Sample_Change_Order.pdf

The document is a Sample Change Order template from the Pinellas County Purchasing Department in Clearwater, Florida, designed to facilitate modifications to an existing contract. The form provides a standardized format for documenting changes to a contract's total agreement amount, including potential additions or deletions, with designated spaces for fiscal number, change order number, and account number. The template includes signature lines for various county officials, including the Director of Purchasing, County Attorney, Board of County Commissioners Chairman, and the Clerk, as well as space for the contractor's company representative.

The change order template includes a critical clause stating that the contractor's execution of the change order constitutes a waiver of any claims for additional time or compensation related to activities prior to the change order's execution. The document emphasizes that the authorized payment represents full compensation for labor, materials, incidental expenses, overhead profit, impact costs, and associated work time. The form is designed to provide a clear, legally structured mechanism for documenting and approving contract modifications within Pinellas County's procurement process, ensuring transparency and formal documentation of any contractual adjustments.