Okaloosa County BOCC — October 18, 2016 — FinalPaymentC07-1468-IS

CONTRACT CLOSE-OUT CHECKLIST (To Be Prepared by the Purchasing Services Coordinator) DATE: October é, 2016 TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office SUBJECT: Contract No. C07-1468-1S MANAGING DEPARTMENT: IS CONTRACTOR'S NAME: Centurylink PROJECT TITLE: Information Technology The attached has met the final payment contract requirement in subject contract. Yes No 1. Final Invoice X / 2. Completed Contract/Lease Payment Approval Form E@fi/ K\Wfi/ 3. Close-Out Documents Yes No N/A a. Signed Release of Lien ] O] X b. Proof of Completion Advertisement ] O X c. Certificate of Insurance [l ] X d. Consent of Surety to Final Payment L] ] X e. Proof of Performance/Payment Bond ] ] X Continuation 12 Months Following Final Payment Yes No 4. Agenda Request Sy = N 5; Remarks Marcella B. Eubanks From: Zan Fedorak <zfedorak@co.okaloosa.fl.us> Sent: Monday, October 10, 2016 1:31 PM To: Marcella B. Eubanks Cc: Jane H. Evans; Mindy Kovalsky Subject: RE: Action Item 6316 was Reviewed : Final Payment CenturyLink C07-1468-IS My apologies Marcella. Please make the change on the form. Thanks Zan From: Marcella B. Eubanks [mailto:meubanks@okaloosaclerk.com] Sent: Monday, October 10, 2016 1:29 PM To: Zan Fedorak <zfedorak@co.okaloosa.fl.us> Cc: Jane H. Evans <jevans@okaloosaclerk.com>; Mindy Kovalsky <mkovalsky @okaloosaclerk.com> Subject: FW: Action Item 6316 was Reviewed : Final Payment CenturyLink C07-1468-IS Good afternoon, Zan. We are in receipt of the attached agenda package. It includes a Contract Close-Out Checklist item 2 indicates “No” although we do have a Completed Contract/Lease Payment Approval Form and item 5 Remarks is unanswered. Please advise. Thank you Marcella B. Eubanks Contracts and Grants Manager, CPM : 4 Okaloosa County Clerk of Circuit Court { . ¢ % Contracts and Grants S &T : 302 N. Wilson Street, Suite 203 Crestview, FL 32536 Tel: (850) 689-5000 x 4381 Fax: (850) 689-5882 wvag From: Dan Sambenedetto [mailto:NoReply@IQM2.com] Sent: Monday, October 03, 2016 4:39 PM To: Marcella B. Eubanks <meubanks@okaloosaclerk.com>; Ashley S. Endris <aendris@okaloosaclerk.com>; Mindy Kovalsky <mkovalsky@okaloosaclerk.com>; Jane H. Evans <jevans@okaloosaclerk.com> Cc: dbroadway@co.okaloosa.fl.us Subject: Action Item 6316 was Reviewed : Final Payment CenturyLink C07-1468-IS Stage #1 of this Action Item has been Reviewed by Dan Sambenedetto and now needs to be reviewed by: Marcella Eubanks. Click here to Review online 1 [ITIRequest approval of final payment, contract #C07-1468-1S, CenturyLink. Dist: All ATTACHMENTS e FinalPaymentC07-1468-1S INFORMATION Department: Information Technology Category: Final Payment Meeting: Oct 18, 2016 6:00 PM - Board of County Commissioners Court emy communic ons CONTRACT/LEASE PAYMENT APPROVAL FORM I COMPLETE AND FORWARD TO THE NEXT DEPARTMENT | Il 1] COMPLETED BY DEPARTMENT DATE: 09/26/2016 VENDOR NAME: CenturyLink VENDOR #: 015765 CONTRACT/LEASE #: C07-1468-IS VENDOR TASK COUNTY/FEMA BUDGET ACCOUNT # AMOUNT $ INVOICE # ORDER # PROJECT # DEPARTMENT # (If Applicable) (If Applicable) 312122231 0114 541010 $3.673.68 09/16/2016 TOTAL $3.673.68 APPROVED FOR PROGRESS PAYMENT (please sign. as applicable and date CONTRACTOR’S ENGINEER/ARCHITECT/PROJECT MANAGER: DATE: COUNTY SUPERVISOR/PROJECT MANAGER: L B DATE: - DEPARTMENT DIRECTOR: > MVM DATE: 2 ? 7/7" M’ CONTRACTS & GRANTS MANAGER: DATE: COUNTY ADMINISTRATOR: DATE: (Payments > $25,000.) L 1] FINAL PAYMENT FINAL PAYMENT YES NO |:] (If “Yes”, forward to Purchasing Services Coordinator for Close-Out) DATE: Ig%[g . PURCHASING DIRECTOR: -Zfiu,( ;\fbf(fiihcj( 77 (Per Initial Agreement) DATE: /f0 "40"/é CONTRACTS & GRANTS MANAGER: (All Contracts) DATE: /N COUNTY ADMINISTRATOR APPROVAL: (Per Initial Agreement) DATE: BOARD APPROVAL: y (Per Initial Agreement) Charles K. Windes, Jr., Chairman I 11 COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY FISCAL YEAR: DATE RECEIVED: REVIE