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Home My WebLink About2018-094-E DEAPR - Tommy Lawrence Electrical Contractors Farmers Market Pavillion electrical upgrades change order 1DocuSign Envelope ID: 28CB79EF -B9B2- 4055 - 9390- 8AF3AAE6894E ORANGECOUNTY CHANGE ORDER REQUEST NORTH CAROLINA Date: 3/20/2018 Project: Farmers Market Pavillion Additiional Electrical Upgrades Change Order No. CO #1 Department: DEAPR Department Address: 306A Revere Rd Project: Farmers Market Pavillion Additiional Electrical Upgrades Contractor: Tommy Lawrence Electrical Contractors, Inc. Contractor Address: P.O. Box 641 Roxboro, NC 27573 Effective date of original contract: March 12, 2018 This change order ❑ increases ❑ decreases the contract time by days. Check here if no impact to contract time 0. Will this change order impact the date of substantial completion? ❑ Yes ®. No. If yes, the amended date of substantial completion is: Full Description of Change: To provide and install additional 4" pipe conduit (underground) from CT cabinet to power company pole for use by Duke Power to get power to service. Reason for Change: This will speed up the installation of the service by Duke Power by a minimum of three weeks; since they will not have to get multiple crews out to perform work. Original contract sum: $ 40,308.00 Contract sum prior to this change order: $ 40,308.00 Amount of this change order: $ 925.00 Total sum of the contract including this change order: $ $41,233.00 This change order is executed to amend the contract time and /or contract sum. It shall not be construed to impact the original contract, project, services, or work in any other manner. Approved and executed this Twenty day of March, 2018, Contractor Owner Architect (when retained) DocuSigned by: DocuSigned by: Wal'�'C Gt. T'�(6r 3/20/2018 IfO637994B755E477 6in An C, N *j&qy'� 21/201s ''`'�[ By: SA43E99B359F43C... _ Revised 10/17 DocuSign Envelope ID: 28CB79EF -B9B2- 4055 - 9390- 8AF3AAE6894E Change Order Orange County Parks & Rec Project: River Park Service C0 #1 Attn: Marabeth Carr Date: 3120/18 Please add to provide and install (1) 4" pipe from CT cabinet to power company pole for use by Duke Power to get power to service. We Will dig line in, backfill and tamp. This will speed up the installation of the service by Duke Power since they will not have to get multiple crews out to perform work. Material & Labor: $ 925.00 TOMMY LAWRENCE ELECTRICAL CONTRACTORS, INC. AUTHORIZED SIGNATURE: WARREN TAYLOR DATE: 3120118 ACCEPTANCE OF PROPOSAL SIGNATURE: BATE: DocuSign Envelope ID: 28CB79EF -B9B2- 4055 - 9390- 8AF3AAE6894E DocuSign Envelope ID: 2A12972A- 7D21- 4D74- AD4C- A79339548F21 LAWRE -1 OP ICI: MG AG"C7RL7 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 12128/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the policy(les)' must be endorsed. It SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s), PRODUOER P. 0. Box 100 en, Inc. P. O. Sox 1 D4 Roxboro, NC 27673 Marcia D. Green cA. roar Phillip Allen PI QII o si 4 336 -599 -2475 �(R1O, Nag 336 - 599.8832 E-MAIL ADM OS: INSURER 8 APPQAOIN+3 COVERAGE NAIL li _ INSURERA- CIn01nnatl Insurance C.om pa n 10677 0811612017 _ INSURER _ Tommy Lawrence Electrlcat IN8uRaR9,Clncinn0t1 Casualty Company 28665 Contractor's Inc. P.O. Box 641 INSUReRC; # 100,00 MSR EXP An one oon) Roxboro, NC 27573 INSURER 0; PERSONAL a ARV )NMRY $ 600,000 GE N% AGGREGATE LIMIT APPLIES PER: PRO- POLICY I -_ 1 ,IECT OTHER: INSURERS ; $ 2,000,00 INSURBR F t S 4,000,D0 ^r,VC'o AP-CC C ERTWIC`.ATE NIIELSF3FR! REVISION NUMBER: v THIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY RAVE BEEN REDUCED BY PAID CLAIMS, ILTR TYPE OF INSURANCE ADDL $ POLICY NUMSER P4 I E !< 1 MfGR POl� EXP MM1DD YY LIh1178 A X COMMERCIAL eENERAL LIABILITY cLruMS MADE 1K OCCUR EPP 00987$3 0811612017 081181201$ EACH OCCURRENCE 3 11000.00 DAMAGE TO E a o ao # 100,00 MSR EXP An one oon) $ Sp PERSONAL a ARV )NMRY $ 600,000 GE N% AGGREGATE LIMIT APPLIES PER: PRO- POLICY I -_ 1 ,IECT OTHER: GENERAL AGGREGATE $ 2,000,00 PROD PROOUC7S- CCMPMPA(30 S 4,000,D0 S A AUTOMOB ILE LEASIL€TY X ANY AUTO ALL OS NED SCHEDULED NON-OWNER X H1RFDAUTOS AUTOS EBA 0096783 08116/2017 0811612018 LE COMeiNEUSINGLE €T Ee alacldtrkl S 4,000,000 BODILY INJURY (Per Parton) i BODILY INJURY (Perwadent) 8 PROPER LMMAQP. Po o I: 8 s A X UMBRELLA LLAB X EXCESS UAS OCOUR CLAIMS -MADE EPP 0096783 0811612047 0811612048 EACH OCCURRENCE S 6,000,040 AGGREOATE $ 6,000,000 CEO I I RETENTIONS 13 WORKERS COMPENSATION ANR EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEWEXECUTIVE Y' N OPFICERrMEMBER EXCLUDED? � (Ms ndratory InNH) 'UI( et d,11 under StRIPTION OF OPERATIONS bet. N ! A EW C 0368238.02 011011201a 6110112019 )(. E.L. EACH ACCIDENT z 100,000 E. L, DISEASE EA EMPLOYEE i 100,e00 E.L. DISEASE * POLICY LIMIT ! 5t}O,U00 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORG tot, Additnol Rarrtttrks Sobadule, may ho 040'hod If Moro tpt ®o Is roqulrad) EMAIL: Itaft@orangecountyne.gov l MM IUIIIA'ru Lint tir.* CANCELLATION ORANGCG SHOULD ANY OF THE A13OVE DESCRIBER POLICIES BE CANCELLED BEFORE orange County Government THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Parks and Recreation Lori Taft AUTNOR€t @D REPRESENTATIVE 200 South Cameron Street Hillsborough, NC 27278 Is D G @ n r @ 1988.2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD