DIRECT PURCHASE The City of Panama City (herein referred to as the City ) is exempt from sales and use taxes. As such, it is exempt from the payment of sales and use taxes on purchases of tangible property, materials, etc., necessary for the performance of work under construction contracts, provided the City determines it is to its best interest to do so, and provided the purchase of such properties, materials, etc., are handled in the manner hereinafter described. The Contractor shall submit his proposal for Base Bid and proposals for each Alternate with the inclusion of all required taxes including applicable sales and use tax, the same as if tax were to be paid in the normal manner. The sales and use tax savings will be affected during the performance of the contract. Administrative costs incurred by the Contractor administering the purchases in the name of the Owner shall be considered to be included in the Base Bid proposal. No addition shall be added to the contract amount because of the service provided by the Contractor in the purchase of property, materials, etc., in the name of the Owner. All sales and use tax savings of purchase of property, materials, etc., shall be credited to the Owner and the amount of the contract shall be reduced in the full amount of savings which are affected by the ommission of payment of sales and use taxes. The City affirms that if the Florida Department of Revenue determines that the materials sold pursuant to the Certificate of Entitlement do not qualify for the exemption under Section 212.08(6), F.S., the City will be liable for any tax, penalty, and interest determined to be due. Contractors, including subcontractors, who manufacture, fabricate, or furnish materials that the Contractor incorporates into public works are liable for tax in the manner provided in subsection (10) of Rule 12A-1.051, F.A.C. The contractor and subcontractors, not the governmental entity, are deemed to be the ultimate consumers of the articles of tangible personal property they manufacture, fabricate, or furnish to perform their contracts and may not accept a Certificate of Entitlement for these articles. Contractors that supply raw materials such as rock, shell, fill dirt, and similar materials for incorporation into public works shall be liable for tax in the manner provided in subsection (10) of Rule 12A-1.051, F.A.C. Contractors that manufacture and incorporate asphalt into public works projects are liable for tax on their costs, as provided in subsection (12) of Rule 12A-1.051, F.A.C., subject to a partial exemption, as provided in Section 212.06(1)(c), F.S. Contractors that install people mover systems in public works projects are exempt from sales and use tax on their purchases of such systems or components of such systems
and on any other costs incurred in the manufacture of such systems that would be taxable under the provisions of subsection (10) of Rule 12A-1.051, F.A.C. By virtue of its payment of material invoices, the Owner further intends to benefit from any discounts offered for timely payment. The Contractor shall pay any late penalties caused by their failure to process invoices within the allotted time. The administration for the sales and use tax savings will be in accordance with the agreements and forms bound herein and the procedure will be administered by the City. The Contractor, not withstanding this special purchase arrangement, shall select, describe, order, obtain approvals, submit samples, coordinate, process, prepare shop drawings, pursue, receive, inspect, store, protect, insure, guarantee and otherwise be responsible for all materials, the same as would have been the case if the tax saving procedures were not implemented. The Contractor shall have the obligation of receiving, storing, and safekeeping all goods and materials purchased on behalf of the City pursuant to an Agreement. Further, the Contractor shall be responsible for the cost of replacing any goods and materials, as well as processing all warranty claims for defective goods and materials to the same extent as if such goods had been contractor-supplied or purchased in the name of the Contractor.
TAX SAVINGS AGREEMENT PROCEDURES A. The originating department will issue Tax Savings Agreement instructions to the contractor. B. The Contractor will compile a list of all purchases for this project that have an estimated cost over $. C. The originating department will enter a Purchase Order (PO) for tax exempt purchases. The PO must be issued to the actual vendor, not the Contractor. The originating department will be responsible for providing a copy of the PO to the Vendor and/or Contractor. D. The originating department will complete a Certificate of Entitlement to the Vendor to affirm that the tangible personal property purchased will go into or become a part of a public work. The City s PO must be attached to the Certificate of Entitlement. There must be a separate Certificate of Entitlement for each purchase order. Copies of the Certificate are acceptable. E. The originating department is responsible for providing copies of the Certificate of Entitlement, PO and tax exempt certificate to the Vendor and/or the Contractor. F. The vendor s invoice must be issued to the City, rather than to the Contractor. The City must make payment directly to the vendor. G. The City assumes title to the materials from the vendor at the time of purchase or delivery by the vendor. H. The originating department and the Contractor will verify that all invoiced materials and/or equipment were delivered and that the invoice is for the correct amount. I. The originating department will process invoices and forward them to the accounting department for payment. J. It is the responsibility of the originating department to maintain all paperwork pertaining to the agreement. K. The originating department shall keep track of all purchase orders issued and invoices paid. L. Change orders will be requested to reduce the Contractor s original PO amount by the amount of each PO issued for materials and/or equipment. Upon completion of the project, any funds remaining on purchase orders will be added back to the Contractor s PO for final payment.
OWNER DIRECT PURCHASE CHECKLIST The City of Panama City requires the following items prior to a purchase order being processed: A. Proposal 1. Includes reference to project: 2. Includes line item pricing 3. Includes separate line item for tax (for tracking purposes only) B. Vendor Information Sheet C. Vendor s current Form W-9 D. Letter from, recognizing the Vendor and proposal as acceptable for this project. The Vendor in turn will receive the following items when the purchase order is processed: A. Purchase Order B. Terms and Conditions C. Certificate of Entitlement D. City s Tax Exempt Certificate
SALES AND USE TAX SAVINGS AGREEMENT AGREEMENT between, hereinafter called the Contractor and the City of Panama City, hereinafter called the City. RECITALS A. Contractor and the City of Panama City entered a contract, dated for the performance of the work described therein; a copy of said contract is attached. The City has determined that this contract shall be subject to certain sales tax exemptions pursuant to section 212.08(6), Florida Statutes. B. Contractor and the City desire to enter into an arrangement whereby certain purchases under the Contract can be made by the City as a means of taking advantage of the City s status of being exempt from sales and use taxes under the provisions of Florida Administrative Code, Paragraph 12A-1.094, Public Works Contracts; a copy of which is contained in Exhibit A. The Sales and Use Tax on Construction Improvements, Installations and Repair, provided in Exhibit B, contains additional Florida Department of Revenue documentation regarding tax exempt purchases. AGREEMENT A. The City does hereby appoint Contractor as agent for the City to assist in preparing purchase orders which will be forwarded directly to the Vendors by the City, receiving the tangible property from the Vendor, inspecting property for compliance with purchase orders and for storage and security prior to installation. Exhibit C is a preliminary listing of equipment, materials and supplies subject to this Agreement; however, the City reserves the right to delete or add items when it is in the best interest of the City. B. The City will: 1. Be responsible for final review of the Purchase Order (herein called the PO ), executing the PO, and issuing the PO directly to the Vendor. 2. Issue a Certificate of Entitlement for each PO (Exhibit D) and attach the City s Terms and Conditions to each PO (Exhibit E). 3. Pay Vendor s invoice directly from Public Funds. 4. Take title to the tangible property from the Vendor upon delivery by the Vendor. 5. Assume the risk of damages or loss at the time of delivery by the Vendor. 6. Notify Vendors not to make any direct sales to Contractor. C. The Contract provides that Contractor will perform the work under the Contract for the total of $. Said amount due Contractor under the Contract shall be reduced by the sum of all amounts paid by the City for materials, supplies or other items purchased herunder and savings of sales and use tax on the purchase of such items. D. The following provisions apply:
1. The City is exempt from sales and use taxes. As such, it is exempt from the payment of sales and use tax on purchases of tangible property, materials, etc., necessary for the performance of work under construction contracts, provided the City determines it is to its best interest to do so, and provided the purchase of such properties, materials, etc., are handled in the manner hereinafter described in Florida Administrative Code, Paragraph 12A-1.094 Public Works Contracts. 2. The City has determined it is in its best interest to provide the opportunity to eliminate the payments of sales tax for tangible property, materials, etc., to be used in the construction of this project, and notifies the Contractor of its intent to do so. 3. The Contractor shall submit his proposal for Base Bid and proposals for each Alternate with the inclusion of all required taxes including applicable sales and use tax, the same as if tax were to be paid in the normal manner. The sales and use tax savings will be affected during the performance of the contract. 4. The Contractor, Subcontractors, and all material dealers are hereby made aware of the intent of the Owner to reduce the construction costs of the project by the purchase of properties, materials, etc., in the manner hereinafter described and the Contractor shall not withhold his consent to the arrangement. 5. Administrative costs incurred by the Contractor administering the purchases in the name of the Owner shall be considered to be included in the Base Bid Proposal for work. No addition shall be added to the contract amount because of the service provided by the Contractor in the purchase of property, materials, etc., in the name of the Owner. 6. All sales and use tax savings of purchase of property, materials, etc., shall be credited to the Owner and the amount of the contract shall be reduced in the full amount of savings which are affected by the ommission of payment of sales and use taxes. 7. By virtue of its payment of material invoices, the owner further intends to benefit from any discounts offered for timely payment. The Contractor shall pay any late penalties caused by their failure to process invoices within allotted time. 8. The administration of the sales and use tax savings will be in accordance with the agreements and forms bound herein and the procedure will be administered by the City. 9. The contractor, not withstanding this special purchase arrangement, shall select, describe, assist with procurement by drafting purchase orders, obtain approvals, submit samples, coordinate, process, prepare shop drawings, pursue, receive, inspect, store, protect, insure, guarantee and otherwise be responsible for all materials, the same as would have been the case if the tax saving procedures were not implemented. 10. The Contractor shall have the obligation of receiving, storing, and safekeeping all goods and materials purchased on behalf of the City purusant to this Agreement. Once the City has delivered, or caused to be delivered, the product to the Contractor, the Contractor shall be responsible for the cost of replacing any goods or materials lost, stolen, or destroyed, and the cost of any repair for any damage to the goods and materials, as well as assisting in the processing of all warranty claims for defective goods and materials to the same extent as if
such goods had been contractor-supplied or purchased in the name of the Contractor. 11. Contractor shall maintain separate accounting records for all transactions carried out under the authority to it as agent. Such records shall be open to the City during normal business hours of Contractor. For the purpose of this Contract, the estimated tax savings shall be calculated at a flat rate of %. 12. The authority granted to Contractor hereunder may be revoked by the City at any time upon written notice delivered to Contractor at its offices located at during normal business hours. Cost of administration incurred by Contractor with this tax agreement whall be included as part of the Base Bid Proposal and will not be included as a separate cost to the Owner. City of Panama City 9 Harrison Avenue Panama City, FL 32401 Address Signature Printed Name and Title Signature Printed Name and Title
SALES TAX EXEMPTION AGREEMENT TERMS AND CONDITIONS Date:, 2016 THIS PURCHASE ORDER IS SUBJECT TO THE FOLLOWING TERMS AND CONDITIONS, WHICH MAY NOT BE CHANGED EXCEPT AS EXPRESSLY AGREED IN WRITING SIGNED BY THE BUYER. The City of Panama City (herein referred to as the City ) is exempt from federal excise tax, transportation tax, and state sales tax. Do not include these taxes in your invoice. Exemption Certificate is attached to these terms and conditions. GENERAL 1. All items to be provided under this purchase agreement shall conform in every way and in accordance with the Contract Document for the Project described as: including but not limited to Project Plans, Specifications, and Addendums No.. Deviation or delays not approved by the purchaser are subject to rejection and/or compensation for such unauthorized deviations or delays. 2. No changes in terms and conditions of this order, nor direct negotiations between Seller and Buyer s ultimate customer, shall be binding upon Buyer without the Buyer s express written approval. 3. The City s Terms and Conditions supersede all other terms and conditions attached to the proposal identified within this Purchase Order (herein referred to as PO ). 4. All Direct Purchases made by the City between the vendor and for the General Contractor shall be adhered to and in compliance with the above referenced contract. 5. Proposed pricing by vendor remains firm and in effect for the entire duration of this project. SUBMITTAL INSTRUCTIONS 1. Submittal Requirements: Provide six (6) copies of submittal shop drawings for Engineer and City s review and approval. Any deviations from the Contract Documents listed in the description must be clearly noted. Send all documents to: Primary Contact: 2. Preliminary Operation and Maintenance Materials (O&Ms): Provide three (3) copies within 30 days of receiving final shop drawing approval. 3. Final O&Ms: Provide three (3) hard copies and one (1) electronic copy on a separate CD prior to final payment being released. 4. Electronic copies of O&Ms shall be sent to the following email address:. LEAD TIME AND DELIVERY INSTRUCTIONS 1. Delivery shall be made after submittals have been approved and as released by. 2. Unless otherwise specified, deliveries shall be made Monday through Friday between the hours of 8:00 a.m. and 4:00 p.m., excluding holidays. 3. Lead times and deliveries shall be coordinated through: Attn: Phone: 4. Shipping point:
5. Deliveries shall be offloaded by:_. SHIPPING INSTRUCTIONS 1. Transportation charges on all shipments must be fully prepaid by Seller. All shipments are Free On Board (FOB) Destination. C.O.D. shipments will not be accepted. 2. If PO authorizes additional freight to Invoice, Seller is expected to make complete shipments in accordance with PO schedule. Any increase in freight costs resulting from unauthorized split shipments will be borne by Seller. 3. All shipments shall be accompanied by a Packing List containing: Seller s Packing List Number Buyer s PO Number Itemized description of items shipped 4. When multiple shipments are required to complete this order the final shipment must be so indicated on the Seller s Packing List and Invoice. 5. Seller shall render separate invoices for each PO. 6. Shipment of any part of the goods or services to be supplied hereunder shall constitute acceptance of this PO and its terms and conditions. In the event of any inconsistency between the terms of this PO and Seller s acceptance, the terms of this PO shall govern. No portion of this contract may be modified or waived unless Buyer expressly consents in writing to each such change. No omission by Buyer to enforce any provision of this Contract shall constitute a waiver of its rights to enforce any provision thereafter. PAYMENT TERMS Net 20 days from the date of the Approved Monthly Payment Request submitted to the City from following the receipt of invoiced material. The City will make payment on all invoices in accordance with the Florida Prompt Payment Act, sections 218.70 through 218.79, Florida Statutes. INVOICE AND BILLING INSTRUCTIONS 1. Invoices shall identify the following: City of Panama City PO Number Project name and number 2. Invoices shall be submitted to the following address: Electronic version can be mailed to: Telephone Contact: 3. Invoices will not be paid until all items on this PO are received in full, unless prior approval for partial payment has been made and is indicated on the face of this PO.
QUANTITIES The specific quantity ordered must be delivered in full and not be changed without the Buyer s consent in writing. Any unauthorized quantity received is subject to Buyer s rejection and return at Seller s expense. No allowances for trade practices will be accepted unless expressly agreed to by Buyer in writing. QUALITY GUARANTEE If the product delivered does not meet specifications as approved by the City, or if the product will not produce the effect that the company represents to the City, the company shall pick up the product throughout the City at no expense to the City. Also, the company shall refund to the City any money that has been paid to the company for such product. QUALITY ASSURANCE Materials and goods shall be produced and shipped by the awarded Vendor, who has and is regularly engaged in the production of such product. Suppliers shall be an authorized dealer for the respective manufacturer. DELIVERY Time is of the essence of this Contract. Seller is hereby advised that Buyer may become liable to others if Seller fails to deliver goods and services of the quality and quantity specified herein, at the times specified herein. In addition to its other remedies for Seller s failure to make sufficient progress in the work to endanger timely delivery, Buyer may require seller to ship the goods by any means of transportation Buyer specifies and any additional costs for such transportation services shall be paid by Seller. In addition to its other remedies for Seller s failure to deliver on time, Buyer may refuse to accept and pay for any late delivery of any goods or services. Seller shall bear the risk of loss or damage for all goods until actual receipt and acceptance thereof by Buyer. Goods shall be delivered free of all liens of third parties. Seller waives all rights in liens in any property arising from its performance under this order. Unless otherwise specified on the face of this PO, all deliveries are for inside delivery. Seller shall notify Buyer of deliveries that require special handling and/or assistance for offloading. Failure to notify buyer concerning this type of delivery will result in billing to Seller of any resulting redelivery, storage, or handling charges. All materials purchased will be subject to Buyer s inspection and approval after delivery unless otherwise agreed upon in writing. If Materials are rejected, they will be held for disposition at the Seller s risk and expense. ASSIGNMENT Seller shall not delegate, sublet or subcontract any duties nor assign any rights or claims under this PO without the prior express written consent of the Buyer. Failure to comply with the provisions in this paragraph shall affect, at the option of the Buyer, a cancellation of the Buyer s obligations hereunder. REJECTION Buyer shall have a reasonable period of time after receipt to inspect goods and services supplied and to reject (in whole or in part) subject to a claim for damages, such goods and services as are in its judgment defective. Goods so rejected and goods supplied in excess of quantities specified herein may be returned at Seller s risk and expense for credit or replacement at Buyer s option, and all handling and transportation expenses both ways shall be assumed by Seller. Payment for, or use of, any or all of the goods or services supplied hereunder shall not constitute acceptance of waiver of defects by this Buyer. Nothing in this paragraph shall in any way limit Buyer s rights under paragraph (warranty) hereof. PATENTS Seller warrants that the use or sale of any of the goods supplied hereunder will not infringe any patents, United States or Foreign. Seller agrees to defend, protect and save harmless Buyer, its successors, assigns, customers and users of its products, against all suits at law or in equity, and from all damages, expenses, claims and demands for actual or alleged infringement of any patent by reason of the sale or use of the goods supplied hereunder or any part thereof. WARRANTY Seller warrants that all material, equipment and services furnished hereunder will conform to specifications, drawings, samples or other description furnished or approved by Buyer; will be fit and sufficient for the purposes intended; will perform as specified herein; and, will be free from defects and merchantable. This warranty will run to Buyer, its successors and assigns, and to the Buyer s customers and users of the Buyer s products. Seller shall be liable to Buyer for all damages and expenses resulting from Seller s failure to make timely delivery of goods and services of the quantity and quality specified. Whether or not Buyer rejects such goods and services, in whole or in part, or terminates this Contract. The warranty on Seller s goods shall run for a period of one year from substantial completion or whichever is greater in time as expressed in the Contract Documents (Specifications). CHANGES Buyer reserves the right at any time to change this Order in any particular with respect to the goods and/or services not theretofore shipped thereunder. If any such change shall increase Seller s cost of performance, Seller shall immediately notify Buyer thereof and an equitable adjustment in the price shall be made by written amendment to the PO. This is the entire agreement between Buyer and Seller as respects items covered herby and all modifications must be in writing. Reference in this order to Seller s quotation does not imply acceptance of any terms and conditions in such quotation. Any terms and conditions in such quotation which are in addition to or inconsistent with the terms and conditions contained in this order shall not be part of this agreement. An acknowledgment which contains terms in addition to or inconsistent with the terms of this Order, or a rejection of any term of this Order, shall be deemed to be a counter offer to Buyer and shall not be binding upon Buyer unless acceptance thereof is made in writing to the Seller. However, performance by Seller, in the absence of written acceptance of such counter offer by Buyer, shall be deemed to be performance in accordance with the terms of this PO. LAW This agreement is to be construed as though made in and to be performed in the State of Florida and is to be governed by the laws of Florida in all respects without reference to the laws of any other state or nation.
FABRICATION Unless specific delivery dates are provided in this PO, Seller shall not fabricate any of the supplies covered by this PO, or procure any of the materials required in the fabrications, except to the extent authorized in written instructions forwarded to Seller by Buyer. Buyer shall have no responsibility for materials for which written fabrication and/or delivery instructions have not been provided. Buyer may from time to time change shipping schedules specified in the PO or contained in such written instructions, or direct temporary suspension of such scheduled shipments. REPAIRS AND DEFECTS Defective items at option of Buyer and upon notice to Seller will be repaired by Buyer or returned to Seller for repair, in either case, at Seller s risk and expense. Items which are rejected and returned are not to be replaced without the prior written permission of the Buyer. In the event that return of the equipment to Seller is not practical, Seller will at Buyer s request, make repairs at Buyer s location. Seller agrees to correct all defects within ten days from the date of notice of such defects from the Buyer. In the event Seller does not commence to correct such defects within said time period, Buyer reserves the right to correct same, and Seller agrees to pay Buyer the costs accrued in connection with the corrective work. RIGHT OF SET-OFF Buyer shall be entitled at any time to set off any sums owing by Seller to Buyer against sums payable by Buyer in connection with this PO. ATTORNEY S FEES Whenever Buyer or Seller shall breach or fail to perform any of the conditions or provisions of this PO, and such failure or breach shall cause either party to incur any damages or expenses whatsoever, such damages or expenses so incurred, with legal interest and including penalties, costs, and reasonable attorney s fees as hereinafter described in this paragraph, may be added to or deducted from the next accruing payments due as may be judicially determined. Reasonable attorney s fees shall be deemed to include fees at the pretrial, trial and appellate levels, in addition to costs of suit or arbitration. performance of Buyer s contractual obligations to others; (3) because of defects in supplies, workmanship or quality, or because services or products furnished are not in accordance with approved samples of specifications issued in connection herewith, or if performance by Seller is prevented by causes beyond Seller s control, or if Seller fails to comply with the other terms and conditions of this order, or if Seller is bankrupt, insolvent or has a receiver appointed for it; however, under (2) above termination shall occur only after Seller s failure to cure such default within seven days after receipt by Seller of such notice. PACKING Seller will pay all charges for containers, crating, boxing, bundling or dunnage, unless stated herein. Unless otherwise stipulated in writing, packing, crafting, and delivery surcharges shall not be paid by Buyer. Any materials delivered in a damaged condition which condition resulted from inadequate or improper packing and/or crafting shall be held for disposition at the sole risk and expense of Seller. INDEMNIFICATION AND CERTIFICATIONS If any work or services to be supplied hereunder are performed by Seller on Buyer s premises or on the premises of others for whom Buyer is performing services, Seller will indemnify and save harmless Buyer against any loss, damage or expense by reason of injuries to persons (including death) or damage to property arising out of the use of said premises by Seller, its agents, representatives, contractors, subcontractors or employees. Upon request Seller will furnish Certificate of Insurance showing coverage satisfactory to Buyer for workmen s compensation, public liability and property damage. Seller will also furnish, if requested, sworn statements and waivers of lien with respect to or arising out of goods and services supplied hereunder in form satisfactory to Buyer. REMEDIES The remedies herein reserved to Buyer shall be cumulative, and in addition to any remedies provided by law. No waiver of a breach of any provision shall constitute a waiver of any other breach, or of such provision. TERMINATION FOR CONVENIENCE Buyer shall have the right at any time to terminate or to suspend this contract, in whole or in part for Buyer s convenience, by mailing written notice to Seller. In the event of such termination or suspension, Buyer will make an equitable payment to Seller provided that Seller is not then delinquent in its performance to Buyer. In no event will such payment exceed the total price herein. Buyer may terminate or suspend this contract for its convenience whether or not its contract has been terminated or suspended by others. TERMINATION FOR DEFAULT Buyer may by written notice of default, mailed to Seller, terminate this contract in whole or in part (1) immediately for failure of Seller to deliver the goods or to supply the services within the time specified herein; (2) for failure of Seller to perform any of the provisions of this contract; or for failure o Seller to make sufficient progress in the work for this Order so as to endanger in Buyer s opinion the timely and proper
CERTIFICATE OF ENTITLEMENT The undersigned authorized representative of the City of Panama City, Florida, ( Governmental Entity ), Florida Consumer s Certificate of Exemption Number 85-8012621668C-9, affirms that the tangible personal property purchased pursuant to Purchase Order Number from on or after will be incorporated into or become a part of a public facility as part of a public works contract pursuant to Contract Number for. Governmental Entity affirms that the purchase of the tangible personal property contained in the attached Purchase Order meets the following exemption requirements contained in Section 212.08(6), F.S., and Rule 12A-1.094, F.A.C.: You must initial each of the following requirements. 1. The attached Purchase Order is issued directly to the vendor supplying the tangible personal property the Contractor will use in the identified public works. 2. The vendor s invoice will be issued directly to Governmental Entity. 3. Payment of the vendor s invoice will be made directly by Governmental Entity to the vendor from public funds. 4. Governmental Entity will take title to the tangible personal property from the vendor at the time of purchase or delivery by the vendor. 5. Governmental Entity assumes the risk of damage or loss at the time of purchase or delivery by the vendor. Governmental Entity affirms that if the tangible personal property identified in the attached Purchase Order does not qualify for the exemption provided in Section 212.08(6), F.S., and Rule 12A-1.094, F.A.C., Governmental Entity will be subject to the tax, interest, and penalties due on the tangible personal property purchased. If the Florida Department of Revenue determines that the tangible personal property purchased tax-exempt by issuing this Certificate does not qualify for the exemption, Governmental Entity will be liable for any tax, penalty, and interest determined to be due. I understand that if I fraudulently issue this certificate to evade the payment of sales tax I will be liable for payment of the sales tax plus a penalty of 200% of the tax and may be subject to conviction of a third degree felony. Under the penalties of perjury, I declare that I have read the foregoing Certificate of Entitlement and the facts stated in it are true. Signature of Authorized Representative Purchaser s Name Title Date Federal Employer Identification Number: 59-6000404 Telephone Number: You must attach the Purchase Order and the Florida Consumer s Certificate of Exemption issued to the Governmental Entity. Do not send to the Department of Revenue. This Certificate of Entitlement must be retained by the vendor and the Contractor.
PRELIMINARY LISTING OF ITEMS CONSIDERED FOR DIRECT PURCHASE Note: Contractor shall provide a suggested List of Materials to be directly purchased by the city as a means of Sales Tax Savings.
NEW VENDOR INFORMATION FORM Company Name: Federal ID Number: Remit to Address: Phone Number: Fax Number: Email Address: Contact Name: Notes: