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HomeMy WebLinkAbout2020-139-E AMS - Creative Business PD furniture DocuSign Envelope ID:35E73878-4DA4-481E-A5CC-A7DD5A633083 ORANGECOUNTY CHANGE ORDER REQUEST NORTH CAROLINA Date:02/25/2020 Project:115 E King-Sound Masking Change Order No.01 Department:AMS Department Address:PO Box 8181,Hillsborough,NC 27278 Project: Link Relocate:Public Defender Contractor: Creative Business Interiors Contractor Address:8720 Fleet Service Drive,Raleigh,NC 27617 Effective date of original contract: December 23,2019 This change order❑ increases❑decreases the contract time by 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: March 31,2020 Full Description of Change:This Change Order replaces the scope of the original contract.The current scope is additional installation hours for changing to and installing a 4"Brushed Aluminum Housing Classic Speaker Ceiling Plate(White Cover)unit,and cut it into the ceiling tiles,with remote CVC. Reason for Change: Plenum areas review revealed additional work needed. Original contract sum: $3,920.03 Contract sum prior to this change order: $3,920.03 Amount of this change order: $1,878.46 Total sum of the contract including this change order: $5,798.49 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 February,2020. Creative Business Interiors Orange County Government Contractor Owner Architect(when retained) D—Signea by-- [3­usig"ec]by By:Err - rm y B�f6Lt,l&iG [�"eumtmukkl By: RA,7C=A98F. 9F OB37:4,=755F=77 Revised 11/19 DocuSign Envelope ID:35E73878-4DA4-481 E-A5CC-A7DD5A633083 JALtJYt KJUN: Ulr KAMLY 1.yly-3by-54y'I 1 OF 1 CREATIVE BUSINESS INTERIORS PREPARED FOR: CREATIVE BUSINESS INTERIORS Orange County North Carolina 8720 FLEET SERVICE DRIVE 200 South Cameron Street, PO Box 8181 RALEIGH, INC 27617 Hillsborough, NC 27278 P 919-786-4800 919-732-8181 F 919-783-8585 _ dcramey@creativebusinessnc.com Alan Dorman QUOTATION Sound Masking - 115 King Street Item LOCATION Qty Part Number Part Description Sell Ext Sell 1 Sound Masking: 15 SMU-LG035-4 Classic Speaker,Ceiling Plate,4"Height,Brushed $ 196.88. $ 2,953.20' Aluminum Housing,White Cover 2 Sound Masking 3 LG035M4-RCVC Classic Speaker,Ceiling Plate,4"Height,Brushed $ 271.69. $ 815.07 Aluminum Housing,White Cover,Remote CVC 3 Sound Masking 1 95T-16 Transformer-95VA $ 86.67. $ 86.67 sub Subtotal $ 3,854.94 1 DELIVERY $ 0.00 $ 0.00 1 INSTALLATION-Reg Hours $ 1,539.00 $ 1,539.00 1 OTHER $ 0.00 $ 0.00 1 TAX @ 7.5%(Orange County) $ 404.55 $ 404.55 Grand Total $ 5,798.49 INSTALLATION: 919-732-8181 C:\Users\dcram\Desktop\Orange County-2-9-20-Sound Masking(Revision).sp4 QUOTE ACCEPTANCE SIGNATURE: PRINTED NAME DATE SIGNED 02/09/20 12:23 PM Lu O: q pg pg Q�}1 pg o ° 'U �. ® 0 fl ® � • • • ® O ® � ® _�~ m°'ea �a�r, _ • a d _ a Lf W 'm y cn :p o o • w ° gg@ a C i a w c 2 N ¢ 3 ' ' 06 ° ' D qua €m �O Y rn gTa E ' _ a l lH 10 J ;cawi tl $ tl $YS N p <po m i 3 E i$€ JEl El z zo m I > j I � I LJ II� E y II YES: 0 c�cmll OU (D O U � a CT) o (D mm6m-,�� o � � wCD U Q� 0 0 o � Q � E � El � � o oil 0 0 000 ° � E m C) _0 0 ❑ (D .0 o � o cn — u OL I —i E C) _ E (D 2 N o -0 0 0. TC Mo � L7 — � o o — -C) o L B Bj i m z�qg „ a ffz Ea'aM's a€i ;paY @jQNE 6¢sEq Aar se o Eq6�� oZ= ea .. �be �A = a3 8ss `em -e., NAee m„ .re DocuSign Envelope ID:35E73878-4DA4-481E-A5CC-A7DD5A633083 CREAT-5 144caMo CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 12/03/2019 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 endorsements. PRODUCER 919-878-9412 CONrncr Marsh&McLennan Agency,LLC Marsh& McLennan Agency LLC PHONE 919-878-9412 FAX 919-256-1969 2301 Sugar Bush Road Suite 520 A/c,No,Exc: A/C,No): Raleigh, NC 27612 E-MAIL Matthew Horney INSURERS AFFORDING COVERAGE NAIC# INSURER A:Selective Ins.Co of America 12572 INSURED INSURER B:Hartford ACC&Indemnity Co 22357 Creative Business Interiors Inc. INSURER C: 8720 Fleet Service Drive Raleigh,NC 27617 INSURER D 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR S 2338296 11/27/2019 11/27/2020 DAMAGE TO RENTED 500,000 PREMISES Ea occurrence $ MED EXP(Anyoneperson) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY JE� LOC PRODUCTS-COMP/OP AGG $ 3,000,000 17 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ X ANY AUTO S 2338296 11/27/2019 11/27/2020 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PeOacadenDAMAGE $ AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 EXCESS LIAB CLAIMS-MADE S 2338296 11/27/2019 11/27/2020 AGGREGATE $ 3,000,000 DED RETENTION$ B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER 22WBCEM0470 11/27/2019 11/27/2020 500,000 ANY OFFICER/MEMBER EXC UDED�CUTIVE � N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION ORANGEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ORANGE COUNTY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 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