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 is designed to capture financial adjustments, with spaces for entering fiscal number, change order number, account number, and various monetary values related to the contract modification.

The change order includes important legal provisions that waive the contractor's ability to claim additional time or compensation for activities prior to the change order's execution. It explicitly states that the authorized payment represents full compensation for labor, materials, incidental expenses, overhead, profit, impact costs, and associated work time. The document requires signatures from multiple parties, including an investigator, Director of Purchasing, County Attorney, Board of County Commissioners Chairman, County Clerk, and the contractor, ensuring a comprehensive review and approval process for any contract changes.