Sample_Change_Order.pdf

This document is a Sample Change Order template from the Pinellas County Purchasing Department in Clearwater, Florida. The form is designed to document modifications to an existing contract, with sections to record fiscal and account numbers, total agreement amounts, additions, deletions, and new total agreement values. The change order includes provisions that require the contractor to waive any claims for additional time or compensation related to the changes outlined in the order.

The template provides a comprehensive framework for formal contract amendments, with signature lines for various stakeholders including an Investigator, Director of Purchasing, County Attorney, Board of County Commissioners Chairman, County Clerk, and the contractor. By executing this change order, the contractor acknowledges that the authorized payment represents full compensation for labor, materials, incidental expenses, overhead profit, impact costs, and associated time. The document emphasizes the use of authorized signatures only and includes a clause indicating that claim procedures are detailed in the original contract documents.