READ ALONGSIDE THE SOURCE
Okaloosa County BOCC — January 5, 2016 — C12-1994-PUR Contract Closeout Checklist — reading text
Part 1 of 1. These parts divide the reading text for browsing; they are not the source document's page numbers.
C12-1994-PUR Contract Closeout Checklist — extracted reading text
Machine-extracted OCR text · Review label: Known limitations
Compare this copy with the preserved source. Review labels describe the recorded status of this file; they do not guarantee that the text is error-free. Spacing and line breaks are retained, with long lines wrapped to fit the screen.
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 Invoice Date
Purchase Order# r-·-~·
:ti~~ll"llll>nl'~*'il>h"¥ '"" • ..., ...
--,
,,.,,,""'"'"@"'""'""'""".,&
Amount
TRAVEL REIMBURSEMENTS
THE TRAVEL SETILEMENT PAYMENT REQUEST LISTED BELOW IS BEING ADJUSTED AND/OR RETURNED IF FURTHER ACTION IS NEEDED
DUE TO ONE OR MORE OF THE FOLLOWING REASONS:
Travel End Date
Purpose
=: : ~. .J
REASON FOR RETURN:
r~-~~-~~~~~~----~~--~--~--~~---~
1st Reason Other - Final Pay (Follow Final Payment Policy)
Explanation of Return Po,,;bl=~= o ~ -: _~·-"-'~-as-e-ad-v-ise_.__
2nd Reason ~---~.· - - - - - · · - - -
----·--------J
= ::" -J J
L-·-~-~--.- = = · · = - ,,·===-=··-~- =-
Explanation of Return ~
1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
****NOTE: CORRECTIONS RESULTING IN ANY CHANGE MADE TO A CONTRACT PAYMENT FORM OR SUPPORTING
DOCUMENTATION WILL NEED TO BE RESUBMITTED THROUGH THE NORMAL APPROVAL PROCESS****
Please review, make necessary corrections and resubmit for payment. If you have any questions, contact
Olivia Tanner at x3414, Deborah Estelle at x3416 or Jodi Gates at x3413. Thank you. 959