <br />_______________________________________________________________________________________________________________ <br /> <br />Original contract sum: $ 69,247.00 <br /> <br />Contract sum prior to this change order: $ 69,247.00 <br /> <br />Amount of this change order: $ 6,605.04 <br /> <br />Total sum of the contract including this change order: $ 75,852.04 <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 23rd day of May, 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: 55F38C2F-FD1E-467F-A624-4EC3513F41D1 <br />Branch General Manager <br />5/22/2023 5/25/2023 <br />County Manager