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CONTRACT CLOSE-OUT CHECKLIST
(To Be Prepared by the Contracts and Lease Coordinator)
DATE: 12/31/2013
TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office
SUBJECT: Lease No. L10-0376-PW
MANAGING DEPARTMENT: PUBLIC WORKS
CONTRACTOR'S NAME: KANSAS STATE BANK
PROJECT TITLE: LEASE OF FOUR GRADERS
The attached has met the final payment contract requirement in subject contract.
Yes
1. Final Invoice KX
2. Completed Contract/Lease Payment Approval Form xX
3. Close-Out Documents Yes No
a. Signed Release of Lien im im
b. Proof of Completion Advertisement im L]
c. Certificate of Insurance ml im
d. Consent of Surety to Final Payment i” ia
e. Proof of Performance/Payment Bond CJ Oj
Continuation 12 Months Following
Final Payment
Yes
4, Agenda Request x
5. Remarks
12-31-13
No
OO
C4
_
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MIKKIXIX
=
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Contracts and Leage Coordinator DATE
a CONTRACT/LEASE
PAYMENT APPROVAL FORM
COMPLETE AND FORWARD TO THE NEXT DEPARTMENT
_ ORIGINAL
————— SSS]
COMPLETED BY DEPARTMENT
DATE: 12/2/2013
VENDOR NAME: Kansas State Bank Of Manhattan | VENDOR #:
CONTRACT/LEASE#: _L10-0376-PW
| VENDOR TASK COUNTY/FEMA BUDGET
INVOICE # ORDER # PROJECT # DEPARTMENT | ACCOUNT # AMOUNT $
(If Applicable) (If Applicable) #
3342611 L10-0376-P W 3202 544040 6,248.61
Total 6,248.61
APPROVED FOR PROGRESS PAYMENT (please sign, as applicable and date)
CONTRACTOR'S ENGINEER/ARCHITECT/PROJECT MANAGER:
DATE:
COUNTY SUPERVISOR/PROJECT MANAGER: Cae Ace 2? DATE: 43 LUE
Simmons j
DEPARTMENT DIRECTOR: ARS VEE pate: ZB Ls
fondgin Hofsta
CONTRACTS & GRANT MANAGER: DATE:
\ \
COUNTY ADMINISTRATOR: DATE:
(Payments>$25,000.)
—_ a a S|
FINAL PAYMENT
FINAL PAYMENT YES 7 NO__ (If "Yes", forward to Purchasing Services G ¥/) e-Oul)
i}
DATE: [2- Hl y PURCHASING DIRECTOR:
(Per Initial Agreement)
x
DATE: {27 eS Gee Ss CONTRACTS & GRANTS MANAGER: (Sprmuda iS Ale,
(All Contracts) : = gi
DATE: COUNTY ADMINISTRATOR APPROVAL:
j (Per Initial Agreement)
DATE: BOARD APPROVAL:
(Per Initial Agreement)
———————— = = |
COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY
FISCAL YEAR:
DATE RECEIVED:
REVIEWD BY:
_NO. ACCOUNT NUMBER | I DUE DATE AMOUNT DUE ]
3 3342611 DEC 15-13 $6,248.61
DKALOOSA COUNTY.
BOARD OF COMMISSIONERS
"A LATE-FEE 07 10% OF. THE PAYMENT.
AMOUNT.WILL BE ASSESSED ON ANY
PAYMENT RECEIVED AFTER THE DUE DATE"
KANSAS STATE-BANK
PO BOX 69
MANHATTAN KS 66505
COUPON MUST. ACCOMPANY. PAYMENT.
wHhOksOaS hts 444768 ae
REFERENCE: PURCHASING'S ONLINE CONTRACTS
PRINTED/ATTACHED BY: BCC FINANCE
EXHIBIT B
CONTRACT, LEASE, AGREEMENT CONTROL FORM
Date: 12/21/10
Contract/Lease Control #: L10-0376-PW
Bid #: PW 42-10 Contract/Lease Type: EXPENSE
Award To/Lessee: OKALOOSA COUNTY BCC
Lessor/Owner: KANSAS STATE BANK OF MANHATTAN
Effective Date: __ 12/15/2010
Expiration Date: 01/15/2014
Description of Contract/Lease: LEASE OF 4 2011 VOLVO MOTOR GRADERS
Department Manager: PW
Department Monitor: JOHN HOFSTAD
Monitor's Telephone #: 689-5772
Monitor's FAX # OR E-Mail: JHOFSTAD@CO.OKALOOSA.FL.US
Date Closed:
Ce: Finance Dept Contracts & Grants Division
REFERENCE: PURCHASING'S ONLINE CONTRACTS
PRINTED/ATTACHED BY: BCC FINANCE
Valve Construction Equipment Buyback Agreement
(ASE Valve/Okaloosa County)
ASE# 1.10-0376-PW
Customer Contact an SAS STATE. BANK OF MANHATEAN
Customer Name —Dkaloosa County Commission LE ASE OF Gh 2011 VOLVO MOTOR GRADERS
Address GOIN Pearl St Crestview EXPIRES: 01/15/2014
Phone # 850-685-5960
S/N (G01935, 501836, 51938, 501935, )
Dear Richard.
This Agreement addresses the buyback option oh the Volve G830
ASE Construction Equipment agrees to a guaranteed buyback of the: Valve 6930 Motor Graders
subject te the following conditions
|, Customer may exercise a 3 year buyback from the date of delivery af this machine,
2 Custamer must give ASC 30 calendar days written notice of intent ta exercise its rights.under this Buyback Agreement,
3. Customer must not be in default under all terms of its underlying contract and must be current an all payments.
4, Any modification or re-negotiation of the terms of the underlying contract without ASC’s written authorization renders this
contract unenforceable and void,
5. The buyback amount in year 3 will be $120,000 for each unit and each unit must not have in excess of (000 hours per calendar
year on the hourmeter. Excess hours will be charged at $25.00 per hour. Hours will be cumulative,
5. Okaloosa County. at no cast, must have annual Customer Maintenance Inspectians (CMI's) performed onthe machine by ASC in
accordance with the Customized Maintenance Inspection Pragram.
7. Oil samples must be taken and submitted on a regular basis.
8. The machine will be raturned FOG ASC, Mobile, Al. on the date of exercise af this Buyback Agreement, cleaned and in good
operating condition (fully functional), less normal wear and tear. While in customer possession, the machine shall be serviced
per Volvo maintenance specifications, The machine must include all original Volvo original parts components, except tires. All
tires shall be of the same original size, type and manufacturer (ar similar quality manufacturer if the original manufacturer rig
longer produces tires af that type) as upon delivery ta Dkaloasa County. (In each tem of Equipment, the tires shall have no
missing or damaged parts, gouges, or section repairs. Alltires shall have a minimum of fifty percent (50%) remaining wear using
standard measurement practices,
3. Okaloosa County shall be responsible for the cast of any necessary repairs tu put the machine in good operating condition (fully
functional and incompliance with all regulations). Atits option, ASC may inspect the machine after receipt of the thirty day notice
of exercise of the buyback. Ukalsosa County agrees to co-operate in such inspection, including making service records available.
LPersker/Olr-Custemer Buyback Agreement
REFERENCE: PURCHASING'S ONLINE CONTRACTS
PRINTED/ATTACHED BY: BCC FINANCE
Okaloosa County agrees to pay the estimated cost of repairs determined to be necessary by said inspection, at the time of
exercise of this Buyback Agreement,
IL. At the time of exercise of its rights hereunder, customer shall provide ASC with a bill of sale certifying the machine to be free and
clear of all liens and encumbrances and shall execute such other documents as ASE and/ap Valva may reasonably request.
AGREED AND ACEEPTED this 9 f Lheeep ber day of ozo Year.
Okaloosa 4 f ‘ S08,
County Ape es sLongtruction oO fi 2 Z
—_ mae Equipment: Wk OLB teat.
3 Se then cee
By: U & Heeris: By: * John Edwatels
a
Title: C beer pein, Kee Title: G eretat Maweg er
MEN EER FOG:
REFERENCE: PURCHASING'S ONLINE CONTRACTS
PRINTED/ATTACHED BY: BCC FINANCE
1680 CHARLES PLACE
MANHATTAN, KS 66502 {2/7 587-4054
Sent via US Mail
November 9, 2010
Okaloosa County Board of Commissioners
Attn: Jack Allen
302 N. Wilson Street, Suite 203
Crestview, FL 32536
Re: Government Obligation Contract dated as of December 7, 2010 between Okaloosa County
Board of Commissioners (Obligor) and Kansas State Bank of Manhattan (Obligee) / Contract
#3342611
Dear Mr. Allen:
Enclosed please find a fully executed copy of the above-referenced Contract for your files.
Your first payment on this Contract is due January 15, 2011 in the amount of $6,248.61. Please
mail all payments to Kansas State Bank, P.O. Box 69, Manhattan, Kansas 66505-0069, unless
we notify you otherwise.
If there are any questions regarding your payments please do not hesitate to contact us at (877) 587-
4054, Please contact Volvo Financial Services at (336) 931-3749 with questions regarding additional
financing needs.
Sincerely,
Dnlrschrone.
Andrea Parsons
Documentation Manager
Enclosures
REFERENCE: PURCHASING'S ONLINE CONTRACTS
PRINTED/ATTACHED BY: BCC FINANCE
GOVERNMENT OBLIGATION CONTRACT
Obligor Obligee
Okaloosa County Board of Commissioners Kansas State Bank of Manhatta
302 N Wilson Street, Suite 203 1010 Westloop, P.O. Box 69
Crestview, Florida 32536 Manhattan, Kansas 66505-0069
Dated as of December 7, 2010
This Government Obligation Contract dated as of the date fisted above is between Obligee and Obligor fisted directly above. Obtigee desir ngntelthe purchase of
Equipment described in Exhibit “A” to Obligor and Obligor desires to finance the purchase of the Equipment from Obligae subject to the ter nd Conditions.of this Contrac
which are set forth below. a
ih Definitions:
Section 1.01. Definitions. The following terms will have the meanings indicated below unless the context clearly requires athemise:
“Additional Collateral” refers to the equipment listed as Additional Collateral on Exhibit “A” for which Obligar grants. first lien position to Obtigee.
“Additional Schedule" refers to the proper execution of additional Schedules to Exhibit A, Exhibit 8, Exhibit G and Exhibit D as well as other exhibits or documents that may be
required by the Obligee all of which relate to financing af additional Equipment
“Budget Year" means the Obligor's fiscal year,
‘Commencement Date" is the date when Obligor's obligation to pay Contract Payments begins,
“Contract” means this Goverment Obligation Conteact; all Exhibits, and all documents relied upon by Obligee priar to execution of this Contract,
“Contract Payments" means the payments Obfigor is required 10 make under this Contract as set forth cA Exhibit “B"
“Contract Term" means the Original Term and all Renewal Terms.
“Equipment means ail of the tems of Equipment listed on Exhibit "A" and all replacements. restorations, modifications and improvernents,
“Government” as used in the title hereof means a State or a political subdivision of the State within the meaning of Section 163(a) of the Iniernal Revenue Code of 1986, as
amended ("Code"), or a constituted authority or district authodzed to issue obligations of on behalf of the State or political subdivision af the State within the meaning of
Treasury Regulation 1,103-1(b), or a quatified volunteer fire company within the meaning of section 180(eK 4) of the Code.
“Obligee” means the entity originally listed above as Obtigee or any of is assignees.
“Obligor” means the entity bsted above as Obligor and which is financing the Equament from Obtigee under the provisions af this Contract.
“Original Term" means the periad from the Commencement Date until the end of the Budget Year of Obligar.
“Renewal Term” means the annual term which begins at the end of the Originat Term and which is simultaneous with Obligors Budget Year.
"State" means the slate in which Obligor is located.
it. Obtigor Warranties
Section 2.01 Obligor represents, warrants and covenants as follows for the benefit of Obiigee or it assignees:
{a} Qbiigar is an “issuer of lax exempt obligations” because Obligor ig the Slate or a political subdivision of the State within the meaning of Section 103(a) of the internal
Revenue Code of 1985, as amended, (the ‘Code") or because Obligor is a constituted authority of district authorized to issue obligations on behalf of the State or political
subdivision of the State within the meaning of Treasury Regutation 1.103-1(b}.
{b}) Obfigor is authorized under the Constitution and laws of the State to enter into this Contract, and has-used such authority to properly execute and deliver this Contract.
Obligor has followed ai! proper procadures of its governing body in executing this Contract, The Officer.of Obligor executing this Cantract has the authority to execule and
deliver this Contract. This Contract constitutes a legal, valid, binding and enforceable obligation of the ‘Obligor in accordance with its terms.
{ce} Obligor has compiied with all statutory laws and regulations that may be applicable to the execution of this Contract.
(4) Obligor shall use the Equipment only for essential, traditional government purposes,
(s) Should the IRS disallow the tax-exempt status of the Interest Portion of the Contract Payments as a result of the failure of the Obligor to use
