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

PDF 648 KB Posted

Attached to
Columbus Drive Bridge #105504 Painting and Repair
Solicitation number
IFB-26-00413
Issued by
Hillsborough County, Florida

About this file

This is a Consent of Surety to Change Order form used by Hillsborough County, Florida for construction contracts. The document serves as formal acknowledgment by a surety company that it consents to modifications of an existing contract between the county and a contractor principal. The form allows for changes to the contract amount (increases or decreases), extension of completion dates, and corresponding adjustments to performance and payment bonds. The document requires execution by an authorized representative of the surety company and notarization before a Florida notary public in Hillsborough County. Specific fields include spaces for the change order number, contract title, contractor name, surety identification, agent information, dollar amount of change, calendar days for deadline extension, and date of execution.

This form is a standard template document that does not contain substantive contract terms, pricing information, or project-specific details. Rather, it functions as a procedural instrument requiring surety company acknowledgment and legal verification through notarization. The form was last revised on March 9, 2020, and applies to Hillsborough County construction contracts, including the Columbus Drive Bridge #105504 Painting and Repair project, a 100-year-old swing bridge rehabilitation involving painting, truss repairs, and swing-span stop assembly installation. No pricing, bid amounts, or specific financial terms appear in this document, as it is designed for use only after contract award and when change orders become necessary during project execution.

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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 .