ATTACHMENT 3 - Missouri Statewide Contract Quarterly Admin Fee Usage Report.xlsx

XLSX spreadsheet 19 KB Posted

Attached to
Statewide - Adaptive Technology
Solicitation number
300000266353925
Issued by
Missouri

About this file

This is a Quarterly Usage Report template and instruction document issued by the State of Missouri Division of Purchasing for contractors holding statewide contracts. The document provides comprehensive guidance on the submission requirements and data elements necessary for contractors to report their contract usage on a quarterly basis. Contractors are required to submit the Missouri Statewide Contract Quarterly Usage Report electronically to ereports@oa.mo.gov no later than the 15th calendar day of the month following each reporting quarter, or the next business day if the 15th falls on a non-business day. The report must be completed regardless of whether purchases were made during the quarter, with contractors required to indicate zero purchases if applicable. The report covers four quarterly periods: January 1 through March 31, April 1 through June 30, July 1 through September 30, and October 1 through December 31.

The report template requires contractors to provide essential identifying information including contractor name, statewide contract number, report contact details, and submission date. For each transaction, contractors must document the entity type purchasing the products or services (identified as state agency, political subdivision, university, or out-of-state entity), customer name, detailed product or service description, purchase authorization number, contract line item number, quantity delivered, unit price charged, and extended price. The document specifies that quantity should be entered as "1" for services or projects and that quantity figures should exclude returns while price figures should exclude credits. The report template includes rows for multiple transactions with automatic calculation of extended prices and an overall total of purchases field, with all pricing displayed in standard currency format.

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Text version

Report Instructions Missouri Statewide Contract Quarterly Usage Report Instructions

The contractor shall prepare and submit a Missouri Statewide Contract Quarterly Usage Report to the Division of Purchasing which shall provide the Data Element information listed below.

The Missouri Statewide Contract Quarterly Usage Report must be received by the Division of Purchasing (Purchasing) no later than the 15th calendar day of the month following the reporting quarter entered on the Missouri Statewide Contract Quarterly Usage Report, unless the 15th is not a business day in which case the next business day thereafter shall be considered the reporting deadline. Even if there has been no usage of the contract during the reporting quarter, the contractor must still submit a report and indicate no purchases were made by marking the appropriate box on the report form.

The contractor must submit a Missouri Statewide Contract Quarterly Usage Report electronically either utilizing the "Missouri Statewide Contract Quarterly Usage Report" worksheet included in this spreadsheet which is downloadable from the following Purchasing website address: http://oa.mo.gov/purchasing/vendor-information or utilizing another format which is Excel-exportable. The contractor must submit the Missouri Statewide Contract Quarterly Usage Report to the following email address: ereports@oa.mo.gov.

Data ElementDescription
Contractor NameContractor name as it appears on the contract.
Statewide Contract NumberStatewide contract number as listed on the cover page of your contract with the State of Missouri.
Report Contact NameName of the person completing the report on behalf of the contractor.
Contact Phone NumberPhone number for the person completing the report.
Contact Email AddressEmail address for the person completing the report.
Date Report SubmittedDate the Missouri Statewide Contract Quarterly Usage Report is submitted to Purchasing.
Reporting QuarterQuarter for which the contractor is reporting purchases on the contract.
Entity TypeIndicate the type of entity by entering "S" for Missouri state agency, "P" for Missouri political subdivision, "U" for Missouri university, or "O" for political subdivision or state entity from another state.
Customer NameCustomer's name. If the customer has multiple locations, please only use the main entity name.
Product or Service DescriptionDescription of product or service purchased.
Purchase Authorization Number/IdentifierPurchase Authorization Number/Identifier supplied by customer to contractor. Enter PO or other authorization number/identifier. If procurement card used, enter "P-Card".
Contract Line Item NumberLine item number on the contract.
Quantity DeliveredQuantity (i.e. excluding returns) of products delivered. Enter a quantity of "1" for a service/project.
Unit Price ChargedUnit Price Charged (i.e. excluding credits) for the product or service purchased.
Extended PriceQuantity Delivered X Unit Price Charged.

Attachment 3

Quarterly Usage Report

Contractor Name:Report Contact Name:Contact Email Address:
Statewide Contract Number:Contact Phone Number:Date Report Submitted:

If no purchases were made during the reporting quarter, check the box below: Reporting Quarter:

(check one)[ ] January 1 - March 31[ ] April 1 - June 30
[ ] No purchases were made during this quarter on the contract identified above.[ ] July 1 - September 30[ ] October 1 - December 31
Entity Type*Customer NameProduct or Service DescriptionPurchase Authorization Number/IdentifierContract Line Item NumberQuantity DeliveredUnit Price ChargedExtended Price
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Overall Total of Purchases$0.00
* Entity Type: "S" = Missouri state agency; "P" = Missouri political subdivision; "U" = Missouri university; "O" = political subdivision or state entity from other state

&"Arial,Bold"&16Attachment 3 Missouri Statewide Contract Quarterly Usage Report

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