Sample_Change_Order.pdf

PDF 73 KB Posted

Attached to
ARPA Dansville Community Park (PID 006025A)
Solicitation number
24-0768-ITB-C
Issued by
Pinellas County, Clewiston City, Florida

About this file

The document is a Sample Change Order template from the Pinellas County Purchasing Department in Clearwater, Florida, designed to facilitate modifications to an existing contract. The template provides a standardized format for documenting changes to a contract's scope, total agreement amount, and other key terms, with designated spaces for fiscal number, change order number, account number, and financial adjustments including additions and deletions to the total agreement value.

The change order template includes provisions that require the contractor to waive any claims for additional time or compensation related to activities prior to the change order's execution. It explicitly states that the authorized payment represents full compensation for labor, materials, incidental expenses, overhead, profit, impact costs, and associated work time. The document requires signatures from multiple parties, including an investigator, Director of Purchasing, County Attorney, Board of County Commissioners Chairman, Clerk, and the contractor, ensuring a comprehensive review and approval process for any contract modifications.

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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 .