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

PDF 648 KB Posted

Attached to
Stormwater CRRP Construction WORCS Contract CDBG-DR North
Solicitation number
IFB-26-00286
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 of an existing contract between a contractor (principal) and Hillsborough County. The form accommodates changes to the contract amount, which may increase or decrease the total value, and allows for extensions to the completion date measured in calendar days. The surety acknowledges that performance bonds and payment bonds previously furnished under the original contract are adjusted accordingly to reflect the changes documented in the specific change order being executed. The document requires authorization through either a direct authorized signature or through an attorney in fact with attached power of attorney, and must be notarized in Florida before a notary public with either personal knowledge of the signatory or identification produced.

This form is a standard administrative document with no pricing information, set-asides, or specific funding terms contained within it. The form itself is a procedural requirement for change orders on Hillsborough County construction contracts and does not establish contract terms. Based on the related contract opportunity, this form would apply to the Stormwater CRRP Construction WORCS Contract for culvert repair and replacement work throughout Hillsborough County, estimated at $18,258,390.04, with work assignments issued on an as-needed basis by the County.

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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 .