4-Consent of Surety-Change Order.pdf.pdf
PDF 648 KB Posted
- Attached to
- Tree Trimming and Removal Services
- Solicitation number
- RFP-2026-01-0-2027/AB
- Issued by
- Brevard 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 with the county. The form requires the contractor (principal) to identify the relevant change order number, the surety company name, and the surety's authorized agent. The document specifies the contract adjustment, including whether the change order increases or decreases the total contract amount by a stated dollar figure and whether it extends the completion date by a specified number of calendar days. Upon execution, the surety acknowledges that both the performance bond and payment bond associated with the original contract are adjusted accordingly to reflect the modifications outlined in the change order.
The form must be executed by an authorized representative of the surety company and includes space for a corporate seal. The document requires notarization before a Florida notary public, with the notarization occurring either through physical presence or online notarization. The notary must record the date of notarization, the name of the person executing the document, their title or capacity (such as officer or attorney in fact), and identify whether the notary personally knows the signer or obtained identification. If the signatory executes the document as an attorney in fact, a power of attorney document must be attached. The form was revised on March 9, 2020.
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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 .