EFT_FORM.pdf
PDF 418 KB Posted
- Attached to
- Carl Pugh Park - Drainage Improvements
- Solicitation number
- 25/26-041
- 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, businesses, and individuals receiving payments from Clay County. The form captures essential banking information required to process electronic fund transfers, including the payee's name, contact information, financial institution details, account type, routing number, and account number. Vendors must complete and submit this form to enable the County to issue payments via direct deposit rather than check. The authorization remains in effect until the payee submits written cancellation to the Comptroller Department. Payees are required to notify the Comptroller Department immediately upon closing or changing their bank account to ensure uninterrupted payment processing.
This EFT form is associated with the Carl Pugh Park Drainage Improvements project, a competitive bid solicitation by the Clay County Board of County Commissioners for drainage system upgrades at the park located in Green Cove Springs, Florida. The project includes grading, stormwater pond construction, yard drain installation, and site restoration across 26 line items. Key deadlines include a mandatory pre-bid meeting on April 9, 2026, at 11:00 a.m., an inquiry deadline of April 13, 2026, at 4:00 p.m., and electronic bid submission by April 27, 2026, at 4:00 p.m., with bid opening scheduled for April 28, 2026, at 9:00 a.m. Selected contractors must be Florida-licensed and carry $1,000,000 commercial general liability insurance, complete 40 percent of work with their own workforce, and achieve substantial completion within 120 days from notice to proceed. A five percent bid bond and potential performance bond are required, with liquidated damages assessed at $500 per day for work exceeding the final completion date. Successful bidders will be required to complete the EFT authorization form to receive contract payments.
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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 .