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

PDF 648 KB Posted

Attached to
Northwest Transfer Station Community Collection Center (NWTS CCC) Floor Upgrades
Solicitation number
IFB-26-00265
Issued by
Hillsborough County, Florida

About this file

This is a Consent of Surety to Change Order form for Hillsborough County, Florida contracts. The document serves as a formal acknowledgment by a surety company that it consents to modifications of a bonded construction contract with Hillsborough County. The form provides space for entry of the change order number, contractor name, surety identification, the dollar amount of the contract increase or decrease, and any extension to the completion date in calendar days. The surety explicitly acknowledges that both the performance bond and payment bond furnished under the original contract will be adjusted to reflect the changes in contract amount and/or project timeline as specified in the change order. The document requires execution by an authorized representative of the surety company with an official seal and notarization before a notary public in Florida, Hillsborough County.

The form is a standard template revised as of March 9, 2020, and is used as part of the bonding and compliance procedures for Hillsborough County construction contracts. Completion of this document is essential when change orders are issued that modify contract amounts or completion schedules, ensuring that all bonding requirements remain current and adequate throughout the life of the contract. The notarization requirement, conducted either through physical presence or online notarization, provides legal verification of the surety's authorization and consent to the contract modifications.

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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 .