3-Allowance Authorization Release Form.pdf.pdf

PDF 229 KB Posted

Attached to
Roadway Resurfacing and Repair Contract
Solicitation number
IFB-25-00314
Issued by
Hillsborough County, Florida

About this file

This document is an Allowance Authorization Release (AAR) form from Hillsborough County, Florida, designed to authorize changes to an existing contract. The form provides a standard template for documenting modifications to contract work, with sections for describing allowance work, tracking cost impacts, and recording approvals from both the contractor and county representatives. The form includes blank fields for specific contract details such as contract number, CPA number, C.I.P number, contractor name, and bid number.

The AAR template is structured to track financial and time-related changes to a contract, with designated areas to record the total allowance work included in the contract, the total of previous AAR's, the balance of allowance work available, and the remaining allowance work balance. The document requires signatures from the contractor, witnesses, and a county director, with additional routing to internal departments including the Chief Administrative Officer (CAO), BOCC Accounting, Fiscal & Administrative Support Section, and Procurement Services Department. The form is designed to formally document and authorize contract modifications while explicitly stating that the contractor waives claims for additional time or monetary compensation related to the changes.

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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 .