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

XLSX spreadsheet 19 KB Posted

Attached to
Statewide - Adaptive Technology
Solicitation number
300000267262914
Issued by
Missouri

About this file

This file is a Quarterly Usage Report template and submission instruction document for Missouri statewide contracts, applicable to all state agencies, political subdivisions, universities, and out-of-state entities utilizing Missouri Statewide Contract agreements. The document establishes the administrative reporting framework for tracking and documenting all contract utilization activity. Contractors are required to submit the Missouri Statewide Contract Quarterly Usage Report to the Division of Purchasing electronically via email to ereports@oa.mo.gov no later than the 15th calendar day following each reporting quarter (or the next business day if the 15th falls on a weekend), with four reporting periods covering January 1 through March 31, April 1 through June 30, July 1 through September 30, and October 1 through December 31. Submission is mandatory regardless of whether purchases were made during the quarter; contractors must indicate zero activity by marking the appropriate checkbox if no purchases occurred.

The report template requires contractors to provide comprehensive data elements including contractor name, statewide contract number, report contact information, entity classification code, customer name, detailed product or service descriptions, purchase authorization numbers, contract line item numbers, quantities delivered, unit prices charged, and extended prices for each transaction. Contractors must maintain accurate records of all purchases made under the statewide contract and calculate the overall total of purchases for each quarterly submission. The document serves as the primary mechanism for the State of Missouri to monitor contract usage, track vendor performance, and maintain financial accountability across all statewide contract agreements administered by the Division of Purchasing.

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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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