Okaloosa County BOCC — October 5, 2013 — First Southwest - Contract Renewal — reading text

CONTRACT/LEASE RENEWAL FORM Date: First Southwest Company Attn: Mark P. Galvin 450 South Orange Avenue, Ste. 460 Orlando, Florida 32801 RE: Contract Renewal Dear Mr. Galvin: The Okaloosa County Board of County Commissioners agrees to renew the subject contract/lease, #C04-1098-BCC for an additional term. The contract renewal period will be October 1, 2013 to September 30, 2014. The annual budgeted amount for this contract is $21,120.00. Along with this contract renewal, we request that the invoicing period be aligned with the contract as presently the quarterly invoices span two fiscal years. If you are in agreement, please sign below and return this form along with a current Certificate of Insurance listing Okaloosa County as co-insured (if applicable). COUNTY REPRESENTATIVES AUTHORIZED COMPANY REPRESENTATIVE Dept. Director Contractor: fiest Seauth west Co mprny Signature: x Approved By: Approved By: ed)! pet (as prescribed below on } Approved py £3 Title:_Se. View “President (as prescrib below/on item 1) Date: LZ BLAS Date: G-20-13 County Department Instructions: 1) Obtain signatures from Department Director, authorized Company Representative and then 2) 3) Purchasing Director <$25K and less, County Administrator <$50K and less or Board >S50K, as necessary. If Board approval is required, the Chairman and County Administrator's signatures are required. Make sure the company provides a current Certificate of Insurance. (if applicable). Keep a copy of this form for your records. Send original to Purchasing Services Coordinator. If you have any questions please contact the Purchasing Director at 850-689-5960, Fax: 850- 689-5998.