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Revised 01/24 <br /> <br />ORANGE COUNTY <br /> CHANGE ORDER REQUEST <br />NORTH CAROLINA <br /> <br />______________________________________________________________________________________________________________ <br />Date: 03/28/2025 Project: Veterans Memorial Phase III Change Order No. 01 Department: AMS Department Address: <br />306 Revere Rd, Hillsborough NC 27278 Project: Veterans Memorial Phase III Contractor: Renovation Contracting Contractor Address: <br />1140 Kildaire Farm Rd, Cary NC 27511 Effective date of original contract: 01/10/2024 <br /> <br />This change order increases decreases the contract time by 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 />_______________________________________________________________________________________________________________ <br /> <br />Full Description of Change: Electrical Drawings change per approved Electrical Permit after the award of contract. Two outlets added in the walking path <br />area and each outlet on dedicated circuits, conduit and separate three wire circuits for each outlet, and two kiosk outlets on dedicated circuits, and <br />transformer and outlet at flagpole on dedicated circuits. <br /> <br />Reason for Change: Electrical Drawings <br />_______________________________________________________________________________________________________________ <br /> <br />Original contract sum: $ 77000.00 <br /> <br />Contract sum prior to this change order: $ 79970.00 <br /> <br />Amount of this change order: $ 5319.45 <br /> <br />Total sum of the contract including this change order: $ 85289.45 <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 28th day of March, 2025. <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: 04D41913-BFD0-453F-A950-1A73C0E6FC4A <br />4/9/2025 4/14/2025