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

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: