Attachment 5 - Missouri Statewide Contract Quarterly Admin Fee Usage Report.xlsx
XLSX spreadsheet 19 KB Posted
- Solicitation number
- 300000264189852
- Issued by
- Missouri
About this file
This document is a Quarterly Usage Report form and instructions issued by the Missouri Division of Purchasing for contractors holding Missouri Statewide Contracts. The report serves as a mandatory compliance document that contractors must submit electronically to track purchases made under their statewide contracts, specifically for the Statewide Concrete Qualified Vendors List (QVL). Contractors are required to submit the Missouri Statewide Contract Quarterly Usage Report no later than the 15th calendar day of the month following each reporting quarter (or the next business day if the 15th is not a business day). The report must be submitted in Excel format to ereports@oa.mo.gov and must include detailed information about all purchases made during the quarter, including customer name, product or service description, purchase authorization numbers, contract line item numbers, quantities delivered, unit prices, and extended prices. Even quarters with zero purchases require submission, with contractors marking an appropriate checkbox to indicate no activity.
The report form requires contractors to provide comprehensive data elements including contractor name, statewide contract number, report contact information, reporting quarter designation, and a detailed line-item breakdown of all transactions. The four quarterly reporting periods are January 1 through March 31, April 1 through June 30, July 1 through September 30, and October 1 through December 31. The form captures customer entity types (Missouri state agencies, political subdivisions, universities, or out-of-state entities) and tracks all financial transactions with extended price calculations. The report template is downloadable from the Missouri Division of Purchasing website at http://oa.mo.gov/purchasing/vendor-information, allowing contractors flexibility in submission format provided the document remains Excel-exportable and contains all required data elements.
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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 4 - Missouri Statewide Quarterly Admin Fee Report and Instructions.xlsx | XLSX spreadsheet | |
| Attachment 6 - Federal Funds Requirements.docx | DOCX document |
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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 Element | Description |
| Contractor Name | Contractor name as it appears on the contract. |
| Statewide Contract Number | Statewide contract number as listed on the cover page of your contract with the State of Missouri. |
| Report Contact Name | Name of the person completing the report on behalf of the contractor. |
| Contact Phone Number | Phone number for the person completing the report. |
| Contact Email Address | Email address for the person completing the report. |
| Date Report Submitted | Date the Missouri Statewide Contract Quarterly Usage Report is submitted to Purchasing. |
| Reporting Quarter | Quarter for which the contractor is reporting purchases on the contract. |
| Entity Type | Indicate 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 Name | Customer's name. If the customer has multiple locations, please only use the main entity name. |
| Product or Service Description | Description of product or service purchased. |
| Purchase Authorization Number/Identifier | Purchase 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 Number | Line item number on the contract. |
| Quantity Delivered | Quantity (i.e. excluding returns) of products delivered. Enter a quantity of "1" for a service/project. |
| Unit Price Charged | Unit Price Charged (i.e. excluding credits) for the product or service purchased. |
| Extended Price | Quantity 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 Name | Product or Service Description | Purchase Authorization Number/Identifier | Contract Line Item Number | Quantity Delivered | Unit Price Charged | Extended 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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