M-300 A
Revised: October 14, 2014
FINAL
COMBINED MONTHLY UTILIZATION REPORT
PROJECT NAME:
PROJECT NUMBER:
PROJECTED
FROM: START DATE:
PROJECT LOCATION:
TO:
DEPT. PROJECT MANAGER: TELEPHONE:
CONTRACT CHANGE ORDER CONTRACT % COMPLETE COMPLETION
NAME: PHONE: AWARD DATE AMOUNT PERIOD TO DATE DATE
ADDRESS:
DATE OF
REQUISITION
TOTAL AMOUNT
PAID BY MIAMI-
DADE COUNTY
Name of firm(s) Meeting the Goal GOAL TIER CONTRACT PERIOD DESCRIPTION SIGNED CONTRACT AMOUNT DATE AMOUNT LAST LAST Was last pmt. PAID
% OF WORK
CONTRACT
AMOUNT REQUISITIONED OF REQUISITIONED PAYMENT
PAYMENT
within 2 days
TO
1,2, 3, 4 START END AGREEMENT THIS PERIOD REQUISITION TO DATE AMOUNT
DATE
of MDC payment
DATE
DATE DATE (FROM SUB) to Prime? (Y/N)
TOTAL
Executed by: Sworn before me:
This ________________ Day of _______________ 20 _________________
Signature of Affiant
Print Name and Title of Affiant
Date Phone
AMOUNT
AMOUNT
REQUISITIONED TO
DATE
DATE OF LAST
PAYMENT BY MIAMI-
DADE COUNTY
LAST PAYMENT AMOUNT BY
MIAMI-DADE COUNTY
PRIME CONTRACTOR
TRADE SETASIDE
CONTRACT AWARD
YES OR NO
Was last MDC Payment
within 14 days of Prime's
Requisition?
SMALL BUSINESS ENTERPRISE - CONSTRUCTION PROGRAM
This report is required by Miami Dade County (MDC). Failure to comply may result in MDC commencing proceedings to impose sanctions on the successful bidder, in addition to pursuing any other available legal remedy. Sanctions may include the suspension of any payment or part thereof, termination or
cancellation of the contract, and the denial to participate in any further contracts awarded by MDC.
If No, please explain
REPORTING PERIOD
AMOUNT
REQUISITIONED THIS
PERIOD
GOAL
Did last MDC Payment Equal
Requisition Amount?
SMALL BUSINESS ENTERPRISE OPPORTUNITIES
MAKE-
UP
YES OR NO
SBE -
CONSTRUCTION
SBE - GOOD &
SERVICES
Small Business Enterprise – Construction Services Program
Instructions for the Monthly Utilization Report (MUR)
FINAL: Indicate if MUR is the final submission (Final MUR should be submitted upon the
completion and final payment of project)
Reporting Period: The period for which the MUR payment information is being submitted. The MUR is
due on the 10
th
of every month; as a result the reporting period will be the prior month.
Project Name: The assigned project name as it is identified in the contract documents.
Project Number: The assigned project number as it is identified in the contract documents.
Project Location: The address or descriptive location of project work site.
Projected Start Date: The notice to proceed date or date of work commencement.
Project Manager and Phone: The project manager name and telephone number.
Project Measure(s): The measure percentage applicable to the project for the Small Business
Enterprise Construction and/or the Goods and Services Program. (enter value in appropriate row for
measure type)
Prime Contractor: The name of awardee, address and telephone phone number.
Contract Award Date: The date of contract award.
Contract Award Amount: The dollar amount awarded in the contract documents.
Change Order Amount: The total amount of all approved change orders thru the listed reporting
period.
Contract Period: The total number of days of the contract as listed in contract documents and/or
approved change order(s).
% Complete To Date: The proportion of work that has been completed for this project stated as a
percentage.
Formula: [Total Amount Requisitioned to Date / (Contract Award Amount + Change Order Amount = New Contract Amount)]
Completion Date: The anticipated date the project will be completed.
Date Requisitioned: The date the requisitioned amount was submitted to Miami-Dade County (MDC).
Amount Requisitioned this Period: The dollar amount billed/requisitioned to MDC for work performed
during the listed reporting period.
Amount Requisitioned to Date: The total dollar amount requisitioned from project inception through
the reporting period
Date of Last Payment by MDC: The date of the last payment by MDC for the reporting period.
Last Payment Amount by Miami Dade County (MDC): The last dollar amount paid to the prime by
MDC for reporting period.
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Revised: October 14, 2014
Small Business Enterprise – Construction Services Program
Instructions for the Monthly Utilization Report (MUR)
Was last MDC payment within 14 days of Prime’s Requisition: Circle “YES” if the payment by
MDC was made within 14 days of the prime’s requisition; Circle “NO” if the payment by MDC was not
made within 14 days of the prime’s undisputed requisition.
Total Amount Paid by MDC: The total amount paid to date by MDC as of the reporting period.
Did last MDC Payment Equal Requisition Amount: If the requisition was paid in full circle “YES”; if
the requisition amount was not paid in full circle “NO” and explain reasons for the payment difference in
space provided.
Name of Firm(s) Meeting the Goal: The legal name of all subcontractor(s) listed on the Prime’s
Schedule of Intent Affidavit (SOI) to meet the goal. If the prime is meeting portion of the goal the prime
should be listed as well.
Goal %: The goal percentage that is being fulfilled by the firm. If the percentage is different from the
percentage listed on the SOI, a new SOI must be submitted to SBD for review and approval.
Tier (1, 2, 3, 4): The level of subcontractor participation (Tier 1 = subcontractor has a contract with the
Prime; Tier 2 = subcontractor has a contract with the 1Tier Subcontractor; Tier 3 = Subcontractor has a
contract with the Tier 2 subcontractor; Tier 4 =subcontractor has a contract with the Tier 3
subcontractor).
Make-up: Enter a check mark, if listed firm is meeting a make-up.
Contract Period: The actual or anticipated beginning and ending date for all work performed by the
listed subcontractor(s).
Description of Work: A brief description of the scope of work/services to be performed by firm. If the
scope of work or percentage is different from that listed on the SBD approved SOI, a new SOI must be
submitted to SBD for review and approval.
Signed Contract Agreement: Enter a check mark, if prime has an executed agreement with firm.
Contract Amount: The dollar value of the executed agreement between the prime contractor and firm
listed. If the agreement amount is different from the value of the SBD approved SOI, a new SOI must
be submitted to SBD for review and approval.
Amount Requisitioned this Period: Actual dollar amount requisitioned by the firm during the listed
reporting period.
Date of Requisition (from Sub): The date of the requisition submitted by the firm for payment during
the reporting period.
Amount Requisitioned to Date: The total dollar amount requisitioned/billed by the firm from project
inception through the listed reporting period.
Last Payment Amount: The last dollar amount paid to the firm for the reporting period.
Last Payment Date: The date of last payment to the firm for the reporting period.
2
Revised: October 14, 2014
Small Business Enterprise – Construction Services Program
Instructions for the Monthly Utilization Report (MUR)
Was last payment within 2 days of MDC payment to prime: “Y” for Yes if the payment to
subcontractor was made within 2 days of MDC payment to prime; “N” for No if the payment to
subcontractor was not made within 2 days of MDC payment to prime.
Paid to Date: The total amount paid to the subcontractor from project inception through the listed
reporting period.
Totals: The total of each column where applicable.
Executed by: The signature, printed name and title of the CEO, President, or an officer of the company,
legally authorized to represent the prime.
Date: Current Date
Phone: Phone number that signing officer may be reached
Sworn before me: Notary Information
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Revised: October 14, 2014