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Home My WebLink About2025-120-E-AMS-Siemens Industry-Efland EMS - AAON Unit BAS reworkRevised 01/24 ORANGE COUNTY CHANGE ORDER REQUEST NORTH CAROLINA ______________________________________________________________________________________________________________ Date: March 18, 2025 Project: Efland EMS Station Change Order No. 01 Department: AMS Department Address: 306 Revere Road, Hillsborough Project: Efland EMS Station Building Controls Contractor: Siemens Industry, Inc. Contractor Address: 215 Southport Drive, Ste 900 Morrisville, NC 27560 Effective date of original contract: 05/05/2022 This change order increases decreases the contract time by 1056 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: March 26, 2025 _______________________________________________________________________________________________________________ Full Description of Change: Provide labor and materials to re-engineer and re-program BAS associated with the AAON unit. Reason for Change: The AAON unit that was shipped to the site was equipped for stand alone control, with multiple safeties built into the unit to the control fan enable and compressors. The unit was specified to be shipped without controls so that Siemens would install their controls and tie into the Desigo system. This rework was required in order to tie this unit into the controls. The change order will be paid from the general contractors retainage due to not receiving the unit as approved per the submittal. _______________________________________________________________________________________________________________ Original contract sum: $ 165,540.00 Contract sum prior to this change order: $ 165,540.00 Amount of this change order: $ 21,116.19 Total sum of the contract including this change order: $ 186,656.19 _______________________________________________________________________________________________________________ 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 19th day of March, 2025. _______________________________ _____________________________ _____________________________ Contractor Owner Architect (when retained) By:____________________________ By:___________________________ By:___________________________ Docusign Envelope ID: 334E53D7-9438-4787-AC81-6F134A2B369E 3/18/2025 Area Geneeral Manager County Manager 3/19/2025 Revised 01/24 Docusign Envelope ID: 334E53D7-9438-4787-AC81-6F134A2B369E Revised 01/24 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: Siemens Industry, Inc Vendor Contact Person: Joe Latore Phone: 919.469.5095 Address: 215 Southport Dr, Ste 900 City Morrisville State: NC Zip: 27560 Department: AMS Amount: $21,116.19 Purpose: Efland EMS - AAON Unit BAS rework Budget Code(s): 61750035-880000-17000 Vendor # 53325 Vendor Status with NCSOS: Current - Active Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: 05/05/2022) (Most Recent Amendment 03/18/2025) Effective Date 05/05/2022 End Date 03/26/2025 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: ) 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: 334E53D7-9438-4787-AC81-6F134A2B369E 3/19/2025 3/19/2025 3/19/2025 3/19/2025 Proposal Orange County No: Change Order 1 Date: 2/13/2025 Attention: Angel Barnes Project: Orange County – Efland EMS Station - BAS Changes per field: We propose to furnish and install the following changes to the Siemens Building Automation System (BAS) in accordance with field directives provided by Orange County. Change Order 1: $21,116.19 – AAON Unit BAS re-work Scope of Work - Material and labor required to re-engineer and re-program BAS associated with AAON unit. Proposal Accepted: Siemens Industry, Inc. is authorized to proceed with the work as proposed. Proposal Submitted: Siemens Industry, Inc. Purchaser Seller Siemens Industry, Inc. By By Clayton Stephens Title Title Project Manager Date Date: Docusign Envelope ID: 334E53D7-9438-4787-AC81-6F134A2B369E 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) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY B 10/01/2024 N/A 4433 of Marsh USA LLC X RENTA C N/A 10,000,000 UB-8P79233A-24-51-R (AZ,MA,WI) 41343 A 10/01/2025 X Travelers Casualty & Surety Company CN102147003-RAM--24/25 1,000,000 25674 ... NYC-009196547-33 10/01/2024 X INCL 10/16/2024 10/01/2025 '''''''''''$500K LIMIT / $500K SIR''''''''''' 10 N/A 10/01/2025 NOC60 1,000,000 X 1,000,000 1,000,000 B 10/01/2025 10/01/2024 19038 TC2J-CAP-7440L34A-TIL-24 100,000 10/01/2024 UB-8P83929A-24-51-K (AOS) TWXJUB-7440L338-TIL-24 (OH) X 1,000,000 SEE ATTACHED RE: JOB NO. N/A 1000 DEERFIELD PARKWAY SIEMENS INDUSTRY, INC. BUFFALO GROVE, IL 60089-4513 1,000,000 HDI Global Insurance Company X 445 SOUTH STREET MARSH USA, LLC. MORRISTOWN, NJ 07960-6454 GLD1110116 Travelers Property Casualty Co. of America N PO BOX 8181 HILLSBOROUGH, NC 27278 ORANGE COUNTY ATTN: RISK MANAGEMENT 10/01/2024 B 2,000,000 X X 10/01/2025 Docusign Envelope ID: 334E53D7-9438-4787-AC81-6F134A2B369E ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: MARSH USA, LLC. �� EXTENT THAT A CLAIM ARISES FROM THE NEGLIGENCE OF SIEMENS INDUSTRY, INC. OR ITS SUBCONTRACTORS WITH RESPECT TO ALL OPERATIONS OF THE CONTRIBUTORY INSURANCE TO THE�� ORANGE COUNTY, ITS OFFICERS, OFFICIAL AGENTS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED UNDER THE ABOVE REFERENCED GENERAL �� LIABILITY INSURANCE POLICIES AND THE COVERAGE AFFORDED THE ADDITIONAL INSURED UNDER THESE POLICIES SHALL BE PRIMARY AND NON- LIABILITY AND AUTOMOBILE�� WAIVER OF SUBROGATION IS EFFECTUAL WHERE REQUIRED BY WRITTEN CONTRACT. �� INSURED BUT ONLY WITH�� 2 Morristown Certificate of Liability Insurance �� IF THESE POLICIES ARE CANCELLED FOR ANY REASON OTHER THAN NON-PAYMENT OF PREMIUM, THE INSURER WILL DELIVER NOTICE OF CANCELLATION TO �� RESPECT TO ALL WORK PERFORMED BY AND ON BEHALF OF THE NAMED INSURED, SIEMENS INDUSTRY, INC. FOR CERTIFICATE HOLDER UNDER CONTRACT. �� THE CERTIFICATE HOLDER UP�� 25 �� RE: JOB NO. N/A�� UMBRELLA IS FOLLOW FORM OF PRIMARY SUBJECT TO POLICY TERMS, CONDITIONS AND EXCLUSIONS. �� 1000 DEERFIELD PARKWAY��SIEMENS INDUSTRY, INC.�� BUFFALO GROVE,IL 60089-4513�� TO 60 DAYS PRIOR TO THE CANCELLATION OR AS REQUIRED BY WRITTEN CONTRACT, WHICHEVER IS LESS. �� 2 CN102147003 �� Docusign Envelope ID: 334E53D7-9438-4787-AC81-6F134A2B369E Sales Person: Estimate Name: Print Date: Job Start: Job End: 23-Jan-2025Clayton Stephens 44OP-336328 - OC Efland Customer Name: 01-Jan-2025 01-Apr-2025 Price Summary Cost Sell PriceMaterialOverheadProfitEscalationDisc %Discount $3,508.78Siemens Material $1,754.40$0.00 -$1,754.39 $0.0050.00% $0.00 $0.00Siemens OEM Material $0.00$0.00 $0.00 $0.0050.00% $0.00 $364.70Outside Material $255.29$0.00 -$109.41 $0.0030.00% $0.00 $0.00Mechanical Material $0.00$0.00 $0.00 $0.0030.00% $0.00 $0.00Electrical Material $0.00$0.00 $0.00 $0.0030.00% $0.00 $200.97Shipping & Handling $200.97$0.00 $0.00 $0.000.00% $0.00 $100.48Warranty $100.48$0.00 $0.00 $0.000.00% $0.00 $0.00$4,174.93 $0.00 $0.00 $2,311.14-$1,863.80Total Material Cost Sell PriceLaborOverheadProfitEscalationDisc %Discount $2,483.84Project Manager $1,366.11$0.00 -$1,117.73 $0.0045.00% $0.00 $1,692.00Engineering $930.60$0.00 -$761.40 $0.0045.00% $0.00 $29,700.00Specialist $16,335.00$0.00 -$13,365.00 $0.0045.00% $0.00 $0.00Mechanical $0.00$0.00 $0.00 $0.0045.00% $0.00 $0.00Electrical $0.00$0.00 $0.00 $0.0045.00% $0.00 $0.00$33,875.84 $0.00 $0.00 $18,631.71-$15,244.13Total Labor Cost Sell PriceMiscellaneousOverheadProfit $0.00Miscellaneous $0.00$0.00$0.00 $0.00Travel & Expenses $0.00$0.00$0.00 $0.00 $0.00 $0.00 $0.00Total Miscellaneous Cost Sell PriceEstimate Totals Overhead ProfitDiscount $38,050.77Sub Totals $20,942.85-$17,107.93 $0.00$0.00 $173.34Estimated Use Tax $173.34 $38,224.11 $0.00 $0.00 $21,116.19-$17,107.93Total Project Price Page 1 of 1Siemens Industry, Inc. Customer hereby agrees to observe complete confidentiality with regard to Pricing Summary (Properties & Confidential Information) and not to disclose or permit to any 3rd person or entity access to the Proprietary & Confidential Information without Siemens Industry prior written permission. Docusign Envelope ID: 334E53D7-9438-4787-AC81-6F134A2B369E Sales Person: Estimate Name: Print Date: Job Start: Job End: 23-Jan-2025Clayton Stephens 01-Jan-202544OP-336328 - OC Efland 01-Apr-2025 Price by Part Number Customer Name: Material Ref #QTY Unit Price Total PriceDescription 500' 4 conductor plenum shielded 1 $140.93$140.93R9999 500' 2 conductor plenum shielded 1 $114.36$114.36R9999 8 UNIV I/O MODULE W/ 4-20MA 2 $1,754.40$877.20TXM1.8X Take-off Total $2,009.69 Page 1 of 1Siemens Industry, Inc. Docusign Envelope ID: 334E53D7-9438-4787-AC81-6F134A2B369E Estimate Name: Sales Person: Job End: Job Start: Print Date:23-Jan-2025 Customer Name: Labor Hours Distribution 44OP-336328 - OC Efland 01-Jan-2025 01-Apr-2025 Clayton Stephens PM ENG SPEC ELECMECHProject Level Straight Time 132.00 0.00 0.00 8.00 8.00 Shift Differential Rate 0.00 0.00 0.00 0.00 0.00 Overtime (Time and 1/2) 0.00 0.00 0.00 0.00 0.00 Overtime (Double Time) 0.00 0.00 0.00 0.00 0.00 Prevailing Wage Rate 0.00 0.00 0.00 0.00 0.00 PWR @ Shift Differential Rate 0.00 0.00 0.00 0.00 0.00 Prevailing Wage Rate (Time and 1/2) 0.00 0.00 0.00 0.00 0.00 Prevailing Wage Rate (Double Time) 0.00 0.00 0.00 0.00 0.00 Total Hours 132.00 0.00 0.00 8.00 8.00 PM ENG SPEC ELECMECHArea 1 Straight Time 0.00 0.00 0.00 0.00 0.00 Shift Differential Rate 0.00 0.00 0.00 0.00 0.00 Overtime (Time and 1/2) 0.00 0.00 0.00 0.00 0.00 Overtime (Double Time) 0.00 0.00 0.00 0.00 0.00 Prevailing Wage Rate 0.00 0.00 0.00 0.00 0.00 PWR @ Shift Differential Rate 0.00 0.00 0.00 0.00 0.00 Prevailing Wage Rate (Time and 1/2) 0.00 0.00 0.00 0.00 0.00 Prevailing Wage Rate (Double Time) 0.00 0.00 0.00 0.00 0.00 Total Hours 0.00 0.00 0.00 0.00 0.00 PM ENG SPEC ELECMECHSystem 1 Straight Time 0.00 0.00 0.00 0.00 0.00 Shift Differential Rate 0.00 0.00 0.00 0.00 0.00 Overtime (Time and 1/2) 0.00 0.00 0.00 0.00 0.00 Overtime (Double Time) 0.00 0.00 0.00 0.00 0.00 Prevailing Wage Rate 0.00 0.00 0.00 0.00 0.00 PWR @ Shift Differential Rate 0.00 0.00 0.00 0.00 0.00 Prevailing Wage Rate (Time and 1/2) 0.00 0.00 0.00 0.00 0.00 Prevailing Wage Rate (Double Time) 0.00 0.00 0.00 0.00 0.00 Total Hours 0.00 0.00 0.00 0.00 0.00 Company Confidential Page 1 of 1Siemens Industry, Inc. Docusign Envelope ID: 334E53D7-9438-4787-AC81-6F134A2B369E