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2022-015-E-AMS-Stickland Waterproofing Company-ENO River Parking Deck - Additional Repairs to deck
Revised 06/21 ORANGE COUNTY CHANGE ORDER REQUEST NORTH CAROLINA ______________________________________________________________________________________________________________ Date: 1/7/2022 Project: Parking Lot Repairs Change Order No. 01 Department: AMS Department Address: 300 West Tryon Street, Hillsborough NC 27278 Project: Parking Lot Repairs, ENO River Parking Deck 30029 Contractor: Strickland Waterproofing Company, Inc. Contractor Address: 500 N. Hoskins Road, Charlotte, NC 28216 Effective date of original contract: 9/16/2021 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: April 30, 2022 _______________________________________________________________________________________________________________ Full Description of Change: Eno River Parking Deck Repairs - Replace/Repair the following: Double-T Shear clip welding repairs (8 Broken), replace additional construction joints, sealant of joints in stairwells, deck perimeter joint sealant, seal column and wall panel joints, grout pocket patches, repair column edge spalls. Reason for Change: These repairs were additional items found during the original parking deck repairs. These repairs are need in order to maintain the life of the parking deck. _______________________________________________________________________________________________________________ Original contract sum: $ 129,461.00 Contract sum prior to this change order: $ 129,461.00 Amount of this change order: $ 93,998.00 Total sum of the contract including this change order: $ 223,459.00 _______________________________________________________________________________________________________________ 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. Approved and executed this day of , 20 . _______________________________ _____________________________ _____________________________ Contractor Owner Architect (when retained) By:____________________________ By:___________________________ By:___________________________ DocuSign Envelope ID: EB46448D-9558-4CD0-81EA-DA7DDEFB9C51 Project Manager 1/10/2022 1/11/2022 111111 County Manager Revised 06/21 DocuSign Envelope ID: EB46448D-9558-4CD0-81EA-DA7DDEFB9C51 Revised 06/21 ORANGE COUNTY—DEPARTMENT USE ONLY _____________________________________________________________________________________________________ Party/Vendor Name: Stickland Waterproofing Company, Inc Party/Vendor Contact Person: Chris Orton (corton@stricklandwaterproofing.com) Contact Phone: 704.347.1345 Party/Vendor Address: 500 N. Hoskins Road City Charlotte State: NC Zip: 28216 Department: AMS Amount: $93,998 Add to existing contract Purpose: ENO River Parking Deck - Additional Repairs to deck Budget Code(s): 61370035-880000-30029 Vendor # 66543 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 1/7/2022 Approved by Board Yes No Agenda Date: --- For Section XIV. c. contracts only, Approved by Board in Current FY Budget Yes No 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: 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: N/A 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 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:_________ DocuSign Envelope ID: EB46448D-9558-4CD0-81EA-DA7DDEFB9C51 1/10/2022 1/10/2022 1/10/2022 1/10/2022 CAULKING & SEALANTS BELOW & ABOVE GRADE WATERPROOFING MASONRY & PRECAST SEALERS BUILDING CLEANING ROOF REPAIR SPECIAL COATINGS & PAINTING HISTORICAL RESTORATIONS STRICKLAND WATERPROOFING CO., INC. Strickland Waterproofing Co., Inc. 500 N. Hoskins Rd – Charlotte, NC 28216 Phone: (704) 347-1345 Fax: (704) 347-1347 Attention: Angel Barnes Date: 12/01/2021 Project: ENO River Parking Deck Strickland Waterproofing Company, Inc. is pleased to submit the following Proposal for the above-referenced project. We hereby propose to furnish all necessary labor (excluding over time scheduling and applicable sales tax), material, equipment, tools, transportation, supervision, insurance, and overhead to perform the following scope of work: END OF SCOPE Thank you in advance for allowing SWI the opportunity to submit a Proposal to your company. Should you have any questions or comments, please do not hesitate to contact me. Proposal Submitted By: Chris Orton / 919-710-6926 / corton@stricklandwaterproofing.com Scope Scope Description UOM Quantity Unit Cost Quantity Used Remaining Value Base ENO River Parking Deck Repairs - Unit Price Items 2A Construction Joint Repair LF 5500 6.40 5500 0.00 3A Concrete Patch - Horizontal or Vertical SF 340 63.50 270 4445.00 3B Concrete Patch - Overhead Edge of Beam or Deck SF 20 70.40 20 0.00 3C Vertical Patch - Edge of Guardrail Curb LF 50 63.50 55 -317.50 3D Deck Crack Repair - Epoxy Crack Fill LF 345 42.80 300 1926.00 6B Clean/Unclog Deck Drain (All Drain Locations)LS 15 172.80 15 0.00 Base Bid Total 0.00 M-2 Additional Construction Joint Repair LF 3900 6.40$ 3900 0.00 M-3 Deck Perimeter Joint Sealant LF 410 8.50$ 410 0.00 M-4 Seal Column and Wall Panel Joints LF 710 8.50$ 710 0.00 Total Remaining Value 6,053.50$ Scope Scope Description UOM Quantity Unit Cost Total Bid Base ENO River Parking Deck Repairs - Additional Repairs Double-T Shear Clip Welding Repairs - 8 broken Shear Clips EA 8 215.00$ 1,720.00$ 2A Construction Joint LF 3540 6.40$ 22,656.00$ 2A Sealant Joints in Stairwells LF 1251 6.40$ 8,006.40$ M-3 Deck Perimeter Joint Sealant LF 4794 8.50$ 40,749.00$ M-4 Seal Column and Wall Panel Joints LF 620 8.50$ 5,270.00$ 3A Grout Pocket Patches SF 270 63.50$ 17,145.00$ 3C Column Edge Spalls LF/SF 70 63.50$ 4,445.00$ Total Additional Value 99,991.40$ DocuSign Envelope ID: EB46448D-9558-4CD0-81EA-DA7DDEFB9C51 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 9/7/2021 (704) 332-8871 10725 Strickland Waterproofing Co. 500 North Hoskins Road Charlotte, NC 28216 13868 12537 10844 19682 A 1,000,000 X 100026399205 7/1/2021 7/1/2022 50,000 XCU, Contractual 0 Indp. Contractor 1,000,000 2,000,000 2,000,000 1,000,000B PCA0027656 7/1/2021 7/1/2022 Comp. Ded. $1000 Collision Ded. $1000 5,000,000C BTN2127656 7/1/2021 7/1/2022 5,000,000 0 D WCP1072764 7/1/2021 7/1/2022 1,000,000 N 1,000,000 1,000,000 E Leased/Rented 22MSNN9154 10/1/2021 Limit 250,000 Orange County is hereby an Additional Insured with regards to the General Liability per written contract. Orange County Asset Management Services 300 West Tryon Street Bldg B 3rd Floor Office 10 Hillsborough, NC 27278 STRIWAT-01 JCLARK Lowry Insurance PO Box 30517 Charlotte, NC 28230 Info@lowryassoc.com Liberty Surplus Insurance Corporation Builders Premier Insurance United Specialty Insurance Co. Builders Mutual Ins Co Hartford Fire Insurance Co. X 10/1/2022 X X X X X X X X X X X X X DocuSign Envelope ID: EB46448D-9558-4CD0-81EA-DA7DDEFB9C51