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ALLOWANCE AUTHORIZATION FOR CONSTRUCTION CONTRACT
NJSDA FORM 802
Revised: October 2020
Date:
School Name:
District
Project. No.:
Contract No.:
Contractor:
PMF/CM:
Attachments:
The Contractor is authorized to perform the following Allowance Work: (The detailed description)
Allowance Cost:
ORIGINAL or
CURRENT
ALLOWANCE
NET OF PRIOR
AUTHORIZATION
TO ALLOWANCE
THIS
AUTHORIZATION
TO ALLOWANCE
CURRENT BALANCE
OF
ALLOWANCE
Allowance No.:
The Purpose of this Allowance Authorization Request (this purpose shall conform to the Allowance Category
in the contract): (The brief description)
Anticipated Additional Need of this Allowance Amount: (The brief description)
SDA PO:
Design Con.:
Authorization No.:
Not to Exceed Time and Material
Lump Sum (Unit Costs)Lump Sum (Hrs., Materials, & Equipment)
Dollar Value Category (select only one)
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ALLOWANCE AUTHORIZATION FOR CONSTRUCTION CONTRACT
NJSDA FORM 802
Revised: October 2020
Accepted and Agreed to By:
Accepted
Not Accepted
Contractor:
Approved
Not Accepted
SDA Program Director:
Approved and Agreed to By:
Contract No.:
Time: (This is notification only that TIME may be impacted. Any adjustment to the Contract time must be
accomplished through a properly authorized change order.):
ORIGINAL DATE
Substantial Completion
Final Completion
This Allowance Authorization Request represents the total and entire adjustment to the Allowance Amount for the
authorization described herein and is included in the contract sum.
PRIOR TIME
AUTHORIZATION
THIS TIME
ADD / DEDUCT
CURRENT
CONTRACT
(In calendar days
where applicable)
Approved and Agreed to By:
SDA Vice President:
Recommended for Acceptance By:
Accepted
Not Accepted
PMF/CM:
Approved
Not Accepted
Allowance No.:
Authorization No.:
Signature
Signature
Signature
Signature
Reviewed by Program Officer-Controls and Verified the Allowance Authorization is within
Allowance value established within the contract
Reviewed by Program Officer-Controls and the Allowance Authorization EXCEEDS
Allowance value established within the contract
Signature
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