Attachment 3 - Missouri Statewide Quarterly Admin Fee Report.xlsx
XLSX spreadsheet 19 KB Posted
- Attached to
- Statewide General Office Moving Services
- Solicitation number
- 300000263953931
- Issued by
- Missouri
About this file
This document is a Quarterly Administrative Fee Report form issued by the Missouri Division of Purchasing for contractors holding statewide contracts with the State of Missouri. The report applies to the Statewide General Office Moving Services contract and requires contractors to submit quarterly documentation detailing all purchases made under the contract for which payment has been received during the reporting quarter. Submissions must be made to the Division of Purchasing no later than the 15th calendar day of the month following each reporting quarter (Q1: January 1–March 31; Q2: April 1–June 30; Q3: July 1–September 30; Q4: October 1–December 31). The report requires contractors to document payment information from Missouri state agencies, political subdivisions, universities, and governmental entities in other states, along with the contractor's contact information and the identity of the person completing the report.
The administrative fee is calculated as 1 percent of the overall total payments received (minus returns and credits) during the reporting quarter. Contractors must remit the calculated administrative fee using one of four payment methods: personal check, money order, company check, or ACH electronic payment. Completed reports feed into a central database for aggregate usage tracking. Submissions may be made via mail to the Division of Purchasing at P.O. Box 809, Jefferson City, MO 65102-0809 or 301 West High Street, Room 630, Jefferson City, MO 65101-1517; by fax to (573) 526-9815; or by email to ereports@oa.mo.gov. Questions regarding contract areas, report submission, or administrative fee payment should be directed to the Division of Purchasing at (573) 751-2387.
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Other files
| File | Type | Posted |
|---|---|---|
| STATE 0000000521SL SW General Office Moving Services RFP.docx | DOCX document | |
| Attachment 1 - Region and County Map.pdf | ||
| Attachment 2 - Authorization for Release of Information.docx | DOCX document | |
| Attachment 4 - Missouri Statewide Contract Quarterly Admin Fee Usage Report.xlsx | XLSX spreadsheet | |
| Attachment 5 - Business Associate Provisions.docx | DOCX document | |
| Attachment 6 - Federal Fund Requirement Language.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
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 5 - Missouri Statewide Contract Quarterly Administrative Fee Report
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