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CAFR 8State of VermontAgency of AdministrationDepartment of Finance and ManagementRetainage Payable ListingJune 30, 2018Form: CAFR-8Department: ContractFundDept IDContractorRetainage AmountPO#BU

CERTIFICATIONState of VermontFY 2018 Contractual Commitments - CAFR-6FY 2018 Retainage Payable - CAFR-8Certification Form

Department:

1.Person responsible for completing the questionnaire:

Printed Name & Title

As the authorized official* for my department, I certify, to the best of my knowledge, that this is a true and accurate reporting of contractual commitments in accordance with the records of this department.*For this certification, Authorized Official refers to department head, business manager, or other individual who is authorized to submit financial reports to the Department of Finance & Management for CAFR purposes.3.Electronic Certification

Printed Name & Title of Authorized Official

Email/TelephoneBy checking this box, I authorize the Dept of Finance & Management to accept this document transmitted from my State email account as our official submission. In addition, I certify that my name as typed above shall be treated as my written signature for the purposes of certifying this document.Important: To electronically certify, the above box must be checked and this completed spreadsheet must be sent by the Authorized Official from his/her State email account to F&M at the email below:VISION.CAFR@Vermont.gov

mailto:VISION-CAFR@state.vt.us?subject=AA-F-17%20Submissionmailto:VISION.CAFR@Vermont.govCAFR 6 - 01100State of VermontContractual Commitments WorksheetFor Fiscal Year 2018

FORM: CAFR-6Please complete the certification sheet before emailing your form to VISION.CAFR@Vermont.govAgencyBusiness UnitOriginContractInclude?Retainage?Include? & Retainage? Drop Down CheckVendorNameCategoryTypeBegin DtExpire DtStatusVISION Max. AmountVISION Sum ReleasedActual MaxActual PaidRemaining ObligationFederal PortionOther PortionRemaining Check (Columns: S - T - U)Retainage Reported on CAFR8Retainage Form Check% Retainage of Beginning Oblg.% Retainage of Beginning Oblig. CheckVISION Amts minus ACTUAL AmtsVariance CheckExplanation** Select One **** Select One **Update Column E and / or F- 0- 0- 0Add Retainage0.00%OK- 0No explanation is necessary** Select One **** Select One **Update Column E and / or F- 0- 0- 0Add Retainage0.00%OK- 0No explanation is necessary** Select One **** Select One **Update Column E and / or F- 0- 0- 0Add Retainage0.00%OK- 0No explanation is necessary** Select One **** Select One **Update Column E and / or F- 0- 0- 0Add Retainage0.00%OK- 0No explanation is necessary** Select One **** Select One **Update Column E and / or F- 0- 0- 0Add Retainage0.00%OK- 0No explanation is necessary** Select One **** Select One **Update Column E and / or F- 0- 0- 0Add Retainage0.00%OK- 0No explanation is necessary** Select One **** Select One **Update Column E and / or F- 0- 0- 0Add Retainage0.00%OK- 0No explanation is necessary** Select One **** Select One **Update Column E and / or F- 0- 0- 0Add Retainage0.00%OK- 0No explanation is necessary** 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