Okaloosa County BOCC — August 18, 2015 — CW Roberts Renewal Form/ Coordination

CONTRACT/LEASE RENEWAL FORM June 15,2015 C.W. Roberts, Inc. Attn: Darryl Carpenter, Vice President 160 Industrial Park Road Freeport, FL 32439 RE: C14-2083-PW Dear Mr. Carpenter The Okaloosa County Board of County Commissioners agrees to renew the subject contract/lease, # C14-2083-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 $250,000 . All other terms and conditions 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 Ceftificate of Insurance listing Okaloosa County as co-insured (if applicable). COUNTY REPRESENTATIVES AUTHORIZED COMPANY REPRESENTATIVE Dept. Directo Contractor: () w. W &@% Signature: Date: Approved By: __ QA—J/Z/M Approved By: Title: LAC«e /?’QS ‘/vf' (as prescribed below on item 1) Approved By: (as prescribe Date: Date: 1Y Zots 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 Cerlificate 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: /’ |4 '<;0873 -PW Tracking Number: [g géf)é < Grant Funded: YES NO Contractor/Lessee Name: CVJ ?e/(/rcu(% Purpose p@mmu/ /m( (/flc~// Date/Term:___/ ,}3 © } b 1. L4 GREATER THAN $50,000 d / Amount: fi’ofl‘fio‘ WO 2. D GREATER THAN $25,000 ] Department: P W 3. [] $25,000 R LEsS Dept. Monitor Name: »/-J;h ‘t L Document has been reviewed and includes éf)y attachments or exhibits. Purchasing Review AP ement requiremen{s are me:t / i ) VMA/ Date: 7'27-/—5 Purchasing Dire tor or Desngnée Joar\?ne Kublik or Sunnie Estes i Risk Management Review Approved as written: L) % Date: 7¢? s Risk Mz(nager or desfgnee Laura Porter or Krystal King County Attorney Review " e i ol Approved as written: Ale ctlecl s Date: County Attorney Gregory T. Stewart or Lynn Hoshihara Following Okaloosa County approval: Contracts & Grants Document has been received: Date: Contracts & Grants Manager Okaloosa County Purchasing Department 602-C North Pearl Street Crestview, Florida 32536 (850) 689-5960 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. From: Parsons, Kerry [mailto:KParsons@ngn-tally.com] Sent: Monday, July 27, 2015 10:20 AM To: Joanne Kublik Cc: Lynn Hoshihara Subject: RE: Renewals CW Roberts 2083 and 2095 “C14-2083-PW is approved for legal purposes. Where is the original contract for C14-2095-PW, it is not in the attached link? If you would provide it, | will review. Thanks, Kerry From: Joanne Kublik [mailto:jkublik@co.okaloosa.fl.us] Sent: Friday, July 24, 2015 4:08 PM To: Parsons, Kerry; Lynn Hoshihara; Laura Porter Subject: Renewals CW Roberts 2083 and 2095 Please review. http://www.co.okaloosa.fl.us/sites/default/files/contracts/contra pdf/C14-2083-PW.pdf http://www.co.okaloosa.fl.us/sites/default/files/contracts/contra pdf/C14-2095-PW.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 Please note: Due to Florida's very broad public records la