Okaloosa County BOCC — October 6, 2015 — Medical Examiner Lease Renewal

CONTRACT/LEASE RENEWAL FORM Date: 8/10/2015 District One Medical Examiner Attn: Jeff Martin 5151 N. 2th Ave. Pensacola, FL 32504 RE: Lease Renewal Dear Mr. Martin: The Okaloosa County Board of County Commissioners wishes to renew the subject confract/lease, #L15-0415-CAO for an additional term. The confract renewal period will be October 1, 2015 to September 30, 2016. Per the lease agreement, a revision to the Section 3 rent credit will occur as a result of the percentage in the Fiscal Year 2015-16 Medical Examiner budget. The new amount credited to Okaloosa County is $38,455.56, leaving $19,810.44 as the remaining balance. If you would like to review the previously accepted contract, please feel free to view on-line at http://www.co.okaloosa.fl.us/contracts/contra pdf/L15-0415-CAQ.pdf 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)to County Administrator's Office, 1804 Lewis Turner Blvd., Suite 400, Fort Walton Beach, FL 32547. COUNTY REPRESENTATIVES AUTHORIZED COMPANY REPRESENTATIVE Dept. Directer & County Admipists Contractor:_Disteict One. Medica | Examiner~ Signature: 4 7) , 5 75~ /,/fl _ Approved By: Approved By: = — %fi MARLTIN (as preécribed below on item 1) Approved By: Title: béfli' CTO (2 (as prescribed below on item 1) Date: Date: OQ/C;L/}O"-S 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. (If 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.