Sample_Change_Order.pdf

This document is a sample change order template from the Pinellas County Purchasing Department located in Clearwater, Florida. The change order form provides a standardized format for documenting modifications to an existing contract, with 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 authorized parties, including the contractor, county attorney, board of county commissioners, and a clerk.

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. The form also acknowledges that the authorized payment represents full compensation for labor, materials, incidental expenses, overhead profit, impact costs, and time associated with the work. The document is designed to provide a clear, standardized method for formally documenting and approving contract modifications within Pinellas County's procurement process.