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HomeMy WebLinkAbout2023-684-E-AMS-Owens Roofing-Whitted Roof Replacement - Credit Unused Allowance FundsRevised 04/23 ORANGE COUNTY CHANGE ORDER REQUEST NORTH CAROLINA ______________________________________________________________________________________________________________ Date: 11/20/2023 Project: Whitted Roof Replacement Change Order No. 01 Department: AMS Department Address: 306 Revere Road, Hillsborough NC 27278 Project: Whitted Roof Replacement Contractor: Owens Roofing, Inc. Contractor Address: 1200 Short Journey Rd, Smithfield, NC 27577 Effective date of original contract: 7/5/2022 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: October 31, 2023 _______________________________________________________________________________________________________________ Full Description of Change: This change order is the final change order to credit back the unused allowance funds. Reason for Change: Credit back unused funds _______________________________________________________________________________________________________________ Original contract sum: $ 896,317.00 Contract sum prior to this change order: $ 896,317.00 Amount of this change order: $ ($10,250.00) Total sum of the contract including this change order: $ 886,067.00 _______________________________________________________________________________________________________________ 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 27th day of November, 2023. _______________________________ _____________________________ _____________________________ Contractor Owner Architect (when retained) By:____________________________ By:___________________________ By:___________________________ DocuSign Envelope ID: EDAC113E-576E-4A63-AA04-CF5A5F175B5A 11/21/2023 Vice President 11/21/2023 Project EngineerCounty Manager 11/24/2023 Revised 04/23 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: Owens Roofing, Inc Vendor Contact Person: Bert Owens (bert@owensroofinginc.com Phone: 919.821.0082 Address: 1200 Short Journey Road City Smithfield State: NC Zip: 27577 Department: AMS Amount: CREDIT ($10,250.00) Purpose: Whitted Roof Replacement - Credit Unused Allowance Funds Budget Code(s): 61370035-882000-30002 Vendor # 40199 Vendor Status with NCSOS: Current - Active Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: 6/21/22) (Most Recent Amendment 11/20/2023) Effective Date 7/5/2022 End Date 10/31/23 Notice Date (Notice Purpose ) Award Approved by Board (Agenda Date: 6/21/22); Made or Administered by AMS Signature Authority - BOCC Express Delegation (Agenda Date: 6/21/22) - 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 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: EDAC113E-576E-4A63-AA04-CF5A5F175B5A 11/21/2023 11/22/2023 11/22/2023 11/23/2023 DocuSign Envelope ID: EDAC113E-576E-4A63-AA04-CF5A5F175B5A Whitted Building Change Order Last Edited: 11/8/2023 Unit Rates Base Bid Quantity Amt Used Amt Remaining Unit Cost Total Metal Deck Restoration 200 0 -200 2.50$ (500.00)$ Metal Deck Replacement 50 0 -50 16.00$ (800.00)$ Metal Deck Repair 100 100 0 7.00$ -$ Wood Deck Replacement 300 0 -300 8.50$ (2,550.00)$ Wood Deck Repair 50 0 -50 8.00$ (400.00)$ Wood Blocking Replacement 100 100 0 3.50$ -$ Plywood Replacement 100 100 0 3.50$ -$ Additional Walk Tread Installation 200 0 -200 30.00$ (6,000.00)$ Totals (10,250.00)$ Change Order 1 (Final) Total Unit Rates - If unused 11,650.00$ Unused Unit Rates (from above)(10,250.00)$ Total Amount Used 1,400.00$ Original Contract Amount 896,317.00$ Unused Unit Rates (10,250.00)$ New Contract Sum 886,067.00$ DocuSign Envelope ID: EDAC113E-576E-4A63-AA04-CF5A5F175B5A SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 5/1/2023 Marsh &McLennan Agency LLC 2301 Sugar Bush Road,Suite 600 Raleigh NC 27612 Cindy O'Brien Boykin 919-786-5646 919-782-1841 Cindy.Boykin@marshmma.com Builders Premier Insurance Company 13036 OWENSROOFI Builders Mutual Insurance Company 10844OwensRoofing,Inc. 1200 Short Journey Road Smithfield NC 27577 NorthStone Insurance Company 13045 Victor O.Schinnerer &Co.,Inc.99999 85270790 A X 1,000,000 X 100,000 X 1,000 5,000 1,000,000 2,000,000 X Y PCP000244012 5/1/2023 5/1/2024 2,000,000 A 1,000,000 X Y PCA000733711 5/1/2023 5/1/2024 B X X 4,000,000MUB0000702115/1/2023 5/1/2024 4,000,000 X 10,000 C XYWCN60087355/1/2023 5/1/2024 1,000,000 1,000,000 1,000,000 D A Pollution Installation Coverage Leased/Rented Eqipment CSB591963860 PCP000244012 5/1/2023 5/1/2023 5/1/2024 5/1/2024 $1MM Limit $4MM per job site Limit $2MM Agg Limit $12MM max per term $95,000 Project:Whitted Complex Roof Replacement Orange County,its officers,official agents,and employees as included as additional insureds on the General Liability and Auto Liability policies when required by written contract prior to any loss.Per the cancellation clause contained in the policies noted on this certificate,the policy provisions include at least 30 days notice of cancellation except for non-payment of premium. Orange County Attention:Risk Management P.O.Box 8181 Hillsborough NC 27278 DocuSign Envelope ID: EDAC113E-576E-4A63-AA04-CF5A5F175B5A