Loading...
HomeMy WebLinkAbout2019-180-E AMS - HM Kern Passmore Center landscaping contract amendment DocuSign Envelope ID:5C8F1523-AE23-4D8E-9C19-C2404873B86F ORANGE COUNTY NORTH CAROLINA Asset Management Services Date: December 21, 2018 Project: Passmore Center Expansion This contract amendment is to increase the contract amount by $4,119.00 Background: In January, 2018 H.M. Kern was awarded a contract for the expansion to the Passmore Center. The expansion is to add an additional 1050 square foot living room space, with a new entry vestibule with sliding doors. Change Order Description: This change order is for multiple changes to this project. These changes include the following: 1. Replace concrete connector sidewalk with steps and railings to avoid steep slope. 2. Add lock to desk drawer and corner guards 3. Add crash bar to emergency exit door. 4. Credit allowance values back to Orange County from the original contract. 5. Perform landscaping around the new sidewalk and ramps Change Order Line Item Cost: This change order is for multiple changes to this project. These cost for these changes are as follows: 1. $3,302.00 2. $212.00 3. $561.00 4. ($5000.00) 5. $5,044.00 This contract amendment is to increase the contract amount by $4,587.00 Professional Services: $52,973 Construction Services: $494,820 Total Project Costs: $547,793 (Before Change Amendment) Change Amendment 1 Cost: $15,138 Total Project Cost: $562,931 (Including Change Amendment 1) Change Amendment 2 Cost: $4,119 Change Amendment 2 Cost: $567,050 (Including Change Amendment 2) P.O. Box 8181 * 131 West Margaret Lane, 3rd Floor* Hillsborough, North Carolina 27278 Telephone: 919 245-2625 Fax: 919-644-3001 E-mail:AMService@orangecountync.gov DocuSign Envelope ID:5C8F1523-AE23-4D8E-9C19-C2404873B86F ORANGECOUNTY CHANGE ORDER REQUEST NORTH CAROLINA Date: 12-21-18 Project:Passmore Center Expansion Change Order No.2 Department:AMS Department Address:131 W.Margaret Lane,Hillsborough,NC 27278 Project: Passmore Center Expansion Contractor: H.M.Kern Contractor Address:160 Thatcher Road,Greensboro,NC 27419 Effective date of original contract: 1/23/2018 This change order® increases❑decreases the contract time by 90 days. Check here if no impact to contract time❑. Will this change order impact the date of substantial completion?® Yes❑ No. If yes,the amended date of substantial completion is: February 10,2019 Full Description of Change:This change order is to increase the original contract value to include items that were changes to the scope of work,or adds per the tentants.See the attached project description of changes for full details. Reason for Change: See the attached project description of changes for full details. Original contract sum: $494,820.00 Contract sum prior to this change order: $509,958.00 Amount of this change order: $4,119.00 Total sum of the contract including this change order: $514,077.00 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. A�nngovPd and executed this 21st day of December,2011L8. aq.,, jv�hv'�i�L: �rL 1A 4v.N } I. 3/21/2019 12/21/2018 Contractor Owrier Architect(when retained) By:12/21/2018 By: county Manager By: Associate Revised 10/17 DocuSign Envelope ID:5C8F1523-AE23-4D8E-9C19-C2404873B86F DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 7g/25/2018 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(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 NAME: SIA Group, Inc. PHONE FAX 827 Gum Branch Road WC No Ext:910-455-7576 A/C No):910-455-7481 Jacksonville NC 28540 ADDRESS: certs@siagroup.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Company Of America 12572 INSURED HMKERNC-01 INSURER B: Builders Mutual Insurance Company 10844 H.M. Kern Corporation P.O. Box 19424 INSURER C: Liberty Mutual Insurance Company 23043 Greensboro NC 27419-9424 INSURERD: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER:626333689 REVISION NUMBER: THIS IS 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR IN SD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY S225942201 7/1/2018 7/1/2019 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence $500,000 MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY� PECOT- LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY S225942201 7/1/2018 7/1/2019 COMBINED SINGLE LIMIT $ Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A X UMBRELLALIAB X OCCUR S225942201 7/1/2018 7/1/2019 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED X RETENTION$0 $ B WORKERS COMPENSATION WCP105344801 7/1/2018 7/1/2019 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $500,000 OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 C Leased/rented equipment IM6980116 7/1/2018 7/1/2019 Limit 500,000 Builders Risk Any one Project 10,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Jerry M Passmore Center Addition&Renovation. Certificate holder is additional insured for general liability and automobile liability. Waiver of subrogation in favor of the additional insured applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Orange County PO Box 8181 AUTHORIZED REPRESENTATIVE Hillsborough NC 27278 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD