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Okaloosa County BOCC — October 2, 2012 — Contract Closeout Check List — reading text

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EXHIBIT H CONTRACT CLOSE-OUT CHECKLIST (To Be Prepared by the Contracts & Leases Coordinator) DATE: 10/17/12 TO: Contracts & Grants Manager, Finance Department Contracts & Grants Division SUBJECT: Contract No. Cl11-1918-SA MANAGING DEPARTMENT: _Court Administration CONTRACTOR'S NAME: Office of the State Attorney PROJECT TITLE: Okaloosa County Victims Advocate The attached has met the final payment contract requirement in subject contract. Yes No 1. Final Invoice x) C] 2. Completed Contract/Lease Payment Approval Form x! L] 3. Close-Out Documents Yes No N/A a. Signed Release of Lien LC] L] [q~ b. Proof of Completion Advertisement C] LC] [e}~ c. Certificate of Insurance L] L] LI} d. Consent of Surety to Final Payment LC] [] [4 e. Proof of Performance/Payment Bond LC] CJ cm Continuation 12 Months Following Final Payment Yes No 4. Agenda Request M C] 5. Remarks (0 (22112 Ontrats and Lease Coordinator DATE

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