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Home My WebLink About2023-210-E-AMS-C.T. Wilson Construction Co-Add automated actuator to transaction window projectRevised 04/23 ORANGE COUNTY CHANGE ORDER REQUEST NORTH CAROLINA ______________________________________________________________________________________________________________ Date: 5/2/2023 Project: Whitted HD Transaction Window Change Order No. 04 Department: AMS Department Address: 306 Revere Road, Hillsborough NC 27278 Project: Whitted Health Department 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 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: This change request is to add the automated interior lobby door actuator to the Transaction Window Project. Reason for Change: This work is being added to the transaction window project and removed from the Lobby Waiting Room project. This change is necessary for timing and closing out of the prior project. _______________________________________________________________________________________________________________ Original contract sum: $ 35,138.00 Contract sum prior to this change order: $ 39,639.00 Amount of this change order: $ 7,525.39 Total sum of the contract including this change order: $ 47,164.39 _______________________________________________________________________________________________________________ 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 5th day of May, 2023. _______________________________ _____________________________ _____________________________ Contractor Owner Architect (when retained) By:____________________________ By:___________________________ By:___________________________ DocuSign Envelope ID: BA7D5E6B-6AD2-4B99-AC39-C64515E32EB0 5/8/2023 President 5/10/2023 County Manager Revised 04/23 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: C.T. Wilson Construction Co. Inc Vendor Contact Person: Patrick Cummings (patrick.cummings@ctwilson.com) Phone: 919.383.2535 Address: 150 Golden Drive, Suite 200 City Durham State: NC Zip: 27703 Department: AMS/HD Amount: $7,525.39 Purpose: Add Automated Actuator to Transaction Window Project Budget Code(s): 61370035-892000-30012 Vendor # 64422 Vendor Status with NCSOS: Active Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: 6/10/2022) (Most Recent Amendment 2/17/2023) Effective Date 5/5/2023 End Date 6/28/2023 Notice Date (Notice Purpose ) Award Approved by Board (Agenda Date: ); Made or Administered by AMS Signature Authority - BOCC Express Delegation (Agenda Date: ) - Policy 9.4: Under $5,000; Service Under $90,000; Construction Under $250,000 - Budget Policy Section XV (Capital Improvement Project: 30012) Bidding Informal Bidding ($30k-$90k); Formal RFP ($90k+); Other (<$30k); Exception(# ) Department Affirmation 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. Services related to this agreement have already begun or been completed. Description of the nature of the emergency condition that was addressed: Department Director’s Signature ________________________________________ Date: ________ Information Technologies This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer___________________________________ Date: ________ Inapplicable because no hardware/software purchases or related services 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 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: Received for record retention: Office of the Clerk to the Board __________________________________________Date:_________ DocuSign Envelope ID: BA7D5E6B-6AD2-4B99-AC39-C64515E32EB0 5/8/2023 5/9/2023 5/10/2023 5/10/2023 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 Potential Change Order #004: Automatic Door Actuator TO: Orange County P.O. Box 8181 Hillsborough, North Carolina 27278 FROM: C.T. Wilson Construction Co 150 Golden Dr. Suite 200 Durham, North Carolina 27705 PCO NUMBER/REVISION: 004 / 0 CONTRACT:1 - Orange County Health Window Install REQUEST RECEIVED FROM: CREATED BY: Kimberly Daniels (C.T. Wilson Construction Co.,) STATUS: Pending - Proceeding CREATED DATE: 4/17/2023 REFERENCE: PRIME CONTRACT CHANGE ORDER: None FIELD CHANGE: No LOCATION: ACCOUNTING METHOD: Amount Based SCHEDULE IMPACT: PAID IN FULL: No EXECUTED:No SIGNED CHANGE ORDER RECEIVED DATE: TOTAL AMOUNT: $7,525.39 POTENTIAL CHANGE ORDER TITLE: Automatic Door Actuator CHANGE REASON: Client Request POTENTIAL CHANGE ORDER DESCRIPTION: (The Contract Is Changed As Follows) CE #005 - Automatic Door Actuator Provide a 120V-20A circuit to the automatic door actuator and install a conduit from the door actuator to the roll up door surface mount automatic door actuator. ATTACHMENTS: 20230414073612.pdf , Orange County Health Department_041723.pdf #Budget Code Description Amount 1 26-0010.SUB Electrical - General.Subcontract Power and Conduit for Door Actuator $1,845.00 2 08-4100.SUB Entrances & Storefronts.Subcontract Automatic Door Actuator $5,305.00 Subtotal:$7,150.00 Labor Burden (42.00% Applies to Overtime hours and Regular Hours.):$0.00 AGC (0.10% Applies to Overtime hours, Other, Equipment Cost, Material, Regular Hours, Overhead, and Subcontract.):$7.15 Builders Risk Insurance (0.15% Applies to Overtime hours, Equipment Cost, Material, Regular Hours, Subcontract, Other, and Overhead.):$10.74 O&P on Subs (5.00% Applies to Subcontract.):$357.50 Grand Total:$7,525.39 Orange County C.T. Wilson Construction Co P.O. Box 8181 150 Golden Dr. Suite 200 Hillsborough, North Carolina 27278 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: 4/18/2023 01:20 PM PCO #004 DocuSign Envelope ID: BA7D5E6B-6AD2-4B99-AC39-C64515E32EB0 DocuSign Envelope ID: BA7D5E6B-6AD2-4B99-AC39-C64515E32EB0 Advanced Door Automation PO Box 61678 Durham, NC 27715 www.advanceddoornc.com Contact:Joshua Bacon Phone:919-724-5226 Email:jbacon@advanceddoornc.com PO Box 61678 | Durham, NC 27715 | 919-384-0232 | www.advanceddoornc.com This proposal is valid till Sunday, May 14, 2023 Quote: DQ026815-1 | Printed: 4/17/2023 9:25 AM Job:Prepared For: Orange County Health Dept AO CT Wilson 150 Golden Drive Suite 200 Durham, NC 27702 Item Qty 1 Swing Operator, S4000 Heavy Duty, Surface Mount Swing 1 Header/Operator: S4000 Heavy Duty, C2908/09 (S/L 6" x 6") Header Hand/Size/Type: LHR-RHR, Frame Opening (IN):75", Surface Mount, One Way Traffic, Outswing Arm C4252/C5254 Finish: 304AE Dark Bronze 2 C07220.0001 1 Description:Slide or Swing Strike Interface Module Details:Slide or Swing Strike Interface Module Assembly-Provides Time Delay for Magnetic Locks 3 10PBS1 1 Description:PUSH PLATE,BEA,4.75" SQ, H/C LOGO,PTO TEXT-10PBS1 4 10BOX45SQSM 1 Description:BOX,SURFACE MOUNT,SQUARE,4.5" ;BEA;10BOX45SQSM Exclusions: • 120 VAC 60 Hz 20 Amp electrical service routed into operator housing. • Wall box, conduit and 18/4 low voltage wire from each wall switch routed into operator housing. • Electric locking, access control and alarm wiring if applicable routed into operator housing. • Interlock system and all associated wiring. • Doors, frames and all other hardware not listed above. Notes: • Work to be performed during normal business hours Monday through Friday 7:30 AM to 5:00 PM. Cost Breakdown: Material $ 3,775 Labor $ 1,330 Total (USD):$5,305.00 DocuSign Envelope ID: BA7D5E6B-6AD2-4B99-AC39-C64515E32EB0 Swing Operator, S4000 Heavy Duty, Surface Mount Swing 75 78 Job Name: Orange County Health Dept AO Quote: DQ026815-1 Line: 1 Prepared By: Advanced Door Automation Contact: Joshua Bacon Phone: 919-724-5226 Label: Drawing Date: 4/17/2023 DocuSign Envelope ID: BA7D5E6B-6AD2-4B99-AC39-C64515E32EB0 ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? INSR ADDL SUBRLTR INSD 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 9/29/2022 (919) 469-2473 (919) 467-4987 28665 CT Wilson Construction Co, Inc Attn: Charles Wilson III 150 Golden Drive, Suite 200 Durham, NC 27705 10677 12572 19489 A 1,000,000 X EPP 0149137 7/1/2022 7/1/2023 500,000 10,000 1,000,000 3,000,000 3,000,000 1,000,000A X EPP 0149137 7/1/2022 7/1/2023 15,000,000A EPP 0149137 7/1/2022 7/1/2023 15,000,000 0 B X EWC 0394380 7/1/2022 7/1/2023 1,000,000N1,000,000 1,000,000 C Rented/Leased Equip. S 2128637 7/1/2022 Limit 100,000 D Prof/Pollution 0310-8347 7/1/2022 7/1/2023 Limit 1,000,000 Operations of the Named Insured covered by the above referenced policies. C Builders Risk (Quarterly Reporting) Policy No. S2128637 7/1/2022 to 7/1/2023 Limit $10,000,000 Re: Orange Co. Health - 221-709. Orange County, its officers, official agents, and employees as an additional insured on the General Liability and Automobile Liability if required by written contract. A waiver of subrogation applies in favor of Orange County, its officers, official agents, and employees for the Worker Compensation policy if required by written contract. Umbrella follows form. A 30 day notice of cancellation applies. Orange County P O Box 8181 Hillsborough, NC 27278 CTWILSO-01 LHAMLET Alera Group4325 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 7/1/2023 X X X X X X X X X DocuSign Envelope ID: BA7D5E6B-6AD2-4B99-AC39-C64515E32EB0