Sample_Change_Order.pdf

This document is a Sample Change Order template from the Pinellas County Purchasing Department in Clearwater, Florida. The form provides a standardized method for documenting modifications to an existing contract, with spaces to record fiscal numbers, account numbers, total agreement amounts, additions, deletions, and new total agreement values. The template includes signature lines for various authorized representatives, including an Investigator, Director of Purchasing, County Attorney, Board of County Commissioners Chairman, County Clerk, and the contractor.

The change order includes a critical clause stating that the contractor's execution of the document constitutes a waiver of any claims for additional time or compensation related to activities prior to the change order's execution. It explicitly notes 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 formally document and validate contract modifications while protecting the county's interests by limiting potential future claims related to the changes.