Sample_Change_Order.pdf

This document is a Sample Change Order template from the Pinellas County Purchasing Department located in Clearwater, Florida, designed to formalize modifications to an existing contract. The template provides a standardized format for documenting changes to a contract's total agreement amount, including potential additions or deletions, with spaces to record fiscal number, change order number, and account number. The change order includes provisions that when executed by the contractor, it serves as a waiver of additional time or compensation claims for activities prior to the change order's execution.

The change order template requires multiple signatures for validation, including an investigator, Director of Purchasing, County Attorney, Board of County Commissioners Chairman, County Clerk, and the contractor's representative. The document explicitly states that any payment authorized through this change order represents full compensation for labor, materials, incidental expenses, overhead profit, impact costs, and associated work time. The template is designed to provide a clear, structured approach to documenting and approving contract modifications while protecting the interests of both the county and the contractor by outlining compensation and claim procedures.