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Revised 04/23 <br />ORANGE COUNTY <br />CHANGE ORDER REQUEST <br />NORTH CAROLINA <br />______________________________________________________________________________________________________________ <br />Date: 03/18/2025 Project: Efland EMS & ME Review Quarters Change Order No. 05 Department: AMS/ES Department <br />Address: 306 Revere Road, Hillsborough NC 27278 Project: Efland EMS & ME Review Quarters Contractor: Siemens Industry, Inc. <br />Contractor Address: 215 Southport Drive, Ste 900, Morrisville, NC 27560 Effective date of original contract: 05/05/2022 <br />This change order increases decreases the contract time by 1056 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: March <br />26, 2025 <br />_______________________________________________________________________________________________________________ <br />Full Description of Change: Provide labor to remove fire alarm devices and reinstall in new ceiling tiles. <br />Reason for Change: The project has come to the final stages, and the ceiling tiles with fire alarm devices had to be reinstalled in new ceiling tiles. <br />_______________________________________________________________________________________________________________ <br />Original contract sum: $ 80,000.00 <br />Contract sum prior to this change order: $ 136,539.95 <br />Amount of this change order: $ 4,779.32 <br />Total sum of the contract including this change order: $ 141,319.27 <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 19th day of March, 2025. <br />_______________________________ _____________________________ _____________________________ <br />Contractor Owner Architect (when retained) <br />By:____________________________ By:___________________________ By:___________________________ <br />Docusign Envelope ID: FFED7B80-995E-4386-B35A-2FE9BE4DDF09 <br />Area Geneeral Manager <br />3/20/2025 <br />County Manager <br />3/24/2025