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2024-630-E-Brady Services-CO 1- Add Test & Balance
Revised 01/24 ORANGE COUNTY CHANGE ORDER REQUEST NORTH CAROLINA ______________________________________________________________________________________________________________ Date: 10/11/2024 Project: HVAC - Gateway Unit Replacement Change Order No. 01 Department: AMS Department Address: 306 Revere Road, Hillsborough NC 27278 Project: HVAC - Gateway HVAC Unit Replacement Contractor: Brady Services, Inc. Contractor Address: 2025 16th Street, Hillsborough, NC 27278 Effective date of original contract: 4/1/2024 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: Gateway Roof Top HVAC Unit Replacement - Provide labor and services to perform full Test & Balance of the VAV boxes throughout the 2nd and 3rd Floors of the Gateway Building. Reason for Change: This was not included within the original scope of work. _______________________________________________________________________________________________________________ Original contract sum: $ 105,300.00 Contract sum prior to this change order: $ 105,300.00 Amount of this change order: $ 24,000.00 Total sum of the contract including this change order: $ 129,300.00 _______________________________________________________________________________________________________________ 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 11th day of October, 2024. _______________________________ _____________________________ _____________________________ Contractor Owner Architect (when retained) By:____________________________ By:___________________________ By:___________________________ Docusign Envelope ID: C2E87E9B-E7E5-4C48-84C7-537CB7FEE87A 10/15/2024 Jason Patterson 10/21/2024 Travis Myren Revised 01/24 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: Brady Services, Inc Vendor Contact Person: Samantha Bailey (Samantha.Bailey@bradyservices.com) Phone: 336.378.0670 Address: 2025 16th Street City Greensboro State: NC Zip: 27405 Department: AMS Amount: $24,000.00 Purpose: CO 1- Add Test & Balance Budget Code(s): 61370035-800000-11002 Vendor # 35152 Vendor Status with NCSOS: Current - Active Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: 04/01/24) (Most Recent Amendment 10/11/2024) Effective Date 04/01/2024 End Date 12/31/2024 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: 11002) Bidding Informal Bidding ($30k-$90k); Formal RFP ($90k+); Other (<$30k); Exception(#Omnia Partners) 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: C2E87E9B-E7E5-4C48-84C7-537CB7FEE87A 10/15/2024 10/20/2024 10/21/2024 10/21/2024 Revised 01/24 Docusign Envelope ID: C2E87E9B-E7E5-4C48-84C7-537CB7FEE87A 1915 North Church Street Greensboro, NC 27405 P.O. Box 13587 Greensboro, NC 27415 P: (336) 378-0670 F: (336) 378-0677 Change Order Request No. C0-01 From: Scott Small Brady Trane, INC Date: 10/11/24 Job Name: Gateway City RTU-2 Replacement Job Number: PRJ5605 RFI Title: To: Orange County Angel Barnes Contract Number: Description of Change: Brady will conduct TAB Report on both RTU-1 and RTU-2 and VAVs Balance for the First and Second Floor of Gateway City Plaza. Schedule Impact: None / work will be scheduled when C/O is approved Value of this Change order $24,000.00 Acceptance: Please sign, date, and return to accept terms and conditions listed above By: By: Date: Date: Docusign Envelope ID: C2E87E9B-E7E5-4C48-84C7-537CB7FEE87A 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 9/26/2024 Scott Insurance 400 Bellemeade Street,Suite 201 Greensboro NC 27401 Amy Summers 336-510-0075 asummers@scottins.com Zurich American Insurance Company (A+)16535 BRADY-7 Houston Casualty Company (A++)42374BradyServicesHoldingsInc,MMK,LLC,Brady Trane Service Inc, Brady Services Inc,Brady Sales &Services Inc,Brady Parts Inc, Brady Integrated Security Inc, J.Brady Contracting,Inc,Icon Boiler,Inc PO Box 13587,Greensboro NC 27415 XL Specialty Insurance Company (A+)37885 QBE Specialty Insurance Company (A)11515 Arch Specialty Insurance Company (A+)21199 Travelers Excess and Surplus Lines Company (A++)29696 152628666 B X 2,000,000 X 300,000 10,000 2,000,000 4,000,000 X X Y HCC2469342 10/1/2024 10/1/2025 4,000,000 A 2,000,000 X X X X Comp:$500 X Coll:$1,000 Y BAP3433330 10/1/2024 10/1/2025 Hired Physical Damage 100/1,000 D E F X X 5,000,000 X 140002016 UXP1056544-00 EX-4S291802-24-NF 10/1/2024 10/1/2024 10/1/2024 Y 10/1/2025 10/1/2025 10/1/2025 5,000,000 X 0 $10M x $5M Excess 10,000,000 A X N Y WC3433328 10/1/2024 10/1/2025 1,000,000 1,000,000 1,000,000 B C Professional &Pollution Liab Builders Risk/Installation Fltr Leased &Rented Equipment HCC2469342 UM00145642MA24A 10/1/2024 10/1/2024 10/1/2025 10/1/2025 5,000,000 per occ/agg 2,000,000 Limit Limit 35,000 ded 5,000 ded 200,000 Orange County,its officers,official agents,and employees are additional insured with regards to General,Auto and Umbrella liability if required by written contract.A waiver of subrogation as respects workers compensation applies in favor of the Certificate Holder if required by written contract.30 day notice of cancellation will be provided to the certificate holder except for nonpayment of premium. Orange County North Carolina PO Box 8181 Attn:Risk Management Hillsborough NC 27278 Docusign Envelope ID: C2E87E9B-E7E5-4C48-84C7-537CB7FEE87A