3-Allowance Authorization Release Form.pdf.pdf

PDF 229 KB Posted

Attached to
Intersection Improvements for East County Line Road at Grand Hampton Drive
Solicitation number
IFB-26-00398
Issued by
Hillsborough County, Florida

About this file

This is an Allowance Authorization Release Form related to the Intersection Improvements for East County Line Road at Grand Hampton Drive project administered by the Hillsborough County Engineering and Operations Department in Tampa, Florida. The project encompasses intersection improvements located in Section 2, Township 27S, Range 19E, with an estimated project value of $1,239,930.07. The document serves as an authorization mechanism for the release of allowances related to the construction and improvement work at the specified intersection location.

The solicitation includes a Small Business Enterprise (SBE) participation goal of 5% for subcontractor involvement. This allowance authorization form functions as part of the contractual documentation to manage and authorize the disbursement of funds or allowances throughout the project execution phase. The form establishes the framework for tracking and releasing authorized amounts in accordance with the contract terms and project requirements.

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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 .