Sample_Change_Order.pdf

PDF 73 KB Posted

Attached to
Light Electrical Commercial Repairs and Equipment
Solicitation number
26-0144-ITB-C
Issued by
Pinellas County, Florida

About this file

This is a sample change order form from the Pinellas County Purchasing Department in Clearwater, Florida, applicable to the Light Electrical Commercial Repairs and Equipment contract. The document provides the standardized template and procedures for executing change orders to existing county contracts. The form accommodates both additions and deletions to the original agreement value, with designated fields for fiscal number, change order number, account number, and the resulting new total agreement amount. The change order requires execution by the contractor and must be approved by the county investigator, Director of Purchasing, Office of County Attorney, and the Board of County Commissioners, with final acceptance and authorization by company representatives and a witness.

The sample change order establishes important terms regarding contractor obligations and compensation limitations. Upon execution of a change order, the contractor waives all claims or requests for additional time or compensation for any activities prior to execution that relate to items included in the change order. The document explicitly states that payment authorized by the change order represents full and complete compensation for all labor, materials, incidental expenses, overhead, profit, impact costs, and time associated with the work. Claim procedures for any disputes are outlined in the primary contract documents, establishing a clear framework for managing scope modifications and cost adjustments within Pinellas County's procurement process.

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Text version

APPENDIX 2 – SAMPLE CHANGE ORDER

APPENDIX 2 – SAMPLE CHANGE ORDER

SAMPLE CHANGE ORDER

PINELLAS COUNTY PURCHASING DEPARTMENT

CLEARWATER, FLORIDA

FISCAL NO. CHANGE ORDER NO.

ACCOUNT NO.

TO Total Agreement $

FOR Addition $

IN CONNECTION WITH New Total $

Deletion $

New Total Agreement $

Execution by the contractor of this Change Order shall be considered a waiver of all claims or request for additional time or compensation for any activities prior to time of execution related to items included in the Change Order. The contractor also acknowledges that payment authorized by this Change Order represents full and complete compensation for labor, materials, incidental expenses, overhead profit, impact cost, and time associated with this Work. Claim procedures are outlined in the Contract documents.

Investigator

Director of Purchasing APPROVED AS TO FORM: Accepted this day of

OFFICE OF COUNTY ATTORNEY 20

By PINELLAS COUNTY Attorney BOARD OF COUNTY COMMISSIONERS

By Chairman

Attest: KEN BURKE, CLERK By

Deputy Clerk

Use Authorized Signatures Only Company

By Title

Witness

File details come from the government source that posted it. Updated .