Sample_Change_Order.pdf

This document is a Sample Change Order template from the Pinellas County Purchasing Department located in Clearwater, Florida. The form is designed to document modifications to an existing contract, with designated spaces for fiscal number, change order number, account number, and financial adjustments including total agreement amount, additions, deletions, and new total agreement value. The template provides a standardized mechanism for tracking and authorizing contract amendments.

The change order includes important contractual provisions, specifically noting that the contractor's execution of the change order constitutes a waiver of any additional time or compensation claims related to the documented activities. The document requires signatures from multiple parties, including an investigator, Director of Purchasing, County Attorney, Board of County Commissioners Chairman, Clerk, and the contractor, ensuring multi-level administrative review and approval of any contract modifications. The form emphasizes that the authorized payment represents full compensation for labor, materials, incidental expenses, overhead, profit, impact costs, and associated work, with specific claim procedures outlined in the broader contract documents.