Okaloosa County BOCC — October 4, 2013 — Lease REnewal — reading text

CONTRACT/LEASE RENEWAL FORM LEASE # L07-0282-WS Date: October 11, 2013 JOE'S UPHOLSTERY 1310 F ODDFELLOW ROAD, FWB Company Name: Joe’s Upholstery EXPIRES: 09/30/2014 Attn: Joseph E. McKenzie Address: 1310-F Oddfellow Road City, State, Zip: Fort Walton Beach, FL 32547 RE: Renew Lease Okaloosa County Water & Sewer Dear Sir, The Okaloosa County Water & Sewer Department agrees to renew the subject contract/lease, #LO7-0282-WS for an additional term. The contract renewal period will be 10/1/2013 to 9/30/2014. The annual revenue received from this lease is $5,088.00. 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 Dept. Director Contractor: Joe’s Upholstery Jeff Littrell ~ Approved By x S. ey Approved Oy gas! Led tl Print Name: ZOSEMH 4 ME KEVLE (as prescribe below on item) Signature: Approved By: Title: (as prescribed below on item 1) Date: LO 132//2 Date: Jol le [l3 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 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,