Sample_Change_Order.pdf

This document is a Sample Change Order template from the Pinellas County Purchasing Department located in Clearwater, Florida. The form provides a standardized format for documenting modifications to an existing contract, with specific sections for recording fiscal number, change order number, account number, and financial adjustments including total agreement amount, additions, deletions, and new total agreement value.

The change order form includes important contractual provisions, notably that the contractor's execution of the change order constitutes a waiver of additional time or compensation claims for activities prior to execution. The document requires authorized signatures from multiple parties, including an investigator, Director of Purchasing, County Attorney, Board of County Commissioners Chairman, County Clerk, and the contractor, ensuring comprehensive review and approval of any contract modifications. While this is a sample template, it is specifically associated with a guardrail services and materials contract that provides for timely repairs to guardrail and handrail systems damaged by vehicular accidents in Pinellas County, Florida.