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HomeMy WebLinkAbout2024-758-E-AMS-Sparrow & Sons-Library - Water Fountain with bottler filler packaged unitsRevised 01/24 ORANGE COUNTY CHANGE ORDER REQUEST NORTH CAROLINA ______________________________________________________________________________________________________________ Date: 12/5/2024 Project: Library Plumbing Change Order No. 01 Department: AMS Department Address: 306 Revere Road Project: Library Plumbing - Replace Water Heater and Two Water Fountains with Bottle fillers Contractor: Sparrow & Sons, Inc. Contractor Address: 305 Weaver Street, Carrboro NC 27510 Effective date of original contract: 11/10/2024 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: Replace two water fountains with detached bottle fillers with complete water fountain/bottle filler packaged units. Reason for Change: The original price was to replace the water fountain only based on the existing model number. The new units need to include the bottle fillers and water fountain as one unit. _______________________________________________________________________________________________________________ Original contract sum: $ 13,469.00 Contract sum prior to this change order: $ 13,469.00 Amount of this change order: $ 2,545.38 Total sum of the contract including this change order: $ 16,014.38 _______________________________________________________________________________________________________________ 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 December, 2024. _______________________________ _____________________________ _____________________________ Contractor Owner Architect (when retained) By:____________________________ By:___________________________ By:___________________________ Docusign Envelope ID: E5FF4F7C-AB87-4490-BB87-A77685DF0D3E Office Manager 12/5/2024 12/10/2024 County Manager Revised 01/24 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: Sparrow & Sons, Inc. Vendor Contact Person: Jonathan Sparrow (jsparrow@sparrowplumbinginc.) Phone: 919.942.5171 Address: 305 Weaver Street City Carrboro State: NC Zip: 27510 Department: AMS Amount: $2,545.38 Purpose: Library - Water Fountain with bottler filler packaged units Budget Code(s): 61370035-800000-10075 Vendor # 22599 Vendor Status with NCSOS: Current - Active Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: 11/10/2024) (Most Recent Amendment 12/5/2024) Effective Date 11/10/2024 End Date 06/30/2025 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: 10075) 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: E5FF4F7C-AB87-4490-BB87-A77685DF0D3E 12/7/2024 12/9/2024 12/10/2024 12/10/2024 Revised 01/24 Docusign Envelope ID: E5FF4F7C-AB87-4490-BB87-A77685DF0D3E Estimate Date 10/31/2024 Estimate # 609 Name / Address Orange County Asset Management 306 Revere Road Unit A102 Hillsborough, NC 27278 SPARROW & SONS, INC. 305 WEAVER STREET CARRBORO, NC 27510 Project Customer Signature _____________________________________ Total Description Qty Cost Total Public Library 137 West Margaret Avenue- Replace the water heater and two drinking fountains/bottle fillers New water heater, two drinking fountains with bottle fillers, materials, labor, and tax, the total is $13.468.29 13,468.29 13,468.29 Model number of the water heater: State Select CSB829SFE 82 Gallons Model number of the water coolers Elkay EEZSTL8LC New model number on the water cooler with bottle filler ELZSTL8WSLK Model number of the water existing coolers Elkay EEZSTL8LC and price : $998.50 each, $1997 for both New model number on the water cooler with bottle filler ELZSTL8WSLK and price: $2182.40 each, $4364.80 for both Price overage for two water coolers with bottle fillers 2,367.80 2,367.80T Sales Tax 177.58 177.58 $16,013.67 Docusign Envelope ID: E5FF4F7C-AB87-4490-BB87-A77685DF0D3E 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 2/1/2024 High &Rubish Insurance PO Box 3040 Chapel Hill NC 27515-3040 Laura Pope 919-913-1144 919-913-1155 Laura@highandrubish.com License#:1000008811 Erie Insurance Company 26263 SPAR&SO-01 Erie Insurance Exchange 26271Sparrow&Sons Plumbing Inc. 305 Weaver St. Carrboro NC 27510 1943637144 B X 1,000,000 X 1,000,000 5,000 1,000,000 2,000,000 X Y Q37-0152886 1/1/2024 1/1/2025 2,000,000 B 1,000,000 X X Y Q01-0140487 1/1/2024 1/1/2025 B X 5,000,000Q25-0171220 1/1/2024Y 1/1/2025 A XYQ85-5104632 1/1/2024 1/1/2025 1,000,000 1,000,000 1,000,000 Orange County,its officers,official agents and employees as an additional insured on the General Liability,Auto Liability,and Umbrella Policies. Orange County 300 W.Tryon St PO Box 8181 Hillsborough NC 27278 United States Docusign Envelope ID: E5FF4F7C-AB87-4490-BB87-A77685DF0D3E