Sample_Change_Order.pdf

This document is a Sample Change Order form from the Pinellas County Purchasing Department in Clearwater, Florida, designed to facilitate modifications to an existing contract. The form provides a template for documenting changes to a contract's total agreement amount, including potential additions or deletions, with spaces for fiscal number, change order number, and account number. The change order includes provisions that when executed by the contractor, it serves as a waiver of additional time or compensation claims for activities prior to execution, and acknowledges that the authorized payment represents full compensation for labor, materials, incidental expenses, overhead, profit, impact costs, and associated work.

The form requires signatures from multiple parties, including an investigator, Director of Purchasing, County Attorney, Board of County Commissioners Chairman, County Clerk, and the contractor. While this is a sample template and not a completed change order, it is related to the Countywide Mast Arms - Group 3 (Rebid) project, which involves replacing signalization with mast arms at five intersections in Pinellas County, Florida, including locations such as Lake St George Dr at Tampa Rd, West Lake Rd at Tampa Rd, and others. The change order mechanism allows for financial and scope adjustments during the project's implementation, providing flexibility in managing contract modifications.