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CONTRACT CLOSE-OUT CHECKLIST
(To Be Prepared by the Purchasing Services Coordinator)
DATE: _ 10/5/2013
TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office
SUBJECT: Contract No. C09-1764-WS
MANAGING DEPARTMENT: Water & Sewer
CONTRACTOR'S NAME: Harcros Chemicals Inc.
PROJECT TITLE: chlorine products
The attached has met the final payment contract requirement in subject contract.
Yes
1. Final Invoice xX]
2. Completed Contract/Lease Payment Approval Form Xx
3. Close-Out Documents Yes No
a. Signed Release of Lien C] C]
b. Proof of Completion Advertisement C] C]
c. Certificate of Insurance C] C]
d. Consent of Surety to Final Payment L] CJ
e. Proof of Performance/Payment Bond C] C]
Continuation 12 Months Following
Final Payment
4. Agenda Request DJ
5: Remarks
No
L
N/A
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sing Services Coordinator