Sample_Change_Order.pdf

This is a sample change order document issued by the Pinellas County Purchasing Department in Clearwater, Florida, which serves as a template for modifying existing contracts. The document provides a standardized format for documenting contract amendments, including fields for the fiscal number, change order number, account number, and the original total agreement amount. The form accommodates both additions and deletions to the contract scope, with sections to specify 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 Investigator, Director of Purchasing, and the Office of County Attorney, with final authorization from the Board of County Commissioners through the County Attorney and Chairman signatures.

The change order document explicitly states that contractor execution constitutes a waiver of all claims or requests for additional time or compensation for activities prior to the change order's execution date. The authorized payment is designated as full and complete compensation for labor, materials, incidental expenses, overhead, profit, impact costs, and associated work. The document requires signatures from authorized company representatives and a witness, establishing a formal process for contract modifications within Pinellas County's procurement framework. The related pavement preservation project involves four paving locations across Pinellas County, consisting of two arterial and two local neighborhood projects totaling approximately 38.55 lane miles of roadway for Fiscal Year 2027.