EFT_FORM.pdf

This is an Electronic Funds Transfer (EFT) Authorization Form issued by the Clay County Clerk of Court and Comptroller in Florida, applicable to the Omega Park CCUA Connection utility improvements project. The form authorizes Clay County's Comptroller Department and the vendor's designated financial institution to process electronic credits and debits for payments related to contract work. The authorization remains in effect until the vendor submits written cancellation to the Comptroller Department. Vendors must provide complete banking information including the financial institution name, account type (checking, savings, or other), routing/ABA number, and account number. The form requires the vendor's name, phone number, email address, authorized signature, and date of completion. Vendors are instructed to contact their financial institutions for accurate EFT information and to notify the Comptroller Department immediately if any banking details change or accounts are closed.

This form is a standard administrative requirement for payment processing associated with the Omega Park project, which involves utility infrastructure improvements at Omega Community Park in Middleburg, Florida. The project scope includes installing water and sewer mains, constructing a lift station, and decommissioning existing septic systems, with a mandatory pre-bid meeting scheduled for October 30, 2025, and bids due November 20, 2025. Clay County will compensate selected contractors through electronic fund transfers, with total connection charges amounting to $27,670.30 for utility service fees. The EFT authorization form ensures efficient payment processing for awarded vendors and must be completed as part of the bidding and contracting requirements for this project.