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Okaloosa County BOCC — May 4, 2013 — Purchasing Manual-6 (post 3-19-13 meeting) — reading text
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Date
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REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
_____________________________________________ _____________________
Signature of Buyer Who Reviewed Date
Purchasing Services Coordinator Comments:
Purchasing Services Coordinator Signature Date
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PURCHASING MANUAL - SOLE SOURCE DETERMINATION
Comments:
Approve: Disapprove:
Amount of Purchase: Date:
__________________________________ _____________________
Purchasing Director Signature Date
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OKALOOSA COUNTY PURCHASING CARD EXPENDITURE REPORT
Below is an account of all Purchasing Card expenditures for:
Name of Employee/Department
_________________________________________________________________________
Purchasing Card Number
________________________________________________________________________________
For the month of
________________________________________________________________________________________
DESCRIPTION OF ITEMS PURPOSE OF DATE GOODS/
DATE VENDOR PURCHASED AMOUNT DEPT. ACCOUNT TRANSACTION SERVICES RECEIVED
NUMBER NUMBER
I HEREBY CERTIFY THAT ALL PURCHASES CONTAINED HEREIN WERE FOR OFFICIAL OKALOOSA COUNTY BUSINESS, WERE MADE IN
ACCORDANCE WITH RULES AND DIRECTIVES, AND THAT I HAVE REVIEWED THIS LOG AND IT CORRECTLY REFLECTS THE CARD
RECEIPTS ENCLOSED.
_____________________________________________________ _______________________________________________________________
SIGNATURE OF CARDHOLDER DATE SIGNATURE OF REVIEWER DATE
DELIVER TO: OKALOOSA COUNTY COURTHOUSE - FINANCE OFFICE, 302 N. Wilson Street, Suite 203 Crestview FL 32536
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LOST OR STOLEN PURCHASING
CARD REPORTING FORM
TO: PURCHASING DEPARTMENT
FAX: 850-689-5037
FROM:
PHONE:
URGENT MESSAGE
PLEASE DELIVER THIS FACSIMILE
IMMEDIATELY
---------------------------------------------------
EMPLOYEE NAME:
PURCHASING CARD NO.:
DATE CARD WAS
LOST/STOLEN:
(If unknown, report
today’s date)
TIME CARD WAS
LOST/STOLEN:
(If unknown, report
time this form was
completed))
LAST KNOWN
LOCATION OF
CARD:
LAST KNOWN
TIME CARD WAS
USED: (Indicate location
and date of last charge)
REMARKS:
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PURCHASING CARD MAINTENANCE FORM
DATE:
DEPARTMENT:
PHONE $ AMOUNT
EMPLOYEE’S NAME NUMBER CARD NUMBER REQUESTED
MAINTENANCE REQUESTED (Circle as needed)
ADD CARDHOLDER (Fill out above)
DELETE/CANCEL ACCOUNT
(Account #)
RAISE/LOWER LIMIT
(Existing amount)
OTHER (explain)
Authorized By
(Department Director)
Fax Back To: 689-5037 (Purchasing Department)
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Approved by: ________________________________
Cardholder Signature: ________________________
OKALOOSA COUNTY
BOARD OF COUNTY COMMISSIONERS
PURCHASING CARD DISPUTE FORM
Company Name:
Cardholder Name:
Cardholder Account Number:
Statement Date Transaction Date Merchant Name/Description
Amount Posting Date Reference Number
Check the description most appropriate to your dispute. If you have any questions, contact .
1. Alteration of Amount:
The amount of the sales draft has been altered from $ to $ .
(Please include copy of sales draft)
2. Unauthorized Mail or Phone Order:
I certify the charge listed above was not authorized by me or any person authorized by
me to use this account. I have not ordered merchandise by phone or mail or received
goods and services as represented above.
3. Cardholder Dispute:
I did participate in the above transaction; however, I dispute the entire charge, or a
portion, in the amount of $_____________because:
4. Credit Not Received:
The merchant has issued me a credit slip for the transaction listed above; however, the
credit has not been posted to my account. The date on the voucher is between 30 and
90 days old. (Please include a copy of the credit voucher.)
5. Imprinting of Multiple Slips:
The above transaction represents multiple billing to my account. I only authorized one
charge from this merchant for $ . I am still in possession of my card.
6. Merchandise Not Received:
My account has been charged for the above transaction, but I have not received this
merchandise. I have contacted the merchant.
7. Merchandise Not Received:
My account has been charged for the above transaction, but I have since contacted
this merchant and canceled the order. I will refuse delivery should the merchandise still
8. be sent.
Merchandise Returned:
My account has been charged for the transaction listed above, but the merchandise
has been returned. Provide a description of the circumstances. (Please include postal
9. receipt if applicable.)
Inadequate Description/Unrecognized Charge:
I do not recognize this charge. Please supply a copy of the sales draft for my review.
10. I am no longer disputing this charge.
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OKALOOSA COUNTY
PURCHASING CARD AGREEMENT
I, , agree to the following regarding my use of the Purchasing Card:
(Print Name)
1. I understand that I am being entrusted with a valuable tool and will be financially
obligating Okaloosa County and will strive to obtain the best value for the taxpayers of
Okaloosa County.
2. I understand that under no circumstances will I use the Purchasing Card to make
personal purchases. Willful intent to use the Purchasing Card for personal use may result
in disciplinary actions, including termination of employment.
3. I will follow the established procedures for using the Purchasing Card. Failure to do so
may result in the revocation of my use privileges or other disciplinary actions.
Additionally, I will follow all County purchasing requirements.
4. I have been given a copy ofread the Purchasing Card Manual provisions
contained in the Purchasing Manual and understand the requirements for using the
Purchasing Card.
5. I agree that should I violate the terms of this Agreement and use the Purchasing Card for
personal use or gain, I will reimburse the County for all incurred charges and any fees
related to the collection of those charges.
Employee Name (Print)
Employee Signature/Date
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BID ATTACHMENTS
The following are requirements that shall be included in all bid specifications (Special Conditions
section) for projects that are funded through/by the U.S. Department of Transportation, Federal
Transit Administration. Additional FTA requirements that may be required can be found in the
matrix located in Appendix A. Okaloosa County reserves the right to reject any/all bids that are
submitted incomplete or without these documents.
1. Buy America
2. Bus Testing
3. Lobbying
4. Clean Air
5. Civil Rights
6. Bid Protests
7. Government Debarment and Suspension
8. Fraud
9. The Purchasing Director has the authority and responsibility to ensure Federal requirements
are met regarding all procurements of goods and services utilizing FTA Funds. That person
will also have the ability to stop any procurement activity if it conflicts with Federal
procurement practices.
10. The Okaloosa County Coordinated Transportation Office shall ensure that all required
portions of the Uniform Administrative Requirements for Grants & Cooperative Agreements
(49CFR-Part 18 & Circular 4220 are complied with.
11. The Purchasing Department & Okaloosa Coordinated Transit will maintain current copies of
the above documents and familiarize themselves with the requirements.
12. Okaloosa Coordinated Transit shall maintain a written record of all purchases utilizing FTA
funds showing the purpose of the expenditure.
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FEDERAL TRANSIT ADMINISTRATION REQUIREMENTS
UNDER 49 CFR, PARTS 18 AND 19,
AND CIRCULAR 4220
BUY AMERICA - The contractor agrees to comply with 49 U.S.C. 5323(j) and 49 CFR Part 661 which
provide that Federal funds may not be obligated unless steel, iron, and manufactured products
used in FTA-funded projects are produced in the United States, unless a waiver has been granted
by FTA or the product is subject to a general waiver. General waivers are listed in 49 CFR 661.7
and include final assembly in the United States for 15 passenger vans and 15 passenger wagons
produced by Chrysler Corporation, microcomputer equipment, software, and small purchases
(currently less than $100,000) made with capital, operating, or planning funds. Separate
requirements for rolling stock are set out at 5323(j)(2)(C) and 49 CFR 661.11. Rolling stock not
subject to a general waiver must be manufactured in the United States and have a 60 percent
domestic content.
A bidder or offeror must submit to the FTA recipient (Okaloosa County) the appropriate Buy
America certification (below) with all bids on FTA-funded contracts, except those subject to a
general waiver. Bids or offers that are not accompanied by a completed Buy America
certification must be rejected as non-responsive. This requirement does not apply to lower tier
subcontractors.
Certification requirement for procurement of steel, iron, or manufactured products.
Certificate of Compliance with 49 U.S.C. 5323(j)(1)
The bidder or
