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HomeMy WebLinkAbout2025-019-E-AMS-Phoenix Fire Protection-Gateway - Door Leak Testing for Historical Records RoomRevised 01/24 ORANGE COUNTY CHANGE ORDER REQUEST NORTH CAROLINA ______________________________________________________________________________________________________________ Date: 1/6/2025 Project: Gateway ROD Historical Records Room Dry System Change Order No. 01 Department: AMS Department Address: 306 Revere Road Project: Gateway Historical Records Room Dry Sprinkler System Contractor: Phoenix Fire Protection, Inc Contractor Address: 2857 Lee Ave, Sanford, NC 27332 Effective date of original contract: 05/23/2023 This change order increases decreases the contract time by 45 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: June 30, 2025 _______________________________________________________________________________________________________________ Full Description of Change: Historical Records Room - Fan Door Testing Reason for Change: The original fan door test did not pass inspection, this change is to perform this testing again after additional sealing repairs are completed. _______________________________________________________________________________________________________________ Original contract sum: $ 26,600.00 Contract sum prior to this change order: $ 26,600.00 Amount of this change order: $ 1,500.00 Total sum of the contract including this change order: $ 28,100.00 _______________________________________________________________________________________________________________ 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 6th day of January, 2025. _______________________________ _____________________________ _____________________________ Contractor Owner Architect (when retained) By:____________________________ By:___________________________ By:___________________________ Docusign Envelope ID: B30FD0FB-6D4E-488B-B237-B3852DC52167 1/3/2025 Randall Strother 1/14/2025 Travis Myren Revised 01/24 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: Phoenix Fire Protection, Inc Vendor Contact Person: Randall Strother (rstrother@phoenixfirenc.com) Phone: 919.744.3042 Ext 103 Address: 2857 Lee Ave City Sanford State: NC Zip: 27332 Department: AMS Amount: $1500.00 Purpose: Gateway - Door Leak Testing for Historical Records Room Budget Code(s): 61370035-800000-11006 Vendor # 60476 Vendor Status with NCSOS: Current - Active Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: 05/23/23) (Most Recent Amendment 01/06/2025) Effective Date 01/06/2025 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: 11006) 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: B30FD0FB-6D4E-488B-B237-B3852DC52167 1/3/2025 1/13/2025 1/13/2025 1/14/2025 Revised 01/24 Docusign Envelope ID: B30FD0FB-6D4E-488B-B237-B3852DC52167 PHOENIX FIRE PROTECTION, INC. Change Order Request 12/11/24 Orange County Historical Records Room 228 S Churton St Hillsborough, NC 27278 Attention: Angel Barnes Project: Orange County Historical Records Room Clean Agent System Phoenix Fire PR#1 Contract Adjustment-Door Fan Retest The original door fan test that is required to certify the new clean agent system failed due to air leaks within the room. Client personnel sealed visible openings and this change order is to provide a 2nd door fan test. The total cost associated with this Change Order Request is as follows: FIFTEEN HUNDRED DOLLARS $1,500 To proceed, Please sign this change order or issue a contract adjustment form of your own If you have any questions regarding this request, please contact me. Sincerely, Michael Godsey Estimator/Senior Project Manager Phoenix Fire Protection, Inc. 2863 Lee Ave - Sanford , N.C. 27332 Office: (919) 774-3042 x102 Fax: (919) 774-1492 Email: mgodsey@phoenixfirenc.com Member AFSA, N.C. License #FSP-13628, S.C. License # 1660 P.O. Box 2881 Sanford, N.C. 27331 Phone: (919) 774-3042 Fax: (919) 774-1492 www.phoenixfirenc.com Docusign Envelope ID: B30FD0FB-6D4E-488B-B237-B3852DC52167 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 4/19/2024 (919) 388-1949 10851 Phoenix Fire Protection, Inc. 2863 Lee Ave Sanford, NC 27330 10844 A 1,000,000 51GL014368-241 4/22/2024 4/22/2025 100,000 E&O 1mil/2mil 5,000 1,000,000 2,000,000 2,000,000 1,000,000B CAP 0040383 01 4/22/2024 4/22/2025 $500 comp $500 collision 5,000,000A 51CC005218-241 4/22/2024 4/22/2025 5,000,000 10,000 B X WCP 1090406 01 4/22/2024 4/22/2025 1,000,000 Y 1,000,000 1,000,000 B Leased/Rented CPP 0100732 01 4/22/2024 Limit 200,000 B Installation CPP 0100732 01 4/22/2024 4/22/2025 Limit 250,000 Project: Orange County Register of Deeds Historic Records Room A waiver of subrogation applies in favor of Orange County with respect to the Workers Comp when required by written contract. Orange County PO Box 8181 Hillsborough, NC 27278 PHOEFIR-01 LSULLIVAN Alera Group 4131 Parklake Avenue, Suite 225 Raleigh, NC 27612 Lauren Sullivan LSullivan@trisure.com Everest Indemnity Ins. Co. Builders Mutual Insurance X 4/22/2025 X X X X X X X X X X X X Docusign Envelope ID: B30FD0FB-6D4E-488B-B237-B3852DC52167 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 1/8/2025 (919) 388-1949 10851 Phoenix Fire Protection, Inc. 2863 Lee Ave Sanford, NC 27330 10844 A 1,000,000 X 51GL014368-241 4/22/2024 4/22/2025 100,000 E&O 1mil/2mil 5,000 1,000,000 2,000,000 2,000,000 1,000,000B X CAP004038301 4/22/2024 4/22/2025 $500 comp $500 collision 5,000,000A X 51E0004865-241 4/22/2024 4/22/2025 5,000,000 10,000 B X WCP1090406 4/22/2024 4/22/2025 1,000,000 Y 1,000,000 1,000,000 B Leased/Rented CPP0100732 4/22/2024 Limit 200,000 B Installation CPP0100732 4/22/2024 4/22/2025 Limit 250,000 Project: Orange County Register of Deeds Historic Records Room Orange County, its officers, official agents and employees are additional insureds as respects General Liability and Auto Liability when required by written contract. Waiver of subrogation applies to Workers Compensation in favor of Orange County, its officers, official agents and employees when required by written contract. Umbrella is excess follow-form over the General Liability, Auto Liability and Workers Compensation. Referenced policies have been endorsed to include a 30-day notice of cancellation to the certificate holder. Orange County 300 West Tryon Street PO Box 8181 Hillsborough, NC 27278 PHOEFIR-01 JMAIN Alera Group 4131 Parklake Avenue, Suite 225 Raleigh, NC 27612 Lauren Sullivan LSullivan@trisure.com Everest Indemnity Ins. Co. Builders Mutual Insurance X 4/22/2025 X X X X X X X X X X X X Docusign Envelope ID: B30FD0FB-6D4E-488B-B237-B3852DC52167