Okaloosa County BOCC — June 17, 2014 — Securitas — reading text

CONTRACT CLOSE-OUT CHECKLIST (To Be Prepared by the Contracts and Lease Coordinator) DATE: 6-10-14 TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office SUBJECT: Contract No. C06-1315-TDD MANAGING DEPARTMENT: TDD CONTRACTOR'S NAME: SECURITAS PROJECT TITLE: SECURITY SERVICES 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 ~-JD-/'f- I DATE Securitas S~curity Services USA, Inc. Ft Walton Beach - 09603 Customer# 2070005566 425 Hollywood Blvd. Mary Esther, FL 32569-2071 PO# 850-478-6160 Invoice# E2892037A $ 288.00 E01 Invoice Date 04/11/2014 EMERALD COAST CONFERENCE CTR Invoice Period 04/04/14 - 04/10/14 Peggy Blanton . Terms: Net Due Dept: 09603 1250 MIRACLE STRIP PKWY S.E. Page 1 • Upon Receipt Bus Lie: FORT WAL TON BEACH FL 32548 Subject to 1.5% monthly finance Tax ID: 71-0912217 charge 1f not paid by 05/11/2014 Site: Athletic Championship 1250 MIRACLE STRIP PKWY S.E. FT WAL TON BEACH FL 32548 Store # TEMP Hours Rate Description Qty Unit Price Subtotal Total Guard Services 003 - Straight - SECURITY OFF 16.00 ~ ~ 18.000 ./ $ 288.00 Total - Guard Services 16.00 $ 288.00 Invoice Recap 1250 MIRACLE STRIP PKWY s FT WAL TON BEACH FL 32548 Store# TEMP Total - Guard Services $ 288.00 Invoice Amount $ 288.00 ---------------------------------------------------------------------------------- Please tear along perforation and return Remittance Advice with your payment to the address below ------------------------------------------------- ----------------------- Ft Walton Beach - 09603 Remittance Advice 425 Hollywood Blvd. Invoice# E2892037A Mary Esther, FL 32569-2071 850-478-6160 Invoice Total $ 288.00 Invoice Date 04/11/2014 E01 Subject to 1.5% monthly finance charge if not paid by 05/11/2014 Amount Paid $ Dept: 09603 Remit To: Customer# 2070005566 Comments EMERALD COAST CONFERENCE CTR Phone # 850-609-3920 Securitas Security Services USA, Inc. P.O. Box 403412 Atlanta GA 30384-3412 PO# INSTALLATION: _ _ _ __ s£ G"If rfd:":SPERIOD SIGN-IN REGISTER Job No.: _ _ _ _ _ _ _ __ Post No.: _ _ _ _ __ To: _ _ _ _ _ _ _ _ _ _ _ __ SUP I PRINT NAME TIME OUT SIGNATURE SIG. 17£D~5TPAY /f ) 4c _ , ~- I I I -t-------------~----+-----+-----+-----------'f--- 1 : I i I l 1 I --l-----~-----1----·-------+----j --·-+ I f 1----------------+-----------+-----l-------r-----~-----------+---I I I I- t- - ''' - · - - - - - - - - + - - - - - 1 - - - - - - i - - - - - + - - - - - - - - - · - - - + - - - - I I ~----------~-----1-------'-------+------~-----·-----+- '--------------------------+----+- ~-----~ -!-· -- L-------·------~------ -- I -------+------ -------!------+-------'-- 1 r-- --- . I - -----r-I I I i - t- ' 1