HomeMy WebLinkAbout2021-167-E AMS-Muter Construction install connect track DocuSign Envelope ID:72FCB29C-9B00-4947-BBBO-1BDBA765B810 DS
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ORANGE COUNTY
CHANGE ORDER REQUEST
NORTH CAROLINA
Date: 02/26/21 Project: Orange County Skills Development Center- Europa Center Change Order No. 01
Department: AMS Department Address: PO BOX 8181, Hillsborough NC 27278 Project: OC Skills Development Center
Contractor: Muter Construction Contractor Address: 111 E Vance Street, Zebulon NC 27597 Effective date of
original contract: August 21, 2020
This change order® increases❑ decreases the contract time by 60 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: Install additional connect track materials, install power and data in alcove, install (2) receptacles in Nurse
Training Room, Install (6) white boards, patch and paint room 107.
Reason for Change: Additional work needed to finish the project completely
Original contract sum: $ 189,324.00
Contract sum prior to this change order: $ 189,324.00
Amount of this change order: $ 6,198.74
Total sum of the contract including this change order: $ 195,522.74
This change order is executed to amend the contract time 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.
DS
$M Approved and executed this 26th day of February, 2021.
Contractor Owner Architect (when retained)
ocu igned by: ocuSigned by: DocuSigned by:
B : B : SfWt anIsIfWt aNLt By:
3/11/2021 3/21/2021
Revised 07/20
DocuSign Envelope ID:72FCB29C-9B00-4947-BBBO-1BDBA765B810
Revised 07/20
DocuSign Envelope ID:72FCB29C-9B00-4947-BBBO-lBDBA765B810
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Muter Construction Party/Vendor Contact Person: Beth Muter Contact Phone:919-404-8330 Party/Vendor Address: I I I E.Vance
Street City Zebulon State: NC Zip: 27597 Department: AMS Amount: $6198.74 Purpose: Install connect track, receptacles, white boards, and
patch/paint room 107 Budget Code(s): (80%) 10240330-803000($4959.00)20% 10400130-803000 ($1239.74) Vendor#62812 (N/A if new vendor)
Vendor is a BOCC consultant? Yes®No❑ Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 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:
DocuSigned by:
Department Director's SignatuM`,k Date:3/1/2021
QfWt
Agreements for emergency services offl�RTNNNbt 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:
Risk Management
This agreement is approved for sufficiency fdgystandards,specifications,and requirements:
Q�tSA.Office of the Risk Management Officer rbvvu lib Date: 3/11/2021
7FDCF9176800498...
DS
l F Financial Services
This instrument has been pre-audited in tIW nW g required by the Local Government Budget and Fiscal Control Act:
3/20/2021
y.
Office of the Chief Financial Office1- 7D4E5181ACC1409
�"'N "�'l'�2oZ Date:
.
Legal Services
This agreement is approved as t ,fWMda*d sufficiency:
I�S � � 3/20/2021
Office of the County Attorney Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@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 07/20
DocuSign Envelope ID:72FCB29C-9B00-4947-BBBO-1BDBA765B810
MUTER■ CHANGE PROPOSAL FORM
CONSTRUCTION
Project: Orange County Skills Development Center Proposal#: 8
Contract: Project#: 2012
Contractor: MUTER CONSTRUCTION Contractor#: 73095
T
Description of Change: Install additional connect track materials,Install power and data in alcove,install(2)receptacles in Nurse Training
Room,Install(6)white boards,patch and paint Room 107.
Summary of Contractor's Work
Materials Totals Subtotals
(1) Total Direct Cost of Materials $85.00
(2) Shipping and Transportation $0.00
(3) Sales Tax(7%) $0.00
(4) Overhead&Profit on materials(10%) $0.00
MATERIAL SUBTOTAL: $85.00
Labor
(5) Total Labor Cost $750.00
(6) Payroll Taxes&Insurance on labor(30%) $225.00
(7) Overhead&Profit on Labor(10%) $97.50
LABOR SUBTOTAL: $1,072.50
Equipment
(8) Equipment Rental $180.00
(9) Sales Tax(6.75%) $0.00
(10) Overhead&Profit on Equipment(10%) $18.00
EQUIPMENT SUBTOTAL $198.00
Subcontractors
(11) Subcontractors $4,612.65 t2.70
(12) Overhead&Profit on Subcontractors(5%) $230.63 s2;9.64- $4,843.28
SUBCONTRACTOR SUBTOTAL S i'"0:3 i
SUBTOTAL S6,198.84 $6,198.78
SUBTOTAL OF PROPOSAL St"S-84 $6,1 8.78
Insurances (13) General Liability and Builders Risk Insurances 1.5 % $9.21IE
Bonds (14) Bonds 2 % *W4-98
TOTAL OF CHANGE PROPOSAL °"�P $6,198.74
Time Extention Requests: 0 days Schedule Activity#Affected: N/A
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: V"d W"M Date: 2/9/2021
Approval Recommended by Design Consultant: �C� Date: 2-24-202 1
Owner's Representative Approval: Date:
DocuSign Envelope ID:72FCB29C-9B00-4947-BBBO-1BDBA765B810
MUTERE
CONSTRUCTION
General Contractor Material Break Down
Material Description Quantity Unit Price Unit Total
Wall anchors 1 / ea @ $15.00 / $15.00
Drywall mud 1 is @ $20.00 / _ $20.00
Paint 1 / is @ $50.00 / $50.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
/ @ $0.00 / _ $0.00
DocuSign Envelope ID:72FCB29C-9B00-4947-BBBO-1BDBA765B810
MUTERF]
CONSTRUCTION
General Contractor bi Break Down
Labor Description Time Unit Cost Unit Total
Superintendent 16 /hrs @ $31.25 /hr = $500.00
(1) Helper 8.00 /hrs @ $31.25 /hr = $250.00
Project Manager /hrs @ $0.00 /hr $0.00
Electrician (Connect Unit) /hrs @ $0.00 /hr = $0.00
Electrician (Helper) /hrs @ $0.00 /hr $0.00
Carpenter /hrs @ $0.00 /hr = $0.00
Concrete Finisher /hrs @ $0.00 /hr = $0.00
Concrete Finisher /hrs @ $0.00 /hr = $0.00
Concrete Finisher /hrs @ $0.00 /hr = $0.00
Brick Mason /hrs @ $0.00 /hr = $0.00
Brick Mason /hrs @ $0.00 /hr = $0.00
Brick Mason /hrs @ $0.00 /hr = $0.00
Painter /hrs @ $0.00 /hr = $0.00
Painter /hrs @ $0.00 /hr = $0.00
Painter /hrs @ $0.00 /hr = $0.00
Laborer /hrs @ $0.00 /hr = $0.00
Laborer /hrs @ $0.00 /hr
Laborer /hrs @ $0.00 /hr = $0.00
Laborer /hrs @ $0.00 /hr = $0.00
Laborer /hrs @ $0.00 /hr = $0.00
Laborer /hrs @ $0.00 /hr = $0.00
Laborer /hrs @ $0.00 /hr = $0.00
Laborer /hrs @ $0.00 /hr = $0.00
Laborer /hrs @ $0.00 /hr = $0.00
Laborer /hrs @ $0.00 /hr = $0.00
Laborer /hrs @ $0.00 /hr = $0.00
Laborer /hrs @ $0.00 /hr = $0.00
Laborer /hrs @ $0.00 /hr = $0.00
Laborer /hrs @ $0.00 /hr = $0.00
Laborer /hrs @ $0.00 /hr = $0.00
La orer Tr-sl @ r 1=
Total Labor $750.00
HoursTotal
Cost/HourAverage
DocuSign Envelope ID:72FCB29C-9B00-4947-BBBO-1 BDBA765B810
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DocuSign Envelope ID:72FCB29C-9B00-4947-BBBO-1BDBA765B810
MUTERM
CONSTRUCTION
Subcontractors
Subcontractor Description$1 174.55 Total
Electrisafe Connect Track($5,327.20 -44-, A} $4,152.65
Data and power in alcove $220.00
(2) Receptacles in Nurse Training $240.00
$4,612.65
DocuSign Envelope ID:72FCB29C-9B00-4947-BBBO-1BDBA765B810
ELE"RIIXI
1117-108 Corporation Parkway
Raleigh NC 27610
919-605-0037
Change Order
Job Name : Orange County DSS
CO# : 006
Date : 02/01/2021
We propose to provide labor and material necessary for alterations to the
existing plans as follows.
• Changes to Connectrac system as discussed at 12/18/2020 meeting.
• Changes to Connectrac system per 1/12/2021 virtual meeting and follow up
email.
• Total CO amount = attached quote + tax + 10%.
All work to be done in a workmanlike manner per standard codes and
practices. Labor and material to be warranted for a period of (1) year.
We propose to furnish labor and material to complete the above specification for
a sum total of $5327 .20
ACCEPTANCE OF Change Order:
The above prices, conditions, and specifications are satisfactory. You are
authorized to do the work as specified.
Signature: Date:
DocuSign Envelope ID:72FCB29C-9B00-4947-BBBO-1BDBA765B810
ELE"RIIXI
1117-108 Corporation Parkway
Raleigh NC 27610
919-605-0037
Change Order
Job Name : Orange County DSS
CO# : 007
Date : 01/16/2021
We propose to provide labor and material necessary for alterations to the
existing plans as follows.
• Add data and receptacle to alcove.
All work to be done in a workmanlike manner per standard codes and
practices. Labor and material to be warranted for a period of (1) year.
We propose to furnish labor and material to complete the above specification for
a sum total of $220 . 00
ACCEPTANCE OF Change Order:
The above prices, conditions, and specifications are satisfactory. You are
authorized to do the work as specified.
Signature: Date:
DocuSign Envelope ID:72FCB29C-9B00-4947-BBBO-1BDBA765B810
ELE"RIIXI
1117-108 Corporation Parkway
Raleigh NC 27610
919-605-0037
Change Order
Job Name : Orange County DSS
CO# : 008
Date : 02/04/2021
We propose to provide labor and material necessary for alterations to the
existing plans as follows.
• Add two receptacles in nurses station.
All work to be done in a workmanlike manner per standard codes and
practices. Labor and material to be warranted for a period of (1) year.
We propose to furnish labor and material to complete the above specification for
a sum total of $240 . 00
ACCEPTANCE OF Change Order:
The above prices, conditions, and specifications are satisfactory. You are
authorized to do the work as specified.
Signature: Date:
DocuSign Envelope ID:72FCB29C-9B00-4947-BBBO-1BDBA765B810
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DocuSign Envelope ID:72FCB29C-9B00-4947-BBBO-1BDBA765B810
DATE(MM/DD/YYYY)
A�" CERTIFICATE OF LIABILITY INSURANCE
72/26/2021
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:
Marsh &McLennan Agency LLC PHONE Fax
5605 Carnegie Blvd Suite 300 AIC No Ext: 704-365-6213 A/C No),
Charlotte NC 28209 ADDRESS: certificates@MarshMMA.com
INSURER(S)AFFORDING COVERAGE NAIC#
INSURERA:Valley Fore Insurance Company 20508
INSURED MUTERCONST1 INSURERB:Continental Insurance Company 35289
Muter Construction, LLC
111 E.Vance St. INSURERC: Evanston Insurance Company 35378
Zebulon NC 27597 INSURER D:Travelers Cas&Surety Co of America 31194
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:1678364694 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
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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 INSD WVD POLICY NUMBER MM/DD/YYYY MM/DDIYYYY
A X COMMERCIAL GENERAL LIABILITY Y Y 7012030295 1/8/2021 1/8/2022 EACH OCCURRENCE $1,000,000
TED
CLAIMS-MADE � OCCUR PREMISES(Ea o DAMAGE TO ccurrence) $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 jE LOC PRODUCTS-COMP/OP AGG $2,000,000
OTHER: $
A AUTOMOBILE LIABILITY Y Y 7012030300 1/8/2021 1/8/2022 COMBINED SINGLE LIMIT $1,000,000
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
L $
B X UMBRELLA LIAB OCCUR Y 7012030328 1/8/2021 1/8/2022 EACH OCCURRENCE $10,000,000
EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000
DED X RETENTION$In nnn $
A WORKERS COMPENSATION Y 7012030314 1/8/2021 1/8/2022 X PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER
ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ 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
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
A Inland Marine 7012030295 1/8/2021 1/8/2022 Leased/Rented Eqp. 350,000
C Pollution/Professional MMAENVO02225 1/1/2021 1/1/2023 Each Condition/Act 2,000,000
D Crime 107378932 1/8/2021 1/8/2022 Limit 500,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
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
P O Box 8181 AUTHORIZED REPRESENTATIVE
Hillsborough NC 27278
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