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2020-045-E AMS - Racanelli PFAP freezer installation change order 1
Revised 11/19 ORANGE COUNTY CHANGE ORDER REQUEST NORTH CAROLINA ______________________________________________________________________________________________________________ Date: 01-22-2020 Project: PFAP Freezer Installation Change Order No. 1 Department: AMS Department Address: 300 W. Tryon Street Project: PFAP Freezer Installation Contractor: Racanelli Contractor Address: 1001 Pemberton Hill Road, Suite 202 Apex NC 27502 Effective date of original contract: 7/9/2019 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: 4/30/2020 _______________________________________________________________________________________________________________ Full Description of Change: Provide electrician to remove existing disconnect from interior and exterior so that the freezer can be installed per the design drawings. Reason for Change: Disconnects were not shown to be removed on the original plans due to locations. The locations were adjusted and therefore the disconnects then had to be removed. _______________________________________________________________________________________________________________ Original contract sum: $ 88,000.00 Contract sum prior to this change order: $ 88,000.00 Amount of this change order: $ 351.00 Total sum of the contract including this change order: $ 88,351.00 _______________________________________________________________________________________________________________ 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. All other terms of the Original Contract remain in effect. Approved and executed this 25th day of January, 2020. _______________________________ _____________________________ _____________________________ Contractor Owner Architect (when retained) By:____________________________ By:___________________________ By:___________________________ DocuSign Envelope ID: 3B5EFA61-95FF-432C-8D9C-9ECE68C8B0F7 Piedmont Food and Ag Freezer Racanelli Change Order Request Racanelli Construction South, Inc.Proposal and Pricing Summary 1001 Pemberton Hill Road, Suite 202 RCS Project #19-008 Apex, NC 27502 Date:11/4/2019 Submitted To: Orange County 131 West Margeret Lane Hillsborough, NC 27278 Attention : Angel Barnes via email Item Qty Unit Labor Unit Price Material Unit Price Sub Unit Price Labor Total Material Total Subcontractor Total Total 1 Sunnydale Electric (See attached) 1 LS $ 300.00 $ 300.00 $ 300.00 Subtotals $0 $0 300.00$ 300.00$ Small Tools & Consumables @ % on -$ General Conditions -$ Labor Burden 38% on -$ Sales Tax on Materials 7.50% on -$ Racanelli Construction South Overhead @ 10% on 300.00$ 30.00$ Racanelli Construction South Profit @ 5% on 330.00$ 16.50$ Insurance Premium @ 1.35% on 346.50$ 4.68$ TOTAL AMOUNT OF CHANGE ORDER REQUEST 351$ TOTAL TIME (CALENDAR DAYS) REQUESTED FOR THIS CHANGE 0 Authorized By Architect: Date: Authorized By Owner: Date: CC: COR#1 Per RCS PCO# 1 dated 10/7/19, we are pleased to provide the following proposal per RFI 1 response dated 10/6/19: To remove the two existing electrical disconnects that interfere with the new freezer construction. Change Order Request accepted and authorized for contract Change Order We Have been authorized to proceed with this work. This Proposal may be withdrawn from us if not accepted within 15 Days. By: Scott W. Drebitko Vice President DocuSign Envelope ID: 3B5EFA61-95FF-432C-8D9C-9ECE68C8B0F7 SUNNYDALE ELECTRIC OF NORTH CAROLINA, INC. sunnydalenc.com SSunnydale Electric of North Carolina 7119 Wexford Woods Trail Raleigh, NC 27613 919-909-4736 econtractor1@gmail.com EEstimate 1070 AADDRESS Racanelli Construction Services 1001 Pemberton Hill Road Apex, NC 27502 DATE 10/14/2019 TOTAL $$300.00 DATE ACTIVITY DESCRIPTION QTY RATE AMOUNT 10/14/2019 RRemove Disconnect 2 150.00 300.00 TOTAL $300.00 Job Location: Piedmont Foods We propose to remove two disconnects from the exterior wall and cap off the circuits in boxes above the interior of the T-bar ceiling.THANK YOU. Accepted By Accepted Date DocuSign Envelope ID: 3B5EFA61-95FF-432C-8D9C-9ECE68C8B0F7 DocuSign Envelope ID:3B5EFA61-95FF-432C-8D9C-9ECE68C8BOF7 Racanelli Construction South, Inc. Potential Chang e Racanelli 1001 Pemberton Hill Road, Suite 202 Apex, NC 27502 Order (PCO) SUBMITTED TO: Piedmont Food and Ag Freezer Orange County 131 West Margaret Lane RCS PROJECT NO.# Hillsborough, NC 27278 19-008 PCO# 1 ATTN;Angel Barnes PCO STATUS PCO. ISSUE DATE 1 10/7/19 DESCRIPTION OF CHANGE: Per RFI 1 response dated 10/6/19: Remove the two existing electrical disconnects that interfere with the new freezer construction after they are verified to be not in service. ® DOCUMENTS ARE ENCLOSED. SUBCONTRACTOR/SUPPLIER DISTRIBUTION: Sunnydale Electric STATUS: 1 ® Price quotations are requested within 3 working days from the date of this Potential Change Order. No work is authorized until proposals are accepted and written authorization is given to proceed. 2 ❑ All concerned are authorized to proceed with the work of this Potential Change Order. Price quotations are requested within 3 working days from the date of this PCO. 3 ❑ All concerned are authorized to proceed with the work of this Potential Change Order on a time and material basis. Daily time and material slips must be signed by an authorized representative of RCS for verification of time and materials utilized to complete the work requested. CC: SWD/File BY: Scott W.Drebltlzo DL/Field Senior Project Manager NOTES: 1.)Subcontractors receive all PCO's via email unless otherwise noted. 2.)This change may affect project completion schedule. All Subcontractors must advise in writing of any impact of this change on their operation. DocuSign Envelope ID:3B5EFA61-95FF-432C-8D9C-9ECE68C8BOF7 RACANELLI CONSTRUCTION SOUTH, INC 1091 PEMBERTON HILL ROAD APEX, NC 27502 Ph :919-363-3600 RFI To: Uchenna Onwuemene RFI#: 1 SUMMIT DESIGN &ENGINEERING Date: 9/5/2019 1110 Navaho Drive, Ste 600 Job: 19-008 (PF)PIEDMONT FOOD Raleigh, NC 27609 Phone: Ph: (919)322-0115 SD-post/file SD-issue PCO CC: Angel Barnes(ORANGE COUNTY) DL-Field Sunnydale Electric Subject: Existing Abandoned electrical disconnects Drawing: Spec Section: Cost Impact: TBD Schedule Impact: TBD Request: Date Required: 9/12/2019 There is an exterior wall mounted disconnect near the corner of the loading dock that will interfere with the new freezer placement, and an interior wall mounted disconnect that will interfere with the new wall opening penetrations to the new freezers.We have been advised that both of these disconnects are no longer in use. If they are not in use,they could be removed and abandoned, if they are in use they will need to be relocated. Requested by: Scott Drebitko RACANELLI CONSTRUCTION SOUTH Response: Scott Per our site meeting on 10/4/19, 1 have no objections to removing these two disconnects. Please confirm that this is acceptable with the owner and then coordinate the work with project electrician or the PFAP facility electrician. Timothy A. Smith, P.E. Answered by Summit Design and Engineering 10/6/2019 Company Date Page 1 of 1 TO e ''11 �iiEX g•� � k�..r $$ � M ..m. �;y a a� 4 Eft;,,.F 1 C '�' �� ���� ��• �. n 1 DocuSi n Envelope ID:3B5EFA61-95FF-432C-8D9C-9E DocuSi n Envelo a ID:3B5EFA61-95FF-432C-8D9C-9ECE68C8BOF7 SAW f4 •F } : r} r F �• •ti k +— y { \ s • r L' i •L r DocuSign Envelope ID:3B5EFA61-95FF-432C-8D9C-9ECE68C8BOF7 RACAN-1 OP ID: CB ,4Ca�o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 05/22/2019 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 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 631-424-3300 CONTACT Colleen Brosnahan Robert C. Bill Associates,Inc NAME: 150 Broadhollow Road Suite 307 (�C,NNo,Ext):631-424-3300 (AIC No):AX 631-427-0105 Melville, NY 11747 E-MAIL CBrosnahan@robertcbillassociates.com Robert Bill ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA:Zurlch American Insurance Co. 27855 INSURED INSURER B:Great American Insurance Racanelli Construction South, Inc. INSURER C: 1091 Pemberton Hill Road Suite 102 INSURER D: Apex,NC 27502-4265 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 DDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRMM DD YYY MM A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR GL05918594-13 01/31/2019 01/31/2020 DAMAGETORENTED 300,000 X X PREMISES Ea occurrence $ X Ded:$100,000 MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X PRO- POLICY LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: Emp.Ben. 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED Perr.c.-Z) MAGE $ AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 25,000,000 EXCESS LIAB CLAIMS-MADE X X AUC5918559-13 01/31/2019 01/31/2020 AGGREGATE $ 25,000,000 DED X RETENTION$ 10,000 A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY X STATUTE ER WC5918595-13 01/31/2019 01/31/2020 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Al N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,0�0,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT A Pollution/Professi X X EOC 5965874-11 01/31/2019 01/31/2020 Occ/Agg 5,000,000 B Property X X IMPE16478602 12/31/2018 12/31/2019 Limit 714,417 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Orange County is included as additional insured if reqquired byy written contract per endorsement form#U-GL-1175-F CW&U-GL-1461-A CW to the extent provided therein,subject to policy terms limitations and exclusions. CERTIFICATE HOLDER CANCELLATION ORANGEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange Count THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g y ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 8181 Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE /�/-�-� I FL,1 /�f/ ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. 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