Sample_Change_Order.pdf

This document is a sample change order template from the Pinellas County Purchasing Department in Clearwater, Florida. The form provides a standardized framework for documenting modifications to an existing contract, including potential additions or deletions to the total agreement amount. The template includes designated spaces for fiscal number, change order number, account number, and financial adjustments.

The change order template includes a critical clause stating that the contractor's execution of the change order constitutes a waiver of all claims for additional time or compensation for activities prior to the change order's execution. The document requires multiple authorized signatures, including representatives from the county attorney's office, the Board of County Commissioners, the purchasing department, and the contractor. The form is designed to comprehensively document contractual changes while protecting the county's interests by explicitly stating that the authorized payment represents full compensation for labor, materials, expenses, overhead, profit, and associated work.