Okaloosa County BOCC — September 15, 2015 — Signed Contract Lease Renewal Form

CONTRACT/LEASE RENEWAL FORM Date: September 4, 2015 Destin Water Users, Inc. Attn: General Manager P.O. Box 308 Destin, FL 32541 RE: Lease Renew for 10/01/15 - 09/30/16 Dear Destin Water Users, b The Okaloosa County Board of County Commissioners agrees to renew the subject contract/lease, # L15-0419-PW for an additional term. The contract renewal period will be Oct. 1. 2015 to September 30, 2016 - The annual budgeted amount for this contract is $.11,250.00 . All other terms and conditions of the original agreement shall remain in full force and effect through the duration of this renewal. 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). COUNTY REPRESENTATIVES AUTHORIZED COMPANY REPRESENTATIVE {EESSoR_ Dept. Direct Centractor— De sty WA’TE/L(/(’&QKS/ Je Signature: ; Date: Approved B Approved B%@M" (as prescrib Date Approved By: Tile: e ecnedT (as prescribed below on item 1) Date: Date: ®Q\ @4 {M A County Department Instructions: 1) Obtain signatures from Department Director, authorized Company Representative and then 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. (I applicable). 2) Keep a copy of this form for your records. 3) Send original to Purchasing Services Coordinator. If you have any questions please contact the Purchasing Director at 850-689-5960, Fax: 850- 689-5998.