Sample_Change_Order.pdf
PDF 73 KB Posted
- Attached to
- STAR Center Chiller 2 Replacement
- Solicitation number
- 23-1128-ITB-C
- Issued by
- Pinellas County, Florida
About this file
This document is a Sample Change Order template from the Pinellas County Purchasing Department in Clearwater, Florida. The form is designed to document modifications to an existing contract, providing a standardized format for recording additions, deletions, or adjustments to the total agreement value. The template includes spaces for fiscal number, change order number, account number, and detailed financial adjustments.
The change order template stipulates that by executing the document, the contractor waives all claims for additional time or compensation related to activities prior to the change order's execution. It also confirms 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, County Commissioners, Clerk, and the contracting company, ensuring comprehensive administrative review and approval of any contract modifications.
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Text version
APPENDIX 2 – SAMPLE CHANGE ORDER
APPENDIX 2 – SAMPLE CHANGE ORDER
SAMPLE CHANGE ORDER
PINELLAS COUNTY PURCHASING DEPARTMENT
CLEARWATER, FLORIDA
FISCAL NO. CHANGE ORDER NO.
ACCOUNT NO.
TO Total Agreement $
FOR Addition $
IN CONNECTION WITH New Total $
Deletion $
New Total Agreement $
Execution by the contractor of this Change Order shall be considered a waiver of all claims or request for additional time or compensation for any activities prior to time of execution related to items included in the Change Order. The contractor also acknowledges that payment authorized by this Change Order represents full and complete compensation for labor, materials, incidental expenses, overhead profit, impact cost, and time associated with this Work. Claim procedures are outlined in the Contract documents.
Investigator
Director of Purchasing APPROVED AS TO FORM: Accepted this day of
OFFICE OF COUNTY ATTORNEY 20
By PINELLAS COUNTY Attorney BOARD OF COUNTY COMMISSIONERS
By Chairman
Attest: KEN BURKE, CLERK By
Deputy Clerk
Use Authorized Signatures Only Company
By Title
Witness
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