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Revised 04/23 <br /> <br />ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br />NORTH CAROLINA <br /> <br />______________________________________________________________________________________________________________ <br />Date: 10/23/2023 Project: Passmore Center Fire Alarm Replacement Change Order No. 02 Department: AMS <br /> Department Address: 306 Revere Road, Hillsborough NC 27278 Project: Passmore Center Fire Alarm Replacement Contractor: <br />Siemens Industry, Inc. Contractor Address: 215 Southport Drive, Morrisville, NC 27560 Effective date of original contract: 4/7/2023 <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 (12) additional NAC devices to cover the current system and substitute all devices one for one. Provide work on <br />overtime for the Adult day center as to avoid disruptions to the adults in the daycare center. Provide additional programming for Point ID Description <br />per FM request. <br /> <br />Reason for Change: Additional devices were found while performing investigations, as this work progresses and meeting with staff it is best not to <br />disrupt the operations of the adult day center and for this work to be performed after hours. During discussions with the fire marshal she is asking that <br />this system be set up with point identification for each device which requires additional programming. <br />_______________________________________________________________________________________________________________ <br /> <br />Original contract sum: $ 121,514.00 <br /> <br />Contract sum prior to this change order: $ 126,914.00 <br /> <br />Amount of this change order: $ 31,269.88 <br /> <br />Total sum of the contract including this change order: $ 158,183.88 <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 26th day of October, 2023. <br />_______________________________ _____________________________ _____________________________ <br />Contractor Owner Architect (when retained) <br /> <br />By:____________________________ By:___________________________ By:___________________________ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DocuSign Envelope ID: 43C53CD1-A22E-493F-97E4-F749FEF5D6CB <br />Branch General Manager <br />10/26/2023 10/31/2023 <br />County Manager