EFT_FORM.pdf

This is an Electronic Funds Transfer (EFT) Authorization Form issued by the Clay County Clerk of Court and Comptroller in Florida for vendors and contractors receiving payments from Clay County. The form authorizes Clay County's Comptroller Department and the vendor's financial institution to initiate electronic credit deposits and, if necessary, debit entries and adjustments for 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), Transit/ABA/Routing Number, and Account Number. The form requires an authorized signature and date. Vendors are instructed to contact their financial institutions for complete EFT information and may obtain this through direct deposit letters or voided checks. Vendors must notify the Comptroller Department immediately if they close or change their bank account.

This form is directly associated with Clay County's Mosquito Control Program RFP, which seeks a qualified contractor to provide year-round integrated mosquito management services through surveillance, larval control, adult mosquito control via ULV applications, public education, and emergency response capabilities. The contract term is three years with two optional one-year renewals. Proposals are due electronically by 4:00 p.m. on April 30, 2026, with evaluation committee recommendations anticipated by May 26, 2026. The contractor must maintain an office within Clay County and provide comprehensive insurance coverage including $1,000,000 Commercial General Liability and $1,000,000 Business Automobile Liability. Pricing shall be submitted as a monthly lump sum for routine services, with additional services priced per square foot for larviciding, per mile for truck-mounted spraying, and per day for emergency response. Prospective vendors selected for award will be required to complete and submit this EFT form to facilitate electronic payment processing.