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HomeMy WebLinkAbout2024-565-E-AMS-Cactx Surface-Whitted - Provide additional crosswalk stampingRevised 01/24 ORANGE COUNTY CHANGE ORDER REQUEST NORTH CAROLINA ______________________________________________________________________________________________________________ Date: 09/18/2024 Project: Whitted Crosswalks Change Order No. 01 Department: AMS Department Address: 306 Revere Road, Hillsborough NC 27278 Project: Whitted Crosswalks Contractor: Cactx Surfaces Contractor Address: PO Box 26103, Winston Salem, NC 27114 Effective date of original contract: 3/5/2024 This change order increases decreases the contract time by 120 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 30, 2024 _______________________________________________________________________________________________________________ Full Description of Change: Increase the square footage from 160 to 320 for additional stamping Reason for Change: Additional grinding of the crosswalks due to slope being to high, therefore additional stamping is required. _______________________________________________________________________________________________________________ Original contract sum: $ 4,547.00 Contract sum prior to this change order: $ 4,547.00 Amount of this change order: $ 4,547.40 Total sum of the contract including this change order: $ 9094.40 _______________________________________________________________________________________________________________ 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 20th day of September, 2024. _______________________________ _____________________________ _____________________________ Contractor Owner Architect (when retained) By:____________________________ By:___________________________ By:___________________________ Docusign Envelope ID: 6925B0EA-6EDC-487B-B66B-DFA9822F8383 9/18/2024 9/24/2024 Deputy County ManagerDeputy County Manager Revised 01/24 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: Cactx Surfaces Vendor Contact Person: Michelle Thatcher (michelle@cactxsurfaces.com) Phone: 336.575.2873 Address: PO Box 26103 City Winston Salem State: NC Zip: 27114 Department: AMS Amount: Increase contact by $4547.00 Purpose: Whitted - Provide additional crosswalk stamping Budget Code(s): 61370035-880000-30001 Vendor # 68392 Vendor Status with NCSOS: Current Active Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: 3/5/2024) (Most Recent Amendment ) Effective Date 3/5/2024 End Date 09/30/2024 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: 30001) 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; OR This agreement is approved as to technical form and content. 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: 6925B0EA-6EDC-487B-B66B-DFA9822F8383 9/18/2024 9/23/2024 9/23/2024 9/24/2024 Revised 01/24 Docusign Envelope ID: 6925B0EA-6EDC-487B-B66B-DFA9822F8383 Estimator 9/18/20249/24/2024 October 18, 2023 Attn: Stefan Hooker Orange County Asset Management Services 306 Revere Rd Hillsborough , NC 27278 Project Name Whitted Building Crosswalks Tryon Street Hillsborough, NC TrafficPatternsXD Decorative Stamped Asphalt 160 SF @ $28.42 PER SF 1.After asphalt paving and concrete work completed by others; clean / sweep existing asphalt surface and apply a two-part epoxy sealer to ensure proper adhesion. Immediately followed by positioning panels of TrafficPatternsXD onto the substrate. 2.Application: Utilizing StreetPrint / StreetHeat reciprocating infrared heating equipment, heat TrafficPatternsXD pannels to required melting temperature followed by imprinting with vibratory plate compactor and template in standard pattern and colonial brick color with 8" white borders to match existing. 3.QUOTE DOES NOT INCLUDE SIGNAGE OR TRAFFIC CONTROL. ALL TRAFFIC CONTROL / BLOCKED ACCESS to be provided by CUSTOMER. 4.All areas will be barricaded during the installation process. TrafficPatternsXD will be opened to traffic as soon as the installed product has cooled to normal surface temperature - usually within 1 hour. 5.Slight variances in color shade may be visible initially due to variances in loose surface aggregate remaining. 6.All work subject to local dry/sunshine with a minimum 45 degree temperature (&rising). Total Price for this item: $4,547.00 Page 1 Proposal: Whitted Building Crosswalks Docusign Envelope ID: 6925B0EA-6EDC-487B-B66B-DFA9822F8383 Please find the following breakdown of all services we have provided in this proposal. This proposal originated on October, 18, 2023. Job Number: 240016-SXD Item Description Cost 1 TrafficPatternsXD Decorative Stamped Asphalt 160 SF @ $28.42 PER SF $4,547.00 Total $4,547.00 Authorization to Proceed & Contract You are hereby authorized to proceed with the work as identified in this contract. We understand that if any additional work is required different than stated in this proposal/contract, it must be in a new contract or added to this contract. Items or issues not specifically included in the proposed scope of work listed are excluded. Please see all attachments for special conditions that may pertain to aspects of this project. In the event of a price increase of material beyond the control of Cactx (asphalt, concrete, sealer, etc.) between the date of this contract and the date of installation, or a client requested delay in installation, the total contract sum may be equitably adjusted. Acceptance We agree to pay the total sum or balance in full 30 days after the completion of work. All contract estimates subject to acceptance by Cactx Operations Management. This proposal is valid for 30 days from the origination date. Date: Stefan Hooker Orange County Asset Management Services 306 Revere Rd Hillsborough, NC, 27278 shooker@orangecountync.gov Michelle A. Thatcher | Sales Estimator CACTX Surfaces PO Box 26103 Winston-Salem, NC, 27114-6103 michelle@cactx.com C: 336-575-2873 P: 336-768-3333 F: 336-331-3850 http://www.cactx.com Page 2 Proposal: Whitted Building CrosswalksPrice Breakdown: Whitted Building Crosswalks Docusign Envelope ID: 6925B0EA-6EDC-487B-B66B-DFA9822F8383 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 1/18/2024 Marsh &McLennan Agency LLC 3625 N.Elm Street Suite 200 Greensboro NC 27455 Amanda York 336-346-1379 Amanda.York@MarshMMA.com Accident Fund Ins Co of America 10166 CACTXCORPO Trisura Specialty Insurance Company 16188CACTXCorporation,dba CACTX Surfaces 1951 Lowery Street Winston Salem NC 27101 Travelers Cas &Surety Co of America 31194 Builders Premier Insurance Company 13036 1721359039 D X 1,000,000 X 500,000 15,000 1,000,000 3,000,000 X Y Y PCP000559901 12/31/2023 12/31/2024 3,000,000 D 1,000,000 X X X Y Y CAP0043171 12/31/2023 12/31/2024 D X X 5,000,000YMUB002731412/31/2023Y 12/31/2024 5,000,000 X 0 A XYWCP109499512/31/2023 12/31/2024 1,000,000 1,000,000 1,000,000 B C Cyber Employment Practices Liability AB661684803 106855758 12/31/2023 12/31/2023 12/31/2024 12/31/2024 Total Aggregate Limit Limit of Liability 1,000,000 1,000,000 Orange County,its officers,official agents,and employees are included as additional insured under the General Liability,Auto Liability,and Umbrella if required by written contract with respect to work performed by the named insured for specifically referenced jobs.A Waiver of Subrogation applies in favor of the Orange County,its officers,official agents,and employees are under the General Liability,Auto Liability,Umbrella and Workers'Compensation with respect to work performed by the named insured for specifically referenced jobs if required by written contract.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 Attn:Risk Management 300 West Tryon Street,PO Box 8181 Hillsborough NC 27278 Docusign Envelope ID: 6925B0EA-6EDC-487B-B66B-DFA9822F8383