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Okaloosa County BOCC — May 4, 2013 — Purchasing Manual-6 (post 3-19-13 meeting) — reading text
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______________________________ ____________
Effective Date:
Term:
Description of
Contract/Lease: __________________________________________
Department: ____
Department Monitor: ____ _________________________________
Monitor's Telephone #:
Monitor's FAX # or E-mail:
Date Closed:
cc: Finance Department Contracts & Grants Office
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CONTRACT & LEASE INTERNAL COORDINATION SHEET
Contract/Lease Number: Tracking Number:
Contractor/Lessee Name: Grant Funded: YES___ NO___
Purpose:
Date/Term: 1. GREATER THAN $50,000
Amount: 2. GREATER THAN $25,000
Department: 3. $25,000 OR LESS
Dept. Monitor Name:
Document has been reviewed and includes any attachments or exhibits.
Purchasing Review
Procurement requirements are met:
______________________________ Date:
Purchasing Services CoordinatorDirector or designee
Risk Management Review
Approved as written:
Date:
Risk Management Directorr or designee
County Attorney Review
Approved as written:
______________________________ Date: _______________
County Attorney
Following Okaloosa County approval:
Contract & Grant
Document has been received:
______________________________ Date: _______________
Contracts & Grants Manager
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EMERGENCY
Contract / Lease Form
Contractor/Lessee Name:
Purpose: ____________________________________________________________
Date/Term: ________________________
Amount: ___________________________
Department: ________________________
Justification must be given as to why the above referenced contract/lease is considered an emergency
and therefore NOT in accordance with the approved Okaloosa County’s contract/lease policy and
procedures.
Approved:
___________________________ ______________
Department Director Date
___________________________ ______________
County Administrator Date
___________________________ ______________
Purchasing Director Date
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CONTRACT CLOSE-OUT CHECKLIST
(To Be Prepared by the Purchasing Services Coordinator)
DATE:
TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office
SUBJECT: Contract No.
MANAGING DEPARTMENT:
CONTRACTOR'S NAME:
PROJECT TITLE:
The attached has met the final payment contract requirement in subject contract.
Yes No
1. Final Invoice
2. Completed Contract/Lease Payment Approval Form
3. Close-Out Documents Yes No N/A
a. Signed Release of Lien
b. Proof of Completion Advertisement
c. Certificate of Insurance
d. Consent of Surety to Final Payment
e. Proof of Performance/Payment Bond
Continuation 12 Months Following
Final Payment
Yes No
4. Agenda Request
5. Remarks
______________________________ __________________________
Purchasing Services Coordinator DATE
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CONTRACT/LEASE
PAYMENT APPROVAL FORM
COMPLETE AND FORWARD TO THE NEXT DEPARTMENT
COMPLETED BY DEPARTMENT
DATE: ___________
VENDOR NAME: _____________________________________ VENDOR #: _________________
CONTRACT/LEASE #: _________________________________
VENDOR TASK COUNTY/FEMA BUDGET ACCOUNT # AMOUNT $
INVOICE# ORDER # PROJECT # DEPARTMENT #
(If Applicable) (If Applicable)
TOTAL
APPROVED FOR PROGRESS PAYMENT (please sign, as applicable and date)
CONTRACTOR’S ENGINEER/ARCHITECT/PROJECT MANAGER: _____________________________ DATE: _____________
COUNTY SUPERVISOR/PROJECT MANAGER: ____________________________________________ DATE: ______________
DEPARTMENT DIRECTOR: _____________________________________________________________ DATE: ______________
CONTRACTS & GRANTS MANAGER: ___________________________________________________ DATE: _____________
COUNTY ADMINISTRATOR: ___________________________________________________________ DATE: ______________
(Payments>$25,000.)
FINAL PAYMENT
FINAL PAYMENT YES_____ NO_____ (If “Yes”, forward to Purchasing Services Coordinator for Close-Out)
DATE: ________ PURCHASING DIRECTOR ________________________________________________
(Per Initial Agreement)
DATE: ________ CONTRACTS & GRANTS MANAGER _______________________________________________
(All Contracts)
DATE: ________ COUNTY ADMINISTRATOR APPROVAL _______________________________________________
(Per Initial Agreement)
DATE: ________ BOARD APPROVAL _______________________________________________
(Per Initial Agreement)
COMPLETED BY FINANCE – ACCOUNTS PAYABLE ONLY
FISCAL YEAR: ____________
DATE RECEIVED: ___________________________
REVIEWED BY: ____________________________________
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CONTRACT/LEASE
PAYMENT APPROVAL FORM
INSTRUCTIONS
Contract/Lease (Agreement) Payment Approval Form must be used for any lease or contract payment
Department Responsibilities:
1. Initiates the Payment Approval Form completion process by completing Department section
and then forwarding to the Contracts & Grants Manager for Progress Payments only. For final
payments, see section 7 below.
2. Identifies the Vendor/Contractor Name and Vendor Number.
3. Lists the contract/lease number.
4. Attach the Vendor/Contractor invoice along with all supporting documentation for a pre and
post audit. This must be an invoice and not a statement. If pursuant to a task order contract,
invoice should reference task order number, authorized amount, prior paid amount, current
amount due and task order balance remaining.
5. Identify appropriate budget, account and amount information for payment.
6. Obtain approval of all signatories approving this payment, as identified below.
a. Contractor’s Engineer/Architect/Project Manager: Signs the form verifying that the work
on the invoice has been completed in accordance with the terms and conditions of the
agreement.
b. County Supervisor/Project Manager: A County-designated employee or consultant signs
the form verifying that the work on the invoice has been completed in accordance with
the terms and conditions of the agreement and that the payment request on the invoice
is proper and due.
c. Department Director: Signs the form verifying that the work on the invoice has been
completed in accordance with the terms and conditions of the agreement, including
verification of contract rates, and that the funds are appropriately budgeted and
available. Signs and approves all payments including final payment.
7.8. Final payments shall be forwarded to the Purchasing Services Coordinator for final payment
authorization and close-out in accordance with the policies and procedures herein.
Finance Department Contracts & Grants Office Responsibilities:
1. Finance Department Contracts & Grants Office signs the form verifying that an original
agreement is on file in the Clerk’s Office and that the accounting codes are appropriate.
2. Finance Department Contracts & Grants Office shall forward all fully executed forms for progress
payments up to and including $25,000 to the Accounts Payable Department who verifies the
form(s) have all the required approvals and signatures prior to authorizing payment.
3. Finance Department Contracts & Grants Office forwards to the County Administrator to sign and
approve all progress payments in excess of $25,000. County Administrator also signs final
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payments for contracts initially authorized by him/her. Fully executed forms are forwarded to
Finance Accounts Payable Department, which shall verify that the form includes all the required
approvals and signatures before authorizing payment.
4. Finance Department Contracts & Grants Office shall forward the fully executed Final Payment
forms from the Purchasing Director who signs and approves only the final payments on initial
contracts authorized by him/her to Finance Accounts Payable Department for review and
payment.
5. Finance Department Contracts & Grants Office forwards all other final payments for contracts
initially authorized by the Board BCC Records in support of the agenda for Board approval. Fully
executed forms are forwarded to Finance Accounts Payable Department for review and
payment.
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NOTICE OF COMMENCEMENT
STATE OF FLORIDA
COUNTY OF OKALOOSA
The undersigned hereby informs all concerned that improvements will be made to certain real property and, in accordance with
Section 713.13 of the Florida Statutes; the following information is stated in this NOTICE OF COMMENCEMENT:
LEGAL DESCRIPTION OF PROPERTY TO BE IMPROVED (If lengthy, attach copy)
___________________________________________________________________________________________ _____
Street Address (if any) ___ ____ __
General Description of Improvements___ _________________________________________________________
Owner Okaloosa County Board of County Commissioners Owner's Interest__100%___
Address__302 N. Wilson St., Crestview, Florida 32536 ______________
Fee Simple Title Holder (If other than Owner)__NA
Address__NA
GENERAL CONTRACTOR
Name__
Address__
Surety Bond__NA
Address__NA
