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2019-114-E AMS - Bordeaux Construction contract amendment
DocuSign Envelope ID:E0645F9B-3427-4AEC-BOD4-FF7860FOF502 ORANGE COUNTY CHANGE ORDER REQUEST NORTH CAROLINA Date:2/15/2019 Project: Northern Campus Change Order No.001 Department:AMS Department Address: 131 W.Margaret Lane,Hillsborough NC Project: Northern Campus Contractor: Bordeaux Construction Contractor Address: 135 E.Martin St.#101,Raleigh,NC Effective date of original contract: 7/1/2018 This change order❑ increases❑decreases the contract time by days. Check here if no impact to contract time H. 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:Complete a geothermal test well Reason for Change: This change is based upon the need to provide additional information to the designer. Test geothermal well will be dug to establish the conductivity of the soil which allows design team to finalize well quantity and spacing as part of the mechanical design.. Original contract sum: $85,000 Contract sum prior to this change order: $85,000 Amount of this change order: $15,950 Total sum of the contract including this change order: $100,950 This change order is executed to amend the contract time and/or contract sum. It shall not be construed to impact the original contract, project,services,or work in any other manner. Approved and executed this 20th day of February,2019. Bordeaux Construction Company, Inc. 8/11/16 Cor`__oo��sgne�by: Ov—, signed hy Architect(when retained) Eebwr EfBy- MARMnne,.nna= B n:�s7wa:M',W�7� By: Revised 12/18 DocuSign Envelope ID:E0645F9B-3427-4AEC-BOD4-FF7860FOF502 Revised 12/18 DocuSign Envelope ID: E0645F9B-3427-4AEC-BOD4-FF7860FOF502 CHANGE ORDER REQUEST Page 1of1 B O R D E A U X C nnerrucrion Company, Inc_ BORDEAUX CONSTRUCTION COR#: 1 135 E. Martin St. #101 DATE: 1/16/2019 Raleigh, NC 27601 OWNER: Orange County CONTRACT: 1804. Orange County Detention 131 W. Margaret Lane Hillsborough, NC 27278 Geothermal Test Well Below is the detail for our proposal to complete the following changes in contract work: PROPOSED SCOPE OF WORK: Work associated with drilling a Geothermal Test Well and generating a Conductivity Report. The prices below are valid until PCO TYPE TYPE DESCRIPTION PCO PCO DESCRIPTION AMOUNT PCO Pending Change Order 1 Geothermal Test Well 15950.00 TOTAL: 15,950.00 APPROVED BY: Orange County SUBMITTED BY: BORDEAUX CONSTRUCTION SIGNED: SIGNED: DATE: DATE: DocuSign Envelope ID: E0645F9B-3427-4AEC-BOD4-FF7860FOF502 CHANGE PROPOSAL FORM Time and Material / Unit Price Estimate Project: Orange County Jail Proposal#: RCO-1 Contract: 1804.001 Project#: 1804 Contractor: Applied Resource Management Contractor#: Description of change: Work associated with drilling a Geothermal Test Well and generating a Conductivity Report. Materials&Labor (Attach list with Qty, Item, Unit$, Unit mh,Total mh, OT mh,Total$) SUBTOTALS 1 Total Direct Cost of Materials 2 Overhead&Profit on Item 1. 15 % $0 3 Sales Tax 6.75 % $0 4 Shipping&Transportation $0.00 Labor 5 Total Manhours: MH @ 25/hr. 6 Overhead&Profit on Item 5 15 % $0 7 Payroll Taxes&Insurance: 40 % $0 $0.00 Equipment Rental (Include quotes) 8 Equipment Rental 9 Overhead&Profit on Item 8 15 % $0 $0.00 Subcontractors (Include quotes with material&equipment backup) 10 Subcontractors $14,500 11 Overhead&Profit on Item 10 10 % $1,450 $15,950.00 Subtotal of Proposal $15,950 Bonds(%of subtotal of proposal) 0 % $0 TOTAL OF CHANGE PROPOSAL $15,950 Time Extension Requests: days Schedule Activity#Affected: The Contractor agrees to perform the work outlined in this change proposal for the amount specified above and in accordance with the Contract documents if the work is authorized by the Owner. Contractor's Signature: Date: 1/16/2019 DocuSign Envelope ID: E0645F9B-3427-4AEC-BOD4-FF7860FOF502 January 15, 2019 ARM Bordeaux Construction Company i*t Attn: Mr. Brad Bowling Geothermal, Environmental, 135 East Martin Street, #101 &Well Drilling Raleigh, North Carolina 27601 Re.: Geothermal Conductivity Testing Cornelius Street, Hillsborough Orange County, North Carolina Brad BordeauxConstruction.com Mr. Bowling, The following are estimated costs for Geothermal Conductivity Testing for your project in Hillsborough, North Carolina. Pending receipt of permit signatures, the project should be started approximately three weeks from acceptance of this proposal. The following is presented for your review. Geothermal Test Well Drilling and Construction Installation of one (1)400'x 1 1/4" HDPE geothermal loop in a 6" borehole at a site designated by others. Includes mobilization and per diem charges for a three (3) person crew, including supervision by a North Carolina Certified Well Driller, and North Carolina Professional Geologist. Grout will be a 1.2 mixture. All construction will be within IGSHPA Standards. Includes single pre-drilling site visit,single drilling rig mobilization, and single in-situ testing mobilization. Estimated Geothermal Test Well Total 9,000.00 Geothermal Conductivity Testing Perform a thermal conductivity test on the geothermal well. To include connecting a test station to the installed loop, measuring the natural ground temperature, performing a heat loading thermal test within IGSHPA recommendations, and report preparation and boring log preparation. The report will be sealed by a North Carolina Licensed Geologist. In-Situ Conductivity Testing Total 5,500.00 Estimated total $14,500.00 1. Ease and accessibility to the well site with the well drill. 2. The understanding that geothermal system installation is conducted with very heavy equipment. Some landscaping and/or possibly pavement damage will occur, repair of which is not included within these costs. 3. If a cave(s) or unstable conditions are encountered, temporary surface casing could be required, and would be billed at a rate of $25.00 per foot for casing not recovered, or Applied Kcoource Management, f' C. P 0. Box 882, 257 Transfer Station Road, Hampstead, NC 28443 910.270.2919 Fax 910.270.2988 DocuSign Envelope ID: E0645F9B-3427-4AEC-BOD4-FF7860FOF502 June 21, 2018 Page Two $500.00 per well if recovered. Also, additional time and materials for sealing the cave(s), including grouting materials, are not included in this estimate. 4. A water supply of at least 25 gpm is available for use on-site. 5. Damage to private or other utilities not identified prior to drilling and excavation is not the responsibility of ARM. 6. Level D Health and Safety will be required. Level C or above will require halting the project and re-establishing site safety requirements. 7. Drilling cuttings will be spread and raked out around the test loop location. 8. Groundwater encountered during drilling will be discharged to the surface for gravity run-off. Erosion control will not be needed or required. If you have any questions or require further information, do not hesitate to call. Sincerely, OrZgZnaz 's�Owed James L. Cornette, P.G., C.W.D. Project Manager I have reviewed the above Scope of Services and accept it as presented. Signature Date Title (Please remit a signed copy to ARM. Thank you.) DocuSign Envelope ID: E0645F9B-3427-4AEC-BOD4-FF7860FOF502 BORDCON-02 MAIRINGTON '4C0/Za CERTIFICATEOF LIABILITY INSURANCE DATE(M1201YYY) 2l21 2019 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 INSUREII AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If 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). PRODUCER CONTACT Melanie A.Airington NAME: TriSure Corporation-HS PHONE FAX 4325 Lake Boone Trail,Suite 200 (ArC,No,Ext):(919)469-2473 (Arc,No):(919)4674987 IL Raleigh, NC 27607 AI DARESS:mairington@trisure.com INSURER(S)AFFORDING COVERAGE NAIC* INSURERA:Phoenix Insurance Company The 25623 INSURED INSURER B:Travelers Property Casualty Company of America 25674 Bordeaux Construction Company, Inc. INSURERC:Standard Fire Insurance Company The 19070 4101 135 E Martin St INSURERD:Tokio Marine Specialty 23850 Raleigh, NC 27601 INSURERE:Hanover American Ins Co 36064 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDDNYYY MMIDDNYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CO2F979366 12/31/2018 12/31/2019 DAMAGE TO RENTED 300�000 X PREMISES Ea occurrence $ X Contractual Liab MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PEP GENERAL AGGREGATE $ 2,000,000 POLICY T JjECT LOC PRODUCTS-COMPIOPAGO $ 2,000,000 OTHER $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ X ANY AUTO 81021-173833 12/31/2018 12/31/2019 BODILY INJURY(Per person) $ OWNED X SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Peraccident) $ X Comp$500 X coil$500 B X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE CUP41<009166 12/31/2018 12/31/2019 AGGREGATE $ 1010001000 DED I X I RETENTION$ 10,000 $ C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN U B8J493303 12/31/2018 12131I2019 1,000,000 ANYPROPRIRf NIA RfEXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICERfMEMBMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Profession Pollution PPK1791615 3/12/20111 3/12/2019 Limit 5,000,000 E Builders Risk- MR IH6A501061 12/31/2018 12/31/2019 Limit 15,000,000 DESCRIPTION OF OPERATIONS r LOCATIONS r VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Leased/Rented Equipment QT6607F242185COF17(The Charter Oak Fire Insurance Co.)NAIC#25615 12/31/18-12/31/19 Leased/Rented Equipment Limit $150,000 Operations of the Named Insured covered by the above referenced policies. Orange County is listed as additonal insured with respect to General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange Count THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 y ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 8181 Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD