Okaloosa County BOCC — October 20, 2015 — TRANS OF THE DISDVANTAGED

CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number: Tracking Number: /,' é) "Z (g Grant Funded: YES ){ NO Contractor/Lessee Name: QS'h‘I"- g W _ Purpose wg—d—aflm %fi-fl_ DMW Date/Term: (0/ 20 I}/b 1. % GREATER THAN $50,000 Amount: fi%fif‘ PH,. 00 2. [] GREATER THAN $25,000 Department: 3. [] $25,000 OR LESS Dept. Monitor- Namew /w‘.fifi(/l Document has been reviewed and includes any attachments or exhibits. Purchasing Coordination W Date: /D’g’/5 P{rchasing M‘éyager or Dq!ig‘éev Joanne Kublik or Sunnie Estes Risk Management Review Approved asyr'nen: /\f /7« Date: Risk Manaéer or designee Laura Porter or Krystal King County Attorney Review Approved as written: County W @ ory T. Stewagt, Lynn Hoshihara, Kerry Parsons o'r desi!gnee Following Okaloosa County approval: Contracts & Grants Document has been received: Date: Contracts & Grants Manager SAMAS Approp.: 108846 Fund: TDTF FM/Job No(s): 43202718401/43202818401 SAMAS Obj.: 750074 Function: 035 CSFA No.: 55.001 Org Code: 55120000952 Contract No.: G0270 Vendor No.: 596000765 FLORIDA COMMISSION FOR THE TRANSPORTATION DISADVANTAGED TRIP & EQUIPMENT GRANT AGREEMENT AMENDMENT #1 THIS AGREEMENT, made and entered into this day of , 2015 , by and between the STATE OF FLORIDA COMMISSION FOR THE TRANSPORTATION DISADVANTAGED, created pursuant to Chapter 427, F.S., hereinafter called the Commission and Okaloosa County Board of County Commissioners (101 E James Lee Blvd, Crestview, FL 32536-1359), hereinafter called the Grantee. WITNESSETH: WHEREAS, the Commission and the Grantee heretofore on the _ July 1, 2015 entered into a Grant Agreement; and WHEREAS, the Commission desires to participate in all eligible items of development for this project as outlined in the attached Exhibit(s) _Aand B . NOW, THEREFORE, THIS INDENTURE WITNESSETH: that for and in consideration of the mutual benefits to flow from each to the other, the parties hereto agree that the above described Grant Agreement is to be amended and supplemented as follows: 1.00 Purpose of Agreement: The purpose of the agreement is not changed. 2.00 Accomplishment of the Project: The accomplishment of the project is not changed. 3.00 Project Cost: Project Cost is not changed. 4.00 Exhibits: Exhibit(s) B (page 2 ONLY) of said Agreement is (are) replaced by Amended Exhibit(s) A and B (page 2 ONLY) and which is {are) attached hereto and made a part hereof. EXCEPT as hereby modified, amended or changed, all other terms of the Agreement dated July 1, 2015, shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have caused these presents be executed, the day and year first above written. GRANTEE: OKALOOSA COUNTY BOARD OF COMMISSION FOR THE TRANSPORTATION COUNTY COMMISSIONERS DISADVANTAGED BY: BY: TITLE: TITLE: _Executive Director (Commission Designee) EXHIBIT "A" PROJECT DESCRIPTION AND RESPONSIBILITIES TRIP/EQUIPMENT This exhibit forms an integral part of that Grant Agreement, between the State of Florida, Commission for the Transportation Disadvantaged and Okaloosa County Board of County Commissioners (101 E James Lee Blvd, Crestview, FL 32536-1359). PROJECT LOCATION: Okaloosa County PROJECT DESCRIPTION: To purchase passenger trips and/or capital equipment so that transportation can be provided to the non-sponsored transportation disadvantaged in accordance with Chapter 427, Florida Statutes, Rule 41-2, Florida Administrative Code, the most current Commission policies and the Fiscal Year 2015-16 Program Manual for the Trip & Equipment Grant for non-sponsored trips and/or capital equipment. Services shall be provided and equipment, including vehicles, will be utilized through a coordinated transportation system which has a Memorandum of Agreement in effect, as set forth in Chapter 427, Florida Statutes and Rule 41-2, Florida Administrative Code. Trips shall be purchased at the fares indicated in Exhibit B, Page 2 of 2 attached to and made a part of this agreement.