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Revised 01/24 <br />ORANGE COUNTY <br />CHANGE ORDER REQUEST <br />NORTH CAROLINA <br />______________________________________________________________________________________________________________ <br />Date: 11/8/2024 Project: Seymour Center Fit Lot Change Order No. 01 Department: Department on Aging Department <br />Address: 2551 Homestead Road, Chapel Hill Project: Seymour Center Fit Lot Contractor: Carolina Parks and Play, LLC Contractor <br />Address: P.O. Box 1246, Cary, NC 27512 Effective date of original contract: 10/24/2024 <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: Grade site location level for concrete pad. Bring in dirt and raise low side 3 foot, compact, slope sides of pad area to existing <br />grade, seed/straw side slopes for erosion, install sidewalk from existing adjacent concrete area to new exercise area. <br />Reason for Change: The selected location for the the fit lot must be on level grade. <br />_______________________________________________________________________________________________________________ <br />Original contract sum: $ 201,338.00 <br />Contract sum prior to this change order: $ 201,338.00 <br />Amount of this change order: $ 11,174.63 <br />Total sum of the contract including this change order: $ 212,512.63 <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 11th day of October, 2024. <br />_______________________________ _____________________________ _____________________________ <br />Contractor Owner Architect (when retained) <br />By:____________________________ By:___________________________ By:___________________________ <br />Docusign Envelope ID: EE37019D-002A-492E-8979-A3A09A4ED425 <br />11/8/2024 <br />VP <br />11/18/2024 <br />County Manager