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

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