Okaloosa County BOCC — March 3, 2015 — Contract Renewal Form

CONTRACT/LEASE RENEWAL FORM Date: 2/10/2015 Nabors, Giblin, & Nickerson, P.A. Atin: Greg Stewart P.O. Box 11008 Tallahassee, FL 32302 RE: Conftract Renewdal Dear Mr. Stewart: The Okaloosa County Board of County Commissioners wishes to renew the subject contract/lease, #C14-2166-BCC for an additional term. The contract renewal period will be April 1, 2015 to March 31, 201 6. If you would like o review the previously accepted contract, please feel free to view on-ine at http://www.co.okaloosa.fl.us/contracts/contra pdf/C14-2166-BCC.pdf 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)fo John Hofstad, County Administrator, 1804 Lewis Turner Blvd., Suite 400, Fort Wglton Beach, FL 32547, ! COUNTY REPRESENTATIVES AUTHORIZED COMPANY REPRESENTATIVE Dept. Director C'M”L Aot TXATOL Signature: AL S’/émy Afb)"%fl,f Contractor; < (C Navors)\Givkn & Nidkevson, LA - Approved By: (!V/‘ Approved By: (as prescribeq elowi’rem Title: ShaY(LhQMfl/\/ Approved BY: {as prescribed below on item 1) Date: Date: Z’/?-'S !\'5 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. (If 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 850-689-5940, Fax: 850- 689-5998.