Consent of Surety-Change Order.pdf.pdf

PDF 648 KB Posted

Attached to
Northwest Transfer Station Community Collection Center (NWTS CCC) Floor Upgrades
Solicitation number
IFB-26-00265
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 (principal). The form requires the surety to acknowledge and agree to a specified change order number, which may increase or decrease the contract amount by a stated dollar value and/or extend the completion date by a defined number of calendar days. The surety further confirms that both the performance bond and payment bond furnished under the original contract are adjusted accordingly to reflect the changes in contract amount and timeline. The document must be completed with the specific contract title, contractor name, surety information, change order number, dollar adjustment, and time extension details, then executed by an authorized representative of the surety with an official seal.

The form requires notarization in the State of Florida, Hillsborough County, with the notary certifying the signatory's identity through either personal knowledge or identification verification. Completion of this consent form is necessary before a change order can be fully effective, ensuring that the surety's bonding obligations remain current and aligned with the modified contract terms. The document was last revised on March 9, 2020, and applies to the Northwest Transfer Station Community Collection Center Floor Upgrades project in Hillsborough County, which involves concrete paving work with an estimated contract value of $2,243,136.50 and includes a 5% Small Business Enterprise (SBE) subcontractor participation goal.

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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 .