Okaloosa County BOCC — September 2, 2014 — Task order approval form C12-2007-TDC - 147 — reading text

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