Sample_Change_Order.pdf

The document is a Sample Change Order template from the Pinellas County Purchasing Department in Clearwater, Florida. The template provides a standardized form for documenting changes to an existing contract, including modifications to the total agreement amount through additions or deletions. The form includes designated spaces for fiscal and account numbers, financial adjustments, and signatures from multiple parties including the contractor, county attorney, board of county commissioners, and clerk.

The change order form includes a critical clause stipulating that the contractor's execution of the change order constitutes a waiver of any additional time or compensation claims related to the specified changes. The document emphasizes that the authorized payment represents full compensation for labor, materials, expenses, overhead, profit, and associated work impacts. The form requires authorized signatures from the contractor's company, county officials, and includes provisions for attestation by the county clerk, ensuring a formal and comprehensive documentation process for contract modifications.