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EJCDC® C-941, Change Order. <br />Copyright© 2018 National Society of Professional Engineers, American Council of Engineering Companies <br />and American Society of Civil Engineers. All rights reserved. <br />Page 1 of 1 <br />CHANGE ORDER NO.: 01 <br />Owner: Orange County, NC Owner’s Project No.: ITB 367-OC5396 <br />Engineer: Schnabel Engineering South, P.C. Engineer’s Project No.: 23210035.00 <br />Contractor: Pro Shot Concrete, Inc. Contractor’s Project No.: 23-058 <br />Project: Lake Orange Auxiliary Spillway Concrete Repairs Project <br />Contract Name: Orange County Contract No. 2023-612 <br />Date Issued: December 8, 2023 Effective Date of Change Order: December 8, 2023 <br />The Contract is modified as follows upon execution of this Change Order: <br />Description: <br />This Change Order is to account for the actual size of the concrete repair areas encountered in the <br />field compared to the estimated sizes that were used for bid. In addition to the change in the <br />concrete repairs’ areas, the depth of some of the repairs was greater than anticipated in the bid <br />documents, and a void was encountered behind the South Wall. A line item has been added to <br />the original bid form to account for the additional chipping and shotcrete associated with the <br />increased depth of some of the repair areas, and to fill the void behind the South Wall with grout. <br />Exhibits: <br />• Exhibit A – Letter from Proshot Concrete, Inc. dated December 6, 2023 <br />• Exhibit B – Original Bid Form dated September 6, 2023 (based on design) <br />• Exhibit C – Revised Bid Form dated December 6, 2023 (based on field conditions) <br />Change in Contract Price Change in Contract Times <br />Original Contract Price: Original Contract Times: <br /> Substantial Completion: January 30, 2024 <br />$ 179,540.00 Ready for final payment: January 30, 2024 <br /> Decrease this Change Order: Decrease this Change Order: <br /> Substantial Completion: 0 days <br />$ - 543.00 Ready for final payment: 0 days <br /> Contract Price incorporating this Change Order: Contract Times with all approved Change Orders: <br /> Substantial Completion: January 30, 2024 <br />$ 178,997.00 Ready for final payment: January 30, 2024 <br /> <br /> Recommended by Engineer Authorized by Owner <br />By: Samuel Kees Bonnie Hammersley <br />Title: Vice President (Schnabel Engineering) County Manager <br />Date: <br /> Authorized by Contractor Approved by Funding Agency (if applicable) <br />By: Tony McDougle <br />Title: President/Owner (Proshot Concrete, Inc.) <br />Date: <br /> <br />DocuSign Envelope ID: D39D2B13-B093-4F9F-81A1-A5F3A0FBF1AE <br />12/7/2023 <br />12/7/2023 12/8/2023