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 spaces to record fiscal details, account numbers, and financial adjustments including total agreement amounts, additions, deletions, and new total agreement values. The template provides a structured approach for formally documenting changes to a contract, with designated signature lines for various county officials including the County Attorney, Board of County Commissioners Chairman, Clerk, and the contractor.

The change order includes a critical legal provision stating that the contractor's execution of the change order constitutes a waiver of any additional claims or requests for compensation or time related to the activities covered in the order. It explicitly notes that the authorized payment represents full compensation for labor, materials, incidental expenses, overhead, profit, impact costs, and associated work time. The document emphasizes that specific claim procedures are outlined in the original contract documents, ensuring a clear and standardized process for contract modifications.