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Revised 04/23 <br /> <br />ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br />NORTH CAROLINA <br /> <br />______________________________________________________________________________________________________________ <br />Date: 6/23/2023 Project: Efland EMS & ME Review Quarters Change Order No. 01 Department: AMS/ES Department <br />Address: 306 Revere Road, Hillsborough NC 27278 Project: Efland EMS & ME Review Quarters Contractor: Siemens Industry, Inc. <br /> Contractor Address: 215 Southport Drive, Ste 900, Morrisville, NC 27560 Effective date of original contract: 05/05/2022 <br /> <br />This change order increases decreases the contract time by 64 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: October <br />10, 2023 <br />_______________________________________________________________________________________________________________ <br /> <br />Full Description of Change: Siemens will provide 1 monitoring point to the generator, 4 duct detectors, 4 sprinkler system valves monitoring, <br />2 tamper/flow sprinkler system monitoring, and 2 access control panel monitoring. <br /> <br />Reason for Change: The additional changes are due to changes from the submittals and drawings provided by the subcontractors. The substantial <br />completion date extension is due to the General Contractor delays with construction. <br />_______________________________________________________________________________________________________________ <br /> <br />Original contract sum: $ 80,000.00 <br /> <br />Contract sum prior to this change order: $ 80,000.00 <br /> <br />Amount of this change order: $ 18,677.18 <br /> <br />Total sum of the contract including this change order: $ 98,677.18 <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 30th day of June, 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: C25E8E2D-B104-4009-8866-5B7DB19D8361 <br />7/7/2023 <br />Branch General Manager County Manager <br />7/13/2023