EFT_FORM.pdf

PDF 418 KB Posted

Attached to
Moccasin Slough Boardwalk
Solicitation number
25/26-043
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 contractors, vendors, and businesses participating in county procurement opportunities. The form requires vendors to authorize Clay County and their financial institution to initiate electronic credits and debit entries for contract payments and adjustments. Vendors must provide their complete banking information, including the financial institution name, account type, routing number, and account number, along with an authorized signature and date. The authorization remains in effect until the vendor submits written cancellation to the Comptroller Department. Vendors are instructed to notify the Comptroller Department immediately if they close or change their bank account to prevent payment disruptions.

This form is a required submission document for the Moccasin Slough Boardwalk project, a capital improvement initiative by Clay County Board of County Commissioners to construct approximately 7,642 linear feet of boardwalk with associated public amenities within Moccasin Slough Park. The formal competitive sealed bid procurement (Invitation for Bid #25/26-043) requires electronic bid submission by February 12, 2026, at 4:00 p.m. through Clay County's e-Procurement Portal, with a non-mandatory bid opening scheduled for February 13, 2026. The project is funded through a Florida Recreation Development Assistance Program grant totaling $200,000 in state funds. Contractors must be Florida-licensed, possess a minimum of five years of relevant experience, maintain required insurance coverage including $1,000,000 general liability per occurrence, submit a 5% bid bond, and provide performance and payment bonds at 100% of contract value. Segment 1, the base bid, encompasses 932.53 linear feet with substantial completion required within 145 days from Notice to Proceed and liquidated damages assessed at $100.00 per day for delays.

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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 .