Okaloosa County BOCC — July 7, 2015 — Contract Renewal Form

| LUNIRAGLI/LEAJE RENEVYVAL FUKIVI CDUN"“ Date: May 1, 2015 Gulf Coast Underground, LLC Attn: Spencer Tuell 3158 Old Shell Road Mobile, AL 36607 RE: OCWS Annual Manhole Rehab Contract Dear Mr. Tuell: The Okaloosa County Board of County Commissioners agrees to renew the subject contract/lease, #C13-2066-WS for an additional term. The contract renewal period will be 10/1/2015 to 9/30/2017. The annual budgeted amount for this contract is $200,000._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 Ceriificate of Insurance listing Okaloosa County as co-insured (if applicable). COUNTY REPRESENTATIVES AUTHORIZED COMPANY REPRESENTATIVE Conftractor: G\)\Q C,oc\g'& \)\Ao&v%(wap Approved By: /?% item 1) | CJ Spewee T vell Approved By: Title: \/\lcc ?(QS‘LQQ\A, (as prescribed below on item 1) Date: Date: Sljgljl 5 County Department Instructions: Dept. Director +— Signature: \X Approved By: (as prescribed Below 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.