Attachment 4 - Missouri Statewide Quarterly Admin Fee Report and Instructions.xlsx
XLSX spreadsheet 18 KB Posted
- Solicitation number
- 300000264189852
- Issued by
- Missouri
About this file
This file is a Quarterly Administrative Fee Report and Instructions document issued by the Missouri Division of Purchasing for contractors operating under statewide contracts with the State of Missouri. The report applies to all purchases made under statewide contracts for which payment has been received during a reporting quarter, including purchases from Missouri state agencies, political subdivisions, universities, and governmental entities in other states. Contractors must submit the completed quarterly report to the Division of Purchasing no later than the 15th calendar day of the month following the reporting quarter. The report requires contractors to identify the reporting quarter (Q1 through Q4, based on calendar quarters), calculate total payments received by source, and compute the administrative fee obligation.
The administrative fee is calculated as one percent of the overall total payments received during the reporting quarter, with all returns and credits deducted from payment totals. Contractors may submit the completed report and fee payment using multiple methods including mail, facsimile, or email to the specified Division of Purchasing addresses. The administrative fee payment can be submitted via personal check, money order, company check, or ACH electronic payment. If no payments were received during the reporting quarter, contractors must indicate this status on the form. The form requires signature from the responsible party completing the report, including name, title, phone number, email address, and date of completion. Contact information for questions regarding the report or contract administration is available through the Division of Purchasing at (573) 751-2387.
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Other files
| File | Type | Posted |
|---|---|---|
| STATE 0000000505SL Statewide Concrete Qualified Vendor List (Add Vendors).docx | DOCX document | |
| Attachment 1 - State of Missouri Counties Map.pdf | ||
| Attachment 2 - Sample Quote Request.docx | DOCX document | |
| Attachment 3 - Domestic Products Procurement Act.docx | DOCX document | |
| Attachment 5 - Missouri Statewide Contract Quarterly Admin Fee Usage Report.xlsx | XLSX spreadsheet | |
| Attachment 6 - Federal Funds Requirements.docx | DOCX document |
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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 - Missouri Statewide Contract Quarterly Administrative Fee Report
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