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-26-00148
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 modifications to an existing contract between the county and a contractor. The form requires the surety to acknowledge and agree to a specific change order number, document any increases or decreases to the contract amount in dollar terms, and note any extensions to the project completion date in calendar days. The surety further confirms that both the performance bond and payment bond associated with the original contract are adjusted accordingly to reflect the changes in contract amount and/or timeline. The document must be executed with an authorized signature and an official seal, with an alternative option for execution by an attorney in fact with attached power of attorney documentation.

The form requires notarization before a Florida notary public in Hillsborough County, with the notary certifying the date of acknowledgment and the identity of the signatory. The document was revised as of March 9, 2020, and serves as a critical compliance instrument for the Northwest Transfer Station Community Collection Center Floor Upgrades project, which involves cast-in-place concrete work estimated at $2,243,136.50 with a 5% Small Business Enterprise (SBE) subcontractor participation goal. This form ensures that surety bonds remain valid and enforceable throughout any contractual modifications undertaken during the 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 .