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Okaloosa County BOCC — December 18, 2012 — Contract Close-Out Checklist — reading text
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EXHIBIT H
CONTRACT CLOSE-OUT CHECKLIST
(To Be Prepared by the Contracts & Leases Coordinator)
DATE: lah
TO: Contracts & Grants Manager, Finance Department Contracts & Grants Division
SUBJECT: Contract No. C//- /9/Y -CE
MANAGING DEPARTMENT: (O- Ex/ens,bq
CONTRACTOR'S NAME: Mike Meo! fq (onsproefion, Inc.
prosecttitie: Design Burl New Coun fy Extension Bw ae
The attached has met the final payment contract requirement in subject contract.
Yes No
1. Final Invoice ae gO
2D Completed Contract/Lease Payment Approval Form ma CT]
3: Close-Out Documents Yes No N/A
a. Signed Release of Lien a L] =
b. Proof of Completion Advertisement Ly, L] L]
c. Certificate of Insurance we C] C]
d. Consent of Surety to Final Payment/ L] L] CL]
e. Proof of Performance/Payment Bond im C] LJ
Continuation 12 Months Following
Final Payment
Yes
=z
{e)
4. Agenda Request
CO
C
5, Remarks
Contracts and Lease Coordinator DATE