Sample_Change_Order.pdf

This document is a sample change order template for Pinellas County Purchasing Department in Clearwater, Florida. The form is designed to modify existing contracts by documenting additions or deletions to the original agreement amount, with fields for fiscal number, change order number, account number, total agreement amount, addition amount, deletion amount, and new total agreement amount. The template does not specify particular products, services, quantities, dates, or contract terms as it serves as a standardized form for use across various procurement activities.

The change order includes specific contractual language stating that contractor execution constitutes a waiver of all claims for additional time or compensation related to activities prior to execution, and that authorized payments represent full compensation for labor, materials, expenses, overhead, profit, impact costs, and associated time. The form requires signatures from multiple parties including an investigator, Director of Purchasing, County Attorney approval, Pinellas County Board of County Commissioners Chairman, County Clerk attestation, and contractor representatives with witness, ensuring proper authorization and legal compliance for contract modifications.