Sample_Change_Order.pdf

This is a Sample Change Order document from the Pinellas County Purchasing Department in Clearwater, Florida, establishing the procedural framework for processing contract modifications. The form is designed to document additions or deletions to existing agreements, with designated fields for the fiscal number, change order number, account number, and original total agreement amount. The document specifies spaces for recording the addition amount, deletion amount, and resulting new total agreement value. The change order requires execution by the contractor and must be approved by the Director of Purchasing, the Office of County Attorney, and the Board of County Commissioners before becoming effective.

The change order establishes that execution by the contractor constitutes a waiver of all claims or requests for additional time or compensation for activities prior to the execution date related to items included in the modification. The document stipulates that payment authorized through the change order represents full and complete compensation for labor, materials, incidental expenses, overhead, profit, impact costs, and time associated with the work, with all claim procedures outlined in the underlying contract documents. The form requires authorized signatures from county officials and the contractor's representative, along with witness attestation, ensuring proper documentation and approval authority throughout the modification process.