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Okaloosa County BOCC — September 20, 2016 — CenturyLink C06-1421-IS FinalPayment — reading text
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CONTRACT/LEASE
PAYMENT APPROVAL FORM
l— COMPLETE AND FORWARD TO THE NEXT DEPARTMENT )
Il ||
COMPLETED BY DEPAR NT
DATE: 8/30/2016
VENDOR NAME: CenturyLink VENDOR #: 015765
CONTRACT/LEASE #: C06-1421-IS
VENDOR TASK COUNTY/FEMA BUDGET ACCOUNT# | AMOUNT §
INVOICE # ORDER # PROJECT # DEPARTMENT #
(If Applicable) (If Applicable)
312332066 0114 541010 $13.926.72
08/25/16
TOTAL $13.926.72
VED FOR PAYMENT (please sign, as applicable and date
CONTRACTOR’S ENGINEER/ARCHITECT/PROJECT MANAGER: DATE:
COUNTY SUPERVISOR/PROJECT MANAGER: _/q ) Q_/Q DATE: & [ 20 / Lo
[
DEPARTMENT DIRECTOR: Q,XL,\MLM _ b DATE: g’ 3 l l Q fé
CONTRACTS & GRANTS MAN%ER: DATE:
COUNTY ADMINISTRATOR: DATE:
(Paymenis > $25,000,)
L i
FINAL PAYMENT
FINAL PAYMENT YES &] NO E (If “Yes”, forward to Purchasing Services Coordinator for Close-Out)
DATE: fl ! ]f};) & PURCHASING DIRECTOR: %A \IQD()\J,( m&k .
(Per Inilial Agreement) bk) o (M
DATE: / ’ CONTRACTS & GRANTS MANAGEK:
(All Contracis)
DATE: COUNTY ADMINISTRATOR APPROVAL:
(Per Initial Agreement)
DATE: BOARD APPROVAL:
(Per Initial Agreement)
flz...~,-.-. . . ]"
COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY
FISCAL YEAR:
DATE RECEIVED:
REVIEWED BY:
CONTRACT CLOSE-OUT CHECKLIST
(To Be Prepared by the Purchasing Services Coordinator)
DATE: September 13, 2016
TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office
SUBJECT: Contract No. C06-1421-1S
MANAGING DEPARTMENT: IS
CONTRACTOR'S NAME: CENTURY LINK
PROJECT TITLE: TELEPHONE SERVICES
The aftached has met the final payment contract requirement in subject contract.
Yes No
1. Final Invoice X
2. Completed Contract/Lease Payment Approval Form ] X
3. Close-Out Documents Yes No N/A
a. Signed Release of Lien Ol L] X
b. Proof of Completion Advertisement [l Cl X
c. Certificate of Insurance ] L] X
d. Consent of Surety to Final Payment ] ] X
e. Proof of Performance/Payment Bond O O X
Continuation 12 Months Following
Final Payment
x
4. Agenda Request
5 Remarks
(%MMJL Ut 16z
Purclbgling Services Coordinator DATE
Okaloosa County
Information Technology
Department
Memo
To: Purchasing/Contracts and Grants/Okaloosa County BCC
From: Denise Broadway, IT Executive Assistant |
cc: Dan Sambenedetto, IT Interim Director
Date: September 13, 2016
Re: CenturyLink Contract #C06-1421-1S
Please know that the original payment approval form for the final payment of CenturyLink contract #C06-
1421-IS is missing. The document was sent via courier interoffice to Purchasing on September 6, 2016
and was never received. Therefore, | request that you use the copy.
Account Name: OKALOOSA CTY FLORIDA FINANCE D
Account Number: 312332066
P.O. Box 1319 Page: 1 of 273
Chariotte, NC 28201-1319 Bill Date: Aug. 25,2016
16,823.61 13,767.59 CR 0.00 15,247.09
Payment Summary
Previous Balance 16,823.681
Payment by check received on AUG 16 13,767.59 CR S
Balance . 7 T 3bseez |
Adjustments/Credits Summary
Adjustments to Previous Balance 0.00 ;
Total Adjustments. " TG 1
Current Charge Summary
Monthly Charges 14,516.25
One-Time Charges 301.50
Usage Charges ) 26.39
Discount 0.00
Adjustments 89.78 CR
Taxes, Fees, and Surcharges 492,73
Total Current Charges : 1524708
Due Date
Sep. 15, 2016
Just a friendly reminder that your account is past due. If you have already
made your payment, thank you for bringing your account up to date.
Amount Due 18.303.11
***PLEASE FOLD, TEAR HERE AND RETURN THIS PORTION WITH YOUR PAYMENT™
FOR CHANGE OF ADDRESS OR PAYMENT AUTHORIZATION: D
D Please check here and complete reverse. Thank You.
Account Number: 312332066
Amount Due By Sep. 15, 2016 18,303.11
CenturyLink
OKALOOSA CTY FLORIDA FINANCE DEPT P.0. Box 1319
302 N WILSON ST Charlotte, NC 28201-1319
CRESTVIEW, FL 32536-3473
000031233206600000003056026000000000082516000183031151000000
P.O.Box 1319
Charlotte, NC 28201-1319
Account Name: OKALOOSA CTY FLORIDA FINANCE D
Account Number: 312332066
Page: 2 of 273
Bill Date: Aug. 25, 2016
Important Notices and Information :
Allocation of charges:
Service Categories Past Due Current Month Total Due
Basic Services 1,679.65 13,746.44 15,426.09
Other Services 1,376.37 1,600.65 2,877.02
All Services 3,056.02 15,247,09 18,303.11
Failure to pay Basic charges may result in the disconnection of those Services. Please contact
CenturyLink regarding any questions or probfems with your bill before the due date.
This billing statement includes a credit for interest eamed on your depositt, if applicable. As of
August 1, 2016, interest will no longer apply on your deposit. If you have any questions, please
contact a Customer Care Representative at the telephone nurmber printed on your bili. Thank you
for choosing CenturyLink for your communication needs—we value you as our customer.
Third-Party Billing Block
Cramming occurs when unauthorized chal
party charges on your bill, contact Centu
rges appear on your telephone bill. To help prevent unwanted third
ryLink and request, at no charge, a bill block that will prevent
some third party charges such as charitable contributions, dial-up Intemet by non-CenturyLink companies or
other non-telecomrunications charges from appearing on your bill.
CenturyLink works every day to bring you solutions that best meet your total communications needs. Stop in
and learn more about our value pricing that will help you reduce your household expenses when you bundle all
of your services with CenturyLink. You can also pay your bill and check out our newest products and services
at your local CenturyLink Customer Experience Center. Visit www .centurylink.com/stores to find the location
nearest you.
EMBARQ Florida, Inc. DBA CenturyLink
LATE FEE REMINDER: Late fees may be charged each month for any eligible unpaid balances
not paid in full by the due date listed on your bill. The methods for calculating late fee amounts vary by
state and product. For more information you may access Terms and Conditions and Tariff materials at
http:/Awww.centurylink.comiariffs,
CenturyLink should be notified within 90 da
your statement.
ys after the CenturyLink Bill Date of any billing discrepancies on
FREE Enroliment| With CenturyLink's My Account service, you can update your billing information, view and pay
your bilt and much more. Visit us online at www.centurylink.com/myaccount.
immediate Billing Address Changes Call 1-800-786-6272
312332066
OKALOOSA CTY FLORIDA FINANCE DEPT
302 N WILSON ST
CRESTVIEW, FL 32536-3473
Address Information Changes Effective Date
New Address
City State Zip
Work Phone () Home Phone (
S
MONTHLY AUTOPAY AUTHORIZATION FORM
| authorize CenturyLink to charge my MasterCard, Visa, Discover,
savings or checking account monthly for any accrued balance
on the billing account listed below,
(We reserve the right to revoke this if bank approval is denled)
[] checking Account #
(Write your billing account number on a vokied check of copy of a
volded check and attach.)
D Savings Account #
(Write your billing account number on a voided deposit siip and attach.)
[[Jcredit cara [ JoebitCard Exp Date:
[(IMsastercar [Jvisa [] iscover
Signature required Date
Please continue to pay your bill until notified on your statement
that autopay is active.
Account Number
P.O.Box 1318
Charlotte, NC 28201-1319
Current Charges Summary
Account Name: OKALOOSA CTY FLORIDA FINANCE D
Account Number: 312332066
Page: 3 of 273
Bill Date: Aug. 25, 2016
Service From Aug. 25, 2016
o
Monthly Charges Qty Rate Amount
1+ Long Distance e o L{'Sf}fih'*\ 52940 1@ 500.00 500,00 OO KMot Q;,j
Additional DID Each T@ 1756 ]
Additional Listing-Bus 2@ 3.50 7.00
Calier ID Numbr/Name 2 @ 12.50 25.00
Centrex - Meet Me Conference 1@ 1,00 1.00
Centrex Access Line 849 @ 14.00 9,086.00
Digital Centrex Access Line 4@ 14.00 56,00
Digital Inter Chan FIX/0-8 i@ 63.00 53.00 [?3 M
Digital Inter Chan P/M 0-8 (7( 1@ 4.00 4.00 €0 ot
EdralineBus 2 @ 3.50 7.00
~FX Chan Fixed Mile/0-8 A\ ( <, 40 b 3@ 40.00 120.00 W‘\
FX Chan Fixed Mile/9-25 g % C Ef’ ) e o 40,00 A
FX Chan Per Mile/0-8 CMN{C CITA s @ 3.30 9.90 pD
FX Chan Per Mile/9-25 /—X\W\C)‘J“”r”\” =y 8@ 3.30 26.40 Oo
FX Channel 2@ 35.15 70.39.
"Fadliity Relocation Cost Recovery Fee 653 @ 1.00 653.00
Fed Universal Service Chg 653 @ 0.50 326.50
Federal Subscriber Line & Access Recovery Charge 653 @ 3.78 2,4688.34
Hot Line-Bus 1@ 7.50 7.60
Local Channel Type 1204 2@ 26.00 " 50.00 . ng\
{ Local Channel Type 2230 g X t@ 65.00 500 o (0
| Local Channel VG Type 2230 3@ 65.00 195.00
Long Distance Line Charge : 837 @ 0.72° 458.64
Long Distance Line Charge eD o Head L2805 5@ 399 19.95
“Non-Telecom Services Surcharge 1@ 2.99 2.99
Prorated Centrex Access Line From AUG 11 To AUG 24 4 @ 6.53 26.12
Prorat n Fixed Mile/0-8 From AUG 11 To AUG 24 3@ 18.67 56.01
Prorated FX Chan Fixed Mile/8-25 From AUG 11 To AUG 24 1@ 18.67 18.67 ‘)\
Prorated FX Chan Per Mile/0-8 From AUG 11 To AUG 24 7{ s @ 1.54 4.62 Qfi
Prorated FX Chan Per Mile/9-25 From AUG 11 To AUG 24 Q 8 @ 1.54 12.32
Prorated FX Channet From AUG 11 To AUG 24 2@ 16.40 32.80 8<
Prorated Fadility Relocation Cost Recovery Fee From AUG 11 To AUG 24 4@ 0.47 1.88 \3
Prorated Fed Universal Service Chg From AUG 11 To AUG 24 4@ 0.23 0.92 (’}0
Prorated Federal Subscriber Line & Access Recovery Charge From AUG 11 To AUG 24 4@ 1,76 7.04
Remote Call Forwarding 3@ 21.50 64.50
Restret-3rd#1 Collect 4@ 2.50 10.00
Voicemnail Basic 3@ 8.95 20,85
Voicemait Elite 1@ 3.50 3.50
Total Monthly Charges 14,516.25
" One-time Charges
Access Line Charge - FL ST Univ 148.00
Central Office Line Charge Bus 148.00
Manual PIC InterLATA Only 5.50
Total One-time Charges 301.50
Usage Charges Calls Mins -
Directory Assistance - Local 2 7.98
Enhanced Voice Sol - $12000 YR Min 3 Year Term 289 506.0 16.09 M
Intemational 2.5 .
e A6 LS 4S5 ot
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Account Name: OKALOOSA CTY FLORIDA FINANCE D
Account Number: 312332066
/\g.o. Box 1319 Page: 4 of 273
harlotte, NC 28201-1319 Bill Date: Aug. 25, 2016
Current Charges Summary Service From Aug. 25, 2016
] harges 7 Ce é’ml&.fl‘f‘ Lawde, i LD jof JS cals Mins QDX E
MatchMaker a NO 2o %”"’*‘1 Ag A 2 3.0 1.77 0o
Total Usage Charges 294 $11.5 26.39
ustiments
Adjustment For PIC Change 5.50 CR
Rate Adjustment 65,00 CR
Remove Access Recovery Charge From JUL 25 To AUG 24 2.71 CR
Remove Centrex Access Line From JUL 25 To AUG 24 14.00 CR
Remove Fadility Relocation Fee BUS From JUL 25 To AUG 24 1.00 CR
Remove Fed Universal Service Chg From JUL 25 To AUG 24 0.50 CR
Remove Subscriber Line Multi Line Interstate From JUL 25 To AUG 24 1.07 CR
Total Adjustments 89.78 CR
Taxes, Fees and Surcharges ‘
Federal Property Tax Recovery Fee 11.98
Federal Regulatory Recovery Fee 1,02
Federal Telecommunications Relay Fee 19.60
Federal Universal Service Fund Surcharge 460.13
Total Taxes, Fees and Surcharges 492,73
Total Current Charges 15,247.09
20,37 e B 159267
Contact Numbers
www, canturylink.com/myaccount Pay Online
1-866-712-1996 Pay by Phaone
1-800-786-6272 Customer Service
1-800.786-6272 Repair Service
Visit us online at www.centurylink.com.
Carrier Changes and Information
LOCAL TOLL LONG DISTANCE
LINE NUMBER CARRIER CARRIER
850-689-5583 Centurylink Communications, LLC { 5046 } CenturyLink Communications, LLC ( 5046 )
Changed From ACN COMMUNICATION SE
on AUG 06 By Super Ballot
Charge Detail
Local Service from AUG 25 to SEP 24
ProductD: 850-243-0189
Monthly Charges
Centrex Access Line 14.00
