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

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Attached to
LED Sports Lighting Retrofit & Installation Term Contract B
Solicitation number
IFB-26-00075
Issued by
Hillsborough County, Florida

About this file

This is a Consent of Surety to Change Order form for Hillsborough County, Florida, used to document surety company acknowledgment and agreement to modifications of performance and payment bonds related to contract changes. The form requires the surety to acknowledge and consent to a specific change order number, recognize adjustments to the contract amount (increase or decrease), and confirm any extension to the completion date measured in calendar days. The document establishes that the performance bond and/or payment bond furnished under the original contract are adjusted accordingly to reflect the changes in contract amount and time specified in the change order.

The form requires authorization signatures from either an authorized representative of the surety or an attorney in fact (with attached power of attorney), along with the surety's seal. Notarization is required before a notary public in the State of Florida, Hillsborough County, with the notary verifying identity through either personal knowledge or identification documentation. The form is dated and identifies the contract title, contractor (principal), and surety agent information in designated spaces. This standardized form was last revised on March 9, 2020, and applies to the LED Sports Lighting Retrofit & Installation Term Contract estimated at $8,000,000.00 for Hillsborough County Facilities Management & Real Estate Services.

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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 .