Okaloosa County BOCC — September 2, 2014 — Task order approval form C12-2007-TDC - 151 — reading text

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