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CONTRACT CLOSE-OUT CHECKLIST
(To Be Prepared by the Purchasing Services Coordinator)
DATE: 01/22/2014
TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office
SUBJECT: Contract No. C12-1979-WS
MANAGING DEPARTMENT: Okaloosa County Water & Sewer
CONTRACTOR'S NAME: Construction Service Comopay of Florida, Inc.
PROJECT TITLE: Main Island Pump Station - Temporary Shoring
The attached has met the final payment contract requirement in subject contract.
Yes
L Final Invoice iW
wy
2. Completed Contract/Lease Payment Approval Form
3. Close-Out Documents Yes No
a. Signed Release of Lien uA oO
b. Proof of Completion Advertisement ine oO
c. Certificate of Insurance ma O
d. Consent of Surety to Final Payment LK im
e. Proof of Performance/Payment Bond [y oO
Continuation 12 Months Following
Final Payment
Yes
4. Agenda Request nA
3: Remarks
No
OO
N/A
OOO000
O
saul IH
fpretiegys Services Goordinator DATE