Sample_Change_Order.pdf

The document is a Sample Change Order template from the Pinellas County Purchasing Department in Clearwater, Florida, designed to facilitate contract modifications. The template provides a standardized format for documenting changes to an existing agreement, including additions or deletions to the total contract value, with designated spaces for fiscal number, change order number, and account number. The form includes provisions that require the contractor to acknowledge that executing the change order constitutes a waiver of additional time or compensation claims for activities prior to the change order's execution.

The change order template includes signature lines for multiple parties, including an Investigator, Director of Purchasing, County Attorney, Board of County Commissioners Chairman, County Clerk, and the contractor. The document stipulates that the payment authorized by the change order represents full compensation for labor, materials, incidental expenses, overhead profit, impact costs, and associated work time. The template is designed to provide a clear, standardized mechanism for documenting and approving contract modifications while protecting the interests of Pinellas County and establishing clear terms for any contractual adjustments.