Attachment 2 - Missouri Statewide Quarterly Admin Fee Report.xlsx
XLSX spreadsheet 18 KB Posted
- Solicitation number
- 300000279407785
- Issued by
- Missouri
About this file
Summary: Attachment 2 - Missouri Statewide Quarterly Admin Fee Report
This file is a quarterly administrative fee report for the Statewide Advertising Services Qualified Vendor List (QVL) program administered on behalf of various Missouri State Agencies. The report appears to be designed to track and document administrative fees collected from vendors participating in the statewide advertising services contract. The document serves as a financial reporting tool for managing the QVL program, which provides advertising services across multiple state agencies through a pre-qualified vendor list structure. The report likely covers a specific quarterly period and includes detailed breakdowns of fees, vendor participation, and related financial metrics associated with the administration of this statewide contracting vehicle.
The spreadsheet format of this administrative fee report facilitates tracking of quarterly financial data, vendor submissions, and fee distributions related to the QVL program. This type of report is essential for maintaining transparency and accountability in the management of statewide advertising services contracts, ensuring proper documentation of administrative costs, and monitoring vendor compliance with program requirements. The quarterly reporting structure allows Missouri State Agencies to review program performance, assess financial viability, and make informed decisions regarding the continuation and management of the statewide advertising services vendor list.
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Other files
| File | Type | Posted |
|---|---|---|
| Statewide Advertising Services - QVL.docx | DOCX document | |
| Attachment 1 - Statement of Work Template.docx | DOCX document | |
| Attachment 3 - Missouri Statewide Quarterly Usage Report.xlsx | XLSX spreadsheet | |
| Attachment 4 - Federal Funds Requirement.docx | DOCX document |
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Text version
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 Name | Contractor name as it appears on the contract. |
| Statewide Contract Number | Statewide contract number as listed on the first page of your contract with the State of Missouri. |
| Date Report Submitted | Date Administrative Fee Report is submitted. |
| Report Contact Name | Name of the person completing the report on behalf of the contractor. |
| Contact Phone Number | Phone number for person completing the report. |
| Contact Email Address | Email 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 Quarter | Quarter 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 2
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 : | $0.00 | Indicate 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 2 - Missouri Statewide Contract Quarterly Administrative Fee Report
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