READ ALONGSIDE THE SOURCE
Okaloosa County BOCC — September 3, 2013 — 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.
Machine-extracted text — 108-closeout checklist.pdf
Machine-extracted OCR text · Review label: Machine produced / unreviewed
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
eZ (To Be Prepared by the Purchasing Services Coordinator)
DATE: 10/21/2013
TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office
SUBJECT: Contract No. C02-0732-PW
MANAGING DEPARTMENT: PUBLIC WORKS
CONTRACTOR'S NAME: FORT WALTON CONCRETE
PROJECT TITLE: READY MIX CONCRETE
The attached has met the final payment contract requirement in subject contract.
Yes
1. Final Invoice x
2. Completed Contract/Lease Payment Approval Form x]
3. Close-Out Documents Yes No
a. Signed Release of Lien L] L]
b. Proof of Completion Advertisement LC] L]
c. Certificate of Insurance C] C]
d. Conseni of Surety to Final Payment LC] LJ
e. Proof of Performance/Payment Bond CI LO
Continuation 12 Months Following
Final Payment
Yes
4. Agenda Request x!
5. Remarks
jo W-/3
No
OO
=
=
A
XIKIXIXIX
z
°
C
DATE