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Okaloosa County BOCC — September 3, 2013 — Contract Close-out Checklist - CH2M Hill — reading text

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CONTRACT CLOSE-OUT CHECKLIST (To Be Prepared by the Purchasing Services Coordinator) DATE: _ 10/17/2013 TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office SUBJECT: Contract No. C05-1188-WS MANAGING DEPARTMENT: Water & Sewer CONTRACTOR'S NAME: CH2M HILL Engineers, Inc. PROJECT TITLE: Engineering Master Services Agreement The attached has met the final payment contract requirement in subject contract. Yes No 1. Final Invoice x] LJ 2. Completed Contract/Lease Payment Approval Form Xl LJ a Close-Out Documents Yes No N/A a. Signed Release of Lien L] L] Xx b. Proof of Completion Advertisement | L] x c. Certificate of Insurance L] L] XxX d. Consent of Surety to Final Payment L] LJ xX e. Proof of Performance/Payment Bond L] L] x] Continuation 12 Months Following Final Payment Yes No 4, Agenda Request x] LJ 5. Remarks CLL Li pLeliz Purchasing Services Coordinator DATE

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