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Okaloosa County BOCC — July 2, 2013 — PMA Task Order 59 — reading text
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Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: L Disapprove:
Amount of Pyrc : Date:
(ibe | 2-38")
Purchasing Director Signature Date
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
19
SINGLE SOURCE PURCHASE DATA SHEET
Date: July 26, 2013 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
Department/Division: Tourist Development Department (TDD)
Item Description: Online Media Placement
Requesting Department's Suggested Vendor: Orbitz Worldwide
Vendor's Address; 500 West Madison Street, Suite 100, Chicago, IL 60661
Véndor's Telephone No.: 312.260.8506 Point of Contact: Mark Hansen
Sole Source Justification: Orbitz is a top online travel agency that offers strong reach against our online advertising target audience.
rbitz will package and promote travel offers on behalf of Okaloosa Tourism
(Pe July 26, 2013
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: Z Disapprove:
Amount of Purchase: Date:
i 02-40%
Purchasing Director Signature Date
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 19
SINGLE SOURCE PURCHASE DATA SHEET
Date: July 26, 2013 PR No.: Requestor: Peter Mayer Phone No.:; 504.581.7191
De partment/Divisio n: Tourist Development Department (TDD)
Item Description: — Online Media Placement
Requesting Department's Suggested Vendor: The Priceline Media Group
Vendor's Address; 800 Connecticut Avenue, Norwalk, CT 06854
Vendo lephone No.;: 203.299.8452 Point of Contact: Holly Lavender
Sole Source Vustification: Priceline.com is a top online travel agency that offers strong reach against our online advertising target audience.
Priceling will partner with Okaloosa hotels/attractions to package and promote offers/discounts on the client's behalf.
NKAWX July 26, 2013
\
Requesting Department Head Signature ; Op Date
REVIEW BY PU G DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: Disapprove:
Amount of Pur re Date:
OL F017
Purchasing Director Signature Date
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 19
SINGLE SOURCE PURCHASE DATA SHEET
Date: July 26, 2013 PRNo.: Requestor: Peter Mayer Phone No.: 504.581.7191
De partment/Division: Tourist Development Department (TDD)
Item Description: Magazine Placement
Requesting Department's Suggested Vendor: Texas Monthly
Vendor's Address: 816 Congress Ave. #1700 Austin, TX 78701
Vendor's Telephone No.: 512.320.6900 Point of Contact: Kathleen Evans
Sole Source Justification: Publication circulation is concentrated in target geography and readers have a high affinity for beach travel.
Significant discounting was provided based on purchase of print and online impressions, thus providing efficient CPM. Publisher will also provide leads for one month.
Requesting De itment Head Signature j ©) 7 Date
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: Me | Disapprove:
Amount of Purchase:
Date:
0). F0-1%
Purchasing Director Signature Date
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 19
SINGLE SOURCE PURCHASE DATA SHEET
Date: July 26, 2013 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
Department/Division: Tourist Development Department (TDD)
Item Description: Online Media Placement
Requesting Department's Suggested Vendor: Visit Florida
Vendor's Address; 2540 W. Executive Center Circle, Suite200 Tallahassee, FL 32301
Vendor's Telephone No.: 850.205.3871 Point of Contact: Chris Smith
Sole Source Justification: Website is the official cooperative site for Florida travel, with members receiving a 50% discounted rate.
Website is the number ond\visited site for Florida travel. Purchase is for prominent position on home page
~~ 1/29/13
Requesting a Head Signature ’ Ddte
REVIEW BY P HASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Oy ai Se
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: (2 ; Disapprove:
Amount of yp y (Ly Date:
Milt Ton 09- 30-"%
Purchasing Director Signature Date
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
19
SINGLE SOURCE PURCHASE DATA SHEET
Date: July 26, 2013 PR No.: Requestor: Peter Mayer Phone No.:; 504.581.7191
Departme nt/Division: Tourist Development Department (TDD)
Item Description: Online Media Placement
Requesting Department's Suggested Vendor: Google
Vendor's Address: 1600 Ampitheatre Parkway, Mountain View, CA 94043
Vendor's Telephone No.: 650.253.0000 Point of Contact: NA- Self Serve Ad Model
Sole Source Justification: Google offers unparalleled reach for our planned keyword search campaign. We will purchase and manage
the search campaign dirtctly through the Google AdWords interface.
AW July 26, 2013
Requesting Department Head Signature oy, Date
REVIEW BY CHASIN PARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: YY} Disapprove:
Amount of Purchgse; Date:
O%- J0Y
Purchasing Director Signature Date
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 19
SINGLE SOURCE PURCHASE DATA SHEET
Date: July 26, 2013 PRNo.: Requestor: Peter Mayer Phone No.: 504.581.7191
Department/Division: Tourist Development Department (TDD)
Item Description: Online Media Placement
Requesting Department's Suggested Vendor: Facebook
Vendor's Address: 1 Hacker Way, Menlo Park, CA 94025
Vendor's Telephone No.: 650.543.4800 Point of Contact:_NA- Self Serve Ad Model
Sole Source Justification: Facebook offers unparalleled reach for our planned social ad targeting placement. We will purchase and manage
the sedrch campaign directly through the Facebook Ads interface.
July 26, 2013
Resins sea Head Signature we Date
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: Disapprove:
Amount of Pyrc Date:
min 09- 40:4
Purchasing Director Signature Date .
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 19
SINGLE SOURCE PURCHASE DATA SHEET
Date: July 26, 2013 PR No.: Requestor: Peter Mayer Phone No.; 504.581.7191
Department/Division: Tourist Development Department (TDD)
Item Description: Online Media Placement
Requesting Department's Suggested Vendor: Media Mind Technologies, Inc.
Vendor's Address: 135 West 18th Street, 5th Floor, New York, NY 10011
Vendor's Telephone No.: 972.581.1996 Point of Contact: Mina Reddell
Sole Source Jvstification: Media Mind is Peter Mayer's preferred ad serving partner. We will be utilizing Media Mind's service to
serve ads that run as pat of our upcoming shoulder season campaign. Peter Mayer currently holds an ad serving contract with Media Mind.
WW“ July 26, 2013
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: My Disapprove:
Amount of Pyrghase: Date:
<
OV F014
Purchasing Director Signature Date
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose
if any Okaloosa Board of County Commissioner, employee(s), elected officials(s), or if any of its
agencies is also an owner, corporate officer, agency, employee, etc., of their business.
Indicate either “yes” (a county employee, elected official, or agency is also associated with
your business), or "no". If yes, give person(s) name(s) and position(s) with your business.
f
YES NO__~
NAME(S) POSITION(S)
FIRM NAME: fexas MONTHLY
BY (PRINTED): TFASOM SWEVBERS
BY (SIGNATURE): Qemr rmeclleey
TITLE: Ciel. Opeuliony (Map -
DATE: q [0 [12
ADDRESS:
PHONE NO. Sia-3a0-L77Z3
E-MAIL DEwei DBERGAT EAS matte yt CO
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose
if any Okaloosa Board of County Commissioner, employee(s), elected officials(s), or if any of its
agencies is also an owner, corporate officer, agency, employee, etc., of their business.
Indicate either "yes" (a county employee, elected official, or agency is also associated with
your business), or “no”. If yes, give person(s) name(s) and position(s) with your business.
a
YES NO_ ue.
NAME(S) POSITION(S)
FIRM NAME: Southon ] ina
BY (PRINTED): os flee cle
BY (SIGNATURE): J ae wr! ifs AS Lh lope
TITLE: ane achat dense Me
DATE: 3A
ADDRESS: [27] Avtine fle Aner
Now Che Nu poe
PHONE NO. LAL) 32U3--Y sus
E-MAIL 46 pwiqibe, le Le tire tne. Cou
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose
if any Okaloosa Board of County Commissioner, employee(s), elected officials(s), or if any of its
agencies is also an owner, corporate officer, agency, employee, etc., of their business.
Indicate either “yes” (a county employee, elected official, or agency is also associated with
your business), or "no". If yes, give person(s) name(s) and position(s) with your business.
s
YES NO Vv
NAME(S) POSITION(S)
FIRM NAME:
BY (PRINTED):
Y (SIGNATURE): ak aN - a
TITLE: had WT
DATE: “Teolzolr oo
ADDRESS: “ VPOPxx oo
Ta! Asser EL 42.20?-
PHONE NO. ia) 205-2621
E-MAIL coll nSC Vis eile toy bvidg.ot ore
4
