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 payment processing related to the Carl Pugh Park Drainage Improvements project. The form serves as a prerequisite authorization document enabling Clay County's Comptroller and the vendor's designated financial institution to process electronic credit entries and, if necessary, debit entries and adjustments for erroneous credits. Vendors submitting bids for the drainage improvements project—which involves grading of baseball outfields, construction of a stormwater pond, installation of yard drains and piping systems (including 1,095 linear feet of eight-inch ADS single wall pipe and 780 cubic yards of onsite grading), and site restoration—must complete this authorization form to receive payments. Key project dates include a mandatory pre-bid meeting on April 9, 2026, at 11:00 a.m. at the park site (317 South West Street, Green Cove Springs, Florida 32043), 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. The contract performance period requires substantial completion within 120 days from notice to proceed and final completion within 30 days thereafter.
The EFT form requires vendors to provide complete banking information including the financial institution name, account type (checking, savings, or other), transit/ABA/routing number, and account number, with authorization remaining in effect until written cancellation is submitted to the Comptroller Department. Vendors must notify the Comptroller Department immediately upon closing or changing bank accounts. All contractors must submit a five percent bid bond payable to Clay County within two business days after the bid due date, and if the contract award exceeds $200,000, a 100 percent performance and payment bond in accordance with Florida Statutes Section 255.05 is required prior to work commencement. No specific incumbent vendor information is referenced in the procurement materials. Qualified contractors must hold valid Florida Department of Business and Professional Regulation licenses, maintain commercial general liability insurance of $1,000,000 per occurrence and $2,000,000 aggregate, business automobile liability of $1,000,000 combined single limit, and workers' compensation at statutory limits, with liquidated damages assessed at $500 per day for work extending past the final completion date.
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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 .