Sample_Change_Order.pdf

This document is a Sample Change Order template from the Pinellas County Purchasing Department located in Clearwater, Florida. The form is designed to document modifications to an existing contract, with designated sections for recording fiscal number, change order number, account number, total agreement amount, additions, deletions, and new total agreement amounts. The template includes signature lines for various county officials, including the Director of Purchasing, County Attorney, Board of County Commissioners Chairman, County Clerk, and the contractor.

The change order template includes a critical clause stating that the contractor's execution of the change order constitutes a waiver of all claims or requests for additional time or compensation for activities prior to the change order's execution. It also acknowledges that the authorized payment represents full and complete compensation for labor, materials, incidental expenses, overhead profit, impact costs, and time associated with the work. The form is structured to ensure comprehensive documentation of contract modifications while protecting the interests of both the county and the contractor, with explicit instructions to use only authorized signatures.