Sample_Change_Order.pdf

This document is a Sample Change Order template from the Pinellas County Purchasing Department in Clearwater, Florida, designed for modifying existing contract terms and conditions. The form provides a standardized framework for documenting changes to a contract, including financial adjustments such as additions, deletions, and recalculating the total agreement amount. The template includes designated spaces for fiscal number, change order number, account number, and signature lines for various county officials and the contractor.

The change order form contains critical provisions that establish legal and financial parameters for contract modifications. Notably, the document stipulates that the contractor's execution of the change order constitutes a waiver of additional time or compensation claims for activities prior to the change order's execution. The form also explicitly states that the authorized payment represents full compensation for labor, materials, incidental expenses, overhead, profit, impact costs, and associated work time. The document is designed to provide a clear, standardized mechanism for documenting and approving contract amendments while protecting the interests of Pinellas County.