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ATTACHMENT F <br /> ADVANCE PAYMENT JUSTIFICATON FORM <br /> Use of this form is not required unless the advance requested requires the prior approval of the Comptroller. For advance <br /> requests that are equal to or less than the purchasing threshold of category two as defined in Section 287 . 017 , Florida <br /> Statutes, and meet one of the advance payment requirements identified in Section 215 .422( 14) , Florida Statutes, use of <br /> this form is waived . However, the purchase requisition or contract review form must clearly identify the criteria being met <br /> under 215 .422( 14) , Florida Statutes that allows the advance to be made without prior Comptroller approval . <br /> Name/Address of the Vendor/Recipient : <br /> Contact Person/Phone No . : <br /> Agreement No./Purchase Order No. (if known) : LP6(*2 <br /> Commodities/Services/Project Description : <br /> Organizational Structure <br /> i .e. local ov't non -profit corporation , etc. <br /> Value of Purchase or Grant : <br /> Advance Payment Amount Requested : <br /> Period Advance Payment to Cover : ❑ 90 days startup ❑ Full contract Period <br /> ❑ Quarterly I ❑ Other (specify) : <br /> Indicate Statutory Authority : ❑ 215 . 422, F.S ❑ 216 . 181 , F. S . <br /> GAA Year and Line Item Info : SFY : Line Item : <br /> 1 . Reason advance payment is required : <br /> 2. The following information required for advances requested pursuant to 215 .422, Florida Statues <br /> (and the Comptroller's Voucher Processing Handbook) which exceed the purchasing threshold of <br /> category two as defined in 287 .017 Florida Statues. <br /> A. Document, if applicable, the cost savings to be incurred as a result of an advance payment that are equal or <br /> greater than the amount the State would earn by investing the funds and paying in arrears . Include the percent <br /> (%) savings to be realized . In calculating the percent savings as compared to the percent that can be earned by <br /> the State, information may be obtained from the Department of Insurance, Division of Treasury at 850/413-2776 <br /> or SunCom 293 -2776 regarding the current Treasury earnings rate . <br /> B. Document, if applicable, how the goods or services are essential to the operation of the Department and why <br /> they are available only if advance payment is made : <br /> DEP Agreement No. LP6734, Attachment F, Page 1 of 3 <br />