Okaloosa County BOCC — January 5, 2016 — C12-1994-PUR Contract Closeout Checklist

CONTRACT CLOSE-OUT CHECKLIST (To Be Prepared by the Purchasing Services Coordinator) DATE: December 29, 2015 TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office SUBJECT: Contract No. C 12- 199 4-PU R MANAGING DEPARTMENT: PURCHASING CONTRACTOR'S NAME: ARAMARK UNIFORM SERVICES PROJECT TITLE: UNIFORM RENT AL The attached has met the final payment contract requirement in subject contract. Yes No 1. Final Invoice ~ D 2. Completed Contract/Lease Payment Approval Form ~ D 3. Close-Out Documents Yes No N/A a. Signed Release of Lien D D ~ b. Proof of Completion Advertisement D D ~ c. Certificate of Insurance D D ~ d. Consent of Surety to Final Payment D D ~ e. Proof of Performance/Payment Bond D D ~ Continuation 12 Months Following Final Payment Yes No 4. Agenda Request ~ D 5. Remarks DATE  ; r, OKALOOSA COUNTY CLERK OF THE CIRCUIT COURT Memo ···--·---·---·· ·-· ----- - -·- -··-- ****PLEASE RETURN YELLOW FORM WITH RESUBMITTED CONTRACT**** CORRECTIVE ACTION NEEDS TO BE PROVIDED WITHIN IN 10 DAYS FROM FINANCE CLOCK IN DATE ·-··---1 To: ws From: Jodi K Gates, Financial Services Manager Date: 11/23/2015 Re: Return Payment Request Notification Approved to Pay REFERENCE MATERIAL: - The County's Policy and Procedure Manual and forms are available http://www.co.okaloosa.fl.us/Purchasing Documents.html - All contracts/leases can be viewed at hJtQ~LLwww2.co.okaloosa.fl.usL!:_ontracts/d~faultp_~p_x - FDOT - http://fdotewpl.dot.state.fl.usLCityToCityMileage/viewer.asgx - Section 112.061 Florida Statutes CONTRACT/DIRECT PAY/PO's THE FOLLOWING PAYMENT REQUEST IS BEING RETURNED DUE TO ONE OR MORE OF THE FOLLOWING REASONS Vendor~~:.___~ : ] Invoice Number @"~4~-J