EFT_FORM.pdf

PDF 418 KB Posted

Attached to
Generator Preventative Maintenance
Solicitation number
25/26-015
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 vendor payment processing. The form authorizes Clay County's Comptroller Department and the vendor's designated financial institution to initiate electronic credit entries and, if necessary, debit entries for correcting erroneous credits. 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 an authorized signature and date. Vendors are instructed to notify the Comptroller Department immediately if they close or change their bank account, and individuals are advised to contact their financial institution for complete EFT information, which can typically be obtained through a direct deposit letter or voided check.

This EFT form is associated with Clay County's Invitation for Bid (IFB #25/26-015) for Generator Preventative Maintenance services covering 43 emergency and backup generators at County facilities. Successful bidders selected for this 24-month contract with two optional 12-month renewal periods will be required to complete this EFT authorization to receive electronic payments from Clay County. The procurement documents do not specify explicit budget ranges or estimated award values; however, the scope encompasses comprehensive annual preventative maintenance, quarterly minor inspections, and 24-hour emergency repair services across all 43 generators over the contract term. Bid submission is due February 19, 2026, at 4:00 p.m., with bid opening on February 20, 2026, and Board recommendation scheduled for March 24, 2026. No set-asides for disadvantaged or minority-owned enterprises are identified, and no incumbent contractors are referenced.

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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 .