Okaloosa County BOCC — May 17, 2013 — Final Payment - Colin Baenziger & Associates — reading text

CONTRACT/LEASE PAYMENT APPROVAL FORM COMPLETE AND FORWARD TO THE NEXT DEPARTMENT DATE: 4/18/2013 COMPLETED BY DEPARTMENT VENDOR NAME: Colin Baenziger & Associates VENDOR #: CONTRACT/LEASE#: C13-2012-HR TASK COUNTY/FEMA VENDOR BUDGET ORDER # PROJECT # ACCOUNT # AMOUNT $ INVOICE # ( Applicabe) Of Applicable) DEPARTMENT # 0104 531900 21,500.00 TOTAL | $ 21,500.00 APPROVED FOR PROGRESS PAYMENT (please sign, as applicable and date) CONTRACTOR'S ENGINEER/ARCHITECT/PROJECT MANAGER: DATE: COUNTY SUPERVISOR/PROJECT MANAGER: _/ HEM a0 MAAN WieNauw 0 C Fou od DATE: Alig/ DEPARTMENT DIRECTOR: ~ DATE: 4 / ha ] | SS AE CONTRACTS & GRANT MANAGER. DATE: ~ COUNTY ADMINISTRATOR: ‘DATE: (Payments>$25,000.) = =| FINAL PAYMENT FINAL PAYMENT YES TA NO__ (if "Yes", forward to Purchasing Services Gpordin ”) lo§e-Out) DATE: O%-72-13 PURCHASING DIRECTOR: LEN ia , (Per Initial Agreement) DATE: CONTRACTS & GRANTS MANAGER: (All Contracts) DATE: COUNTY ADMINISTRATOR APPROVAL: (Per Initial Agreement) DATE: BOARD APPROVAL: (Per Initial Agreement) i FISCAL YEAR: COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY DATE RECEIVED: REVIEWED BY: CONTRACT CLOSE-OUT CHECKLIST (To Be Prepared by the Purchasing Services Coordinator) DATE: _% ls TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office SUBJECT: ContractNo. (/3-Z072-vZ% MANAGING DEPARTMENT: HK CONTRACTOR'S NAME: (olin Ban 2} er ot Ast ahs PROJECT TITLE: Search fron for Cnty Sdn lab sfraghs - The aftached has met the final payment contract requirement in subject contract. Yes No 1. Final Invoice a ia 2. Completed Coniract/Lease Payment Approval Form re LJ 3. Close-Out Documents Yes No N/A ~-- ~g.~ Signed Release of Lien eG b. Proof of Completion Advertisement LJ L] ce c. Certificate of Insurance (_] LC] ra d. Consent of Surety to Final Payment L] L| (+ e. Proof of Performance/Payment Bond C] C] [4+ Continuation 12 Months Following Final Payment Yes No 4, Agenda Request L] cc 5. Remarks MZ “fils _Porchrasing Services Coordinator DATE COLIN BAENZIGER & ASSOCIATES EXUCUYEV EO ROCRUPTING 12970 Dartford Trail Suite #8,, Wellington, FL 33414 (561) 707-3537 Client: Okaloosa Board of County Commissioners ~~ Purchase Order No.: clo Ms. Kaye Godwin Human Resources Director Invoice Date: 601-B North Pearl Street 4/13/2013 Crestview, Florida 32536 Project: Executive Search -- County Administrator Search Period Ending: April 13, 2013 Activity Completed Amount Phase I: Information Gathering $ 3,000.00 Phase II: Recruiting 7,000.00 Phase III: Screening 8,000.00 Phase IV: Review and Selection 1,750.00 Phase V: Negotiation, etc. 1,750.00 Balance Due Now : $ 21,500.00 Contract Billing Status Contract Amount Phase Billed to Date I: Information Gathering $ 3,000 || $ 3,000 Il: Recruitment $ 7,000 || $ 7,000 Ill: Screening $ 8,000 | | $ 8,000 IV: Review & Selection $ 1,750 || $ 1,750 V: Negotiation, etc. $ 1,750 || $ 1,750 Total $21,500] | $ 21,500 Balance in contract after this payment $ - Thank you and it has been a pleasure working with you! 7 é a Ce: b wa ED Rt pa 62 DON W. HOWARD CLERK OF THE CIRCUIT CouRT, OKALOOSA COUNTY, FLORIDA DATE: May 7, 2013 SUBJECT: Budget Transfer — General Fund TO: Board of County Commissioners Finance Director Transfer From Department Account Amount Reserve for Contingencies 0199 599090 $21,500 Transfer To Department Account Amount Professional Services — Other 0104 $31900 $21,500 Voss 9 DReany moet | David L. Skarzynski, Budget Manager Budget Transfer: BT-13-32 Reference: Board approved contract with Colin Baenziger & Associates on December 18, 2012 as search firm for position of County Administrator in the amount of $21,500. COURTHOUSE @ 101 £. JAMES LEE BLVD, # CRESTVIEW, FLORIDA 32536-1359 @ (850) 689-5000 REPLY To: BRACKIN BUILDING 302 NORTH WILSON ST., SUITE 203 _@ CRESTVIEW, FLORIDA 32536 e (850) 689-5000 COURTHOUSE ANNEX @ 1250.N. EGLINPKWY « SHALIMAR, FLORIDA 32579 © (850) 651-7200 ANNEX EXTENSION @ 1940 LEWIS TURNER BLVD @ FT. WALTON BEACH, FLORIDA 32547 @ (850) 651-7200 (i Visit us on the web at http://www.clerkofcourts.cc