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HomeMy WebLinkAbout2022-236-E-AMS-C.T. Wilson Construction-Whitted Transaction Window Completion Date Extension OnlyRevised 06/21 ORANGE COUNTY CHANGE ORDER REQUEST NORTH CAROLINA ______________________________________________________________________________________________________________ Date: 6/22/2022 Project: Whitted Health Department Transaction Window Change Order No. 01 Department: AMS/OCHD Department Address: 300 W. Tryon Street, Hillsborough NC 27278 Project: Whitted HD Transaction Window Contractor: C.T. Wilson Construction Co. Inc Contractor Address: 150 Golden Drive, Suite 200, Durham NC 27703 Effective date of original contract: 06/10/2022 This change order increases decreases the contract time by 28 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: September 27, 2022 _______________________________________________________________________________________________________________ Full Description of Change: No Cost Change Order to extend the contractual finish date by Twenty Eight (28) Calendar Days from August 30, 2022 to September 27, 2022 Reason for Change: Due to the current lead times and economic conditions this change request is to extend the contract completion date at no additional cost. _______________________________________________________________________________________________________________ Original contract sum: $ 35,138.00 Contract sum prior to this change order: $ 35,138.00 Amount of this change order: $ 0.00 Total sum of the contract including this change order: $ 35,138.00 _______________________________________________________________________________________________________________ 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 24th day of June, 2022. _______________________________ _____________________________ _____________________________ Contractor Owner Architect (when retained) By:____________________________ By:___________________________ By:___________________________ DocuSign Envelope ID: 3F5CB03E-6FBA-4122-9B4E-8F7F913E94A0 6/23/2022 Project Manager 6/25/2022 County Manager Revised 06/21 DocuSign Envelope ID: 3F5CB03E-6FBA-4122-9B4E-8F7F913E94A0 Revised 06/21 ORANGE COUNTY—DEPARTMENT USE ONLY _____________________________________________________________________________________________________ Party/Vendor Name: C.T. Wilson Construction Co. Inc Party/Vendor Contact Person: James Taylor (james.taylor@ctwilson.com) Contact Phone: 919.383.2535 Party/Vendor Address: 150 Golden Drive, Suite 200 City Durham State: NC Zip: 27703 Department: AMS/HD Amount: 0.00 Purpose: Whitted Transaction Window Completion Date Extension Only Budget Code(s): 61370035-892000-30012 Vendor # 64422 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 6/24/2022 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: 3F5CB03E-6FBA-4122-9B4E-8F7F913E94A0 6/23/2022 6/24/2022 6/24/2022 6/25/2022 C.T. Wilson Construction 150 Golden Drive Suite 200 Durham, North Carolina 27705 Phone: +1 (919) 383-2535  Project: 221-709 - Orange Co Health Window Inst 300 W Tryon St Hillsborough, North Carolina  Prime Contract Change Order #001: 28-Day Time Extension TO:  FROM:C.T. Wilson Construction Co 150 Golden Dr. Suite 200 Durham, North Carolina 27705 DATE CREATED:6/22/2022 CREATED BY:Jake Hoggard (C.T. Wilson Construction Co.,) CONTRACT STATUS:Pending - In Review REVISION:0 DESIGNATED REVIEWER:  REVIEWED BY:   DUE DATE: REVIEW DATE:  INVOICED DATE: PAID DATE:  SCHEDULE IMPACT:28 days EXECUTED:No   SIGNED CHANGE ORDER RECEIVED DATE: CONTRACT FOR:1:Orange County Health Window Install TOTAL AMOUNT:$0.00 DESCRIPTION: 28-Day Time Extension   No Cost Change Order to extend the contractual finish date by Twenty Eight (28) Calendar Days from August 30, 2022 to September 27, 2022 ATTACHMENTS:   POTENTIAL CHANGE ORDERS IN THIS CHANGE ORDER: PCO #Title Schedule Impact Amount 001 28-Day Time Extension 28 days $0.00 Total: $0.00 CHANGE ORDER LINE ITEMS:   PCO # 001: 28-Day Time Extension #Budget Code Description Amount 1 01-3180.OTH Job Site Administration.Other 28 Day Time Extension $0.00 Grand Total:$0.00 The original (Contract Sum)$0.00 Net change by previously authorized Change Orders $0.00 The contract sum prior to this Change Order was $0.00 The contract sum would be changed by this Change Order in the amount of $0.00 The new contract sum including this Change Order will be $0.00 The contract time will be increased by this Change Order by 28 days.     C.T. Wilson Construction Co   150 Golden Dr. Suite 200       Durham, North Carolina 27705             ProcoreArchitectSignHere ProcoreArchitectSignedDate  ProcoreOwnerSignHere ProcoreOwnerSignedDate  ProcoreGeneralContractorSignHere ProcoreGeneralContractorSignedDate SIGNATURE DATE  SIGNATURE DATE  SIGNATURE DATE C.T. Wilson Construction Page 1 of 1 Printed On: 6/22/2022  02:08 PM PCCO #001 DocuSign Envelope ID: 3F5CB03E-6FBA-4122-9B4E-8F7F913E94A0 ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? INSR ADDL SUBRLTRINSD WVD PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: 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 COMPENSATIONAND 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 7/22/2021 (919) 469-2473 (919) 467-4987 28665 CT Wilson Construction Co, Inc 150 Golden Drive, Suite 200 Durham, NC 27705 10677 12572 19489 A 1,000,000 X EPP 0149137 7/1/2021 7/1/2022 500,000 10,000 1,000,000 3,000,000 3,000,000 1,000,000A EPP 0149137 7/1/2021 7/1/2022 15,000,000A EPP 0149137 7/1/2021 7/1/2022 15,000,000 0 B EWC 0394380 7/1/2021 7/1/2022 1,000,000N1,000,000 1,000,000 C Rented/Leased Equip.S 2128637 7/1/2021 Limit 100,000 D Prof/Pollution 0310-8347R4 7/1/2021 7/1/2022 Limit 1,000,000 Operations of the Named Insured covered by the above referenced policies. C Builders Risk (Quarterly Reporting) Policy No. S2128637 7/1/2021 to 7/1/2022 Limit $10,000,000 Re: #1643 Orange County Facility Renovations Orange County is included as additional insured with respects to General Liability if required by written contract. Orange County Government 300 W. Tyron Street, Room 240 Hillsborough, NC 27278 CTWILSO-01 LHAMLET Trisure, an Alera Group Company4325 Lake Boone Trail, Suite 200Raleigh, NC 27607 Lori F. Hamlet lhamlet@trisure.com Cincinnati Casualty Co. Cincinnati Insurance Co. Selective Insurance Co. of America Allied World Assurance Company X 7/1/2022 X X X X X X X X X DocuSign Envelope ID: 3F5CB03E-6FBA-4122-9B4E-8F7F913E94A0