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Home My WebLink About2023-371-E-AMS-Triangle Landscaping-OCPT Sewer Line - CO 1 Reroute Sewer LineRevised 04/23 ORANGE COUNTY CHANGE ORDER REQUEST NORTH CAROLINA ______________________________________________________________________________________________________________ Date: 7/17/2023 Project: OCPT Sewer Connection Change Order No. 01 Department: AMS Department Address: 306 Revere Road, Hillsborough NC 27278 Project: OCPT Sewer Connection to City Sewer Contractor: Triangle Landscaping, Inc Contractor Address: PO Box 144, Stem NC 27581 Effective date of original contract: 10/10/2022 This change order increases decreases the contract time by 62 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 31, 2023 _______________________________________________________________________________________________________________ Full Description of Change: Change the location of the sewer line route to stay on the wooded side of the drive, due to existing utility depth. Reason for Change: The existing utilities caused the sewer line to be installed at a deeper depth and in order to obtain the correct (code) drop of the piping this added additional piping. There was also rock that had to be removed which included additional labor and equipment. _______________________________________________________________________________________________________________ Original contract sum: $ 73,426.00 Contract sum prior to this change order: $ 73,426.00 Amount of this change order: $ 20,334.95 Total sum of the contract including this change order: $ 93,760.95 _______________________________________________________________________________________________________________ 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 21st day of July, 2023. _______________________________ _____________________________ _____________________________ Contractor Owner Architect (when retained) By:____________________________ By:___________________________ By:___________________________ DocuSign Envelope ID: 2F081A33-3467-4397-9A69-88B9C75EB97F President 7/31/2023 8/4/2023 County Manager Revised 04/23 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: Triangle Landscaping, Inc Vendor Contact Person: Brad Lewis (trianglelandscapemgmt@gmail.com) Phone: 919.730.5267 Address: PO Box 144 City Stem State: NC Zip: 27581 Department: AMS Amount: $20,344.95 Purpose: OCPT Sewer Line - CO 1 Reroute Sewer Line Budget Code(s): 61370035-880000- 30002 Vendor # 62218 Vendor Status with NCSOS: Current - Active Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: 10/10/2023) (Most Recent Amendment ) Effective Date 7/21/2023 End Date 8/31/2023 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: 30002) 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 pro ject 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 rela ted 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: 2F081A33-3467-4397-9A69-88B9C75EB97F 8/1/2023 8/1/2023 8/4/2023 8/4/2023 Invoice Date 6/23/2023 Invoice # 125318 Bill To Orange County Asset Management Services 131 West Margaret Lane Hillsborough,NC 27278 Triangle Landscaping Inc. PO Box 144 Stem, NC 27581 P.O. No.Terms Project Phone # 919-730-5267 E-mail Trianglelandscapemgmt@gmail.com Total Balance Due Payments/Credits Description Qty Rate Amount Change Order for Sewer Line project to OC Transportation services Sewer line had to go under several utilities that caused us to be deeper at tie in location. Were not able to tie in at that location. Had to go down the hill and catch sewer line at a lower location, this was an extra 100'. We got into rock this caused us to rent an excavator with jack hammer attached. Took an extra four days to get through the rock. Excavator with Jack Hammer, Fuel, and Delivery 4,834.95 4,834.95 Labor for extra four days 6,400.00 6,400.00 Excavator and Operator for extra four days 4,800.00 4,800.00 Install extra 100' of pipe 2,800.00 2,800.00 Had to go across driveway for bus parking lot. This road crossing was 15 feet longer than where we were supposed to cross. Extra asphalt 1,500.00 1,500.00 $20,334.95 $20,334.95 $0.00 DocuSign Envelope ID: 2F081A33-3467-4397-9A69-88B9C75EB97F 6556606566576 5 8 6596616 6 2 6 6 3 664 662663655654656657658659655655 652 653 654 660656657658659661 6 6 5 6 6 1 6 6 1 6 6 2663 66466665 5 66 0 0+ 0 0 1+002+00 3 + 0 0 4+005+00 5+ 7 5 SS650 655 660 665 670 650 655 660 665 670 0+00657.2657.160+50657.5657.521+00658.9658.921+50660.9660.892+00661.3661.332+50660.8660.783+00660.9660.883+50661.2661.224+00663.1663.064+50664.9664.915+00665.6665.585+50666.3666.255+75.02666.3666.27Know what's below. before you dig.Call R 08-31-2020BYDATEREVISIONS132456PROJECT NO. SHEET NO.PROJECT ENGINEER/ARCHITECTPROJECT MANAGERDRAWN BY7DRAWING NAME:DS (DON.SEVER@SUMMITDE.NET)20-0014ORANGE CO. HILLSBOROUGH, NC, 27278135 E MARGARET LANESITE PLANCreatively Inspired - Technically ExecutedLicense #: P-0339320 Executive Ct.Hillsborough, NC 27278-8551Voice: (919) 732-3883 Fax: (919) 732-6676www.summitde.netFIRST ISSUE DATETRANSPORTATION BLDG20-0014_S C-1 SANITARY SEWERIMPROVEMENTS1 inch = ft. GRAPHIC SCALE ( IN FEET ) 60 ROADWAY PAVEMENT STA 0+05 ROADWAY PAVEMENT STA 0+29 ROADWAY PAVEMENT STA 3+40 ROADWAY PAVEMENT STA 3+62.5EXISTING GRADE CONNECT AT INV. 654.70' FIELD VERIFY CONNECT AT INV. 663.00' FIELD VERIFY 6" SANITARY SEWER LATERAL SANITARY SEWER LATERAL PROFILE ABANDON EXISTING SEPTIC TANK AS PER ORANGE COUNTY REQUIREMENTS (REFER TO SHEET C-2 FOR NOTES) ABANDON EXISTING PUMP STATION CLEANOUT #1CLEANOUT #2CLEANOUT #3CLEANOUT #4CLEANOUT #5CLEANOUT #6CLEANOUT #7CLEANOUT #8CLEANOUT #9CLEANOUT #10CLEANOUT #1 CLEANOUT #2 CLEANOUT #3 W/ (3) 22.5° BENDS CLEANOUT #4 W/ (2) 22.5° BENDS CLEANOUT #5 CLEANOUT #6 W/ (3) 22.5° BENDS CLEANOUT #7 W/ 22.5° BEND CLEANOUT #9 W/ (4) 22.5° BENDS CLEANOUT #8 W/ 11° BEND 32.58 LF @ 1% 61.51 LF @ 1% 54.95 LF @ 1% 62.49 LF @ 1% 63.89 LF @ 1% 38.84 LF @ 1% 49.58 LF @ 1% 75.76 LF @ 1. 5 0 % 73.00 LF @ 1. 5 0 % 62.37 LF @ 1% ASPHALT PARKING AREA ASPHALT PARKING AREA TRANSPORTATION ADMINISTRATIVE BUILDING - SINGLE STORY - FFE = 667.58' DROP INLET INV. IN 658.60 (15" RCP) INV. OUT 658.48 (18" RCP) EDGE OF ASPHALT ASPHALTDRIVEWAY A S P H A L T D R I V EW A Y CONCRETE TILE PATIO EDGE OF ASPHALT EX. CLEANOUT INV. 658.69' (4" PVC) EX. CLEANOUT INV. 656.79' (4" PVC) EX. CLEANOUT INV. 654.40' (4" PVC) EX. CLEANOUT INV. 653.21' (4" PVC) PIPE DISCHARGING INTO DITCH INV. 655.99' (18" RCP) DROP INLET INV. IN 658.86' (15" RCP) INV. OUT 658.53' (15" RCP) FLARED END SECTION INV. 659.02 (15" RCP) INV. 647.21' (18" RCP) INV. 650.52' (18" RCP) EX. STEPS (RR TIES, GRAVEL INFILL) IRREGULAR SPACING METAL HAND RAIL IN CENTER ASPHALT SAWCUT, REMOVE & PATCH (TYP.) ASPHALT SAWCUT, REMOVE & PATCH (TYP.) TOP OF CLEANOUT TO BE FLUSH WITH EXISTING GROUND EX. STORM PIPE CROSSING INV. 656.37 PVC PVC DIP DIP DIP DIP PVC PVC STEP LATERAL 1FT VERTICAL TO GO OVER STORM PIPE 2' X 2' X 6" PRECAST CONCRETE RING AT CLEANOUT (TYP.) CHANGE CONNECTION TO EXIST. SEWER ON EAST SIDE (ROUGHLY 100' OF NEW PIPE AND ONE CLEANOUT PVC PVC NOTES: GRAVITY SEWER PIPING SHALL BE DUCTILE IRON PIPE (DIP) PRESSURE CLASS 350 EPOXY LINED INTERIOR/ASPHALTIC COATED EXTERIOR (CONFORMING TO AWWA C150 AND AWWA C151 AND WITH RUBBER JOINTED GASKETS CONFORMING TO AWWA C111), OR SDR 35 PVC (PIPE AND FITTINGS MEETING ASTM 3034; GASKETS CONFORMING TO ASTM F477). ASPHALT SAWCUT, REMOVE & PATCH (TYP.) CLEANOUT #10 REMOVE 10" GUM AND 18" OAK TREE INSTALL CLASS B RIPRAP 6" DEPTH 2' W X 5' L 06-14-23ADDENDUM #109-25-2020DASCUT IN NEW 4" WYE ON EXISTING 4" LINE. COUPLE W/ STAINLESS STEEL BENDS NEW CLEANOUT APPROX. 130'- 4" PVC REVISE SEWER CONNECTION06-14-2023DASN:\2020\20-0014.014 Orange County - Trans Admin Bldg\Civil\Current Drawings\20-0014_S.dwg, C-1, 6/14/2023 10:06:44 AM, don.sever, 1:1DocuSign Envelope ID: 2F081A33-3467-4397-9A69-88B9C75EB97F DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE 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 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). CONTACTPRODUCERNAME: FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: PRODUCER CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSR WVD GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTEDCOMMERCIAL GENERAL LIABILITY $PREMISES (Ea occurrence) CLAIMS-MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER:PRODUCTS - COMP/OP AGG $ PRO-$POLICY LOCJECT COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $(PER ACCIDENT)HIRED AUTOS $NON-OWNED AUTOS $ UMBRELLA LIAB EACH OCCURRENCE $OCCUR EXCESS LIAB CLAIMS-MADE AGGREGATE $ $DEDUCTIBLE $RETENTION $ WC STATU- OTH-WORKERS COMPENSATION TORY LIMITS ERAND EMPLOYERS' LIABILITY Y / NANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N / AOFFICER/MEMBER EXCLUDED? (Mandatory in NH)E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2009/09) OP ID: NJE 07/19/2023 Natalie EngelhartThe Sorgi Insurance Agency 16 Consultant Place Suite 102 Durham, NC 27707 James E. Sorgi, CIC 919-682-4814 919-682-4906 natalie@sorgiinsurance.com TRIALAN Triangle Landscaping Inc. Brad Lewis dba P O Box 144 Stem, NC 27581 Erie Insurance Exchange 26271 1,000,000 AX X Q2726204479 03/26/2023 03/26/2024 1,000,000 X 5,000 1,000,000 2,000,000 2,000,000 X X 750,000 A Q032630379 03/26/2023 03/26/2024 X X X A Q872600559 03/26/2023 03/26/2024 500,000YX500,000 500,000 Orange County, its officers, official agents, and employees are included as additional insureds on the Gen Liab, Auto Liab and Umbrella policies. Policies include 30 days in advance notice of cancellation or material change in coverage. Work Comp policy includes waiver of subrogation. ORANGEC Orange County PO Box 8181 Hillsborough, NC 27278 DocuSign Envelope ID: 2F081A33-3467-4397-9A69-88B9C75EB97F