ATTACHMENT 1 - Missouri Statewide Quarterly Admin Fee Report and Instructions.xlsx

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Attached to
Statewide Large Truck Repair Services - Jefferson City, MO
Solicitation number
300000216922844
Issued by
Clark County, Jefferson City, Missouri

About this file

This document is a Quarterly Administrative Fee Report and Instructions from the Missouri Division of Purchasing that applies to all statewide contractors. The report is designed to track all purchases made under state contracts for which payment has been received during each reporting quarter. Contractors are required to submit the completed report to the Division of Purchasing no later than the 15th calendar day of the month following the reporting quarter. The report requires contractors to identify their company name, statewide contract number, report submission date, and contact information for the person completing the report. The form specifies four reporting quarters: Q1 (January 1 – March 31), Q2 (April 1 – June 30), Q3 (July 1 – September 30), and Q4 (October 1 – December 31).

The administrative fee is calculated as 1 percent of the overall total payments received from state agencies, political subdivisions, universities, and governmental entities in other states during the reporting quarter, minus any returns and credits. Contractors must report total payments received from each category of entity separately and then calculate the cumulative overall total payments received. The total administrative fee payment is then submitted through one of four methods: personal check, money order, company check, or ACH electronic payment. Reports and fee payments can be submitted by mail to the Division of Purchasing office in Jefferson City, by fax at (573) 526-9815, or by email to ereports@oa.mo.gov. If no payments were received during a reporting quarter, contractors must indicate this on the form and are exempt from submitting an administrative fee for that period.

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Instructions

Quarterly Administrative Fee Report
The contractor shall submit a "Quarterly Administrative Fee Report" to the Division of Purchasing (Purchasing) for all purchases made under the contract for which payment has been received by the contractor during the reporting quarter. The contractor must submit the "Quarterly Administrative Fee Report" to Purchasing no later than the 15th calendar day of the month following the "Reporting Quarter". The contractor shall complete the "Quarterly Administrative Fee Report" in accordance with the definitions and requirements stated below. Completed electronic forms will feed into a central database for aggregate usage. Please contact Purchasing (573) 751-2387 if you have specific questions about your contract area, the submission of this report, or payment of the administrative fee.
Header Definitions.
Contractor NameContractor name as it appears on the contract.
Statewide Contract NumberStatewide contract number as listed on the first page of your contract with the State of Missouri.
Date Report SubmittedDate Administrative Fee Report is submitted.
Report Contact NameName of the person completing the report on behalf of the contractor.
Contact Phone NumberPhone number for person completing the report.
Contact Email AddressEmail address for the person completing the report.
Administrative Fee Payment Calculation - The total amount in payments received (minus returns & credits) from state agency(ies), political subdivision(s), universities, and governmental entities in other states, the Overall Total Payments Received, and the Total Administrative Fee Payment (calculated as 1% of the Overall Total Payments Received) for the Reporting Quarter.
If no payments were received during the Reporting Quarter, check the box below: Complete section if applicable.
Reporting QuarterQuarter for which the contractor is reporting purchases for which payment has been received. This must be in format QX, where X is the Quarter number as follows:
Q1: January 1 - March 31 Q3: July 1 - September 30
Q2: April 1 - June 30 Q4: October 1 - December 31
Signature of Reponsible Party for Report Content: The signature and title of the person completing the report on behalf of the contractor and the date the report was completed.

Attachment

Admin Fee Report

Contractor Name:Report Contact Name:
Statewide Contract Number:Contact Phone Number:
Date Report Submitted:Contact Email Address:
Administrative Fee Payment Calculation:
(If no payments received during Reporting Quarter, skip to next section)Reporting FY Quarter (check one):
Total Payments Received (minus returns & credits) from Missouri State Agencies during the Reporting Quarter :[ ] July 1 - September 30
Quarter 1[ ] October 1 - December 31

Quarter 2

Total Payments Received (minus returns & credits) from Missouri Political Subdivisions (cities, counties, etc.) during the Reporting Quarter:[ ] January 1 - March 31
Quarter 3[ ] April 1 - June 30

Quarter 4

Total Payments Received (minus returns & credits) from Missouri Universities during the Reporting Quarter:Submit this report to the Division of Purchasing (Purchasing) using one of the methods below:
Total Payments Received (minus returns & credits) from Governmental Entities in Other States during the Reporting Quarter:1) Mail: Division of Purchasing,

P.O. Box 809, Jefferson City MO 65102 - 0809 OR 301 West High Street, Room 630, Jefferson City MO 65101 - 1517

2) Fax: (573) 526-9815

3) Email: ereports@oa.mo.gov

Overall Total Payments Received (minus returns & credits) during the Reporting Quarter :$0.00Indicate below the method of payment used for submitting the Total Administrative Fee Payment for the Reporting Quarter and date of payment submission:
1% Administrative Fee (Multiply Overall Total Payments by 1% to determine Total Administrative Fee Payment)1.00%

Method of Payment Used:

[ ] Personal check [ ] Money Order [ ] Company check [ ] ACH (Electronic Payment) [ ] Cashier's check

Date of Payment Submission: __/__/20__ (mm/dd/yyyy) Total Administrative Fee Payment for the Reporting Quarter: $0.00

If no payments were received during the Reporting Quarter, check the box below:Signature of Responsible Party for Report Content:
[ ] No payments were received this calendar quarter for any purchases
on the contract identified above.Signature: _______________________________________________

Title: _______________________________ Date: ______________

&"Arial,Bold"&12 Attachment - Missouri Statewide Contract Quarterly Administrative Fee Report

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