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Revised 04/23 <br /> <br />ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br />NORTH CAROLINA <br /> <br />______________________________________________________________________________________________________________ <br />Date: 07-17-2023 Project: Whitted HD Transaction Window Change Order No. 05 Department: AMS Department <br />Address: 306 Revere Road, Hillsborough NC 27278 Project: Whitted Health Department Transaction Window Contractor: C.T. Wilson <br />Construction Co. Inc Contractor Address: 150 Golden Drive, Suite 200, Durham, NC 27703 Effective date of original contract: 06/10/2022 <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: This change request is to modify the new drawers to receive file kits. <br /> <br />Reason for Change: This work is being added to the transaction window project and is for the new built in desk. The two drawers are made to match the <br />existing, however the file kits were not included. This change order is to add these file kits to hang file folders on. <br />_______________________________________________________________________________________________________________ <br /> <br />Original contract sum: $ 35,138.00 <br /> <br />Contract sum prior to this change order: $ 47,164.39 <br /> <br />Amount of this change order: $ 673.61 <br /> <br />Total sum of the contract including this change order: $ 47,838.00 <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, project, services, or <br />work in any other manner. All other terms of the Original Contract remain in effect. <br />Approved and executed this 21st day of July, 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: 19DC8050-FB97-48E9-8AE7-6F70E0BEF5AF