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Revised 01/24 <br /> <br />ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br />NORTH CAROLINA <br /> <br />______________________________________________________________________________________________________________ <br />Date: 01/21/2026 Project: Health Department Renovations Change Order No. 01 Department: AMS Department <br />Address: 306 Revere Road, Hillsborough NC 27278 Project: Health Department Renovations Contractor: Harrod & Assoc.Constructors, Inc. <br /> Contractor Address: 6612 Fleetwood Dr, Raleigh, NC 27612 Effective date of original contract: 5/21/2025 <br /> <br />This change order increases decreases the contract time by 90 days. Check here if no impact to contract time . <br /> <br />Will this change order impact the date of substantial completion? Yes No. If yes, the amended date of substantial completion is: <br />02/28/2026 <br />_______________________________________________________________________________________________________________ <br /> <br />Full Description of Change: Provide floor leveling for the dental clinic flooring. Permitting Costs Only for Southern Human Services Wall Removal/New <br />Installation for Admin Review with the Town of Chapel Hill. <br /> <br />Reason for Change: The existing flooring is out of level, and is necessary for the final flooring project. The permit costs are for the Town of Chapel Hill <br />Administrive Review Fees only. The review fee is required by the Town of Chapel Hill for an additional review of the plans. <br />_______________________________________________________________________________________________________________ <br /> <br />Original contract sum: $ 457,200.00 <br /> <br />Contract sum prior to this change order: $ 457,200.00 <br /> <br />Amount of this change order: $ 21,796.00 <br /> <br />Total sum of the contract including this change order: $ 478,996.00 <br /> <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 22nd day of January, 2026. <br />_______________________________ _____________________________ _____________________________ <br />Contractor Owner Architect (when retained) <br /> <br />By:____________________________ By:___________________________ By:___________________________ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Docusign Envelope ID: 01F429D6-252B-4D8E-984E-70B5432F90BA <br />R. Edward Long <br />2/3/2026 2/6/2026 <br />Drew Wilgus <br />2/9/2026 <br />Travis Myren