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HomeMy WebLinkAbout2025-137-E-AMS-Renovation Contracting-Change Order# 01 Provide Electrical Engineer PrintsRevised 01/24 ORANGE COUNTY CHANGE ORDER REQUEST NORTH CAROLINA ______________________________________________________________________________________________________________ Date: 03/28/2025 Project: Veterans Memorial Phase III Change Order No. 01 Department: AMS Department Address: 306 Revere Rd, Hillsborough NC 27278 Project: Veterans Memorial Phase III Contractor: Renovation Contracting Contractor Address: 1140 Kildaire Farm Rd, Cary NC 27511 Effective date of original contract: 01/10/2024 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: Provide Electrical Engineer Prints for Project Required by Permit Department Reason for Change: Provide Electrical Engineer Prints _______________________________________________________________________________________________________________ Original contract sum: $ 77000.00 Contract sum prior to this change order: $ 77000.00 Amount of this change order: $ 2970.00 Total sum of the contract including this change order: $ 79970.00 _______________________________________________________________________________________________________________ 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 28th day of March, 2025. _______________________________ _____________________________ _____________________________ Contractor Owner Architect (when retained) By:____________________________ By:___________________________ By:___________________________ Docusign Envelope ID: EEC21DB6-095C-4FA8-8BC8-FEB447E13213 4/4/2025 4/7/2025 Revised 01/24 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: Renovation Contracting Vendor Contact Person: Brandon Hart Phone: 919-360-6642 Address: 1140 Kildaire Farm Rd City Cary State: NC Zip: 27511 Department: AMS Amount: $2970.00 Purpose: Change Order# 01 Provide Electrical Engineer Prints Budget Code(s): 61370035-880000-10060 Vendor # 68369 Vendor Status with NCSOS: Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment ) Effective Date 03/28/2025 End Date 08/28/25 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: EEC21DB6-095C-4FA8-8BC8-FEB447E13213 4/4/2025 4/7/2025 4/7/2025 4/7/2025 Revised 01/24 Docusign Envelope ID: EEC21DB6-095C-4FA8-8BC8-FEB447E13213 Renovation Contracting 1140 Kildaire Farm Rd Cary, NC 27511 919-360-6642 www.Renovation-Contractingllc.com NC Licensed General Contractor – Commercial Building Change Order for Veterans Memorial Phase 111 Change Order #1 Provide Electrical Engineer Prints for project required by permit department Drawing provided by David J. Whitney, PE Atlantec Engineers, PA 919-855-2030 Cost from Engineer $1500 Provide Structural Print from Structural Engineer Drawing Provided by $1200 Kammal Essaid Professional Structural Engineer ________ Total Subontractor Cost – Work Completed $2700 GC’s Overhead and Profit 10% $270 Total Change Order $2,970 Docusign Envelope ID: EEC21DB6-095C-4FA8-8BC8-FEB447E13213 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 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. (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSR 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 AUTOSAUTOSNON-OWNEDHIRED AUTOS SCHEDULEDALL OWNED 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-TORY LIMITSWC STATU- LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 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) GENERAL LIABILITY 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 (2010/05)© 1988-2010 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD 04/01/2025 FAIRWAY INSURANCE 1149 EXECUTIVE CIRCLE STE A CARY, NC 27511 MICHAEL CAREY 919-373-5800 919-241-8169 MICHAEL.CAREY@FAIRWAYINSURE.COM RENOVATION CONTRACTING LLC 20012 GRIER CHAPEL HILL NC 27517 ERIE INSURANCE EXCHANGE 26271 ERIE INSURANCE EXCHANGE 26271 ERIE INSURANCE EXCHANGE 26271 ERIE INSURANCE EXCHANGE 26271 A X X Q610440208 07/30/2024 07/30/2025 1,000,000 1,000,000 5,000 1,000,000 2,000,000 2,000,000 B X X Q073040075 07/30/2024 07/30/2025 1,000,000 C X X Q313070411 07/30/2024 07/30/2025 2,000,000 2,000,000 D N X Q730022763 07/30/2024 07/30/2025 500,000 500,000 500,000 Description Orange County Bid NO. 367-OC5405 Job Name: Veterans Memorial - Phase 111 COUNTY OF ORANGE PO BOX 8181 HILLSBOROUGH NC 27278 Docusign Envelope ID: EEC21DB6-095C-4FA8-8BC8-FEB447E13213