Sample_Change_Order.pdf

This is a sample change order document from the Pinellas County Purchasing Department in Clearwater, Florida, related to the Fiscal Year 2027 Pavement Preservation Package 2 contract. The change order form is designed to document modifications to the total agreement value through additions or deletions of work. The document includes fields for recording the fiscal number, change order number, account number, original total agreement amount, addition amounts, deletion amounts, and the resulting new total agreement value. The form requires execution by the contractor and must be approved by the Pinellas County Purchasing Department Director, the Office of County Attorney, and the Board of County Commissioners, with signatures from the County Chairman, Clerk, and authorized company representatives.

By executing the change order, the contractor waives all claims or requests for additional time or compensation for activities prior to execution that are related to items included in the change order. The contractor acknowledges that payment authorized by the change order represents full and complete compensation for labor, materials, incidental expenses, overhead, profit, impact costs, and time associated with the work. This document serves as a template for managing contract modifications within Pinellas County's procurement process, with claim procedures outlined in the underlying contract documents.