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HomeMy WebLinkAbout2020-830-E AMS-Sasser Companies ES change amendment 6 DocuSign Envelope ID:6F2D8D39-6EB8-4247-8096-EE88570CAA31 ORANGE COUNTY CHANGE ORDER REQUEST NORTH CAROLINA Date: 10/23/2020 Project: Phillip Nick Waters Emergency Services Building-Allowance Credit Change Order No. 06 Department: AMS Department Address: 131 W. Margaret Lane, Hillsborough, NC 27278 Project: Emergency Services Remediation Contractor: Sasser Companies, Inc Contractor Address: PO Box 10, Whittsett, NC 27377 Effective date of original contract: 3/20/2019 This change order❑ increases ❑ decreases the contract time by 0 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: Full Description of Change:This change request is to reduce the allowance amounts to actuals. Reason for Change: This change request is to reduce the allowance amounts to actuals. Original contract sum: $ 1,499,409.00 Contract sum prior to this change order: $ 2,423,058.62 Amount of this change order: $ (3,054.00) Total sum of the contract including this change order: $ 2,420,004.60 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 Droved and executed this 30th day of October �Q2Qeyi p s. 10/23/2020 11/2/2020 10/29/2020 II o��,�e Ian o��,9�e by �l,Wln.so-SSW�binA.ut,�a�MwWi�,t� ❑'ti5`1.�.� l E (.`y Contractor Owner Architect (when retained) By: President By: County Manager By: Principal Revised 12/18 DocuSign Envelope ID:6F2D8D39-6EB8-4247-8096-EE88570CAA31 Revised 12/18 DocuSign Envelope ID:6F2D8D39-6EB8-4247-8096-EE88570CAA31 ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: Sasser Companies, Inc Party/Vendor Contact Person: Kevin Sasser (kevin2(&sassercompanies.com) Contact Phone: 336.449.1144 Party/Vendor Address: PO Box 10 City Whittsett State: NC Zip: 27377 Department: AMS Amount: 3054.00 Purpose: Change Request to reduce allowance amounts down to actuals. Budget Code(s): 61370035-880000-10068 Vendor#65006 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ❑ Renewal ❑ Amendment ® Effective Date 1/30/20 Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: D 5' tlby Department Director's Signature 5 �e fw� Quad# Date:lo/z9/zozo . Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: N/A Risk Management This agreement is approved for sufficiency of insurance standards,specifications,and requirements: D s'g a by: IUesa(mu{fe 10/29/2020 Office of the Risk Management Officer Date: ife5f91i6eeB195.. Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: P� 0 Sig—by: Office of the Chief Financial Officer �"" Date: 11/2/2020 OLE51gi]I Legal Services This agreement is approved as to legal form and sufficiency: D 5i9bea by: Office of the County Attorney��° 11w Date:11/2/2020 s.Feeeer:oealro_. Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 12/18 DocuSign Envelope ID:6F2D8D39-6EB8-4247-8096-EE88570CAA31 Allowance No. 8: Surface preparation and application of primer and coating to one hundred (100) square feet of sheet metal surface. Refer to Section 09 90 00, Painting $ 121.00 Allowance No. 9: Surface preparation and application of thirty (30) linear feet of 2-inch width pre-manufactured silicone strip at metal joints. Refer to 07 92 00, Elastomeric Joint Sealants. $ 907.00 Allowance No. 10: Surface preparation and application of forty (40) linear feet of 1" wide bond breaker tape centered over joints and apply high-performance high-build polyether-fluid-applied flashing membrane 3" wide centered over the tape and gutter joints. Refer to 07 92 00, Elastomeric Joint Sealants. $ 1,210.00 Allowance No. 11: Fabrication and installation of six (6) square feet of 24 gauge Kynar/Hylar based fluoropolymer coated sheet metal. Refer to 07 4110, Metal Roof Repairs. $ 189.00 Allowance No. 12: Provide and install thirty(30) stainless steel hex head screws with stainless steel washers with neoprene gasket backing. Refer to 07 4110, Metal Roof Repairs. $ 377.00 Allowance No. 13: Provide and install twenty(20) square feet of TPO roof walk pad. $ 250.00 Total Deduction $ 3,054.00 DocuSign Envelope ID:6F2D8D39-6EB8-4247-8096-EE88570CAA31 SASSCOM-01 DBAKER ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 166.� 1 2/3/2020 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 License#1000009384 CONTACT NAME: Hub International Carolinas PHONE FAX PO Box 939 (A/C,No,Et):(336)228-0541 (A/C,No):(866)590-4281 Burlington,NC 27216 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Company of America 12572 INSURED INSURER B:Accident Fund General Insurance Company 12304 Sasser Companies Inc INSURER C: P O Box 10 INSURER D: Whitsett,INC 27377 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. IL SR TYPE OF INSURANCE I DDDL SWVDR POLICY NUMBER POLICY Y EFF PMIDDY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE [XJ OCCUR S 2253759 2/1/2020 2/1/2021 DAMAGE TO RENTED 500,000 PREMISES fEa occurrence)_ MED EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 C PRODUCTS $POLICY❑SE 3,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 JEa accident) $__ X ANY AUTO S 2253759 2/1/2020 2/1/2021 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $__ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE S 2253759 2/1/2020 2/1/2021 AGGREGATE $ 10,000,000 DED I I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY STATUTE EERH Y/ ANY PROPRIETOR/PARTNER/EXECUTIVE ❑N WCV6139124 2/1/2020 2/1/2021 X E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (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 $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: Orange County Emergency Services Building 510 Meadowlands Drive Hillsborough,INC Orange County is an additional insured under the General Liability for work performed by the named insured for such additional insured,if required by contract signed by an authorized representative of the named insured. CERTIFICATE HOLDER CANCELLATION 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. 200 South Cameron St Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD