NJSDA Form 501
Page 1 of 2
NJSDA Form 501
AUTHORITY AGENT RECOMMENDATION (AAR)
Revised: March 2012
AAR No.:
RFI No.:
District Name:
NJSDA Region:
School Name:
CCR/A No.:
PMF/CM/PO:
PMF/CM:
Contractor Name:
Contract No.:
Date:
Description:
Design Consultant Firm:
AAR No.:
Cause/Reason:
Owner Initiated
Differing Site Conditions
Design Consultant E/O (Change Orders Only)
Justification: (Reason for Change)
Delay
NJSDA Form 501
Page 2 of 2
NJSDA Form 501
AUTHORITY AGENT RECOMMENDATION (AAR)
Revised: March 2012
AAR No.:
Print Name
Cost Comparison:
Contractor's Original Proposal Amount:
Final Recommended Amount:
PMF/CM Recommended Amount:
Design Consultant Recommended Amount:
NJSDA Estimate:
Dollar Time
Attachments:
Full Scope Description Scope Drawing
Design Consultant Review
Contractor's Estimate/Back-up PMF/CM Estimate
Other
Approvals:
Design Consultant PMF/CM
Signature Signature
DateDate
Print NamePrint Name
NJSDA Program Officer
Print NameSignature
Date
Reviewed by Program Officer-Controls and Verified within Project Charter Budget
Reviewed by Program Officer-Controls and Exceeds Project Charter Budget
(Attach revised Project Charter)
Date
Signature
(Enter dollar value without the dollar sign)
Print Form