Form 700-011-17B Build-Finance Firm Request for Direct Payment to Firm's Primary Vendor Account for All Department Payments to Be Made on Contract - Florida

Form 700-011-17B or the "Build-finance Firm Request For Direct Payment To Firm's Primary Vendor Account For All Department Payments To Be Made On Contract" is a form issued by the Florida Department of Transportation.

Download a PDF version of the Form 700-011-17B down below or find it on the Florida Department of Transportation Forms website.

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700-011-17B
CONSTRUCTION
OGC – 07/18
Page 1 of 2
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
BUILD-FINANCE
FIRM REQUEST FOR DIRECT PAYMENT
TO FIRM’S PRIMARY VENDOR ACCOUNT FOR ALL DEPARTMENT
PAYMENTS TO BE MADE ON CONTRACT #
[Firm Name] (hereinafter “BF
Firm”), the Build-Finance Firm contracting with the Florida Department of Transportation (hereinafter “Department”)
pursuant to Contract #
, FIN #
, and here doing so
solely for the BF Firm’s benefit and in furtherance of independent arrangements the BF Firm has made with its Lender,
(hereinafter “Lender”) and Surety,
(hereinafter “Surety”), hereby expressly
and irrevocably requests, authorizes and directs the Department to process, issue and transmit any and all future
payments directly to the BF Firm, in lieu of the contractual requirement for establishment of a BF Firm Project Specific
Escrow Account for this Contract, as follows:
A. DIRECT PAYMENT TO FIRM DIRECTIONS: BF Firm has duly established with MyFlorida Marketplace a
Primary Vendor Account to which BF Firm requests all future payments on this Contract be processed, issued
and transmitted, as follows:
BF Firm’s Primary Vendor Account “Firm Payee Name,” is
1.
.
BF Firm’s Primary Vendor Account vendor number sequence is
2.
.
BF Firm’s Primary Vendor Account mailing address for such Primary Vendor Account vendor
3.
number sequence is:
(BF Firm Name)
(Continued)
(Continued)
(Address and Street)
(City, State, Zip)
4.
BF Firm acknowledges that all such direct payments will be made by electronic transfer only if
currently or subsequently established with the Department of Financial Services, and in lieu
thereof such direct payments will be made by warrant and shall be mailed directly to the address
in (3) above.
B. GENERAL TERMS:
1.
BF Firm understands and agrees that the Department will require reasonable time to respond and
initiate any requested changes in the payee vendor number sequencing under this Contract; and,
further, the Department shall have no liability, whatsoever, for any delay in processing any such
payee change as set forth above prior to expiration of fourteen (14) business days following the
Department’s certified, return-receipt or registered mail receipt of BF Firm’s formal request. BF
Firm agrees hereby to indemnify, defend, and hold-harmless the Department from any cause of
action, suit, claim or other demand made against the Department arising in any way out of the
Department’s failure to process any such payee vendor number sequencing change as set forth
700-011-17B
CONSTRUCTION
OGC – 07/18
Page 1 of 2
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
BUILD-FINANCE
FIRM REQUEST FOR DIRECT PAYMENT
TO FIRM’S PRIMARY VENDOR ACCOUNT FOR ALL DEPARTMENT
PAYMENTS TO BE MADE ON CONTRACT #
[Firm Name] (hereinafter “BF
Firm”), the Build-Finance Firm contracting with the Florida Department of Transportation (hereinafter “Department”)
pursuant to Contract #
, FIN #
, and here doing so
solely for the BF Firm’s benefit and in furtherance of independent arrangements the BF Firm has made with its Lender,
(hereinafter “Lender”) and Surety,
(hereinafter “Surety”), hereby expressly
and irrevocably requests, authorizes and directs the Department to process, issue and transmit any and all future
payments directly to the BF Firm, in lieu of the contractual requirement for establishment of a BF Firm Project Specific
Escrow Account for this Contract, as follows:
A. DIRECT PAYMENT TO FIRM DIRECTIONS: BF Firm has duly established with MyFlorida Marketplace a
Primary Vendor Account to which BF Firm requests all future payments on this Contract be processed, issued
and transmitted, as follows:
BF Firm’s Primary Vendor Account “Firm Payee Name,” is
1.
.
BF Firm’s Primary Vendor Account vendor number sequence is
2.
.
BF Firm’s Primary Vendor Account mailing address for such Primary Vendor Account vendor
3.
number sequence is:
(BF Firm Name)
(Continued)
(Continued)
(Address and Street)
(City, State, Zip)
4.
BF Firm acknowledges that all such direct payments will be made by electronic transfer only if
currently or subsequently established with the Department of Financial Services, and in lieu
thereof such direct payments will be made by warrant and shall be mailed directly to the address
in (3) above.
B. GENERAL TERMS:
1.
BF Firm understands and agrees that the Department will require reasonable time to respond and
initiate any requested changes in the payee vendor number sequencing under this Contract; and,
further, the Department shall have no liability, whatsoever, for any delay in processing any such
payee change as set forth above prior to expiration of fourteen (14) business days following the
Department’s certified, return-receipt or registered mail receipt of BF Firm’s formal request. BF
Firm agrees hereby to indemnify, defend, and hold-harmless the Department from any cause of
action, suit, claim or other demand made against the Department arising in any way out of the
Department’s failure to process any such payee vendor number sequencing change as set forth
700-011-17B
CONSTRUCTION
OGC – 0 /18
Page 2 of 2
above, if the Department does so as set forth above prior to the expiration of fourteen (14)
business days following the Department’s certified, return-receipt or registered mail receipt of the
appropriate formal request.
2.
By signature below, Lender and Surety, in their respective capacities, understand, consent to,
and agree to be so bound by the entirety of the terms of this Build-Finance Firm Request for
Direct Payment to BF Firm’s Primary Vendor Account.
3.
This request is irrevocable by BF Firm, subject to BF Firm obtaining written concurrence by both
its named Lender and Surety, and acceptance by the Department of any such subsequent
request to change from this Direct Payment to BF Firm’s Primary Vendor Account vendor number
sequence for the processing, issuance and transmittal of payments due under this Contract.
4.
The fully executed original of this Request Form #700-011-17 must be delivered to the District
Construction Engineer, and a copy of the fully executed Request Form also delivered to “FDOT
Comptroller, 605 Suwannee Street MS #24, Tallahassee, Florida 32399-0424.”
BUILD-FINANCE FIRM
(Signature)
(Printed Name of Signator)
(Official Capacity)
(Date of Signature)
LENDER
SURETY
(Signature)
(Signature)
(Printed Name of Signator)
(Printed Name of Signator)
(Official Capacity)
(Official Capacity)
(Date of Signature)
(Date of Signature)

Download Form 700-011-17B Build-Finance Firm Request for Direct Payment to Firm's Primary Vendor Account for All Department Payments to Be Made on Contract - Florida

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