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Revised 04/23 <br /> <br />ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br />NORTH CAROLINA <br /> <br />______________________________________________________________________________________________________________ <br />Date: 10/30/2023 Project: PNW ES HVAC Controls Add Change Order No. 01 Department: AMS Department Address: <br />306 Revere Road, Hillsborough NC 27278 Project: PNW ES HVAC Controls ADD Contractor: Siemens Industry, Inc Contractor Address: <br />215 Southport Drive, Suite 900, Morrisville, NC 27560 Effective date of original contract: March 5, 2023 <br /> <br />This change order increases decreases the contract time by 126 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 />December 29, 2023 <br />_______________________________________________________________________________________________________________ <br /> <br />Full Description of Change: Provide and install one (1) Carbon Monoxide Sensor in the high bay area of the warehouse. This sensor shall be added to the <br />existing Building Automation System and configured to start the exhaust fan system in the event the sensor level increase to above 35 PPM. <br /> <br />Reason for Change: This change is to ensure that the exhaust system is only working when required in order to prevent additional humidity from <br />entering the warehouse. This will allow the dehumidifiers to only run when necessary versus 100% of the time. This will also ensure the safety of staff <br />now that vehicles are being parked inside the warehouse from the exhaust fumes. <br />_______________________________________________________________________________________________________________ <br /> <br />Original contract sum: $ 18,700.00 <br /> <br />Contract sum prior to this change order: $ 18,700.00 <br /> <br />Amount of this change order: $ 5,560.00 <br /> <br />Total sum of the contract including this change order: $ 24,260.00 <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 30th 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: 8B27B710-F4E5-4D1F-9CA0-BE1B893D4EDF <br />10/26/2023 <br />Branch General Manager County Manager <br />10/31/2023