Okaloosa County BOCC — April 21, 2015 — L15-0418-FM.pdf Internal Coordination for Opportunity Inc.

CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number: L[]S —=p-HB=F11) Tracking Number:_/ 33 7—*%5 Grant Funded: YES NO Contractor/Lessee Name:_@g_&-m« %d@h\cfimfl C)Bh‘f‘MD{aAL Purpose%bcfi aap U Date/Term: /O/ lr/w ~ 9/30 /J-+ 1. [] GREATER THAN $50,000 Amount: ¥l0o / Ldm) 2. [] GReATER THAN $25,000 Department:__ M\ 3. [] $25,000 OR LESS 7 Dept. Monitor Name: Dwotytf Document has been reviewed and includes any attachments or exhibits. Purchasing Review Procurement requiremenfzz; /%t // Date: "/ '/3 //S P/drchasing Q)irector or Defigne‘ca/ V" \_ Joanne Kublik or Sunnie Estes \ Risk Management Review Approved gs written: FW% Date: /76/ /\S‘://d— Risk M@/nager orkde/signee Laura Porter or Krystal King County Attorney Review Approved as written: Date: Gregory T. Stewart or Lynn Hoshihara_ Cour)l;yAttomey i oa (AL L Sdon L] N2l (P RAC A AT o 3 T I / e NS Following Okaloosa County approvallz Contracts & Grants Document has been received: Date: Contracts & Grants Manager Joanne Kublik From: Lynn Hoshihara Sent: Tuesday, April 14, 2015 9:45 AM To: Joanne Kublik; Parsons, Kerry; Laura Porter Cc: James Puckett; hstokley@ngnlaw.com Subject: RE: 1338-15 AND 1339-15 These leases are approved as to legal. It's my understanding James Puckett is working on the revised exhibit. Lynn M. Hoshihara Please note: Due to Florida's very broad public records laws, most written communications to or from County employees regarding County business are public records, available to the public and media upon request. Therefore, this written e-mail communication, including your e-mail address, may be subject to public disclosure. From: Joanne Kublik Sent: Monday, April 13, 2015 3:02 PM To: Parsons, Kerry; Laura Porter Cc: Lynn Hoshihara Subject: 1338-15 AND 1339-15 These leases are being put through coordination review again. I’m told the Exhibits are forthcoming. I’m also told Heath Stokely wrote these documents. Lynn, if you remember, these went through a couple weeks ago. I guess they were not accepted. Also, I’ve requested COIs for both documents. With that said, these need your attention to be placed on the April 21st agenda - deadline is Wednesday at noon. Thanks and let me know if you have any questions. Thanks, Jo http://www.co.okaloosa.fl.us/sites/default/files/contracts/contra pdf/L14-0405-FM.pdf http://www.co.okaloosa.fl.us/sites/default/Files/contracts/contra pdf/L15-0418-FM.pdf Joanne Kublik, Contracts and Lease Coordinator Okaloosa County Purchasing Department 602-C North Pearl Street Crestview, Florida 32536 (850) 689-5960 jkublik@co.okaloosa.fl.us<mailto:jkublik@co.okaloosa.fl.us> Please note: Due to Florida's very broad public records laws, most written communications to or from County employees regarding County business are public records, available to the public and media upon request. Therefore, this written e-mail communication, including your e-mail address, may be subject to public disclosure. Common Policy Declarations RENEWAL DECLARATION [ e e e e ) NAME AND ADDRESS OF AGENCY INSURANCE COMPANY Illinois National Insurance Co. Irwin S8iegel Agency, Inc. 25 Laké Louise Marie Road 175 Water Street - 18th Floor. Rock Hill NY 12775 New York NY 10038 AGENCY 0000096397 NAME AND MAILING ADDRESS OF INSURED POLLCY NUMBER RENEWAL OF ORALCOSA WALTON HOMELESS CONTINUUM 06-1X -027564138-3/000 06-LX-027564138-2 OF CARE OPPORTUNITY POLICY PERIOD 305 LOVEJOY RD FROM: 10-19-14 TO: 10-19-15 FORT WALTON BEACH FI, 32548 at 12:01 A.M. standard time at the mailing address shouwn. ) . /[ ! ' ! ' [ | -/ [ [ ! | J [ | ! | | | THE NAMED INSURED IS : CORPORATION BUSINESS DESC : SOCIAL SERVICE/OCC IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE INSURANCE AS STATED IN THIS POLICY. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT. PREMIUM COMMERCIAL PROPERTY