Sample_Change_Order.pdf

This document is a Sample Change Order template from the Pinellas County Purchasing Department in Clearwater, Florida, designed to formalize modifications to an existing contract. The template provides a standardized format for documenting changes to contract terms, including financial adjustments such as additions, deletions, and revisions to the total agreement amount. The change order includes provisions that require the contractor to acknowledge that executing the change order constitutes a waiver of additional time or compensation claims related to the specified work.

The change order form includes spaces for key administrative details such as fiscal number, change order number, account number, and total agreement amounts. It requires signatures from multiple parties, including an investigator, Director of Purchasing, County Attorney, Board of County Commissioners Chairman, County Clerk, and the contractor. The document emphasizes that the authorized payment represents full compensation for labor, materials, incidental expenses, overhead, profit, impact costs, and associated time, with claim procedures outlined in the original contract documents.