Okaloosa County BOCC — August 18, 2015 — Contract Renewal Form

CONTRACT/LEASE RENEWAL FORM July 2,2015 SunGard Public Sector, Inc. Attn: Tom Amburgey Executive, General Manager 1000 Business Center Drive Lake Mary, FL 32746 RE: SunGard Public Sector, Inc., Contract #: C89-0067-WS Dear Mr. Amburgey: The Okaloosa County Water and Sewer agrees to renew the subject contract, #C89- 0067-WS for an additional term. The contract renewal period will be 10/1/2015 to 09/30/2016. The annual budgeted amount for this contractis $ 65,492.88 and has been budgeted for in FY 2015-2016 in account number 4114101-546900. The 2015-2016 rate sheet is aftached. 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. Director—— 1/ j. {1 Signature: ’LJ | L A Conftractor: S UN GALD Pubuc &QM—IMC . Approved By: C/\fl—fi % ) Approved ; Title: fi/ L (as prescribed below on item 1) Date: pate: &/ 7/ 15 Approved By: (as prescribed Below 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.