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Revised 04/23 <br />ORANGE COUNTY <br />CHANGE ORDER REQUEST <br />NORTH CAROLINA <br />______________________________________________________________________________________________________________ <br />Date: 11/20/2023 Project: Whitted Roof Replacement Change Order No. 01 Department: AMS Department Address: <br />306 Revere Road, Hillsborough NC 27278 Project: Whitted Roof Replacement Contractor: Owens Roofing, Inc. Contractor Address: <br />1200 Short Journey Rd, Smithfield, NC 27577 Effective date of original contract: 7/5/2022 <br />This change order increases decreases the contract time by days. Check here if no impact to contract time . <br />Will this change order impact the date of substantial completion? Yes No. If yes, the amended date of substantial completion is: October <br />31, 2023 <br />_______________________________________________________________________________________________________________ <br />Full Description of Change: This change order is the final change order to credit back the unused allowance funds. <br />Reason for Change: Credit back unused funds <br />_______________________________________________________________________________________________________________ <br />Original contract sum: $ 896,317.00 <br />Contract sum prior to this change order: $ 896,317.00 <br />Amount of this change order: $ ($10,250.00) <br />Total sum of the contract including this change order: $ 886,067.00 <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 27th day of November, 2023. <br />_______________________________ _____________________________ _____________________________ <br />Contractor Owner Architect (when retained) <br />By:____________________________ By:___________________________ By:___________________________ <br />DocuSign Envelope ID: EDAC113E-576E-4A63-AA04-CF5A5F175B5A <br />11/21/2023 <br />Vice President <br />11/21/2023 <br />Project EngineerCounty Manager <br />11/24/2023