Okaloosa County BOCC — September 2, 2014 — Task order approval form C12-2007-TDC - 150 — reading text

PHONE NO, ZbeS- FS4-48IGA j | : E-MAIL Sswoger @_dvensrtamedlia co 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 TOHMK 5 Requesting Department's Suggested Vendor: Connect Sports Facilities Guide Vendor's Address: 15 Technology Pkwy S, #250, Norcross, GA, 30092 Vendor's Telephoné No.: 678-987-9000 Point of Contact: Derek Rodriguez Sole Source Justification Reaches 90% of sports industry decision makers; online version has search capabilities \ AE Ke beiw Cory nor fiefs Requesting Deparimént Heqe 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 ala ern rien heiniateiainieiletelelnbaheinhehnielalalaiateketelalelalalslieteieleiaiatetninietninintedetatatst ttt 1k ttt CLE E EEC P CE CCE ee r eer eee PURCHASING MANUAL - SINGLE SOURCE DETERMINATION Comments: Approve: AE Disapprove: Amount of Purchase: Date: Kin tlmnal Bla Id. 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 7 NAME(S) POSITION(S) FIRM NAME: Collinsan Meola é Everts ‘Comect” Sports BY (PRINTED): «= = Rawk Howe l/. BY (SIGNATURE): hey 4. TITLE: Con ro [ler DATE: 7 / 17 / VA ADDRESS: Collings Medics Events \S Tedanaloa, Ploy S: She 28 PHONE NO. Noccress, 6A 2002 | E-MAIL Mowell_@ collinson me Dre. con 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: XO Group (The Knot.com) Vendor's Address: 11106 Mockingbird Drive, Omaha, NE, 68137 Vendor's Telephone No.: 888-869-5319 Point of Contact: Theresa Ngumi Sole Source Justification: The Knot is America's leading wedding brand, reaching 8 of 10 engaged couples each year; destination weddings is a target group in the 2014/2015 Strategic Marketing Plan adopted b TDC & BCC Vit Sy os012014 XK fyafv4 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: a Disapprove: Amount of Purchase: Date: 24 tobmal Gee] Md. Purctiasing Director Signature _ ate * 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 ifs 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 3 NAME(S) POSITION(S) FIRM NAME: Whe Kray Iles nddqes | XO Grove BY (PRINTED): Bhonda Hioleervame BY (SIGNATURE): TITLE: De coonk Corse - Flonde DATE: Die iu} ADDRESS: (Wok Hodvurgo De Otealrea Nebraska Le )a7/] 33> - 20 -BUS- 4 PS PHONE NO. PAR 33> “SIS |seo SUS E-MAIL Kroncd { @the knot, COU SINGLE SOURCE PURCHASE DATA SHEE Date: 3/01/2014 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: Southern Living Vendor's Address: P.O. Box 62375, Tampa, FL, 33662 Vendor's Télephone No.: 800-272-4101 Point of Contact: Jenny Hedges Sole Source Justification: Readers have high propensity for travel to Florida; 40% of circulation within driving distance to Emerald Coast: free online impressions to promote "one-click away" campaic AN FB Wh osoi2oia Ve [1 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: — Disapprove: 1 Amount of Purchase: Date: Xr, elu waz ¢ Pure hasihg 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 is also an owner, corporate officer, agency, employee, eic., 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: SOUTHERN LIVING BY (PRINTED): Jennifer Hedges BY (SIGNATURE): TITLE: Integrated Account Manager DATE: 7/21/14 ADDRESS: 4809 Cole Avenue, Suite 300 Dallas, TX 75205 PHONE NO. (214) 523-4005 E-MAIL jenny.hedges@timeinc.com SINGLE SOURCE PURCHASE DATA SHEE 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 Pian TO#150 Requesting Department's Suggested Vendor: Official Visit Florida Guide A Mi les) Vendor's Address: 2540 W. Executive Ctr Cir, Tallahassee, FL, 32301 Vendor's Telephone No.: 850-488-5607 Point of Contact: Mark Neujahr Sole Source Justification: VISIT ELORIDA is the state's official tourism marketing corporation and serves as Florida's official source for travel planning to visitors across the globe. NA ZZ 08/01/2014 §-S/ > oe/ 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 Commenis: 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: At ty boak p/Z2/ id Purchasing 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 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. YE No ON NAME(S) POSITION(S) FIRM NAME: Mires BY (PRINTED): Maak Neutrad® BY (SIGNATURE): "ate. DasjabA— | TITLE: Sares Manacee DATE: B [ ; / i4- ADDRESS: GES | Srokessiona | Parka y W Sarasota, FL 34240 PHONE NO, ° B00/ G83- OOl0 EMAIL Mars + new jah @ miles partnersh ge, Com