Attachment 3 - Missouri Statewide Quarterly Admin Fee Report and Instructions.xlsx

This is a Quarterly Administrative Fee Report instruction and template document issued by the Missouri Division of Purchasing for contractors operating under statewide contracts, specifically applicable to the Statewide Biohazardous Waste Pick-up and Disposal Services Qualified Vendor List (QVL). The document establishes reporting requirements for all contractors who have received payments from Missouri state agencies, political subdivisions, universities, or governmental entities in other states during a given 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, with reporting periods defined as 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 at 1% of the overall total payments received (minus returns and credits) during the reporting quarter. Contractors must report payments received separately from Missouri state agencies, political subdivisions, universities, and governmental entities in other states, then calculate the total administrative fee owed. Payment of the fee can be submitted via personal check, money order, company check, cashier's check, or ACH electronic transfer. The report must be submitted to the Division of Purchasing by mail, fax, or email, and must include contractor identification information, contact details of the reporting party, the statewide contract number, and the signature of the responsible party certifying the report's accuracy. If no payments were received during the reporting quarter, contractors must indicate this by checking the designated box on the form.