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Revised 01/24 <br />ORANGE COUNTY <br />CHANGE ORDER REQUEST <br />NORTH CAROLINA <br />______________________________________________________________________________________________________________ <br />Date: 07/29/2024 Project: Whitted Stormwater Improvements Change Order No. 01 Department: AMS Department <br />Address: 306 Revere Road, Hillsborough, NC 27278 Project: Whitted Stormwater Improvements Contractor: Hoof Beat Farm, LLC <br />Contractor Address: 2401 NC Hwy 57, Hillsborough, NC 27278 Effective date of original contract: 06/26/2024 <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: <br />_______________________________________________________________________________________________________________ <br />Full Description of Change: Whitted Stormwater Improvement - Provide tree and brush removal to allow for water flow towards the newly installed <br />drains, remove all limbs around and behind the new dumpster corral to allow access around corral, remove growth along existing chain length fencing <br />and around site lighting for security, clean up landscaping around front of facilities. <br />Reason for Change: This change will allow for the proper drainage, access to maintain newly installed equipment, and security lighting visability. <br />_______________________________________________________________________________________________________________ <br />Original contract sum: $ 23,500.00 <br />Contract sum prior to this change order: $ 23.500.00 <br />Amount of this change order: $ 12,500.00` <br />Total sum of the contract including this change order: $ 36,000.00 <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 30th day of August, 2024. <br />_______________________________ _____________________________ _____________________________ <br />Contractor Owner Architect (when retained) <br />By:____________________________ By:___________________________ By:___________________________ <br />Docusign Envelope ID: F5500ECA-3863-4237-AADA-3A7B10737C2F <br />Jason Hawkins <br />7/31/2024 <br />Travis Myren <br />8/5/2024