Okaloosa County BOCC — November 15, 2016 — Coordination Sheet-DOH Agreement

CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number: Tracking Number: @«OOS—"I é Grant Funded: YES NO Contractor/Lessee Name:_{ L 0&[){' 0‘{'\ H’@{)_le\ Purpose Ammmm:djwmmqm#f Date/Term: 1. [ GreaTer THAN $50,000 Amount: 2. [ GReATER THAN 25,000 Department; 3. [ $25,000 0R LESS Dept. Monitor Name: 7""4.(.01]/ L/&(A${Z_ Document has been raviewed and includes any attachments or exhibits. Purchasing Coordination pate___ /9 f1 e ) Zan Fedorak, Jeanme=kublik or Charles®owkll \ Risk Management Review Approved as written: _,/{’<«Uv'( ‘&-)Lfi%h\ Date: Cl -1 "’I Ly Risk Ma nager or designee Laura Porter or Krystal King County Attorney Review Approved as written: xwa,éfiafiuc/oate: County Attorney Gregory T. Stewafi, Lynn Hoshlhara, Kerry Parsons or designee Following Okaloosa County approval: Contracts & Grants Document has been received: Date: Contracts & Grants Manager Tracey Vause From: Roxanne Ader Sent: Friday, September 09, 2016 14.57 To: Tracey Vause Cc: Zan Fedorak; Jack Allen Subject: FW: Memo of Agreement with FL Dept. of Health - EMS Attachments: 2005-16 FL DEPT OF HEALTH COORD SHEET.pdf; Purchasing_SpNS MOA with DOH_ 081716.doc Follow Up Flag: Flag for follow up Flag Status: Completed Tracey, Attached is a copy of the coordination sheet and the updated Agreement. Please collect the necessary signatures in blue ink and after the signatures are obtained please scan and send us a copy. Thanks, Roxanne Ader Administrative Support Okaloosa County Purchasing 5479A Old Bethel Road Crestview, FL. 32536 (850) 689-5960 Please note Due to Florida's very broad public records laws, most written communications to or from County employees regarding County business are public records, available to the public ond medic upon request. Therefore, this written e-maif communication, Including your e-mail address, may be subject to public disclosure. From: Parsons, Kerry [mailto:KParsons@ngn-tally.com} Sent: Friday, September 09, 2016 2:25 PM To: Roxanne Ader <rader@co.okaloosa.fl.us>; Jack Allen <jallen@co.okaloosa.fl.us>; Zan Fedorak <zfedorak@co.okaloosa.fl.us>; Tracey Vause <tvause@co.okaloosa.fl.us> Cc: Lynn Hoshihara <thoshihara@co.okaloosa.fl.us> Subject: RE: Memo of Agreement with FL Dept. of Health - EMS Approved for legal purposes. From: Roxanne Ader [mailto:rader@co.okaloosa.fl.us] Sent: Friday, September 09, 2016 2:38 PM To: Parsons, Kerty; Jack Allen; Zan Fedorak; Tracey Vause Cc: Lynn Hoshihara Subject: RE: Memo of Agreement with FL Dept. of Health - EMS Good Afternoon: Returning this to legal for review after changes were made. Thanks, Roxanne Ader Administrative Support Okaloosa County Purchasing 5479A Old Bethel Road Crestview, FL. 32536 (850) 689-5960 Please note Due to Florida's very broad public records laws, most written communications to or from County employees regarding County business are public records, available to the public and media upon request. Therefore, this written e-mail communication, including your e-mail address, may be subject to public disclosure. From: Parsons, Kerry [mailto:KParsons@ngn-tally.com] Sent: Friday, September 09, 2016 9:33 AM To: Roxanne Ader <rader@co.okaloosa.fl.us>; Jack Allen <jallen@co.ckaloosa.fl.us>; Zan Fedorak <zfedorak@co.okaloosa.fl.us>; Tracey Vause <tvause@co.okaloosa.fl.us> Cc: Lynn Hoshihara <lhoshihara@co.okaloosa.fl.us> Subject: RE: Memo of Agreement with FL Dept. of Health - EMS Good Morning: Attached is one minor revision, otherwise this is approved for legal purposes. From: Roxanne Ader [mailto:rader@co.okaloosa.fl.us] Sent: Wednesday, September 07, 2016 12:02 PM To: Lynn Hoshihara; Parsons, Kerry Cc: Jack Allen; Zan Fedorak; Tracey Vause Subject: Memo of Agreement with FL Dept. of Health - EMS Hello Everyone, Attached is the coordination sheet showing Risk Management approval and the Memorandum given to us by Tracey Vause, Chief of EMS. Please review for legal sufficiency. The document was provi