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

PDF 648 KB Posted

Attached to
Cape Seal Pavement Preservation
Solicitation number
IFB-26-00111
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 from a surety company that it consents to a change order affecting an existing contract with the county. The form requires identification of the contract title, contractor (principal), surety company, and the surety's authorized agent. It documents the surety's agreement to modifications including changes to the contract amount (either increases or decreases specified in dollar terms) and/or extensions to the project completion date (measured in calendar days). The surety acknowledges that both the performance bond and payment bond associated with the original contract are adjusted accordingly to reflect the changes documented in the change order.

The form requires execution by an authorized representative of the surety, either through direct signature or through an attorney-in-fact (which requires attached power of attorney documentation). The document must be notarized in the State of Florida, County of Hillsborough, with the notary public verifying the identity of the signatory through either personal knowledge or produced identification. The form is designed to ensure that bonding obligations remain current and enforceable throughout the contract term as modifications are made, protecting both the county and the contractor by maintaining continuous surety coverage.

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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 .