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TASK ORDER APPROVAL FORM
CONTRACT #: €12-2007-IDC
TASK ORDER #: 151
TASK ORDER AMOUNT: $110,235
OFFERED BY CONSULTANT:
Peter Mayer Advertising
FIRM'S (Doone
Jarhens es Geiger
we TATIVE'S PRINTED NAME
SONAR
CFO 8/11/14
TITLE DATE
RECOMMENDED FOR APPROVAL
(Department Director)
LE Colmbe—
SIGNATURE
Tiy)? DZ
TITLE
ache
DATE 4
bie
COUNTY ADMINISTRATOR (if applicable)
Pally
DATE
APPROVED BY OKALOOSA COUNTY
(Per Purchasing Manual)
e $25,000 or less approved by Purchasing
Director
e Between $25,001 and $50,000 approved by
Purchasing Director and County
Administrator
« tn excess of $50,000 approved by the Board.
PURCH G etalon loam
Bfae4 4
DATE
CHAIRMAN (if applicable)
DATE
TOURIST DEVELOPMENT DEPARTMENT
ATTORNEY APPROVAL FORM
CONTRACTOR NAME: PETER MAYER ADVERTISING
CONTRACT #: C12-2007-TDC
TASK/PURCHASE ORDER #: 151
FY15 SMP Group Packages
TASK/PURCHASE ORDER AMOUNT: NOT TO EXCEED $110,235'
I have reviewed the above-referenced task/purchase order and find it to be in
compliance with the terms of the contract, Tourist Development Department
Operations & Procedures Manual, the Okaloosa County Purchasing Manual and
applicable local, state and federal laws, rules and regulations.
(Initial applicable authorization)
Lt This approval authorizes the goods/work described in the attached Task or
Purchase Order to be performed or acquired.
This approval authorizes the goods/work described in the attached invoice(s)
to be processed for payment.
APPROVED AS TO FORM AND LEGALITY:
Ss >
L OSHIBAKA
TDD ATTORNEY
& | (2 | 1Y
DATE
*The Agency’s authorization to purchase media as stated in this Task Order is contingent upon receiving fully-
executed Sole-Source Forms and Conflict of Interest Disclosure Forms/Certification from the Agency. Payments
under this Task Order shall not be issued without the necessary form(s).
Task Order 151 August 8, 2014
FY15 SMP Group Packages Pass
Through Costs
BACKGROUND & PROJECT ASSIGNMENT
Okaloosa County, through Okaloosa County Tourist Development Department (hereafter referred to as
“Client”) has asked Peter Mayer (hereafter referred to as “Agency”) to develop a new project - a
series of groups-targeted packages to run in various media as part of the FY 2014-15 Strategic
Marketing Plan adopted by the BCC on August 19, 2014. The project will run from October 2014
through September 2015 and will consist of paid media as well as advertising tactics to support it.
This task order reflects the Paid Media hard (pass through) costs for the campaign as noted on page 17
of the contract. Agency fees for related media planning (TO 98) and media purchasing and reporting
(TO 142) for the campaign have been provided in previous task orders.
The County approved the FY 2014-2015 Strategic Marketing Plan on August 19, 2014, which included a
line item for Media Campaign (Fall/Winter, Christmas, Snowbird, Spring/Summer, Non-Seasonal/Niche,
Groups, Meetings/Conventions) in the amount of $1,914,775.
1 ACTIVITIES & DELIVERABLES
1. Fulfillment of a Client approved Media Plan/Recommendations, which includes:
The Knot $8,500
Southern Bride $6,050
Southern Weddings $8,875
Birmingham Bridal Directory $3,000
Atlanta Weddings $3,340
Military Reunions $8,000
Sports Destination $7,300
Sports Planning Guide $1,295
SportsEvents $3,000
SportsTravel $5,370
Canadian Motorcoach Association $2,250
GSAE-TV $2,025
FSAE $2,850
Tallahassee SAE $1,950
LSAE $2,750
ACAE $900
Integrated Hospitality Sales Solutions $15,000
Group Travel Leader $3,600
Group Travel Directory, Reunion Market Workbook $2,290
Peter Mayer Okaloosa TDD Page 4
Confidential
1111242v2
_ Task Order 151 August 8, 2014
“ FY15 SMP Group Packages Pass
Through Costs
Red Hot Celebrations $1,250
American Bus Association $6,000
Florida Motorcoach $850
Alabama Motorcoach $2,300
Religious Travel Directory $2,290
Going On Faith $3,600
Small Market Meetings $3,600
Ad Serving Fees (Sizemek) $2,000
Total $110,235
2. Media packages negotiated by the agency may include print, email blasts, online banners,
and/or other non-print advertising components.
3. In accordance with Contract #C12-2007-TDC, the Agency has attached single source and
conflict of interest forms for Client review.
4. Invoice reconciliation and proof of advertising materials to support all invoices, as noted in the
Inclusions section of this document and the contract pages 2 and 17.
Inclusions:
e No invoice will be approved unless a copy of the actual invoice from the vendor accompanies
the invoice reflecting the acquisition of goods/services.
e Agency to submit copies of effective contracts, insertion orders, recapitulation of credits and
debits affecting previously submitted statements or invoices and substantiating bills, and tear
sheets, with support materials or other proof of publications for invoices presented for
payments.
e All make-good placements for media placements specific to this campaign will run within the
campaign period prior to the campaign end date unless otherwise noted in written approval
from the Client.
e All artwork, photography, design, layout, production materials, websites, domain names, etc.,
created by, and all rights acquired by the Agency for the Client will become property of the
Client upon acceptance, subject to any third party, rights and the Agency’s ownership of any
Code.
Exclusions:
e None
2 COST
The cost of this Task Order is not to exceed $110,235. Agency is authorized to purchase such media
on behalf of the Client and proceed with executing the activities set forth in this Task Order.
3 BILLING
Client will be billed in accordance with Contract # C12-2007-TDC.
Peter Mayer Okaloosa TDD--'Page 2
Confidential
1111242v2
Task Order 151 August 8, 2014
FY15 SMP Group Packages Pass
Through Costs
4 GENERAL ASSUMPTIONS
The following are general assumptions about the project that affect the timing, scope or cost of the
project.
The above assumes:
e Timely delivery of any required documentation from the Client
e Client will make available appropriate personnel and decision-makers for attending scheduled
workshops and meetings for reviews and approval so immediate consensus can be reached
e Client will conduct timely reviews and provide consolidated feedback and written approvals on
a timely basis based on an agreed-upon schedule
e Delays in Client reviews may extend timing and add risk to the final delivery
5 CONTACT INFORMATION
Ellen Kempner, Management Supervisor/Vice President
504.210.1217
kempnere@peteramayer.com
Michelle Clarke, Account Supervisor
504.210.1287
clarkem@peteramayer.com
James Geiger, Chief Financial Officer
504.210.1263
geigerj@peteramayencom
| \
6 AGENCY SIGNATURE\
Peter Mayer: \ Jon Date: >| lly,
Peter Mayer Okaloosa TDD-- Page 3
Confidential
1111242v2
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
Department/Division: Tourist Development Department (TDD)
ltem Description: 2014/2015 Media Plan TO#151
Requesting Department's Suggested Vendor: XO Group (The Knot.com)
Vendor's Address: 11106 Mockingbird Drive, Omaha, NE, 68137
Vendor's Telephone No.: 888-869-5319 Point of Contact: Theresa Ngumi
Sole Source Justification: The Knot is America’s leading wedding brand, reaching 8 of 10 engaged couples
each year; destidation eddings is a target groun in the 204 4/2015 Strategic Marketing Plan adopiéd by TDC & BCC
A ; 08/01/2014 Slirfry
Pa f
Requesting ae aia Signature Dafe
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No::
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: x, £— Disapprove:
Amount of Purchase: Date:
A
. c
anal S/22 (EE
Purch¢sing Director Signature Date !
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
19
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose
if any Okaloosa Board of County Commissioner, employee(s), elected! officials(s}, or if any of its
agencies is also an owner, corporate officer, agency, employee, etc., of their business.
Indicate either “yes” {a county employee, elected official, or agency is also associated with
your business}, or "no". If yes, give person(s) name(s) and position(s) wifh your business.
YES NO
NAME(S) POSITION(S)
FIRM NAME: The Kns\ Weddk rdaes XO QrooP
BY (PRINTED): Bhonrcks | Holerlanme
BY (SIGNATURE): En br LA hay?
TITLE: Oe poo nk Ge aa oye - Fionde
DATE: 7 Hh | {ie
ADDRESS: WNOk Hocvungoe i |
Osalrc, NeGackea be)37/
3 2 D0 -BUB- 4A SS
PHONE NO. RBS - 33> SIS |sco SUS
E-MAIL Bhonck \ @the knot, COW
SINGLE SOURCE PURCHASE DATA SHEET
Date: 3/01/2014 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
Department/Division: Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TO#151
Requesting Depariment's Suggested Vendor: Southern Bride
Vendor's Address: 6263 Poplar Avenue, Suite 335, Memphis, TN, 38119
Vendor's Telephone No.,: 901-761-1505 Point of Contact: Lindsay Wolfe
Sole Source fusiificaio : Distribution caters to geographic area of primary feeder markets; brides are a
target group of the 2014/201 Strategic Marketing Plan adopted by TDC and BCC.
\ a iy osoio1 fed) o
Requesting sao Signature Bate’
EVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: AE Disapprove:
Amount of Purchase: Date:
Zaustoleaal Qf22}h1éL
Purchasing Director Signature Dale !
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining ony possible conflict of intérast. all bldden/proposers, must disclose
Fahy Okaledsa Board af County Commissioner, employee(s), elected officials(s}. or if any of its
agencies is ako.an ownér, corporate officer. agancy. employes, etc:, of their business.
Indicate. either_"yes’ (a county employee, elected official, or agency is ake aésociated with
your business}, or "no". If yes, give person(s) names) and pasttion(s} with your business,
+ =: ae NOX
. NAMETS) POSITION(S)
NONE _
FIRM NAME;
BY (PRINTED):
BY (SIGNATURE}:
TITLE:
DATE: duly 2.2004
ADDRESS: $243 Poplar Ave, Ste'335-
_.Memphis, TN 38119:
PHONE NO, 901.781.1505
E-MAIL
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
Deparfment/Division: Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TO#151
Requesting Department's Suggested Vendor: Southern Weddings
Vendor's Address: 20028 Boyd, Chapel Hill, NC, 27517
Vendor's ae No.; 919-590-4028 Point of Contact: Emily Thomas
f
Sole Source Justification: Majority of readers grew up the in the South and are therefore likely to marry in
the South; partnershiup with Southern Living extends reach.
, yj
\ NZ os012014 KWH
Requesting Department Head Signature Date ¢
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: YE Disapprove:
UO
Amount of Purchase: Date:
26 toleak pyl22 | 4
Purchaging Director Signature Ddte
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose
if any Okaloosa Board of County Commissioner, employee(s), elected officials(s}, or if any of its
agencies is also an owner, corporate officer, agency, employee, eic., of their business.
Indicate either “yes” (a county employee, elected official, or agency is also associated with
your business), or “no”. If yes, give person(s) name(s) and position(s} with your business.
YES NO x
NAME(S) POSITION(S)
FIRM NAME: Southern Living dba Southern Weddings
BY (PRINTED): Jennifer $. Hedges
S parked > Hales
BY (SIGNATURE):
THLE: Integrated Account Manager
DATE: 8/13/2014
ADDRESS: 2100 Lakeshore Drive
Birmingham, Alabama 35209
PHONE NO. (214) 523-4005
E-MAIL Jenny.hedges@timeinc.com
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
Department/Division: Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TO#151
Requesting Department's Suggested Vendor: Birmingham Bridal Directory
Vendor's Address: P.O. Box 550339, Birmingham, AL, 35255
Vendor's Telephone No.: 205-939-0416 Point of Contact: Shiree Cooper
Sole Source Justitication: Highest-circulation directory in this primary feeder market, weddings are a target
group in the An 5 Strategic Marketing Plan adopted by TDC and BCC.
WAN EZ Lik be 08/01/2014 LLL2, Ay
Requesting Depart ent Head Signature — Bate /
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: Oy mes Disapprove:
O
Amount of Purchase: Date:
1 tolmak B/22| [4-
Purchasing | Director Signature Ddte
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
19
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all bidders/proposers, musi disclose
if any Okaloosa Board of County Commissioner, employee(s), elected officials{s), or if any of its
agencies is also an owner, corporate officer, agency, employee, eitc., of their business.
indicate either “yes” (a county employee, elected official, or agency is also associated with
your business), or “no”. Hf yes, give person(s) name(s) and position(s) with your business.
YES NO ie
NAME(S) POSITION(S)
FIRM NAME: Rirmingha ws yvla | Direcory,
BY (PRINTED): Shivee’ lo oper
Y (SIGNATURE): > °
TITLE: Ves.
DATE: I age 4
ADDRESS: PO Bsxt 250.3357 .
By La Lie hues Pl BERKS
PHONE NO. LOS - 439. OWE
E-MAIL Shivee/icEe L2H dS, pling. OPez
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.:; 504.581.7191
Depariment/Division: Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TO#151
Requesting Department's Suggested Vendor: Atlanta Weddings
Vendor's Address: 260 Peachtree Street, Suite 300, Atlanta, GA, 30303
Vendor's Telephone No.: 404-527-5500 Point of Contact; Sunday O'niell Leek
Sole Source Justi = Top publication in this primary feeder market; weddings are a target
group in the 2014/2015 Strategic Marketing Plan adopted by TDC and BCC.
ALA f 08012014 PY 2 f/f
Date’ ”
Requesting Department Head Signature
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: A Disapprove:
Amount of Purchase: Date:
cle, 2
ale @/22/| 4
Purchasing Director Signature Date !
Revised ~ 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of Interest, all bidders/proposers, must disclose
if any Okaloosa Board of County Commissioner, employee(s), elected officials(s}, or if any of its
agencles ls also an owner, corporate officer, agency, employee, etc., of thelr business.
Indicate either “yes" (a county employee, elected official, or agency is also associated with
your business}, or "no". If yes, give person(s} name(s} and position(s} wiih your business.
YES NO x
NAME(S) POSITION(S)
FIRM NAME: Arcana Maori ne.
BY (PRINTED): CQARCETT Heagedein
By (SIGNATURE): AAP FSU or
TITLE: EP Poverisine Bs CEC TOR
DATE: AUGUST ty 20LY
ADDRESS: 260 FEACHTREG GST,
Suite 209 ATLANTA, GA 30503
PHONE NO. 44O4¥-S29- CVG
E-MAIL GHEABERLIN a AT CANTAMAGATINE. ConA
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/07/2014 PR No.: Requestor: Peter Mayer Phone No,; 504.581.7191
Department/Division: Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TO#151
Requesting Department's Suggested Vendor: Reunions Magazine (Military Reunions)
Vendor's Address: 929 E. Townsend Street, Milowaukee, Wi, 53212
Vendor's Telephone No.: 414-263-4567 Point of Contact: Edith Wagner
Sole Source/Justfication: Only publication for those organizing military reunions, which is a target
group in the 2014/2015 Strategic Marketing Plan adopted by TDC and BCC.
~ LE. EZ oso — SZ /¢/
S 7 /
iY =
Requesting Departh¥nf Head signature Bate
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Coniact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: P= Disapprove:
S,
Amount of Purchase: Date:
2[Z2_| qe
Purch Date
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 19
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose
lf any Okaloosa Board of County Commnissioner employee(s), elected officicils(s), or if any of its
agencies is also an owner corporate officer agency, employee, etc. of their business.
indicate elther “yes” (a county employee, elected official, or agency is also associated with
your business), or“no" If yes, give person(s) name(s) and position(s) with your business.
b(n NO x
NAME(S) POSITION(S)
FIRM NAME: Reunions Magazine, Inc.
BY (PRINTED): Edith Wagner oe
BY (SIGNATURE): ZL
TITLE: Owner RIGHT PubIsher/eetor
DATE: duly 17, 2014
ADDRESS: Billing: PO Box 11727, Milwaukee WI 53211-0727
Street: 929 E Townsend Street, Milwaukee WI 59212
PHONE NO. 414-263-4567
E-MAIL editar@reunionsmag.com
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.; 504.581.7191
Depariment/Division: _Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TO#151
Requesting Department's Suggested Vendor: Sports Destination Management (Due North Media)
Vendor's Address: 105 Owens Parkway, Suite C, Birmingham, AL, 35244
Vendor's Telephone No.: 800-899-2676 Point of Contact: Gary Andrich
Sole Source Justification: Highest circulation publication within sports category; reaches sports event
managers and organizers (amateur - professional, youth - adult)
aK RL hot 08/01/2014 ES/* Vi
Requesting Depa mént Head Signature Bate /
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: Ze Disapprove:
Amount of Purchase: Date:
Purchasing Director Signature Date
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
19
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose
if any Okaloosa Board of County Commissioner, employee(s), elected officials(s), or if any of its
agencies is also an owner, corporate officer, agency, employee. etc., of their business.
Indicate either “yes” (a county employee, elected official, or agency is also associated with
your business), or “no”. if yes, give person(s) name(s) and position(s) with your business.
YES NO x :
NAME(S) POSITION(S)
FIRM NAME: bur Nowy Comsveriwle Ie..
BY (PRINTED): Sven Ob. Swe ure.
BY (SIGNATURE): Kell !. a =
TITLE: es SENT
DATE: Sli 24
ADDRESS: log Owans PTA
Some C Bhan, Ac S85344
PHONE NO, Zes- WS4-4894
E-MAIL sswoger @ dvenerthmedia coe,
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
Department/Division: _Tourist Development Department (TDD)
ltem Description: 2014/2015 Media Plan TO#151
Requesting Department's Suggested Vendor: Covey Communications/Sports Events
Vendor's Address: 2001 W. ist Street, Gulf Shores, AL, 36542
Vendor's Télephone No.: 251-968-5329 Point of Contact: Shellie Kichler
Sole Source Justification: Dedicated to group planners of amateur sporting events; sports marketing is an
emerging niche, so néed coverage in major publication. j, Wy
x KE hate os01/2014 6 [fe f/f
Requesting Departmeht/Head signature Bate/
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: ao) Disapprove;:
Uw
Amount of Purchase: Date:
ZhrsHlp ral @/22 (4
PurcHasing Director Signature Date
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose
if any Okaloosa Board of County Commissioner, employee(s), elected officials(s), or if any of its
agencies is also an owner, corporate officer. agency, employee, etc., of their business.
Indicate efther “yes" (a county employee, elected official, or agency is also associated with
your business}, or "no", If yes, give person(s} name(s) and position(s} with your business.
YES No_po
NAME(S) POSITION(S)
FIRM NAME: pve Cermmuniea dt 00s S Events Wedia Group
BY (PRINTED): Sneliie. Kichles
BY (SIGNATURE): Obedhar Xs
TITLE: ' C of S
DATE: "1 2. | \M4
ADDRESS: 200\ Wear ley Br
PHONE NO. 2&i- Wok $329
E-MAIL
SINGLE SOURCE PURCHASE DATA SHEET
Date: 3/01/2014 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
Department/Division: Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TO#151
Requesting Department's Suggested Vendor: Sports Travel (Schneider Publishing)
Vendor's Address: 11835 W. Olympic Blvd., 12th floor, Los Angeles, CA, 90064
Vendor's Telephane No.: 310-577-3700 Point of Contact:_Yvonne Garcia
Sole Source Justification: Designed to serve group organizers of sporting events of all types and levels;
sports marketing is an emerging niche, so need coverage in major publication.
LOL. 08/01/2014 ue z, A
nN
Requesting Deparime Mead Sig Io Bate/
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.::
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: Ae Disapprove:
(wy
Amount of Purchase: Date:
<AAL Hols al 6/22] Ik
Purchasing Director Signature Date
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
19
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all bidders/propesers, must disclose
if any Okaloosa Board of County Commissioner, employee(s), elected officials(s), or If any of its
agencies is also an owner, corporate officer, agency, employee, efc,, of thelr business.
Indicate either "yes" (a county employee, elected official, or agency Is also associated with
your business), or'no”. If yes. give pefson(s) name(s) and position(s) with your business.
YES. vo sf
NAME(S) POSITION(S)
FIRM NAME: eh ntide Fiblicine, Company]
BY (PRINTED): _Wonne Garvan
* Let
BY (SIGNATURE):
TITLE: Aa x7
DATE: | 4 7
ADORESS: NEST.
PHONE NO.
E-MAIL
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No. ; 504.581.7191
Department/Division: Tourist Development Department (TDD)
ltem Description: 2014/2015 Media Plan TO#151
Requesting Department's Suggested Vendor: Florida Society of Association Executives
Vendor's Address: 2410 Mahan Drive, Tallahassee, FL, 32308
Vendor's Telephone No.: 850-222-7994 Point of Contact: Sue Damon
Sole Source Justifica jon: The official state organization for association executives, which is a target
group in the ao14idts Strategic Marketing Plan adopted by TDC and BCC.
LO WAN 5& 0801/2014 Ff SLEW A
v4
Requesting Pepartmen'|Head Signature Date
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: 4 Disapprove:
Amount of Purchase: Date:
a
ro OPA IE
Purehgsing Director Signature Dute °
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 19
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose
if any Okaloosa Board of County Commissioner, employee(s), elected officials(s), or if any of tts
agencies is also an owner, corporate officer, agency, employee, etc., of their business.
Indicate either “yes” (a county employee, elected official, or agency is also associated with
your business}, or "no". If yes, give person(s} name(s) and position(s) with your business.
YES. NO
NAME(S) POSITION(S)
FIRM NAME:
BY (PRINTED):
BY (SIGNATURE):
TITLE: Ww iiods
DATE: Nats A Lo \4
ADDRESS: ZAC Mono Dw. Soke L
Te ornasser, 1G. _BIT3OA
PHONE NO, @svyn22- Aen
E-MAIL
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
Department/Division: Tourist Development Department (TDD)
Item Description: 2014/2015 Media Pian TO#151
Requesting Department's Suggested Vendor: LSAE (Naylor, LLC)
Vendor's Address: 5950 NW ‘st Place, Gainesville, FL, 32607
Vendor's Telephone No.: 800-879-6041 Point of Contact: Kevin Filion
Sole Source Justification:
The official state organization for association executives, which is a target
group in the 2014/201&\Strategic Marketing Plan adopted by the TDC and BCC.
Qf 08/01/2014
hel) Y
Requesting aa Signature Bate ’
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact:
Vendor #2 Contact:
Vendor #3 Contact:
Phone No::
Phone No.:
Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: F Disapprove:
O
Amount of Purchase: Date:
bu tolerable Af22/I¢
Purchasing Director Signature Date &
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
19
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose
if any Okaloosa Board of County Commissioner, employee(s), elected officials(s), or if any of its
agencies is also an owner, corporate officer, agency, employee, eic., of their business.
Indicate either “yes" (a county employee, elected official, or agency is also associated with
your business), or "no". If yes, give person(s) name(s) and position(s) with your business.
YES
NAME(S) POSITION(S)
FIRM NAME:
BY (PRINTED): ciel _ WV MAU
BY (SIGNATURE): UMA Waddie
TILE:
DATE:
ADDRESS:
PHONE NO.
E-MAIL
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
Depariment/Division: _Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TO#151
Requesting Department's Suggested Vendor: Integrated Hospitality Sales Solutions, Inc.
Vendor's Address: 220 Water Way, Miami Beach, FL, 33141
Vendor's Telephohe No.: 305-866-0748 Point of Contact: David Green
Sole Source Justification: Specifically services the hospitality industry for lead generation as part of the
groups campaign \dentifiey in the 2014/2015 Strategic Marketing Plan adopted by TDC and BCC.
\ IF . ute 08/01/2014 Sy /., /p oY
7 Dofe /
Requesting Pepanment ead Signature -
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contaci: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: A Disapprove:
Amount of Purchase: Date:
@/22/ 14
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 19
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possibile conflict of interest, alll bicclers/proposers, musi disclose
if any Okaloosa Board of County Commissioner, employee(s), elected officials(s), or if any of its
agencies is also an owner, corporate officer, agency, employee, etc., of their business.
indicate either “yes” (a county employee, elected official, or agency is also associated with
your business}, or "no". If yes, give person(s) name(s} and position(s) your business.
YES NO
NAME(S) POSITION(S)
FIRM NAME: DAV SS
BY (PRINTED): (\
BY (SIGNATURE): yy
TLE: ace Y r- | Wecoc si
DATE: “(\t9 ohh
rote Ela 3344
ADDRESS: $600 CLL ays AN (vii Seah Fla 33/4
PHONE NO. AOS NGE Onuyey’ [
E-MAIL OG (LiceV ASW ye
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
Department/Division: Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TO#151
Requesting Department's Suggested Vendor: American Bus Association
Vendor's Address: 437 D Street, Unit 2F, Boston, MA, 02210
Vendor's Telephone No.: 617-213-0456 Point of Contact: _Lisa Tangney
Sole Source Justification: Industry leader for motorcoach and tour operators in the US and Canada.
Dn L2G harle 08/01/2014 Elle hed A
Requesting Departrvient i Signature Bate’
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No:.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: fE Disapprove:
U
Amount of Purchase: Date:
20n. tobral P22) 14.
Purchasihg Director Signature Dite
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
19
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conilict of interest, all bidders/proposers, must disclose
if any Okaloosa Board of County Commissioner, employee(s), elected officials{s), or if any of its
agencies is also an owner, corporate officer, agency, employee, etc., of their business.
Indicate either “yes" {a county employee, elected official, or agency is also associated with
your business}, or "no". If yes, give person(s) name(s) and position(s) with your business.
YES. NO K
NAME(S) POSITION(S)
FIRM NAME: “the fonly Company
BY (PRINTED): Lion Tananey
BY (SIGNATURE): LAS TAnkbaer,
TITLE: Sony Aunsronbaet—
DATE: Sliz\iy |
ADDRESS: US4t by Geet Vait Ze
Bostan MA 02210
PHONE NO, (Git) 21% -04SL
E-MAIL ap @ pohiyco. on
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
Department/Division: Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TO#151
Requesting Department's Suggested Vendor: _The Group Travel Leader
Vendor's Address: 301 East High Street, Lexington, KY, 40507
Vendor's Telephone Nb.: 888-253-0455 Point of Contact: Kelly Tyner
\
\
Sole Source Just : Group travel industry's most trusted resource; group planners are a target group
in the 2014/2015 Stra’ we keting Plan adopted by Yt and BCC.
\. None LES Le nat 08/01/2014 Eid x [4
Requesting Department Hepa sia Signature Ddte
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: fe Disapprove:
C/
Amount of Purchase: Date:
AA otalmale 6/22] 14
ing Director Signature Ddte
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 19
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
Depariment/Division: _Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TO#151
Requesting Department's Suggested Vendor: _Going on Faith
Vendor's Address: 301 East High Street, Lexington, KY, 40507
Vendor's Telephone No.: 888-253-0455 Point of Contact: Kelly Tyner
Sole Source Justification: The resource for faith-based travel around the world; religious organizations are
a target group inthe 2014/2015 Strategic Marketing Plan adopted by TDC and BCC.
Vea KLE osoti2014 —§ ES LEY
Requesting Department Head Signature Date L
seceneenceeeneeeee |aceossrnnensneenneenntesessnneesnneantrontenussausssarsantensussiensnensrenreneretorens
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: AE Disapprove:
Co
Amount of Purchase: Date:
Zon Sealen ak P/oz | Zp
Puréhasing Director Signature Date /
Revised ~ 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 19
i
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose
if any Okaloosa Board of County Commissioner, employee(s), elected officials(s), or if any of its
agencies is also an owner, corporate officer, agency. employee, etc., of their business.
indicate either “yes” {a county employee, elected official, or agency is also associated with
"| If yes, give person(s) name(s) and position(s) with your business.
your business), or “no”.
YES NO
NAME(S) POSITION(S)
_ . . Haat,
FIRM NAME: The Group Trade Leade- Ae. ( The Grove TAotet Loader
BY (PRINTED): Ke Lil SPriace é tet eee ce) er
BY (SIGNATURE): lle, “Taal a
TITLE: birelscee of Sales + Hank os £
DATE: F/ 3 My
ADDRESS: 30) Eact Hi cl Ct.
Lexing ton) ; Ky Hoso7
PHONE NO, &&E- AS3- 0YSE™
E-MAIL Ke) ly (2 Group tau) «| [eader. Cop
SINGLE SOURCE PURCHASE DATA SHEET
Date: 98/01/2014 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
Department/Division: _Tourist Development Department (TDD)
litem Description: 2014/2015 Media Plan TO#XX
Requesting Department's Suggested Vendor: Small Market Meetings
Vendor's Address: 301 East High Street, Lexington, KY, 40507
Vendor's Telephone No.: 888-253-0455 Point of Contact: Kelly Tyner
Sole Source Justification: America's only magazine dedicated to smaller group meeting destinations
outside the country's largest cities.
\ KR SE oso1neia ° feXr f LY
Requesting D eee Head Signature Date
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Coniact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
- PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: p= Disapprove:
Amount of Purchase: Date:
Bf 22 [14
Purchasing Director Signature Bate /
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
19
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose
if any Okaloosa Board of County Commissioner, employee(s). elected officials(s), or if any of its
agencies is also an owner, corporate officer, agency, employee, etc., of their business.
Indicate either “yes” {a county employee, elected official, or agency is alsa associated with
your business), or “no”. If yes, give person(s} name(s} and position(s) with your business.
Le ~
YES NO
NAME(S} POSITION(S)
FIRM NAME: Piodeer Pu& Lishsne (mu aca 2c Ssaral] Har ax Meakin
a
BY (PRINTED): ety lve
BY {SIGNATURE}: ly Ton _—— .
TITLE: Direl sco’ of Cale + Na Wicxing )
DATE: eis Ln
ADDRESS: 30; Eaot Hick (+.
Lixin ctos _ KY Yoso7
PHONE NO. fbb -— 35 —S/2€&
E-MAIL | ally (? Gcouptrase leader. bo