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Okaloosa County BOCC — July 7, 2015 — Final pay req ag item Alcalde & Fay Inc — reading text
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CONTRACT CLOSE-OUT CHECKLIST
(To Be Prepared by the Purchasing Services Coordinator)
DATE: June 25, 2015
TO: Contracts & Grants Manager, Finance Department Contracts 8 Grants Office
SUBJECT: Contract No. C07-1464-BCC
MANAGING DEPARTMENT: COUNIY ADMINISIRATOR'S OFFICE
CONTRACTOR'S NAME: ALCALDE & FAY, LTD
PROJECT TITLE: LOBBYING SERVICES
The attached has met the final payment contract requirement in subject contract.
Yes
1. Final Invoice 4]
2. Completed Contract/Lease Payment Approval Form 4
3. Close-Out Documents Yes No
a. Signed Release of Lien N d
b. Proof of Completion Advertisement ] ]
c. Certificate of Insurance [ ]
d. Consent of Surety to Final Payment ] 4
e. Proof of Performance/Payment Bond ] ]
Continuation 12 Months Following
Final Payment
-
@
"
X
4. Agenda Request
5. Remarks
N
No
U O
Z
~
>
KXXXIX
=
Q
0
Purchcfiifié Sewvices Coordif\dtor DATE
CONTRACT/LEASE
PAYMENT APPROVAL FORM
COMPLETE AND FORWARD TO THE NEXT DEPARTMENT
COMPLETED BY DEPARTMENT
paTe: 06/23/2015
VENDOR NaME: Alcalde & Faye, LTD VENDOR #: 20700177
conTRACT/LEASE#: C07-1464-BCC
VENDOR TASK COUNTY/FEMA
BUDGET
INVOICE # ORDER # PROJECT # DEPARTMENT #| ACCOUNT # AMOUNTES
(If Applicable) (If Applicable)
24942 0114 531014 $5,054.03
TOTAL $ 5,054.03
APPROVED FOR PROGRESS PAYMENT (please sign,_as applicable and date)
CONTRACTOR'S ENGINEER/ARCHITECT/PROJECT MANAGER: — DATE:
COUNTY SUPERVISOR/PROJECT MANAGER: M——/ DATE: (- 25 -7
DEPARTMENT DIRECTOR: Administrator Also signing as Dept Head DATE:
CONTRACTS & GRANT MANAGER: . KT\ . DATE:
COUNTY ADMINISTRATOR: / John Hofstad DATE;éé;é <
(Payments>$25,000.)
E Z 7 1|
7
FINAL PAYMENT
FINAL PAYMENT YESNOI:I (If "Yes", forward to Purchasing Services Coordinator for Close-Out)
DATE: & /25///5 PURCHASING DIRECTOR: Z;%(/u A\%&?&é Zon [Fedorel
(Per Initial Agreement)
\)_)L/DATE: P ;? f'/// CONTRACTS & GRANTS MANAGER: , 4
(All Contracts) @
DATE: M&%f COUNTY ADMINISTRATOR APPROVAL:
Z
(Per Initial Agreement) / /
DATE: BOARD APPROVAL:
(Per Initial Agreement)
COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY
FISCAL YEAR:
DATE RECEIVED:
REVIEWD BY:
Alcalde & Fay, LTD
Government & Public Aftairs Consultants
A Invoice
Bill To
Mr. John Hofstad Date Invoice #
Okaloosa County Administrator 5/25/2015 24942
1804 Lewis Turner Blvd.
Suite 400
Ft. Walton Beach, FL 32547
Description Amount
May Services 5,000.00
Telephone/Communications 10.03
Copies 44.00
Total $5,054.03
2111 Wilson Boulevard 8th Floor Arlington. VA 22201 Ph (703) 841-0626 Fax (703) 243-2874
Totals
Period : 03/18/2015 09:00-04/18/2015 09:00
lob Type : All Outputs
Color Mode : Black & White
Total (Units) : Department ID
* The figures shown below indicate the page count, but not the sheet count.
Departmer Total
Page Count
Total 1228
800 a5
1007 2
1013
1014 18
1019 24
1057 12
1071 53
1120 21
1801 2 Copies
1802 1 24 Copies @ $.25 = $6.00
3501 4
5000 9
6006 20
6014 2
7500 22
8938 95
9010 4
9013 48
9015 69
9019 25
9021 71
9023 178
9025 10
9028 64
9029 24
9030 2
9031 1
9035 129
9042 14
9044 51
9049 18
9500 35
Other 89
Totals
Period : 03/18/2015 09:00-04/18/2015 09:00
Job Type : All Outputs
Color Mode : Color
Total (Units) : Department ID
* The figures shown below indicate the page count, but not the sheet count.
Departmer Total
Page Count
Total 3621
800 482
1007 33
1019 70
1024 21
1031 99
1041 48
1057 78
1071 12
1081 3
1120 52 Copies
1802 66 70 Copies @ $.50 = $38.00
3501 25
6006 37
7500 58
28011 18
8988 72
9005 1
9010 204
9015 251
9019 223
9021 53
9023 440
9025 136
9028 310
9029 407
9030 43
9031 23
9035 136
9044 48
9045 a4
9049 21
9500 107
Other 0
Billing Date: 03/16/15 Page 1 of 33
Telephone Number: 703 807-4040
Account Number: 000025483720 65Y
How to Reach Us: See page 2
ALCALDE & ASSOC
Account Summary
Previous Charges $2.680.53 Manage Your Account Online
Payment Received 00 See reverse side for details.
Past Due Charges $2,680.53
New Charges
Verizon (page 4) $1.,088.31
Verizon Long Distance (page 6) 209.73
Total New Charges due Apr 15 $1,298.04
To avoid a late payment charge, payment
must be received before April 15, 2015.
Total Due $3,978.57
Telephone
$10.03
This bill was mailed on 03/23/15
Mail Payments to :
Verizon, PO Box 660720, Dallas, TX 75266-0720
Change of Address
Go to verizon.com/billingaddress or call us.
W Datach & return payment slip with your check, payable to Verizon
Account: 000025483720 65Y
New Charges Due: 04/15/15
verizon
Total Due : $3,978.57
O —
Amount Paid :
$ :
002605 F400751H 35
ALCALDE & ASSOC
T-AALCALDE & FAY
SUITE 850
2111 WILSON BLVD |||||||||||||I|"|"||I||||||||||||||Il'lll|||||"|||||||u||"||
ARLINGTON VA 222017 - 3051 VERIZON
PO BOX 660720
(i LT LG B R 1 FRUTT R T TR I DALLAS TX 75266-0720
10900000025483720L03303505000000000026LA053L0000397857400000
