Sample_Change_Order.pdf

This document is a Sample Change Order form from the Pinellas County Purchasing Department in Clearwater, Florida, designed to document modifications to an existing contract. The form provides a standardized template for recording changes to the total agreement value, including potential additions or deletions, with designated spaces for fiscal number, change order number, and account number. The document includes provisions that require the contractor to waive claims for additional time or compensation related to the change order, and acknowledges that the authorized payment represents full compensation for all associated work.

The change order form includes signature lines for multiple parties, including an Investigator, Director of Purchasing, County Attorney, County Commissioners, Clerk, and the contractor. It specifically notes that only authorized signatures should be used, and contains language indicating that the contractor's execution of the change order constitutes acceptance of the terms, including a full settlement for labor, materials, expenses, overhead, profit, impact costs, and time associated with the specified work. The form is part of the documentation for the Strawberry Parking Lot reconstruction project at St. Pete-Clearwater International Airport, which involves comprehensive parking lot improvements and associated infrastructure work.