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Okaloosa County BOCC — September 3, 2013 — closeout checklist — reading text
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CONTRACT CLOSE-OUT CHECKLIST
Zo Be Prepared by the Purchasing Services Coordinator)
DATE: 10/21/2013
TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office
SUBJECT: Contract No. C07-1453-PW
MANAGING DEPARTMENT: PUBLIC WORKS
CONTRACTOR'S NAME: C.W. ROBERTS CONTRACTING, INC.
PROJECT TITLE: ASPHALT PRODUCTS
The attached has met the final payment contract requirement in subject contract.
Yes No
1. Final Invoice xX C]
2. Completed Contract/Lease Payment Approval Form xl LJ
3. Close-Out Documents Yes No N/A
a. Signed Release of Lien L] L] DX]
b. Proof of Completion Advertisement C] L] x]
c. Certificate of Insurance L | L | x]
d. Consent of Surety to Final Payment [ ] [|
e. Proof of Performance/Payment Bond C] CI x
Continuation 12 Months Following ,
Final Payment
Yes No
4, Agenda Request x
5. Remarks
=A), jo-A-13
Riirehasing Service/C6Srdi
DATE