6-Consent of Surety-Change Order.pdf.pdf
PDF 648 KB Posted
- Solicitation number
- IFB-26-00426
- 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 form serves as a formal acknowledgment by a surety company that it consents to modifications of an existing contract between the county and a contractor. The document allows the surety to recognize changes to the contract amount (either increases or decreases) and extensions to the completion date, with corresponding adjustments to both performance and payment bonds. The form requires authorized signature by the surety, notarization by a Florida notary public in Hillsborough County, and includes spaces for the specific change order number, dollar amount of adjustment, calendar days of time extension, and execution date.
This blank template is associated with the Pipeline Work Order Construction Services - WORCs 6 opportunity for Hillsborough County Capital Projects Department, a $12,075,000 estimated construction contract for water main, reclaimed water main, and wastewater force main installation and modifications at various county facilities. The contract includes a Small Business Enterprise (SBE) subcontractor participation goal of 6 percent. The Consent of Surety form would be utilized when change orders are issued during the contract performance period to ensure the surety's bond coverage remains adequate for any modifications to scope, cost, or schedule.
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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 .