Okaloosa County BOCC — July 7, 2015 — SIXEL RENEWAL

CONTRACT/LEASE RENEWAL FORM June 16, 2015 Sixel Consulting Group, Inc. Mr. Mark Sixel 497 Oakway Road, Suite 220 Eugene, OR 97401 RE: Contract Lease Renewal Form Dear Mr. Sixel: The Okaloosa County Board of County Commissioners agrees to renew the subject contract/lease, # C14-2113-AP for an additional term. The contract renewal period will be 12-1-2015 to 11-30-2016 . The annual budgeted amount for this contract is $42,000.00 . All other terms and conditions of the original agreement shall remain in full force and effect through the duration of this renewal. 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). AUTHORIZED COMPANY REPRESENTATIVE Contractor: %WQ m COUNTY REPRESENTATIVES Dept. Director Signature: Date: A [ Approved By: \__ ‘j Approved By: __ D (%e ( (Opgu . N(S Approved By: Tile: T REMDerTT (as prescribed below on item 1) Date: Date: ZO* 250 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 >$50K, as necessary. If Board approval is required, the Chairman and County Administrator's signatures are required. Make sure the company provides a current Cerlificate of Insurance. (I 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. CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number:_(_ )4 -2113 - A Tracking Number: / 3 - } 5 Grant Funded: YES NO_X Contractor/Lessee Name:§ i € ) Purpose (vfiv _\*rcgc._} )?QY\W Date/Term: HJ 30 ) 16 1. [] GREATER THAN $50,000 Amount:_ 42, 500 2. [N GREATER THAN $25,000 Department: A P _ ‘ 3. [ $25,000 OR LESS Dept. Monitor Named &L/L/n NGy /} ) Yeng Document has been reviewed and includes any attachments or exhibits. Purchasing Review Date: $-5-15 Joanne Kublik or Sunnie Estes Purol'\/asmg Direct or Desvgnee sy Risk Management Review Approved as written: Y/fl e ~/ L'//Z/ LA Date: ‘%3-///‘(5; //‘ S RISk Manager or deSIgnee Laura Porter or Krystal King * County Attorney Review oved as writte x&v;l@w oate_ D=5 =V Cou ty A rné‘y Gregory T. Stewart or Lynn Hoshlhara Following Okaloosa County approval: Contracts & Grants Document has been received: Date: Contracts & Grants Manager