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Okaloosa County BOCC — September 2, 2014 — Task order approval form C12-2007-TDC - 150 — reading text
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Purchosijg Direcfor Signature Date [
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
19
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
D epartment/Division: Tourist Development Department (TDD)
ltem Description: 2014/2015 Media Plan TO#150
Requesting Department's Suggested Vendor: More CMoredivny
Vendor's Address: 1716 Locust Street, Des Moines, 1A, 50309
Vendor's Telephone No.: 515-284-3000 Point of Contact: Stacey Rosseter
Sole Source Vustification: ) , beus ea mre ores laffore
“ety Numpes2/ 0 Quel rl pedi t> pork, *nt—el t Camypiern, Rs Week —
\ek™ LL hipel 08/01/2014 yhoo ks te g
/ ;
Requesting Department Head Signature Date
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: aE Disapprove:
Amount of Purchase: Date:
26. Stole at Bland a
Purch&sing Director Signature Date |
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 19
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose
if any Okaloosa Board of County Commissioner, employee(s), elected officials(s), or if any of its
agencies is also an owner, corporate officer, agency, employee, etc., of their business.
Indicate either “yes” (a county employee, elected official, or agency is also associated with
your business), or “no”. If yes, give person(s) name(s) and position(s) with your business.
YES. NO. x
NAME(S) POSITION(S)
FIRM NAME: Meredith Corporation
BY (PRINTED): Christine Miller , :
BY (SIGNATURE): Uren 2 roy \ Rte —
TITLE: Credit Manager
DATE: 7/17/2014
ADDRESS: 1716 Locust St.
Des Moines IA 50306
PHONE NO. 212-499-2105
E-MAIL Christine.Miller@Meredith.com
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.,: 504.581.7191
Department/Division: Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TO#150
Requesting Department's Suggested Vendor: Atlanta Eats
Vendor's Address: 455 East Paces Ferry Road, Suite 310, Atlanta GA, 30305
Vendor's Telephone No.: 404-228-5453 Point of Contact: Amy Barbieri
Sole Source Justification: Unique dual multi-media opportunity (tv/radio): targets foodie niche in primary
feeder market; NO exposure through affiliation with Food Network.
\WI— BELL 08/01/2014 Lefer
Requesting Depprtment Head Signature Aate/
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No::
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: “Ae Disapprove:
Amount of Purchase: Date:
Silene Gla 14
Purchasi g Director Signature pate!
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose
if any Okaloosa Board of County Commissioner, employee(s), elected officials{s), or if any of its
agencies is also an owner, corporate officer, agency, employee, etc., of their business.
Indicate either “yes” (a county employee, elected official, or agency is also associated with
your business), or “no”. If yes, give person(s) name(s) and position(s) with your business.
YES. wo A
NAME(S) POSITION(S)
FIRM NAME: Atlanta Eats / Bread n Buiter Productions
BY (PRINTED): Cody Hicks
BY (SIGNATURE}: Colyer
TITLE: President
DATE: 8/12/14
ADDRESS: 455 E. Paces Ferry Rd. NE #310
Allania, GA 30305
PHONE NO. 678-438-3411
E-MAIL cody@atlantaeais.com
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.:: Requestor: Peter Mayer Phone No; 504.581.7194
Department/Division: Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TO#150
Requesting Department's Suggested Vendor: Atlanta Braves
Vendor's Address: 755 Hank Aaron Drive SE, Atlanta, GA, 30315
Vendor's pyrene No.,: 404-614-1407 Point of Contact: Mark Lehman
Sole Source ication Major league's most winningest franchise since 1991; #1 most popular team in
the South; {far capt fan base; primary COLL L dL
: 08/01/2014 Lot
Requesting Pepgrtinent Head Signature
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No::
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No::
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: a Disapprove:
Amount (a Sit a Date:
Purchasing Director Signature Bate
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose
if any Okaloosa Board of County Commissioner, employee(s), elected officials(s), or if any of its
agencies ig also an owner, corporate officer, agency. employee, étc., of their business.
Indicate either “yes” {a county employee, elected official, or agency is also associated with
your business), or °no". If yes, give person(s) name(s) and position(s) with your business.
YES NO x
NAME(S) POSITION(S)
FIRM NAME: Atlanta Braves National Leaque Baseball Club, Inc,
BY (PRINTED): Mark Lehman
BY (SIGNATURE): i
TITLE: Manager, Corporate Partnershins
DATE. August 11, 2014
ADDRESS: 755 Honk Agron Drive
Atlanta, GA 30315
PHONE NO, 404-614-1407
E-MAIL mark jehman@braves.com
SINGLE SOURCE PURCHASE DATA SHEET
Date: 98/01/2014 PR No:.: Requestor: Peter Mayer Phone No.: 504.581.7191
Department/Division: Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TO#150
Requesting Department's Suggested Vendor: Canadian Traveller
Vendor's Address: 802-1166 Alberni Street, Vancouver, BC, Canada, V6E 223
Vendor's Telephone No.: 1-866-699-9933 Point of Contact: Jennifer Prendergrast
Sole sourcp eaten Visit Florida partnership (tactic of 2014/2015 Strategic Marketing Plan); reaches
all of Canad stored { group in the 2014/2015 Strategic IWarketing Plan adopted by TDC and B@C.
ee \ AN #28 08/01/2014 _§ PF //
Pate’
Requesting mar Head Signatufe
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No:.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: af Disapprove:
Amount of Purchase: Date:
Purchasing Director Signature bate |
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 19
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose
if any Okaloosa Board of County Commissioner, employee(s), elected Officials(s), or if any of its
agencies is also an owner, corporate officer, agency, employee, etc., of their business.
Indicate either “yes” (a county employee, elected official, or agency is also associated with
your business), or no". If yes, give person(s) name(s) and position(s) with your business.
YES | no
NAME(S) POSITION(S)
FIRM NAME: (OH Passion Meal (A
BY (PRINTED):
BY (SIGNATURE):
cle Fran Vi blithe,
TITLE: ASS
DATE: dy ly (2, Aold
ADDRESS: S~ We lo Alpen oh.
Vanco vey Bo Woe 828 (onacl
PHONE NO. 4-499-99 95 —olltecd.
E-MAIL \? nn aa) 2 uy pass. iO) Nakic-cata.
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No. 504.581.7191
Department/Division: Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TO#150
Requesting Department's Suggested Vendor: Montreal Gazette
Vendor's Address: 1010 Ste-Catherine St. West, Suite 200, Montreal, Quebec, H3B 5L1, Canada
Vendor's Telephone No.: 514-987-2222 Point of Contact: Veronique Allard
Sole Source Justification: The dominant medium for reaching Montreal's large English market;
home delivery of madazine with the newspaper.
JS — EVh be oso12014 LY/2/ fF
Requesting Department Head Signature Daté
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: Wine Disapprove:
O
Amount of Purchase: _ Date:
ole 2lez[ie
Date i
Purchasing Director Signature
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
19
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose
if any Okaloosa Board of County Commissioner, employee(s), elected officials(s), or If any of Its
agencies is also an owner, corporate officer, agency, employee, etc., of their business.
Indicate either “yes” (a county employee, elected official, or agency is also associated with
your business), or "no". If yes, give person(s) name(s) and position(s) with your business.
YES No. xX
NAME(S) POSITION(S)
FIRM NAME: _iIhe Gazette
BY (PRINTED):
BY (SIGNATURE):
TITLE: Sales Manager — New Business Development
DATE: August 12', 2014 _
ADDRESS: 1010 Sainte Catherine Street West
Montreal, Quebec Canada H3B-5L1
. PHONENO. 214-987-2309 or 514-887-1960 (mobile)
E-MAIL fscordo@montrealgazette.com
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
Department/Division: Tourist Development Department (TDD)
ltem Description: 2014/2015 Media Plan TO#150
Requesting Department's Suggested Vendor: Visit Florida International Travel Guide (BMI Publishin:
Vendor's Address: BMI Publishing, Suffolk House, George Street, Croydon, Surrey, CR9 1Sr, UK
Vendor's Telephone No.: 44 (0)-20-8649-7233 Point of Contact: Sally Parker
Sole Source/Justification: Visit Florida partnership (tactic of 2014/2015 Strategic Marketing Plan);
only internatignal trayel quide sanctioned by Visit Flarida; European target audience; distributedin 1% markets.
MWA 09/01/2014 £7 af fey
t
ti
Requesting Departnent Head Signature até
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No::
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: (= Disapprove:
O
Amount of Purchase: Date:
Bure ale Slzz| Ke
Purchasing Director Signature Dite
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
19
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
Department/Division: Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TO#150
Requesting Department's Suggested Vendor: Escape to the Southeast (Alpha Wolf Media Sales)
Vendor's Address: 3685 Bellegrove Ridge, Marietta, GA,
