2-Allowance Authorization Release Form.pdf.pdf

PDF 229 KB Posted

Attached to
Sidewalk Replacement and Repair - South (WORCS 2)
Solicitation number
IFB-26-00297
Issued by
Hillsborough County, Florida

About this file

This is an Allowance Authorization Release (AAR) form used by Hillsborough County, Florida to document authorized changes to contracts. The form provides a structured template for contractors to request modifications to existing contracts while acknowledging that they waive claims for additional time extensions or monetary compensation related to the changes. The document captures essential contract information including the contractor name, contract number, CPA number, CIP number, bid number, and AAR number. The form includes designated fields for describing the allowance work to be performed, documenting cost impacts, and specifying any time impact in days.

The AAR form tracks financial allocations associated with the allowance work, including the amount included in the original contract, totals from all previous AARs, the balance of available allowance work, the total allowance work under the current AAR, and the remaining balance available for future work. The form requires signatures from the contractor, witnesses, and Hillsborough County department officials, with approval routing through the Procurement Services Department and Legal Department. Copies are distributed to Christine Beck in the CAO Accounting Fiscal & Administrative Support Section and the Procurement Services Department file, ensuring proper documentation and fiscal accountability for contract modifications related to the sidewalk replacement and repair project (WORCS 2) with a contract value of $10,000,000.

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Text version

HILLSBOROUGH COUNTY

ALLOWANCE AUTHORIZATION RELEASE (AAR)

AAR NO.

CONTRACT:

CPA NO. C.I.P NO.

CONTRACTOR: BID NO.

The Contractor is hereby authorized and directed to make the following changes to the above contract, in accordance with all applicable requirements. The Contractor waives any and all claims to additional time extension and/or monetary compensation resulting from these changes and all cost associated with the AAR herein addressed.

COST

DESCRIPTION OF ALLOWANCE WORK TO BE PERFORMED IMPACT DAYS

AMOUNT DAYS

ALLOWANCE WORK INCLUDED IN CONTRACT: $

TOTAL OF ALL PREVIOUS AAR’S: $

BALANCE OF ALLOWANCE WORK AVAILABLE: $

TOTAL ALLOWANCE WORK - THIS AAR: $

REMAINING ALLOWANCE WORK BALANCE: $

CONTRACTOR:

BY: (SEAL)

WITNESS

WITNESS Printed Name & Title

Date

COUNTY: HILLSBOROUGH COUNTY, FLORIDA

BY:

Director, _________________ Department

Date cc: Christine Beck, CAO BOCC Accounting Fiscal & Administrative Support Section

Procurement Services Department File

APPROVAL DATE

PROCUREMENT SVCS.: ____________________ _________

LEGAL: ____________________ _______

File details come from the government source that posted it. Updated .