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HomeMy WebLinkAbout2020-393-E AMS-Pickard Roofing contract extensionRevised 11/19 ORANGE COUNTY CHANGE ORDER REQUEST NORTH CAROLINA ______________________________________________________________________________________________________________ Date: June 2, 2020 Project: Norwood Jones Law Office Roof Replacement (PO: 2000985) Change Order No. 1 Department: AMS Department Address: 300 W. Tryon St, Hillsborough Project: Norwood Jones Law Office Roof Replacement Contractor: Pickard Roofing (Vendor # 63750) Contractor Address: 823 East Trinity Ave., Durham, NC 27702 Effective date of original contract: January 8, 2020 This change order increases decreases the contract time by 57 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: August 25, 2020 _______________________________________________________________________________________________________________ Full Description of Change: This change order is to change the contract end date from June 30, 2020 to August 25, 2020 Reason for Change: The manufacturer shorted the order of cedar shakes by 20 bundles. This extension is only to allow time for the manufacturer to make and ship the additional 20 bundles. _______________________________________________________________________________________________________________ Original contract sum: $ 36,161.00 Contract sum prior to this change order: $ 36,161.00 Amount of this change order: $ 0.00 Total sum of the contract including this change order: $ 36,161.00 _______________________________________________________________________________________________________________ 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 8th day of June, 2020. _______________________________ _____________________________ _____________________________ Contractor Owner Architect (when retained) By:____________________________ By:___________________________ By:___________________________ DocuSign Envelope ID: 3B87F10C-6ED4-42E7-9B4C-3A90EA293EB8 6/5/2020 Estimator County Manager 6/7/2020 Revised 11/19 DocuSign Envelope ID: 3B87F10C-6ED4-42E7-9B4C-3A90EA293EB8 Revised 11/19 ORANGE COUNTY—DEPARTMENT USE ONLY _____________________________________________________________________________________________________ Party/Vendor Name: 63750Pickard Roofing, Inc. Party/Vendor Contact Person: Frank Meunier Contact Phone: 919-682-5702 Party/Vendor Address: 823 East Trinity Ave City Durham State: NC Zip: 27702 Department: AMS Amount: 0.00 (No cost change, contract extension only) Purpose: Extend the existing contract substanstial completion date due to shorted shippment of cedar shakes by manufacturer. Budget Code(s): N/A Vendor # 63750 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 1/8/2020 Approved by Board Yes No Agenda Date: This agreement is approved as to technical form and content and I as Department Director affi rmatively state work on this project has not been initiated prior to execution of the agreement: Department Director’s Signature ________________________________________ Date: ________ 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: No work started prior to contract being signed. Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: Office of the Risk Management Officer___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ 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:_________ DocuSign Envelope ID: 3B87F10C-6ED4-42E7-9B4C-3A90EA293EB8 6/5/2020 6/5/2020 6/5/2020 6/6/2020 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 1/6/2020 (803) 732-8323 3523 14990 Pickard Roofing Company, Inc. 823 E Trinity Ave Durham, NC 27704 20006 A 1,000,000 CL90743274 1/1/2020 1/1/2021 100,000 5,000 1,000,000 2,000,000 2,000,000 1,000,000A AU90743274 1/1/2020 1/1/2021 5,000,000A UL90743274 1/1/2020 1/1/2021 10,000 5,000,000 B CRS0000057 1/1/2020 1/1/2021 1,000,000 N 1,000,000 1,000,000 A Equipment Floater CL90743274 1/1/2020 Leased & Rented 100,000 Orange County 131 W. Margaret Lane Hillsborough, NC 27278 PICKROO-01 XDGFSTUART AssuredPartners of SC, LLC - Columbia PO Box 21627 Columbia, SC 29221-1627 Jennifer Coffee jennifer.coffee@assuredpartners.com Pennsylvania National Mutual Casualty Insurance Co Carolinas Roofing & Sheet Metal Contractors SIF Aggregate X 1/1/2021 X X X X X X X DocuSign Envelope ID: 3B87F10C-6ED4-42E7-9B4C-3A90EA293EB8