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TASK ORDER APPROVAL FORM
CONTRACT #: C12-2007-IDC
TASK ORDER #: 147
TASK ORDER AMOUNT: $400,676
OFFERED BY CONSULTANT:
Peter Mayer Advertising
FIRM'S NAME
James Geiger
ne PRINTED NAME
NY et
SIGNATURE
CFO 8/8/14
TITLE DATE
RECOMMENDED FOR APPROVAL
(Depariment Director)
BB Le hile
SIGNATURE
aa Be a &
eLilid
DATE
ay
COUNTY ADMINISTRATOR (if applicable)
Leefre
DATE
APPROVED BY OKALOOSA COUNTY
(Per Purchasing Manual)
$25,000 or less approved by Purchasing
Director
Between $25,001 and $50,000 approved by
Purchasing Director and County
Administrator
In excess of $50,000 approved by the Board.
Qarbdnol
PURCHASING DIRECTOR 2a, tedoval
O22 \4-
DATE
CHAIRMAN (if applicable)
DATE
TOURIST DEVELOPMENT DEPARTMENT
ATTORNEY APPROVAL FORM
CONTRACTOR NAME: PETER MAYER ADVERTISING
CONTRACT #: C12-2007-TDC
TASK/PURCHASE ORDER #: 147
FY15 SMP Leisure Print Packages
TASK/PURCHASE ORDER AMOUNT: NOT TO EXCEED $400,676"
I have reviewed the above-referenced task/purchase order and find it to be in
compliance with the terms of the contract, Tourist Development Department
Operations & Procedures Manual, the Okaloosa County Purchasing Manual and
applicable local, state and federal laws, rules and regulations.
(Initial applicable authorization)
LH. This approval authorizes the goods/work described in the attached Task or
Purchase Order to be performed or acquired.
This approval authorizes the goods/work described in the attached invoice(s)
to be processed for payment.
APPROVED AS TO FORM AND LEGALITY:
L M. HOSHTRARA
TDD AT
gfe )4
DATE |
* The Agency’s authorization to purchase media as stated in this Task Order is contingent upon receiving fully-
executed Sole-Source Forms and Conflict of Interest Disclosure Forms/Certification from the Agency. Payments
under this Task Order shall not be issued without the necessary form(s).
Task Order 147 August 8, 2014
FY15 SMP Leisure Print Packages
Pass Through Costs
1 BACKGROUND & PROJECT ASSIGNMENT
Okaloosa County, through Okaloosa County Tourist Development Department (hereafter referred to as
“Client”) has asked Peter Mayer (hereafter referred to as “Agency”) to develop a new project - a
series of leisure print media packages to run in various publications as part of the FY 2014-15
Strategic Marketing Plan adopted by the BCC on August 19, 2014. The project will run from October
2014 through September 2015 and will consist of paid media as well as advertising tactics to support it.
This task order reflects the Paid Media hard (pass through) costs for the campaign as noted on page 17
of the contract. Agency fees for related media planning (TO 98) and media purchasing and reporting
(TO 142) for the campaign have been provided in previous task orders.
The County approved the FY 2014-2015 Strategic Marketing Plan on August 19, 2014, which included a
line item for Media Campaign (Fall/Winter, Christmas, Snowbird, Spring/Summer, Non-Seasonal/Niche,
Groups, Meetings/Conventions) in the amount of $1,914,775.
2 ACTIVITIES & DELIVERABLES
1. Fulfillment of a Client approved Media Plan/Recommendations, which includes:
Official Visit Florida Visitor’s Guide $15,956
Beaches, Resorts & Parks $6,020
Life’s A Beach $9,925
Coastal Living $72,000
Southern Living $90,262
Better Homes & Gardens, EveryDay with Rachael Ray, More, Family Circle $27,115
Better Homes & Gardens, EveryDay with Rachael Ray, More $13,950
Collinson Media $70,000
Escape to Southeast $3,400
Texas Monthly $27,984
Atlanta Magazine $8,067
Canadian Traveller $26,100
Dreamscapes $7,900
Crossings $4,500
Toronto Life $11,387
International Travel Guide $6,110
Total $400,676
Peter Mayer Okaloosa TDD Page 1
Confidential
1111242v2
Task Order 147 August 8, 2014
FY15 SMP Leisure Print Packages
Pass Through Costs
2. Print media packages negotiated by the agency may include email blasts, online banners,
and/or other non-print advertising components.
3. In accordance with Contract #C12-2007-TDC, the Agency has attached single source and
conflict of interest forms for Client review.
4, Invoice reconciliation and proof of advertising materials to support all invoices, as noted in the
Inclusions section of this document and the contract pages 2 and 17.
Inclusions:
e No invoice will be approved unless a copy of the actual invoice from the vendor accompanies
the invoice reflecting the acquisition of goods/services.
e Agency to submit copies of effective contracts, insertion orders, recapitulation of credits and
debits affecting previously submitted statements or invoices and substantiating bills, and tear
sheets, with support materials or other proof of publications for invoices presented for
payments.
e All make-good placements for media placements specific to this campaign will run within the
campaign period prior to the campaign end date unless otherwise noted in written approval
from the Client.
e All artwork, photography, design, layout, production materials, websites, domain names, etc.,
created by, and all rights acquired by the Agency for the Client will become property of the
Client upon acceptance, subject to any third party, rights and the Agency’s ownership of any
Code.
Exclusions:
e None
3 COST
The cost of this Task Order is not to exceed $400,676. Agency is authorized to purchase such media
on behalf of the Client and proceed with executing the activities set forth in this Task Order.
4 BILLING
Client will be billed in accordance with Contract # C12-2007-TDC.
5 GENERAL ASSUMPTIONS
The following are general assumptions about the project that affect the timing, scope or cost of the
project.
The above assumes:
e Timely delivery of any required documentation from the Client
e Client will make available appropriate personnel and decision-makers for attending scheduled
workshops and meetings for reviews and approval so immediate consensus can be reached
e Client will conduct timely reviews and provide consolidated feedback and written approvals on
a timely basis based on an agreed-upon schedule
e Delays in Client reviews may extend timing and add risk to the final delivery
Peter Mayer Okaloosa TDD-- Page 2
Confidential
1111242v2
Task Order 147 August 8, 2014
FY15 SMP Leisure Print Packages
Pass Through Costs
6 CONTACT INFORMATION
Ellen Kempner, Management Supervisor/Vice President
504.210.1217
kempnere@peteramayer.com
Michelle Clarke, Account Supervisor
504.210.1287
clarkem@peteramayer.com
James Geiger, Chief Financial Officer
504.210.1263
geigerj@peteramayer.com
\
7 AGENCY SIGNATURE |
Peter Mayer: [ | AI Date:
1
Peter Mayer
Confidential
Okaloosa TDD-- Page 3
1111242v2
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 Toa UF
Requesting Department's Suggested Vendor: Official Visit Florida Guide Cm Ive)
Vendor's Address: 2540 W. Executive Ctr Cir, Tallahassee, FL, 32301
Vendor's Tefephone No.: 850-488-5607 Point of Contact: Mark Neujahr
Sole Source, Justification: VISIT FLORIDA is the state's official tourism marketing corporation and serves
as Florida's official source for travel planning to Misitors across the globe.
WIE. os012014 ESV Ie
Requesting Deparfment Head Signafure /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: Lf Disapprove:
Amount of Purchase: Date:
LA Et mal
B22. A4
IDate
ng 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
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: M\iLeS
BY (PRINTED): Maak Neutad®
BY (SIGNATURE): Mate. Vesapelr—
TITLE: Sares (YAwaGeeR,
DATE: B [ } i/ i4-
ADDRESS: GLB | Freokessiong \ Rarkloa y W
Sarasota, FL 34240
PHONE NO. ” 800 / 6G83- OOlo
E-MAIL Markt» ney jahv-@ miles partnersh le, 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 TOHRK Yt
Requesting Department's Suggested Vendor: Beaches, Parks, & Resorts
Vendor's Address: 2705 Scenic Hwy 98, Destin, FL, 32541
Vendor's Telephone No.: 256-310-0653 Point of Contact:_Toni Ouellette
Sole Source J ne tion: Nationally distributed magazine with specific purpose of enticing vacationers
from around the countr\to the beautiful beaches, resorts, and parks of Northwest Florida and Alabama Gulf Coast.
\ DYN LEA LA. oso12014 Jet LY
Requesting Deparimeht Head Signature Ddte/
Seer eee s Sulananaiasataiateneisieianaiessiananaiaienetaialeneleleletalalaiatalalaiaialaiaieisiatatetsiaieleiaiatsieteieletstatetetalatatetateietartateielatsiataiataiate
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:
U
Amount of Purchase: Date:
Bl22[1 44
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, employes, 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 Z C
NAME(S) POSITION(S)
FIRM NAME:
BY (PRINTED):
BY (SIGNATURE):
TITLE:
DATE: + | ca-a
ADDRESS: AsO} | 8 conic. Lhobway aor
Destin Fl 32841
PHONE NO.
E-MAIL
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 Toy ]Y4
Requesting Department's Suggested Vendor: Life's A Beach
Vendor's Address: P.O. Box 5731, Destin, FL, 32540
Vendor's Teleph6n No.: 850-650-2780 Point of Contact: Rick Seevers
|
Sole Source Justification: Publication is a fulfillment piece for people requesting travel information;
distributed to welcome denters, military bases, travel agents, and U.S. & Canadian meeting pianpers.
WIL ihre 08/01/2014 io “ LL
te
Requesting Departmbnt 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: = Disapprove:
O
Amount of Purchase: Date:
Mur tAmak A/22 /1Uf
PurcHfas)ng 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, alll 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 cilso 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: Life’s A Beach Publishcations
BY (PRINTED): Richard’s'Seevers
BY (SIGNATURE):
PO aoe
TITLE: Owner
DATE: July 16, 2014
ADDRESS: 124 Benning Drive Suite 7
Destin Florida 32541
PHONE NO. 850-650-2780
E-MAIL rick@labpdestin.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#¥x’ 44
Requesting Department's Suggested Vendor: Coastal Living
Vendor's Address: P.O. Box 62120, Tampa, FL, 33662
Vendor's Teleph e No.: 888-252-3529 Point of Contact: Sarah Smith
Sole Source Justific tion: Readers have high propensity for travel to Florida; 1/3 of circulation within
08/01/2014
driving distance to Emerkid Coast; free online impressions,to promote “one-click away" iy,
& a i vA
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: 2 Disapprove:
Amount of Purchase: Daie:
C_
| G/Z2-])4.
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.
wo 2e
YES
NAME(S) POSITION(S)
FIRM NAME: COASTAL LH Vial Gs
BY (PRINTED): Obes KEKE
BY (SIGNATURE): WN ee it Gey
TITLE: SVE & rn
DATE: 2 | 3l / [4
ADDRESS: Ziooe_ Lat ESHyLe OA
buduveHlam AL 3S2 04
PHONE NO. 2oS-HYES-GBSS
E-MAIL (RE KEYER © TM EING -0 O77
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 TORE 14°F
Requesting Department's Suggested Vendor: Southern Living
Vendor's Address: P.O. Box 62375, Tampa, FL, 33662
Vendor's Telephone 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 rere Coast: free online impressians to promoje “one-click away" campaign. .
WN. ZA og01/2014. 7 re
Requesting Departmen} 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: 4 Disapprove:
Amount of Purchase: Date:
Q /z2]i4e
Date U
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 oifficials(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: SOUTHERN LIVING
BY (PRINTED): Jennifer Hedges
Seon oJ Pledgis
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 SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No. : 504.581.7191
Depariment/Division: Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TOM iu
Requesting Department's Suggested Vendor:.Better Homes & Gardens A Mevedi te)
Vendor's Address: 1716 Locust Street, Des Moines, IA, 50309
Vendor's Telephone No.: 515-284-3000 Point of Contact: Stacey Rosseter
Sole Source Justification: Specific regional focus with this national magazine; multi-media platform
i
includes online ion ns and social media ep "one-click away" campaign, as well as Jead generation.
Le
AN LEE 08012014 & Sy, J/pey
o 7
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: ho Disapprove:
Amount of Purchase: Date:
al, C/z2 )i4
Purchasing Director Signature ! patd
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
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 #147
Requesting Department's Suggested Vendor: Everyday with Rachel Ray C Meredite)
Vendor's Address: 1716 Locust Street, Des Moines, IA, 50309
Vendor's Telephone No.: 515-284-3000 Point of Contact: Stacey Rosseter
Sole Source Justification: Specific regional focus with this national magazine; multi-media platform
includes onl e impressions and social mediate prgmote "one-click away" campaign, as well as lead generation.
\ ese, 08/01/2014 CV ir hey
Requesting mepanren Head Sidhature Ddéte / ~
See eee eee sees see ee ee ee eee eee
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:
Jaale B/22 [14
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
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 #147
Requesting Department's Suggested Vendor: More C Hered)
Vendor's Address: 1716 Locust Street, Des Moines, [A, 50309
Point of Contact: Stacey Rosseter
Vendor's Telephone No.: 515-284-3000
Sole Source Justification: Specific regional focus with this national magazine; multi-media platform
includes opline irgpressions and social media to pypmote "one-click away" campaign, as well as lead generation.
Ne Eber 08/01/2014 ef LL
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact:
Vendor #2 Contact:
Vendor #3 Contact:
Buyer Comments:
Phone No.:
Phone No::
Phone No.:
Signature of Buyer Who Reviewed
Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: _ =
Amount of Purchase:
Director Sig nature
~ Purcha Sins
Disapprove:
Date:
B/ZZ|1q
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: 38/01/2014 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
Depariment/Division: Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TO #147
Requesting Department's Suggested Vendor: Family Circle Gh M eved
Vendor's Address: 1716 Locust Street, Des Moines, IA, 50309
Vendor's Telephone No.: 515-284-3000 Point of Contact: Stacey Rosseter
Sole Source Justification: Specific regional focus with this national magazine; multi-media platform
includes online impr@ssiong and social media to promote “one-glick away” campaign, as well yy generation.
Lt
eee. 08/01/2014 uf y) f
Requesting Department Aead Signature te
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: YA Disapprove:
U
Amount of Purchase: Date:
B22 I4
Purchasihg 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 tts
agencies is also an owner, corporate officer, agency, employee, etc., of their business.
Indicate either “yes” (a county employee, elected official, or agency fs 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: Meredith Corporation
BY (PRINTED): Christine Miller ' :
BY (SIGNATURE): Us aa wey. LG see —
TITLE: Credit Manager
DATE: 77/2014
ADDRESS: 1716 Locust St.
Des Moines 1A 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 TOpK 14Y
Requesting Departmeni's Suggested Vendor: Collinson Media
Vendor's Address: 15 Technology Pkwy S, #250, Norcross, GA, 30092
Vendor's Telephone No.: 678-987-9000 Point of Contact: Derek Rodriguez
Sole Source Ju yfiication: Visit Florida partnership (tactic of 2014/2015 Strategic Marketing Plan);
print and online Las nents; 12K lead generation quarantee.
N/N— CE vee. 8101/2014 rly Le
Requesting De Ravi irhess Signature Bate /
REVIEW BY PURCHASING DEPARTMENT
in 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: 4— Disapprove:
Amount of Purchase: Date:
A
7 a
Aa) Ltt ok Qf22)) 4
Purchaging 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, eitc., 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:
BY (PRINTED): Riek Howe lI:
BY (SIGNATURE): bd, Wert
TITLE: Cou ller
DATE: 7? / iT / l Y
ADDRESS: Colinton Medre.’s Events
\ | voy S* She aSO
PHONE NO. Wocres, GS 20092
E-MAIL towel @ colliasoa med) ta. CON
SINGLE SOURCE PURCHASE DATA SHEET
Dajte: 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 TORS 14 F
Requesting Department's Suggested Vendor: Escape to the Southeast (Alpha Wolf Media Sales)
Vendor's Address: 3685 Bellegrove Ridge, Marietta, GA, 30062
Vendor's Telephone _No.: 770-977-3225 Point of Contact: Rick Gower
Sole Source Justification: Only available through Southeast Tourism Society partnership;
print, online, social media c
we lead generation program.
Lobe 08/01/2014 E&Y “4 Lf
Requesting Department jason NFL) Daye ye
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 Commenis:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
—
Approve: ye _ Disapprove:
U
Amount of Purchase: Date:
Pry tele col B/22| [4
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
Aug 13 14 02:54p Gower 7109773225 p.t
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possib!e conilict of interest, all bicders/proposers, must disclose if
any Okaloosa Board of County Commissione:, employee|s). elected officials(s), or if any of its
agencies Is also an owner, corporate officer, agency, employee, efc.. of their business.
Indicate elther “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_ 3K
NAME(S) POSITION(S)
FIRM NAME: Alpha Wolf Media Group agent for Southeast Tourism
Soclety
BY [PRINTED}: Richard L Gower i. 7?
BY (SIGNATURE}:
THLE: President
DATE: August ?, 2014
ADDRESS: 3685 Bellegrove Ridge
Marietta, Georgia 30062
PHONE NO. 770-977-3225
=-MAIL RiekGriekgqower.com,
file:////pmafs.pmaadv.com/...MA Shared/OKAT/12014-2015 Media/Conflict of Interest Forms/Escape to the Southeast/non compete PAM. gif[8/14/2014 12:16:44 PM]
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 TORK 14%
Requesting Depariment's Suggested Vendor: Texas Monthly
Vendor's Address: P.O. Box 1569, Austin, TX, 78767
Vendor's AS No.: 512-320-6900 Point of Contact: Sunday O'neill Leek
Sole Source sted 60% of subscribers are within Houston and Dallas/Fort Worth regions, which are
primary feeder i inthe 2014/2015 Wee Marketing Plan adopted by TDC and BCC
PLZ il 08/01/2014 “ty Ay
Requesting ~sa ee ZL Yate /
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:
“Adu Insel ecu OF: 224) 4.
Purch@sing Director Signature Ddte '
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 ea
NAME(S) POSITION(S)
Emmis Pusristwe Alb [a
FIRM NAME: TexAs N\ ONTHL
BY (PRINTED): Evizagern Lazehau
BY (SIGNATURE): A -
TITLE: \ as) ANKG ER
DATE: “LI ("7 [ (uf
ADDRESS: Bll. Cone eess , STé [700
Ausris , TX___78701
PHONE NO. 512. 320- 6914
E-MAIL ELAZEW ey (2, Texas Mov cy . 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 Toax JU
Requesting Department's Suggested Vendor: Atlanta Magazine
Vendor's Address: 260 Peachtree Street, Suite 300, Atlanta, GA, 30303
Vendor's Telephone No.: 404-527-5500 Point of Contact: Sunday O'neill Leek
Sole Source Justification: Most subscribers of any Atlanta periodical: 70% of audience plans a visit to
Florida in next 12 months; primary feeder market audience,
\ WI LEELA. 08/01/2014 el, LY
f
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:
AZZ )1¢-
[ Date /
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
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
agencles ls also an owner, corporate officer, agency, employee, etc., of thelr business.
Indicate either “yes" {a county employee, elected official, or agency Is also associated with
your business}, or "no". If yes, glve person(s} name(s) and posiifon(s} with your business,
YES XxX
NAME(S) POSITION(S)
FIRM NAME: Axeecira NMeoazs Ne
BY (PRINTED): Qeageett Heasedeuin
OE TEES
BY (SIGNATURE): x
A ever<us) 2 Diectoe.
TITLE:
DATE: 20
ADDRESS: 200 PEACHIZEG GT.
Suite 200 ATLANTA GA 30503
PHONE NO. 4(O4-SZ4¥- SSG
MAL GHEABERLUIA ( ATLANTAMAGAZING. Com
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requesior: Peter Mayer Phone No.,:; 504.581.7191
Depariment/Division: Tourist Development Department (TDD)
ltem Description: 2014/2015 Media Plan TOAXX™ 14%
Requesting Department's Suggested Vendor: Canadian Traveller (hy Passion kudre)
Vendor's Address: 802-1166 Alberni Street, Vancouver, BC, Canada, V6E 2Z3
Vendor's Telephone No.: 1-866-699-9933 Point of Contact: Jennifer Prendergrast
Sole Source Justification:
Visit Florida partnership (tactic of 2014/2015 Strategic Marketing Plan); reaches
all of Canada, a target group in the 2014/2015 Strategic Marketing Plan adopted by TDC and dy, y
“Uifl4
KA LEE: 08/01/2014
Requesting Department ieee ~ Dele /
EVIEW 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:
U
Amount of Purchase: Date:
2)22 LL
sing Director Signature Datef '
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 iheir 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: (Ou Yn ssion Mealia
BY (PRINTED): mie arate: [eaaialsse
BY (SIGNATURE):
OF hl
TITLE: AsSociale- (uo Vy blithe
DATE: du ly (2, fold
ADDRESS: WI We ly ee o.
Van vey BC Woe 828 Conach
PHONE NO. 914-S34-99 95 Avec
E-MAIL \e An erp 2 uy pass. io Malie-cata.
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.,; 504.581.7191
Depariment/Division: _Tourist Development Department (TDD)
item Description: 2014/2015 Media Plan TO#Sx? JU 4
Requesting Department's Suggested Vendor: Dreamscapes
Vendor's Addyess: 3 Bluffwood Drive, Toronto, Ontario, M2H 3L4
.t 1-888-700-4464 Point of Contact: Bonny Mager
Vendor's Telephone |
Sole Source Justification: Visit Florida partnership (tactic of 2014/2015 Strategic Marketing Plan); includes
Toronto newspaper ras ll as distribution through Air Canada lounges.
Ii LK, 0 Camron 4 UMA
Requesting Department Head Signature Date/
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:
Aru bAmal_ 6/224).
Purchésiijg 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 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 xX
NAME(S) POSITION(S)
FIRM NAME: Globelife Travel Marketing Inc, DreamScapes Magazine, Travel Guide to
Florida
BY (PRINTED): Joe Turkel Til OQ
BY (SIGNATURE): Ohne : ut, Aa’
TITLE: President ahd Group Publisher
DATE: July 17, 2014
ADDRESS: 3 Bluffwood Drive
Toronto, ON M2H 314 , Canada
PHONE NO. 414-497-5353
EMAIL tigc@rogers.,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 Tope [UT
Requesting Department's Suggested Vendor: Crossings
Vendor's Address: 1455 Normandy, LaSalle, ON, Canada, N9J 3N1
Vendor'sT elephoné Ni .1 519-969-7646 Point of Contact: Renu Saggar
Sole Source Justification)
Visit Florida partnership (tactic of 2014/2015 Strategic Marketing Plan); includes
Ontario newspaper ins} rt as wall as distribution to CVB, Airport, info centers, & travel agents.
\ pA Lv tak vensinos A Jy /4
Requesting Department Head Signature pate/ *%
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:
O)
Amount of Purchase: Date:
q/22 14
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
NAME(S) POSITION(S)
FIRM NAME: Ase Publishing lao Corssinas (v Agar Ney
BY (PRINTED): Adelina lpving
BY (SIGNATURE): Abe
TITLE: Oftice. Manager
DATE: Oulu 1 | dove
ADDRESS: [455 Normandy
Lw(alle Onl Nasr 3ni
PHONE NO. 514- 4b4-TbY¥ lo
_ E-MAIL DAPLO 1 CF
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 TORXK JYF
Requesting Department's Suggested Vendor: Toronto Life
Vendor's Address: 111 Queen Street East, Suite 320, Toronto, Ontario, M5C 1S2
: 416-955-4960 Point of Contact: Maggie Woodburn
Vendor's Telephone N
Sole Source J ustification: Visit Florida partnership (tactic of 2014/2015 Strategic Marketing Plan); readers
are 70% more likely to m ve travelled NI Florida in the past 3 years; Canada's #1 city magazine.
iN LE, wh vesynois yy he
Requesting Department Head § J Pate/
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:
SD peak Bl22||4-
Purciiasi g 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 i9
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’) with your business.
YES NO 4
NAME(S) POSITION(S)
FIRM NAME: “Toronto Lif, Maggiqine.
BY (PRINTED): Lin Absa, wells
BY (SIGNATURE): Kits ho
TITLE: fEsociz kn fdolishne
DATE: duly [be LOI
ADDRESS: nat Ven SL. &..
Taro ro, 6M) MSC |$2—
PHONE NO. 416- 455-U457
E-MAIL wells ©. tor nctol ite 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 Toaxx UF
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
o.: 44 (0)-20-8649-7233 Point of Contact: Sally Parker
Vendor's Telephone
Sole Source Justificatio : Visit Florida partnership (tactic of 2014/2015 Strategic Marketing Plan);
only international travel quide Sanctioned by Visit Florida; Eusopean target audience; distributed in 17,markets.
aN A, 8/01/2014 SLi Le Ti
Requesting Depariment-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: fo Disapprove:
Amount of Purchase: Date:
Pin Hdlerak B/22/14-
Pur¢hasing 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