EFT_FORM.pdf
PDF 418 KB Posted
- Attached to
- Construction of Radar Road
- Solicitation number
- 25/26-010
- Issued by
- Clay County, Harold CDP, Florida
About this file
This is an Electronic Funds Transfer (EFT) Authorization Form issued by the Clay County Clerk of Court and Comptroller in Florida for the Construction of Radar Road project (IFB #25/26-010). The form authorizes Clay County's Comptroller Department and the vendor's designated financial institution to initiate electronic credits and debits for payments related to the project. The roadway construction project involves approximately 1,950 linear feet of roadway connecting Town Center Boulevard to US Highway 17 and encompasses clearing, grubbing, earthwork, traffic control, paving, storm drainage, utility adjustments, landscaping, irrigation, signage, and pavement markings. A mandatory pre-bid meeting is scheduled for October 29, 2025, at the Clay County Administration Building, with bids due on November 20, 2025, at 4:00 pm and bid opening on November 21, 2025. The project requires substantial completion within 345 days from the Notice to Proceed, with final completion required 30 calendar days after punch list delivery.
Contractors must submit a 5% bid bond and complete a 107-line-item pricing proposal. Bidders must be pre-qualified with the Florida Department of Transportation (FDOT) and must demonstrate a minimum of 5 years in business performing similar work, with a requirement to self-perform at least 40% of the work. The selected contractor will be required to provide proof of insurance, workers' compensation certification, performance and payment bonds, and complete EFT authorization for payments. The form requires vendors to provide their financial institution details, account type, routing number, and account number for direct deposit of payments. No specific budget range is stated in the documentation, though the detailed scope suggests a significant project investment. The procurement is open to all qualified contractors with no set-aside designations mentioned.
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Text version
Clay County Clerk of Court and Comptroller
EFT Authorization Form
Individual/Business/Vendor Name: (Please Print)
Phone Number:
Email:
I/We hereby authorize Clay County Comptrollers and the financial institution listed below to initiate electronic credits, and, if necessary, debit entries and adjustments for any credit entries in error. This authority will remain in effect until I cancel it in writing to the Comptroller Department. *Notify the Comptroller Department immediately if you close or change Bank Account*
Account Information:
Financial Institution:
Type of Account (please circle one): Checking Savings Other:______________
Transit / ABA / Routing #:
Account Number:
*Individuals: If you are unsure of your complete EFT information please contact your financial institution. In most cases, your financial institution can provide you with a direct deposit/EFT letter or a voided check.
Businesses/Vendors: Please check with your financial institution for your complete ACH/EFT information.
Authorized Signature:_______________________________ Date: ___________
File details come from the government source that posted it. Updated .