EFT_FORM.pdf
PDF 418 KB Posted
- Attached to
- Construction of Clay County Fire Station No. 24
- Solicitation number
- 25/26-042
- 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 use by vendors and contractors conducting business with Clay County. The form is associated with the Construction of Clay County Fire Station No. 24, a general contracting project solicited by the Clay County Board of County Commissioners for construction at 1075 County Road 226 in Green Cove Springs, FL 32043. Bidders responding to this Request for Bid (RFB) are required to submit all project inquiries through the designated Question and Answer tab, with strict prohibitions on direct contact with Board members, County employees, the County Manager, County Attorney, Commission Auditor, or Evaluation Committee members during the RFB Period. The no-contact rule remains in effect from the publication date through the completion of any bid protest period, with limited exceptions for Purchasing Department inquiries, pre-bid conferences, and formal presentations to the Evaluation Committee or Board as specified in the RFB.
The EFT Authorization Form requires vendors to provide complete banking information including financial institution name, account type, transit/ABA/routing number, and account number to enable electronic fund transfers for payment of goods and services. Authorization remains in effect until the vendor provides written cancellation to the Comptroller Department, with vendors required to notify the Department immediately upon closing or changing bank accounts. The Clay County Board reserves the right to reject any and all bids without cause and to waive technical or non-material defects in submissions, as well as to re-advertise the RFB if necessary.
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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 .