4-Consent of Surety-Change Order.pdf.pdf
PDF 648 KB Posted
- Solicitation number
- IFB-26-00296
- Issued by
- Hillsborough County, Florida
About this file
This is a Consent of Surety to Change Order form used by Hillsborough County, Florida for contractor bonding purposes. The document serves as the surety's formal acknowledgment and agreement to modifications made to an existing contract through an issued change order. The form captures essential details including the contractor name (principal), surety company name, and authorized agent information. The surety agrees to adjust the performance bond and/or payment bond to reflect changes in the contract amount, whether increasing or decreasing, and any extensions to the completion date specified in the change order. The document requires execution by an authorized representative of the surety company with an official seal and must be notarized in Hillsborough County, Florida.
The form includes standard notarization requirements with provisions for either physical presence or online notarization, and the notary must document the method of identification used. The surety's acknowledgment in this document is critical for the sidewalk replacement and repair project (WORCS 2) being undertaken by Hillsborough County Engineering and Operations Department, valued at approximately $10,000,000.00. This template, revised as of March 9, 2020, ensures that surety bonds remain current and enforceable throughout any contract modifications, protecting both the county and the contractor. The form does not include specific pricing adjustments or completion date extensions as these are populated on a case-by-case basis for individual change orders.
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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 .