5-Consent of Surety-Change Order.pdf.pdf
PDF 648 KB Posted
- Attached to
- Roadway Resurfacing and Repair Contract
- Solicitation number
- IFB-25-00314
- Issued by
- Hillsborough County, Florida
About this file
This document is a Consent of Surety to Change Order form for a contract with Hillsborough County, Florida. The form is designed to acknowledge and approve modifications to an existing contract, specifically allowing changes to the contract amount (either increasing or decreasing) and/or extending the completion date by a specified number of calendar days. The surety company is confirming that its performance bond and/or payment bond will be accordingly adjusted to reflect these changes.
The document provides a standardized template for the surety to formally consent to a change order, including spaces for details such as the contract title, contractor (principal), surety, and agent information. The form includes a notarization section to be completed in Hillsborough County, Florida, with provisions for physical presence or online notarization. The document was last revised on 03.09.2020 and provides signature lines for authorized representatives of the surety, with options for signing as an authorized signature or as an attorney in fact.
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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 .