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CONTRACT/LEASE RENEWAL FORM
Date:
Company Name: Emergency Systems Services, Inc
Attn: Melodye Zich-Barnhart
Address: P.O. Box 1178
City, State, Zip: Lillian, AL 36549
RE: CO9-1752-FM
Dear Melodye Zich-Barmhart:
The Okaloosa County Board of County Commissioners agrees to renew the subject
contract/lease, #€09-1752-FM for an additional term. The contract renewal period
will be 10/01/2014 to 9/30/2015. The annual budgeted amount for this contract is
$16,776.54.
If you are in agreemeni, 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
Dept. Dire a od Y Contractor: Emergency Systems Services, Inc
signature: PMG SX e \,
Approved By: Approved By: (\ doo 2 Rove >
(as prescribed below on item 1} ar, yo?
Approved By: Title: Greeudext/ O Wer
(as prescribed below on item 1) t
Date: £S bA\zore Date: /D)2).20) ca
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 Adminisirator’s signatures
are required. Make sure the company provides a current Certificate of Insurance. (lf
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.
10-13-14A11:40 RCVD
BID SHEET
PRICE EACH
ITEM # SITE ADDRESS MODEL MAINTENANCE/SERVICE
302 N. WILSON ST, KATOLIGHT (DIESEL)
1 |BRACKIN BLDG. CRESTVIEW #D300FRXT3 35703 $244.99
1250 MIRACLE STRIP PRWY,
2 |CONVENTION CENTER |S.E., FWB ONAN (DIESEL) #DFCV5550929 $244.99
BLACKMAN COMMUNITY
3 |CENTER 7590 HWY. 189 N., BAKER. GENERAC (LP) #QTO4554AVANA $175.01
SUPERVISOR OF 5479 OLD BETHEL RD,
4 |ELECTIONS CRESTVIEW GENERAC (NG) #QT04039ANAN $192.49) ,
COURTHOUSE ANNEX 11250 N. EGLIN PKWY,
5 [RADIO TOWER SHALIMAR GENERAC (NG) #QT02015ANAN $139.99
5489 OLD BETHEL RD., GENERAC (NG)
6 __|FACILITY MAINTENANCE |CRESTVIEW #QT15068JNANA $192.49
7 [JAIL MAIN BUILDINGS _|HWY 90 E,, CRESTVIEW ONAN (DIESEL) #200DFBG $244.99
8 [JAIL WAREHOUSE HWY 90 E., CRESTVIEW GENERAC (NG) #0595740100 _ $102.49
9 [JAIL KITCHEN & ADMIN [HWY 90 E., CRESTVIEW GENERAC (NG) 6698730100 $192.49
2707 GOODWIN AVE,
10 |FLEET OPS (NORTH) CRESTVIEW GENERAC (NG) #99A0Z40S $175.01
11 |FLEET OPS (SOUTH) 84 READY AVE, FWB GENERAC (NG) #990240 $192.49
1250 N. EGLIN PKWY,,
12 _|COURTHOUSE ANNEX __|SHALIMAR CATEPILLAR (DIESEL) #3412 $315.00
SHERIFF'S DEPT 306 BRACKINAVE.,
13 |(NORTH) CRESTVIEW GENERAC (NG) #99A037095 $175.01
602-C N. PEARL ST,
14 |PURCHASING CRESTVIEW GENERAC (NG) #00757-O $175.00
2110 PJ ADAMS PKWY.,
15 |911 BLDG. (OLD) CRESTVIEW GENERAC (NG) #98AD53815 $0.00
ROAD DEPT. 1759 S. FERDON BLVD.,
16 |ENGINEERING (NORTH) |CRESTVIEW GENERAC (NG) #3454020100 $175.00
INFORMATION SYSTEMS |602-B N. PEARL ST, GENERAC (NG)
17 |EMS #4 (NORTH) CRESTVIEW #QT10068ANANA $192.49
INFORMATION SYS-OLD |601-AN. PEARL ST. #205,
48 _ |HOSPITAL BLDG. (N) CRESTVIEW GENERAC (NG) #2352920200 $192.49
INFORMATION SYS GENERAC (NG)
19 |(SQUTH)-HEAD IN 1-A.9TH AVE., SHALIMAR #QT13068GNANA $192.49
20 [TRANSIT BUILDING 600 TRANSIT WAY, FWB GENERAG (NG) #4882090 100 $192.49
CRESTVIEW 101 £, JAMES LEE BLVD,
21 _ |COURTHOUSE CRESTVIEW CATEPILLAR (DIESEL) #3456 $210.00
160 COLLEGE BLVD, CATEPILLAR (DIESEL)
22 |INEW 911 CENTER NICEVILLE #G65C03436 $700.00
COURTHOUSE 7940 LEWIS TURNER BLVD., _|CUMMINS (DIESEL)
23 |EXTENSION FWB #K100167121 $499.80
812, JAMES LEE BLVD.., GENERAC (DIESEL)
24° |HEALTH DEPT (N) CRESTVIEW #9567170100 $192.49
GENERAC (DIESEL)
25 |HEALTH DEPT (S) 221 HOSPITAL DR., N.E., FWB_ |#SD3001018808010C $192.49)
GRAND TOTAL
CONTRACT HOURLY RATES FOR REPAIRS:
PER HOUR/IDENTIFY
SCHEDULED WORKING
LABOR: $70.50 HOURS, 7:30AM-4:00PM
TRAVEL: $70.50 PER HOUR
PER MILE (CONTRACT
MILEAGE: $0.00 CUSTOMERS ONLY)
OVERTIME: $105.75 PER HOUR
# OF SERVICES [YEARLY COST PER
PER YEAR SITE
3 $734.97
3 $734.97
3 $525.03
3 $577.47
3 $419.97
3 $577.47
3 $734.97
3 $577.47
3 $577.47
3 $525.03
3 $577.47
3 $945.00
3 $525.03
3 $525.00
) $0.00
3 $525.00
3 $577.47
3 $577.47
3 $577.47
3 $577 47
3 $630.00
3 $2,100.00
3 "$1,499.40
3 $577.47
3 $577.47
$16,776.54]
