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Board of County Commissioners
Purchasing Department
State of Florida
August 11, 2012
CONTRACT/LEASE RENEWAL FORM
EQ-The Environmental Quality Company
Attn: Mr. Robert Mulholland
7202 East 8" Street CONTRACT # C02-0662-PW
EQ - THE ENVIRONMENTAL QUALITY COMPANY
Tampantiaet® HAZARDOUS WASTE DISPOSAL SERVICE
. . EXPIRES: 09/30/2013
RE: Hazardous Waste Disposal Services
Dear Sir:
The Okaloosa County Public Works Department wishes to renew the subject contract/lease #C02-0662-
PW for an additional term. The contract renewal period will be October 1, 2012 to
September 30, 2013.
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) to Jim Reece,
Okaloosa County Recycling Office, 84 Ready Ave, Fort Walton Beach, FL 32548.
COUNTY REPRESENTATIVE AUTHOURIZED COMPANY REPRESENTATIVE
Dept./Director: Publi contractor: ZyWiceme AL Lied Belo
Approved By: Approved By: Be @ : Zoe
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Print Name: Lie tickeind VA Print Name: he v2 A. Ciephy
Title: Director Title: beczil MiP»ALER.
oa: AOI oate_L0-9-/ 2.
County Department Instructions:
1) Obtain signatures from Department Director and authorized Company Representative.
(Purchasing Director, County Administrator or BCC Chairman, if necessary) Make sure
the company provides a current Certificate of Insurance. (If applicable)
2) Keep a copy of this form for your records.
ety ee Ea RETR RpE REE eR rn,
If you have any questions please contact Jack Allen at 850-689-5960, Fax-850-689-5998, e-mail:
jallen@co.okaloosa.fl.us