Okaloosa County BOCC — September 20, 2016 — CenturyLinkC08-1675-IS FinalPayment — reading text

CONTRACT/LEASE PAYMENT APPROVAL FORM COMPLETE AND FORWARD TO THE NEXT DEPARTMENT [ 11| COMPLETED BY DEPARTMENT DATE: 09/07/16 VENDOR NAME: CenturyLink VENDOR #: 015765 CONTRACT/LEASE #: C08-1675-1S VENDOR TASK COUNTY/FEMA BUDGET ACCOUNT # AMOUNT $ INVOICE # ORDER # PROJECT # DEPARTMENT # (If Applicable) (If Applicable) 311202851 01114 541010 $2.144.00 09/01/16 TOTAL $2.144.00 APPROVED FOR PROGRESS PAYMENT (please sign. as applicable and date CONTRACTOR'’S ENGINEER/ARCHITECT/PROJECT MANAGER: DATE: COUNTY SUPERVISOR/PROJECT MANAGKR: _ , P DATE: C DEPARTMENT DIRECTOR:‘-gq_ /\"J._ i M DATE: 8 é’ CONTRACTS & GRANTS MANAGER: DATE: COUNTY ADMINISTRATOR: DATE: (Payments > $25,000.) I 1]} FINAL PAYMENT FINAL PAYMENT YES NO l:] (If “Yes”, forward to Purchasing Services Coordinator for Close-Out) DATE: 4 ’ (3 ’ L PURCHASING DIRECTOR: 2 Jud \j*fi(m . B (Per Initial Agreement) ; > DATE: E - E —/ ;é CONTRACTS & GRANTS MANA! 2 (ALY (All Contracts) DATE: /é COUNTY ADMINISTRATOR APPROVAL: (Per Initial Agreement) / / DATE: BOARD APPROVAL: (Per Initial Agreement) IL . | COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY FISCAL YEAR: DATE RECEIVED: REVIEWED BY: CONTRACT CLOSE-OUT CHECKLIST (To Be Prepared by the Purchasing Services Coordinator) DATE: September 13, 20146 TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office SUBJECT: Contract No. C08-1675-1S MANAGING DEPARTMENT: IS CONTRACTOR'S NAME: CENTURY LINK PROJECT TITLE: TELEPHONE SERVICES The attached has met the final payment contract requirement in subject contract. Yes No 1. Final Invoice X 2, Completed Contract/Lease Payment Approval Form O X 3. Close-Out Documents Yes No N/A a. Signed Release of Lien [l ] X b. Proof of Completion Advertisement ] [] X c. Certificate of Insurance | Ll X d. Consent of Surety to Final Payment ] ] X e. Proof of Performance/Payment Bond ] O X Continuation 12 Months Following Final Payment Yes No 4, Agenda Request X b Remarks )13)16 ing Services Coordinator / "DATE Account Name: OKALOOSA COUNTY FINANCE DEPT Account Number: 311202851 P.O. Box 1319 Page: 1 of 8 Charlotte, NC 28201-1319 Bill Date: Sep. 01, 2016 Previo Pa Ad _IMPORTANT NEWS = . _ 4,288.00 2,144.00 CR 0.00 2,144.00 Payment Summary Previous Balance 4,288.00 Payment by check received on AUG 17 2,144.00 CR Balance oy 2,144,00 Adjustments/Credits Summary Adjustments to Previous Balance 0.00 Total Adjustments ' 000 Current Charge Summary Monthly Charges 2,144.00 One-Time Charges 0.00 Usage Charges 0.00 Discount 0.00 Adjustments 0.00 S LT R B A Taxes, Fees, and Surcharges 0,00 e S T e Total Current Charges o (21se00) adprense Pl @ Due Date Sep. 22,2016 Amount Due 4.288.00 X e PR Just a friendly reminder that your account Is past due. If you have already made your payment, thank you for bringing your account up to date. @“@%A’ @“7 OWH - 5Hi00 < *"PLEASE FOLD, TEAR HERE AND RETURN THIS PORTION WITH YOUR PAYMENT*** FOR CHANGE OF ADDRESS OR PAYMENT AUTHORIZATION: D Pleasg check here and complete reverse. Thank You. OKALOOSA COUNTY FINANCE DEPT ATTN: ROBERT CARD 302 N WILSON ST STE 220 CRESTVIEW, FL 32536-3474 Account Number: Amount Due By Sep. 22, 2016 Centurylink P.O. Box 1319 Charlotte, NC 28201-1319 311202851 4,288.00— 000031 1202851400000021440040000000000901 16000042880086000000 P.O. Box 1319 Charlotte, NC 28201-1319 Account Name: OKALOOSA COUNTY FINANCE DEPT Account Number: 311202851 Page: 2 of 8 Bill Date: Sep. 01, 2016 Important Notices and Information : Allocation of charges: Service Categories Past Due Current Month Total Due Basic Services 1,010.00 1,010.00 2,020.00 Other Services 1,134.00 1,134.00 2,268.00 All Services 2,144.00 2,144.00 4,288.00 Failure to pay Basic charges may result in the disconnection of those Services. Please contact CenturyLink regarding any questions or problems with your bill before the due date. Third-Party Billing Block Cramming occurs when unauthorized cha party charges on your bill, contact Centu rges appear on your telephone bill. To help prevent unwanted third ryLink and request, at no charge, a bill block that will prevent some third party charges such as charitable contributions, dial-up intermet by non-CenturyLink companies or other non-telecomrmunications charges from appearing on your bill, CenturyLink works every day to bring you solutions that best meet your {otal communications needs. Stop in and learn more about our value pricing that will help you reduce your household expenses when you bundle all of your services with CenturyLink. You can also pay your bill and check out our newest products and services at your local CenturyLink Customer Experience Center, Visit www.centurylink.com/stares to find the location nearest you. EMBARQ Florida, Inc. DBA CenturyLink LATE FEE REMINDER: Late fees may be charged each month for any eligible unpaid batances not paid in full by the due date listed on your bill. The methods for calculating late fee amounts vary by state and product. For more information http:/Avww.centurylink.com/tariffs, CenturyLink shouid be notified within 90 da your statement. FREE Enrollment| With CenturyLink's M your bill and much more. Visit us online you may access Terms and Conditions and Tanff materials at ys after the CenturyLink Bill Date of any billing discrepancies on y Account service, you can update your billing information, view and pay at www.centurylink.com/myaccount. Immediate Billing Address Changes Call 1-300-786-6272 311202851 OKALOOSA COUNTY FINANCE DEPT ATTN: ROBERT CARD 302 N WILSON ST STE 220 CRESTVIEW, FL 32536-3474 Address Information Changes Effective Date New Address City State Zip Work Phone () Home Phone { ) MONTHLY AUTOPAY AUTHORIZATION FORM | authorize CenturyLInk to charge my MasterCard, Visa, Discover, savings or checking account monthly for any accrued balance on the billing account listed below. {We reserve the right to revoke this if bank approval is denled) [] Checking Account # (Write your billing account number on a volded check or copy of a voided check and aftach,) [[] savings Account # {Wiite your billing account number on a volded deposit slip and attach.) [[]credit Card [ JDebitCard Exp Date: DMasterCard DVlsa DDisoover Signature required Date Please continue to pay your bill until notified on your statement that autopay is active. Account Number P.O. Box 1319 Charlotte, NC 28201-1319 Account Name: OKALOOSA COUNTY FINANCE DEPT Account Number: 311202851 Page: 3 of 8 Bill Date: Sep. 01, 2016 Current Charges Summary Service From Sep. 01, 2016 Monthly Charges Qty Rate Amount 50M Dedicated Intemnet Access Port 1@ 1,134.00 1,134.00 Enhanced Ethemet 50Mbps 1@ 1,010.00 1,010.00 Total Monthly Charges 2,144.00 Total Current Charges 2,144.00 Contact Numbers www.centurylink.com/myaccount Pay Oniine 1-866-712-1996 Pay by Phone 1-800-786-6272 Customer Service 1-800.786-6272 Repair Service Visit us online at www.centurylink.com. P.O. Box 1319 Charlotte, NC 28201-1319 Account Name: OKALOOSA COUNTY FINANCE DEPT Account Number; 311202851 Page: 4 of 8 Bill Date: Sep. 01, 2016 Department Total Charges 0925 2,144.00 Grand Total 2,144.00 Account Name: OKALOOSA COUNTY FINANCE DEPT Account Number: 311202851 Page: 5 of 8 P.O. Box 1319 Charlotte, NC 28201-1319 Bill Date: Sep. 01, 2016 Department Summary One Time Usage Total Charges Charges Discounts Adjustments chafg-“ 2,144.,00 gy i Department: 0925 Sub-Department Summary Monthiy One Time Usage Total Number Charges Charges Charges Discounts Adjustments Charges Total for Section: 0925 2,144.00 SR - — =R Department : 0925 Sub Department : CVW Monthly One Time Usage Total Number Charges Charges Charges Discounts Adjustments Charges 8500400502 MO0O0-001-1190 ] 1,010.00 [ 0.00 0.00 0.00 0.00 ] 1,010.00 8500400502 eq001234223 1,134.00 0.00 0.00 0.00 0.00 1,134,00 Charges 2,144,00 0.00 0.00 0.00 0.00 2,144.00 Taxes, Fees, and Surcha 0.00 Department : 0925 Sub Department: CVW Section : 0925 Charge Detail Local Service from SEP 01 to SEP 30 ProductD: M00-001-1190 8500400502 CircuitdD: 60.L2XX.518965..CEFL Monthly Charges PON: 11-036790 Enhanced Ethemet 50Mbps 1,010.00 Total Local Exchange Services 1,010.00 Total Monthly Charges 1,010.00 Charge Detail For M00-001-1190 1,010.00 Account Name: OKALOOSA COUNTY FINANCE DEPT Account Number: 311202851 P.O. Box 1319 Page: 6 of 8 Charlotte, NC 28201-1319 Bill Date: Sep. 01, 2016 Department : 0925 Sub Department : CVW Section : 0925 Charge Detail Local Service from SEP 01 to SEP 30 Product-iD: eq001234223 8500400502 Monthly Charges PON: 120800577127 ** 50M Dedicated Intemet Access Port 1,134.00 Totat Optional Features/Services 1,134.00 Total Monthly Charges 1,134.00 Charge Detail For eq001234223 1,134.00 Total Charge Detail For0925 - =~ T 2,144.00 Tax, Fees and Surcharges For 0925 T 0.00 Total Current Charges For 0925 214400 ** Nonregulated Charge(s) - nonpayment for NONREGULATED SERVICES OR PRODUCTS may result in the disconnection or restriction of such services, and such delinquencies may be subject to collection. Local services will not be disconnected for nonpayment of nonregulated charges. Nonpaynient of toll charges may resutlt in the disconnection of toll service, and such delinquencies may be subject to collection. P.O. Box 1319 Charlotte, NC 28201-1319 Account Name: OKALOOSA COUNTY FINANCE DEPT Account Number: 311202851 Page: 7 of 8 Bill Date: Sep. 01, 2016 Department : 0925 Sub Department: CVW Section : 0925 CenturylLink Internet Services We appreciate your business. For Technical Support call 1-800-786-6272. Pay by Phone 24 Hours/7 Days a Week 1-866-712-1896. PRISM TV customers: Support for Video or Internet call 1-866-314-4148. Account Name: OKALOOSA COUNTY FINANCE DEPT Account Number: 311202851 Page: 8 of 8 P.O.Box 1319 Charlotte, NC 28201-1319 _ Bill Date: Sep. 01, 2016 Account Summary Monthly One Time Usage Total Number Charges Charges Charges Discounts Adjustments Charges Department: 0925 0925 T 2,144.00 0.00 0.00 0,00 " 0.00 2,144.00 Charges 2,144.00 0.00 0,00 6.00 0,00 2,144.00 0.00 Taxes, Fees, and Surcharges Charges 2,144.00 -] 0.00 _] 0,00 | 0.00 0.00 2,144.00 . . 0.00 Charges 0.00 | 0.00 Taxes, Fees, and Surcharges 0.00 0.00 0.00 6.00 2,144.00 Total 2,144.00 Taxes, Fees, and Surcharges 0.00