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Revised 01/24 <br />ORANGE COUNTY <br />CHANGE ORDER REQUEST <br />NORTH CAROLINA <br />______________________________________________________________________________________________________________ <br />Date: 1/6/2025 Project: Gateway ROD Historical Records Room Dry System Change Order No. 01 Department: AMS <br />Department Address: 306 Revere Road Project: Gateway Historical Records Room Dry Sprinkler System Contractor: Phoenix Fire <br />Protection, Inc Contractor Address: 2857 Lee Ave, Sanford, NC 27332 Effective date of original contract: 05/23/2023 <br />This change order increases decreases the contract time by 45 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: June 30, <br />2025 <br />_______________________________________________________________________________________________________________ <br />Full Description of Change: Historical Records Room - Fan Door Testing <br />Reason for Change: The original fan door test did not pass inspection, this change is to perform this testing again after additional sealing repairs are <br />completed. <br />_______________________________________________________________________________________________________________ <br />Original contract sum: $ 26,600.00 <br />Contract sum prior to this change order: $ 26,600.00 <br />Amount of this change order: $ 1,500.00 <br />Total sum of the contract including this change order: $ 28,100.00 <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 6th day of January, 2025. <br />_______________________________ _____________________________ _____________________________ <br />Contractor Owner Architect (when retained) <br />By:____________________________ By:___________________________ By:___________________________ <br />Docusign Envelope ID: B30FD0FB-6D4E-488B-B237-B3852DC52167 <br />1/3/2025 <br />Randall Strother <br />1/14/2025 <br />Travis Myren