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HomeMy WebLinkAbout2023-095-E-AMS-IronEarth Construction-Relocate existing 2 water line per proposalRevised 06/21 ORANGE COUNTY CHANGE ORDER REQUEST NORTH CAROLINA ______________________________________________________________________________________________________________ Date: February 16, 2023 Project: Whitted Fire Hydrant Relocation Change Order No. 01 Department: AMS Department Address: 306 Revere Road, Hillsborough, NC 27278 Project: Whitted Fire Hydrant Relocation Contractor: IronEarth Construction, Inc. Contractor Address: 266 Smith Road, Smithfield, NC 27577 Effective date of original contract: 12/15/2022 This change order increases decreases the contract time by 90 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: March 31, 2023 _______________________________________________________________________________________________________________ Full Description of Change: This change order is to include additional requirements per the Town of Hillsborough. This includes relocating/extending the 2" water service, abandoning existing 2" water service and including 6" valve inserts. Reason for Change: This is a requirement per the Town of Hillsborough due to the condition of the existing system and current water feed and hydrant location. _______________________________________________________________________________________________________________ Original contract sum: $ 50,897.00 Contract sum prior to this change order: $ 50,897.00 Amount of this change order: $ 32,031.47 Total sum of the contract including this change order: $ 82,928.47 _______________________________________________________________________________________________________________ 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 16th day of February, 2023. _______________________________ _____________________________ _____________________________ Contractor Owner Architect (when retained) By:____________________________ By:___________________________ By:___________________________ DocuSign Envelope ID: C1607F5B-791D-4FF3-8347-8FAF37E640F6 2/19/2023 President 2/22/2023 Principal 2/23/2023 County Manager Revised 06/21 DocuSign Envelope ID: C1607F5B-791D-4FF3-8347-8FAF37E640F6 Revised 06/21 ORANGE COUNTY—DEPARTMENT USE ONLY _____________________________________________________________________________________________________ Party/Vendor Name: IronEarth Construction, Inc Party/Vendor Contact Person: Stephen Carroll(scarroll@ironearthcon.com) Contact Phone: 919.428.8368 Party/Vendor Address: 266 Smith Road City Smithfield State: NC Zip: 27577 Department: AMS Amount: Increase existing contract by $32,031.47 for a contract total of $82,928.47. Purpose: Relocate Existing 2" water line per proposal Budget Code(s): 61370035-880000-30001 Vendor # 67885 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 2/16/2023 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: C1607F5B-791D-4FF3-8347-8FAF37E640F6 2/22/2023 2/23/2023 2/23/2023 Attn:Angel Barnes Orange County 266 Smith Road Smithfield, NC 27577 Project Name: Whitted Complex ADA Improvements - Hydrant Change Order Date: 2/8/2023 Change Order: 1 Item Qty.Unit Unit Rate Total Water Relocate/Extend 2" Water Service 1 EA ($5,154.31) ($5,154.31) Abandon Existing 2" Water Service 1 EA ($712.16) ($712.16) 6" Valve Inserts 2 EA ($10,770.00) ($21,540.00) Water Total ($27,406.47) Misc. Demo/Replace Concrete Sidewalk 50 SF ($92.50) ($4,625.00) Misc. Total ($4,625.00) Project Total ($32,031.47) Notes and Clarifications: •Relocation of any dry utilities in conflict of drawings is excluded. •Relocating/extending 2" service includes 6"x2" tap sleeve and valve, 2" corp stop, 2" type k copper and 2" valve key •Permits, fees, and bonds are excluded outside of the road closure permit fee. PAYMENT TERMS Payment terms are Net 30 unless otherwise specified. A discount will be applied if shorter payment terms are agreed upon. If payment is not received within 30 days, a late fee of 1.5% will be applied to the invoice. Customer Contractor Acceptance:Acceptance: Title:Title: DocuSign Envelope ID: C1607F5B-791D-4FF3-8347-8FAF37E640F6 Date:Date: DocuSign Envelope ID: C1607F5B-791D-4FF3-8347-8FAF37E640F6 DocuSign Envelope ID: C1607F5B-791D-4FF3-8347-8FAF37E640F6 1 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our ri ght against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work und er a written contract that requires you to obtain this agreement from us. This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. Schedule “Organizations for which the Named Insured has agreed to by written con tract executed prior to the loss to furnish waiver” ©1984 National Council on Compensation Insurance, Inc. ERIE INSURANCE WORKERS COMPENSATION AND EMPLOYERS LIABILITY WC 00 03 13 (Ed. 1/86) UF-8641 DocuSign Envelope ID: C1607F5B-791D-4FF3-8347-8FAF37E640F6 Orange County Attn: Risk Management All locations and projects PO Box 8181 Hillsborough, NC 27278 DocuSign Envelope ID: C1607F5B-791D-4FF3-8347-8FAF37E640F6 DocuSign Envelope ID: C1607F5B-791D-4FF3-8347-8FAF37E640F6 DocuSign Envelope ID: C1607F5B-791D-4FF3-8347-8FAF37E640F6 1 POLICY NUMBER: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED – LESSOR OF LEASED EQUIPMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). However: 1. The insurance afforded to such additional insured o nly applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence" which takes place after the equipment lease expires. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. © Insurance Services Office, Inc., 2012 ERIE INSURANCE COMMERCIAL GENERAL LIABILITY CG 20 28 (Ed. 4/13) UF-9703 DocuSign Envelope ID: C1607F5B-791D-4FF3-8347-8FAF37E640F6 DocuSign Envelope ID: C1607F5B-791D-4FF3-8347-8FAF37E640F6