Okaloosa County BOCC — August 18, 2015 — GULF COAST TRAFFIC RENEWAL

CONTRACT/LEASE RENEWAL FORM Date:7/8/2015 Gulf Coast Traffic Engineers David Cook 8203 Kipling St. Pensacola Florida 32514 RE:Contract Renewel Dear David Cook The Okaloosa County Board of County Commissioners agrees to renew the subject contract/lease, # C12-1990-PW for an additional term. The contract renewal period will be 10/1/2015 to 9/30/2016 . The annual budgeted amount for this contract is $100.000.00 = All cther tarms and cconditions of the original agreement shall remain in full force and effect through the duration of this renewal. 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. Directér Contractor,_Dawi> &£. Lok signaturer=__LA7 Jason Autrey Vee Prespevs Date: VA \< Approved By: Approved By: (as prescribe Date: 74’7/5’ Approved By: Title: Pezsipsv las prescriced below onitemi 1) Date: Date;__ ULy 3’ 2A9/8 County Department Instructions: 1) Obtain signatures from Department Director, authorized Company Representative and then 2) 3) 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. (If applicable). Keep a copy of this form for your records. Send original to Purchasing Services Coordinator. If you have any questions please contact the Purchasing Director at 850-689-5960, Fax: 850- 689-5998. CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number: C)Q“‘)cf?o - /)W Tracking Number:__/ 4/4’/5 », . Grant Funded: YES NO Contractor/Lessee Name: &~ ino W w < Purpose — SN Q- Date/Term:__ 9 } 50} 1% 1. S»éREATER THAN $50,000 Amount: 9#%/00',6’0’0 2. [ Greater THAN $25,000 Department: PV\/ 3. D $25,000 OR LESS Dept. Monitor Name: a«jflw Document has been reviewed and includes any attachments or exhibits. Purchasing Review Date: 7"3»/ -/, 5 Purt/{asing Dir\;.a)'or or Desiy;(ee “Joanne Kublik or Sunnie Estes % - Risk Management Review Date: 7‘/—?// "/ ? Laura Porter or Krystal King County Attorney Review Approved as written: % QAL @hla choed ' g(" Date: T ,IBDI‘S CountM) Gregory T. Stewart or Lynn Hoshihara . Following Okaloosa County approval: Contracts & Grants Document has been received: Date: Contracts & Grants Manager