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 designated sections for recording fiscal and account numbers, total agreement amounts, additions, deletions, and new total agreement values. The template provides a standardized process for making contractual adjustments, with specific areas for various authorized signatures including the County Attorney, Board of County Commissioners, and the contractor.

The change order includes a critical waiver clause stating that the contractor's execution of the change order constitutes a waiver of all claims for additional time or compensation related to activities prior to the change order's execution. The document emphasizes that the authorized payment represents full compensation for labor, materials, incidental expenses, overhead profit, impact costs, and associated work time. The form is structured to ensure transparency and formal documentation of contract modifications, with multiple signature lines to validate the changes across different organizational levels.