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Okaloosa County BOCC — September 3, 2013 — closeout checklist — reading text
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CONTRACT CLOSE-OUT CHECKLIST
(To Be Prepared by the Purchasing Services Coordinator)
DATE: 10/21/2013
TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office
SUBJECT: Contract No. C05-1266-PW
MANAGING DEPARTMENT: PUBLIC WORKS
CONTRACTOR'S NAME: VULCAN MATERIALS
PROJECT TITLE: LIMESTONE BASE AND MISC ROAD MATERIALS
The attached has met the final payment contract requirement in subject contract.
Yes No
1. Final Invoice Dx] C]
2. Completed Contract/Lease Payment Approval Form x] L
3. Close-Out Documents Yes No N/A
a. Signed Release of Lien L] [| XI
b. Proof of Completion Advertisement [] [| Xx]
c. Certificate of Insurance [| L] xX]
d. Consent of Surety to Final Payment [| CL] x]
e. Proof of Performance/Payment Bond LJ C] x
Continuation 12 Months Following
Final Payment
Yes No
4, Agenda Request DX] L]
5. Remarks
Jo-M-13
‘Cokeinator DATE
