Okaloosa County BOCC — August 5, 2014 — Coordination Sheet-FWBMC Baker Act CSU MOA (FY 2015)

CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number: Tracking Number: {60s [ef Grant Funded: YES. NO_ A’ Contractor/Lessee Name: F WB hye Purpose__/ Da, Date/Term:__ /0 | ! by - 9/30) 1, [Md GREATER THAN $50,000 amount: PD bola 128.04 2. CJ Greater THAN $25,000 Department: [7S 3, L] $25,000 or Less Dept. Monitor Name: V ble M dec fete Document has been reviewed and includes any attachments or exhibits. Purchasing Review Procurement requirement are met: : aS we, ff fp Ly if _ Date: taal iy Feet Dikector of Beciehes Seenne ki Lip Risk Management Review Approved as written: i Ankh fLA Date: Cfeofit Risk Mafager or designee fone flex £ County Attorney Review Approv ci as written: a h . fy eo A { wr) Date: ~Ag “ | Y Coung frphtornert D Gress ¥v 4 lo) Cyt Following Okaloosa County approval: Contracts & Grants Document has besn received: Date: Contracts & Grants Manager py rieahallh, of2ri¢