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Okaloosa County BOCC — May 6, 2014 — Contract Close-out checklist — reading text

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CONTRACT CLOSE-OUT CHECKLIST (To Be Prepared by the Purchasing Services Coordinator) DATE: 4/23/14 TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office SUBJECT: Contract No. CO9-1691-WS MANAGING DEPARTMENT: W &S CONTRACTOR'S NAME: R & E Farms LLC PROJECT TITLE: Water & Sewer Boisolids Removal & Transportation The attached has met the final payment contract requirement in subject contract. Yes 1. Final Invoice Bt 2. Completed Contract/Lease Payment Approval Form [x] 3 Close-Out Documents Yes No a. Signed Release of Lien [] [ | b. Proof of Completion Advertisement L] L] c. Certificate of Insurance by [| d. Consent of Surety to Final Payment L] e. Proof of Performance/Payment Bond LJ L] Continuation 12 Months Following Final Payment Yes A, Agenda Request x D. Remarks c CS H-AY4-I'F No Lu Zz /A KIM Zz ie) L Fochoing senviges © Ecordinator : DATE baa

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