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Okaloosa County BOCC — August 24, 2013 — contract close-out checklist-CHELCO — reading text

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CONTRACT CLOSE-OUT CHECKLIST (To Be Prepared by the Purchasing Services Coordinator) DATE: 2//aA/AO3 TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office SUBJECT: ContractNo. _¢4 73-CO@S~-4‘S MANAGING DEPARTMENT: Worer & Sener CONTRACTOR'S NAME: Chroctowlbrotchee Electro C ogarro Wve, L ere. CC Hf ELce) PROJECT TITLE: SHeepatrer Fay Office Lease The attached has met the final payment contract requirement in subject contract. Yes No iP Final Invoice re C] 2. Completed Contract/Lease Payment Approval Form re CJ 3 Close-Out Documents Yes No N/A a. Signed Release of Lien C] C] [4 b. Proof of Completion Advertisement L] C] Cy c. Certificate of Insurance C] C] LJ} d. Consent of Surety to Final Payment _] L] Ly~ e. Proof of Performance/Payment Bond L] L] Li} Continuation 12 Months Following Final Payment < £0) = ° s \ 4, Agenda Request Ds Remarks CLL IELE S213 Purchasirig Services Coordinator DATE

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