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

PDF 648 KB Posted

Attached to
Bearss Ave at Florida Ave Intersection Improvements
Solicitation number
IFB-26-00354
Issued by
Hillsborough County, Florida

About this file

This is a Consent of Surety to Change Order form utilized by Hillsborough County, Florida for construction contracts. The document serves as formal acknowledgment by a surety company that it agrees to modifications to an existing contract, including changes to the contract amount (either an increase or decrease) and/or extensions to the project completion date. The form requires the surety to acknowledge that both the performance bond and payment bond associated with the original contract are adjusted accordingly to reflect the changes outlined in the specific change order being executed.

The document is a standardized template that requires completion of contract-specific information including the contractor name, surety company details, change order number, dollar amount of adjustment, and any calendar days added to the project timeline. The form must be executed by an authorized representative of the surety company and notarized before a notary public in the State of Florida, Hillsborough County, with execution requiring either the authorized signature or the signature of an attorney in fact with an attached power of attorney. The document is dated and references the revision date of 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 .