4-Consent of Surety-Change Order.pdf.pdf

PDF 648 KB Posted

Attached to
SouthShore Library and Restroom Renovations - Rebid
Solicitation number
IFB-26-00005
Issued by
Hillsborough County, St. Petersburg City, Florida

About this file

This document is a Consent of Surety to Change Order form for a contract with Hillsborough County, Florida. The form provides a template for a surety company to acknowledge and agree to modifications in an existing contract, including changes to the contract amount (either increasing or decreasing) and/or extending the completion date by a specified number of calendar days. The surety confirms that the performance bond and/or payment bond will be accordingly adjusted to reflect these changes.

The form includes spaces for key details such as the contract title, contractor (principal), surety, and agent information. It requires signatures from an authorized representative of the surety, either as a direct authorized signature or as an attorney in fact (with a power of attorney to be attached). The document also includes a notary acknowledgment section for official validation, to be completed in Hillsborough County, Florida, with options for physical presence or online notarization.

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Text version

CONSENT OF SURETY TO CHANGE ORDER

CONTRACT TITLE:

CONTRACTOR (PRINCIPAL):

SURETY:

AGENT:

The SURETY does hereby acknowledge and agree to Change Order No. to the above referenced contract with Hillsborough County, the contract amount

(increasing/decreasing) by $ , and/or extending the completion date by ( ) calendar days. The SURETY further acknowledges that the performance bond and/or payment bond furnished under the aforementioned contract is accordingly changed to reflect the change in contract amount, and/or time included in Change Order No. .

This Consent is dated this day of , 20 .

SURETY:

BY: (SEAL)

Authorized Signature

-OR-

BY: (SEAL)

As Attorney in Fact (Attach Power of Attorney)

Printed Name

STATE OF FLORIDA

COUNTY OF HILLSBOROUGH

The foregoing instrument was acknowledged before me by means of physical presence or online notarization this ___ day of ____________, 20___, __________________________ by (Name of person)

________________________ for _________________________________________________.

(ie. Officer, attorney in fact) (Name of party on behalf of whom instrument was executed.)

(Signature of Notary Public)

(Print, Type, or Stamp Name of Notary Public)

Personally Know OR Produced Identification

Type of Identification Produced __________________

Revised 03.09.2020

File details come from the government source that posted it. Updated .