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

PDF 648 KB Posted

Attached to
Intersection Improvements for East County Line Road at Grand Hampton Drive
Solicitation number
IFB-26-00398
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 by a surety company that it consents to modifications of an existing contract between the county and a contractor. The form allows for changes to the contract amount (either increases or decreases) and extensions to the completion date, with the surety confirming that both performance and payment bonds will be adjusted accordingly to reflect the modifications outlined in the referenced change order. The document requires execution by an authorized representative of the surety company, either directly or through an attorney in fact with attached power of attorney documentation, and must be notarized before a notary public in the State of Florida, County of Hillsborough.

This form template is a standard administrative document used in conjunction with the Intersection Improvements for East County Line Road at Grand Hampton Drive project in Hillsborough County, an estimated $1,239,930.07 construction project located in Tampa. The document itself contains no pricing information or specific contract details but functions as a mechanism to formally bind the surety to any agreed-upon modifications to the principal contractor's obligations. The form was last revised on March 9, 2020, and includes provisions for physical or online notarization to accommodate different execution circumstances.

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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 .