Okaloosa County BOCC — March 18, 2014 — Corizon closeout checklist

CONTRACT CLOSE-OUT CHECKLIST (To Be Prepared by the Contracts and Lease Coordinator) DATE: 3/11/2014 TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office SUBJECT: Contract No. CIO-i 81 6-COR MANAGING DEPARTMENT: DEPARTMENT OF CORRECTIONS CONTRACTOR'S NAME: CORIZON HEALTH, INC. PROJECT TITLE: DUKE FIELD SECONDARY CONTROL AND DATA ACQUISITION The attached has met the final payment contract requirement in subject contract. Yes No 1. Final Invoice 2. Completed Contract/Lease Payment Approval Form LI 3. Close-Out Documents Yes No N/A a. Signed Release of Lien LI LI b. Proof of Completion Advertisement LI LI c. Certificate of Insurance LI LI d. Consent of Surety to Final Payment LI LI e. Proof of Performance/Payment Bond LI LI Continuation 12 Months Following Final Payment Yes No 4. Agenda Request LI 5. Remarks n Lease Co r ator DATE ~ta ct~ S