Sample_Change_Order.pdf

This document is a Sample Change Order template from the Pinellas County Purchasing Department in Clearwater, Florida, designed to formally document modifications to an existing contract. The template provides a standardized format for recording changes to total agreement amounts, including additions or deletions, with designated spaces for fiscal number, change order number, and account number. The form includes signature lines for key personnel including the Investigator, Director of Purchasing, County Attorney, Board of County Commissioners Chairman, Clerk, and the contractor.

The change order includes a critical waiver clause stating that the contractor's execution of the change order constitutes a waiver of all claims or requests for additional time or compensation for activities prior to the change order's execution. The document specifies 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 contract adjustments.