Attachment 11 - Admin Fee Report.xlsx

This is a Quarterly Administrative Fee Report form for the State of Missouri's Division of Purchasing, applicable to statewide e-payment services contracts. The report requires contractors to submit quarterly documentation detailing all purchases made under their contract for which payment has been received during the reporting quarter. Contractors must 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 form requests standard header information including contractor name, statewide contract number, submission date, report contact details, and reporting quarter designation (Q1 through Q4, based on calendar quarters).

The administrative fee payment structure requires contractors to calculate and remit a fee equivalent to 1% of overall total payments received during the reporting quarter, derived from sales to Missouri state agencies, political subdivisions, universities, and governmental entities in other states, with returns and credits deducted from the calculation. Contractors must itemize payments received from each category separately and indicate the method of payment submission (personal check, money order, company check, ACH electronic payment, or cashier's check) along with the payment submission date. The report should be submitted via mail to the Division of Purchasing in Jefferson City, by fax to (573) 526-9815, or by email to ereports@oa.mo.gov. Contractors with no payments received during a reporting quarter may check an applicable box to skip the payment calculation section.