Sample_Change_Order.pdf

This document is a sample change order template from the Pinellas County Purchasing Department in Clearwater, Florida, designed to formally document modifications to an existing contract or project agreement. The template provides a standardized format for recording changes to the total agreement amount, including potential additions or deletions, with designated spaces for fiscal number, change order number, and account number.

The change order template includes critical provisions that waive the contractor's rights to additional time or compensation for activities prior to the change order's execution. It explicitly states that the authorized payment represents full compensation for labor, materials, incidental expenses, overhead, profit, impact costs, and associated work. The document requires signatures from multiple parties, including an investigator, Director of Purchasing, County Attorney, Board of County Commissioners Chairman, County Clerk, and the contractor, ensuring comprehensive administrative approval and documentation of any contract modifications.