Okaloosa County BOCC — September 16, 2014 — Peter Mayer Task Order 148 $546,475.00 081214

TASK ORDER APPROVAL FORM 08-29-14A09:04 RCVD CONTRACT #: C12-2007-TDC TASK ORDER #: 148 TASK ORDER AMOUNT: $546,475 OFFERED BY CONSULTANT: Peter Mayer Advertising FIRM'S NAME safnds Geiger “_e PRINTED NAME Nf SIGNATURE CFO 8/8/14 TITLE \ DATE RECOMMENDED FOR APPROVAL (Department Director) BR h aad SIGNATURE TDP Dra TITLE eu fol DATE t COUNTY ADMINISTRATOR (if applicable) 28/14 DATE APPROVED BY OKALOOSA COUNTY (Per Purchasing Manual) e $25,000 or less approved by Purchasing Director e Between $25,001 and $50,000 approved by Purchasing Director and County Administrator e In excess of $50,000 approved by the Board. Su bolas L ak. PURCHASING DIRECTORS, Feelover K B/ Z2N4 DATE CHAIRMAN (if applicable) DATE TOURIST DEVELOPMENT DEPARTMENT ATTORNEY APPROVAL FORM CONTRACTOR NAME: PETER MAYER ADVERTISING CONTRACT #: C12-2007-TDC TASK/PURCHASE ORDER #: 148 FY15 SMP Leisure Broadcast Packages TASK/PURCHASE ORDER AMOUNT: NOT TO EXCEED $546,475! I have reviewed the above-referenced task/purchase order and find it to be in compliance with the terms of the contract, Tourist Development Department Operations & Procedures Manual, the Okaloosa County Purchasing Manual and applicable local, state and federal laws, rules and regulations. (Initial applicable authorization) LY This approval authorizes the goods/work described in the attached Task or Purchase Order to be performed or acquired. This approval authorizes the goods/work described in the attached invoice(s) to be processed for payment. APPROVED AS TO FORM AND LEGALITY: 2 LYNNM.HOSHIPSXRA TDD ATTORNEY Siz | iY DATE * The Agency’s authorization to purchase media as stated in this Task Order is contingent upon receiving fully- executed Sole-Source Forms and Conflict of Interest Disclosure Forms/Certification from the Agency. Payments under this Task Order shall not be issued without the necessary form(s). Task Order 148 August 8, 2014 FY15 SMP Leisure Broadcast Packages Pass Through Costs 1 BACKGROUND & PROJECT ASSIGNMENT Okaloosa County, through Okaloosa County Tourist Development Department (hereafter referred to as “Client”) has asked Peter Mayer (hereafter referred to as “Agency”) to develop a new project - a series of leisure broadcast packages to run in various outlets as part of the FY 2014-15 Strategic Marketing Plan adopted by the BCC on August 19, 2014. The project will run from October 2014 through September 2015 and will consist of paid media as well as advertising tactics to support it. This task order reflects the Paid Media hard (pass through) costs for the campaign as noted on page 17 of the contract. Agency fees for related media planning (TO 98) and media purchasing and reporting (TO 142) for the campaign have been provided in previous task orders. The County approved the FY 2014-2015 Strategic Marketing Plan on August 19, 2014, which included a line item for Media Campaign (Fall/Winter, Christmas, Snowbird, Spring/Summer, Non-Seasonal/Niche, Groups, Meetings/Conventions) in the amount of $1,914,775. 2 ACTIVITIES & DELIVERABLES 1. Fulfillment of a Client approved Media Plan/Recommendations, which includes: National Cable $270,000 Bill Dance TV $55,000 Destination Network TV $42,500 Satellite Radio $38,250 Spot Market Radio $113,000 Atlanta Braves $25,000 Radio Promotional Costs $2,725 Total $546,475 2. Broadcast packages negotiated by the agency may include email blasts, online banners, print, and/or other non-broadcast advertising components. 3. In accordance with Contract #C12-2007-TDC, the Agency has attached single source and conflict of interest forms for Client review 4. Invoice reconciliation and proof of advertising materials to support all invoices, as noted in the Inclusions section of this document and the contract pages 2 and 17. Inclusions: « No invoice will be approved unless a copy of the actual invoice from the vendor accompanies the invoice reflecting the acquisition of goods/services ® Agency to submit copies of effective contracts, insertion orders, recapitulation of credits and debits affecting previously submitted statements or invoices and substantiating bills, and tear sheets, with support materials or other proof of publications for invoices presented for payments Peter Mayer Okaloosa TDD Page 1 Confidential 1111242v2 Task Order 148 August 8, 2014 FY15 SMP Leisure Broadcast Packages Pass Through Costs Q e All make-good placements for media placements specific to this campaign will run within the campaign period prior to the campaign end date unless otherwise noted in written approval from the Client e All artwork, photography, design, layout, production materials, websites, domain names, etc., created by, and all rights acquired by the Agency for the Client will become property of the Client upon acceptance, subject to any third party, rights and the Agency’s ownership of any Code. Exclusions: e None 3 COST The cost of this Task Order is not to exceed $546,475. Agency is authorized to purchase such media on behalf of the Client and proceed with executing the activities set forth in this Task Order. 4 BILLING Client will be billed in accordance with Contract # C12-2007-TDC. 5 GENERAL ASSUMPTIONS The following are general assumptions about the project that affect the timing, scope or cost of the project. The above assumes: e Timely delivery of any required documentation from the Client e Client will make available appropriate personnel and decision-makers for attending scheduled workshops and meetings for reviews and approval so immediate consensus can be reached e Client will conduct timely reviews and provide consolidated feedback and written approvals on a timely basis based on an agreed-upon schedule e Delays in Client reviews may extend timing and add risk to the final delivery 6 CONTACT INFORMATION Ellen Kempner, Management Supervisor/Vice President 504.210.1217 kempnere@peteramayer.com Michelle Clarke, Account Supervisor 504.210.1287 clarkem@peteramayer.com James Geiger, Chief Financial Officer 504.210.1263 selgerd@peteramayer com 7 AGENCY SIGNATURE Peter Mayer: L pt ee Date: % | B | | 4 \ Peter Mayer J Okaloosa TDD-- Page 2 Confidential 1111242v2 SINGLE SOURCE PURCHASE DATA SHEET Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.,; 504.581.7191 Department/Division: Tourist Development Department (TDD) Item Description: 2014/2015 Media Plan TOHKK ] 48 Requesting Department's Suggested Vendor: DMOT, Inc. (Bill Dance) Vendor's Address: 434 Distribution Parkway, Collierville, TN, 38017 Vendor's Tel ere No.: 901-853-6490 Point of Contact: Carlton Veirs Sole Sourre Justification: TV program is the #1 rated show in its category, which is a target group in the npn RN trategic Marketing plan adopted by the TDC and BCC. SL hw 08/01/2014 edule Date / Requesting Department Head Signature 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 Purchase: Date: Zin Steal 2 tus ZZ} [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 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. YES NO Va NAME(S) POSITION(S) BY (SIGNATURE): ite. KU oon FIRM NAME: Bil Dares Lactlears/ DMT. BY (PRINTED): Absl(e LS WZ, DATE: I ie es LE Abaddon foe Calliecyie NW 3807 PHONENO, g b/ “B53 UY2O E-MAIL Lkeasm s@BII Nnee ithoors. Carn SINGLE SOURCE PURCHASE DATA SHEET Date: 8/01/2014 PRNo.: Requestor: Peter Mayer Phone No.: 504.581.7191 Department/Division: Tourist Development Department (TDD) Item Description: 2014/2015 Media Plan TORXX” lug Requesting Department's Suggested Vendor: Destination Media Vendor's Address: P.O. Box 897 Vendor's Jelephone No.: 352-475-2200 Point of Contact: Gary Jones Sole Source Justification: Viewers have already demonstrated an affinity for beach destinations; just need to redirect them to Emerald Coast; Atlanta and New Orleans markets also reach at-home audiences. s BSA wel 08/01/2014 gtr foe, Requesting Depariment Head Signature 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: ra Disapprove: Amount of Purchase: Date: Aur teak & [zz 4 Purclasing Director Signature ite 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 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. CONFLICT OF INTEREST DISCLOSURE FORM ages —"tT YES, NO. x NAME(S) POSITION(S) FIRM NAME: Destination Media, Inc, BY (PRINTED): Gary A, Jones BY (SIGNATURE): * Lo TITLE: CO DATE: July 17, 2014 ADDRESS: PO Box 897 Melrose, FL 32666 PHONE NO. 352-475-2200 E-MAIL gary@dmiflorida.com SINGLE SOURCE PURCHASE DATA SHEET Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191 Department/Division: Tourist Development Department (TDD) Item Description: 2014/2015 Media Plan TOHXX 4 Requesting Department's Suggested Vendor: Satellite Radio (Sirius/XM) Vendor's Address: P.O. Box 33174, Detroit, MI, 48232 Vendor's Telephone No.: 972-378-0035 Point of Contact: Julie Heath Sole Sourde Justification: The only satellite radio provider in the United States DNB I hook. 08/01/2014 ‘ Hi h vA Requesting Deyarment Head Signature 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: < f Disapprove: Amount of Purchase: Date: Bw tyler al 2/224 Purchasihg 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 Aug 14 14 09:49a To Stee CONFLICT p.1 Lhe 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} namet{s) and position(s) with your business. YES : NO. VV NAME(S) POSITION(S) FIRM NAME: Sxl BY (PRINTED): Sutie Heath BY [SIGNATURE]: £ avec ee 4 TITLE: beet Uta ey DATE: e| 2, Se ADDRESS: PHONE NO. OV-b71 8 - 0630. Wreath? SV - CM EMAIL wl. J SINGLE SOURCE PURCHASE DATA SHEET Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.; 504.581.7191 Department/Division: Tourist Development Department (TDD) Item Description: 2014/2015 Media Plan roe YY Requesting Department's Suggested Vendor: Atlanta Braves Vendor's Address: 755 Hank Aaron Drive SE, Atlanta, GA, 30315 Vendor's Telephone No.: 404-614-1407 Point of Contact: Mark Lehman Sole Source Justification: Major league's most winningest franchise since 1991; #1 most popular team in the South; fak reaching fan base; primary feeder market audience. ( L \ LE Low 08/01/2014 em, Li YA 7 Requesting Department Head Signature Date/ ieee [ecansenasenssenneersnssaneerseesanstantsnnesnsertantanesnanetaneetansenneenanetnnesnneecetes 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: a Disapprove: Amount of Purchase: Date: A tederoh P/22))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 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 eliher "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. 5 | NO, a NAME(S) POSITION(S) FIRM NAME: Atlanta Braves National League Baseball Club, Inc. BY (PRINTED): Mark Lehman BY (SIGNATURE): yd.4 —— TITLE: Manager, Corporcte Parinershins DATE: August 11, 2014 ADDRESS: 755 Honk Agron Drive Atlanta, GA 30315 PHONE NQ,. 404-414-1407 E-MAIL morkJehman@braves.com SINGLE SOURCE PURCHASE DATA SHEET |_| Date: q IS HC PR No.: Requestor: Phone No.: 5045817191 Department/Division: Tourist Development Department (TDD) Item Description: 2014/2015 Media Plan TO 148 Requesting Department's Suggested Vendor: The Weather Channel Vendor's Address: 1177 6th Avenue, New York, NY 10036 Vendor's reer No.: 212-856-5279 Point of Contact: Melissa Squaires Sole Source Justification: The most common cable channel in the country, reaching 87.5% of households with television. \ RCLELZ. swore lel Dai Requesting Department\Head Signature’ 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 Purchase: Date: , hey tH ok P10 [1 4 Purchasing Biregior Signature Date ’ CY Ban fed {eat 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 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. aan YES. NO. NAME(S) POSITION(S) FIRM NAME: The boeather Chnane| BY (PRINTED): MelisSa SQualles BY (SIGNATURE): YN LUA MUA TITLE: VP, PraAing A Planing DATE: (Ova@c: ADDRESS: [177 60% Ave. hte Yorke, MY 10036 PHONE NO, la- 390-5374 EMAIL (MVietissa +» Squares wWeethir. com SINGLE SOURCE PURCHASE DATA SHEET | 4 | U PR No.: Requestor: Phone No.: 5045817191 $ 1 ————— Date: LI Department/Division: Tourist Development Department (TDD) Item Description: 2014/2015 Media Plan TO 148 Requesting Department's Suggested Vendor: Beach TV Vendor's Address: PO Box 9556, Panama City Beach, FL 32407 Vendor's Telephone No.: 850-276-9527 Point of Contact: Linda Voorhees Sole Source Just na Dedicated to the beach and beach lifestyle; provides viewers with facts and info to make the most of\a beach vacation; 24/7 coverage. \ WA £3 DN LE, Mju 08/01/2014 Ue Je Requesting Department Head Signature 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: Zt Disapprove: pprov ra pp Amount of Purchase: Date: Abs dofeal Wio [4 Purch hasing, Director Signature : Bate! Zan) Feclorel 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 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 efther “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. YES _ NO NAME(S) POSITION(S) FIRM NAME: BeachTV BY (PRINTED): Linda Voorhees BY (SIGNATURE): ot hoot hin TITLE: Ght- Deshh Marker DATE: £-23-1¢ ADDRESS: P.0. 86x 97556 Foanama Crtn Beach, Fl 32407 PHONE NO. 850.276.9527 (bus, cell) E-MAIL linda. Voorhees @ tripsmarter.com. SINGLE SOURCE PURCHASE DATA SHEET Date: 4 | i di “_ PRNo:: Requestor: Phone No.: 5045817191 ' Department/Division: Tourist Development Department (TDD) Item Description: 2014/2015 Media Plan TO 148 Requesting Department's Suggested Vendor: Cooking Channel (Scripps Network) Vendor's Address: 9721 Sherril Blvd, Knoxville, TN 37932 Vendor's Telephone No.: 404-419-9572 Point of Contact: Jacquie Henderson Sole Source Justification: Speciality TV channel focusing on foodie niche & female demographic, both of | which are targets in the FY 2014/15 Strategic Marketing Plan adopted by TDC & BCC LECLE LO 08/01/2014 gfe le Requesting Depattment Head Signature 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: ao Disapprove: Amount of Purchase: Date: 2 folmak Qo} 14 Purefiaging oh Diréctor Si ature Date / Za Fee (CLE 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 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, YES, no NAME(S) POSITION(S) FIRM NAME: Sernees Networks Interoctive. BY (PRINTED): daceure, Henk <n BY (SIGNATURE): QeputHbn schoo TITLE: Bac. they at Beces dive, Fess NetuonK DATE: Ass. Jef ADDRESS: F7Al Sherrl) Alvol Knoxville IN ATF DA. PHONE NO. 4O04~ 419- 9RTA. E-MAIL Thendersan@ focdlhnetiuaK.cam , j SINGLE SOURCE PURCHASE DATA SHEET | Date: " Is I Y PR No.: Requestor: Phone No.: 5045817191 7 \ Department/Division: Tourist Development Department (TDD) Item Description: 2014/2015 Media Plan TO 148 Requesting Department's Suggested Vendor: Clear Channel - Nashville Vendor's Address: 55 Music Sq West, Nashville, TN 37203 Vendor's Telephone No.: 615-664-2446 Point of Contact: Melissa Kent Sole Source Justification: Clear Channel is the nation's largest owner of full-power AM &FM radio stations; Nashville is a mm target audience in the FY 2014/15 Strategic Marketing Plan adopted by TDC & BCC; 3:1 ROI \ WW SH pw 08/01/2014 aha VY Requesting —— Head Signature Ddte 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: Zi ~ Disapprove: L- Amount of Purchase: Date: 2 /| hus foul pier a Q) 0 14 Pores, Pltesior Signature Date | ZAP) Fe Or ae 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 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. YES, NAME(S) NO. xX POSITION(S) FIRM NAME: BY (PRINTED): Clear Channel Nashville Melissa Kent BY (SIGNATURE): TITLE: Wohin tat General Sales Manager. DATE: 8/26/14 ADDRESS: 55 Music Sq West PHONE NO. Nashville TN 37203 615-664-2446 E-MAIL melissakent@clearchannel.com SINGLE SOURCE PURCHASE DATA SHEET a | j Date: Y | g LU PR No.: Requestor: Phone No.: 5045817191 Department/Division: Tourist Development Department (TDD) Item Description: 2014/2015 Media Plan TO 148 Requesting Department's Suggested Vendor: Cumulus - Baton Rouge Vendor's Address: 631 Main Street, Baton Rouge, LA 70801 Vendor's Telephone No.: 225-236-3576 Point of Contact:_Greg Benefield Sole Source Justification: Cumulus is the nation's second largest radio station operator; Baton Rougeiis ap a target ee ee in the FY. 20 4/15 SMP adopted by TDC & BCC; 3:1 ROI ,; 08/01/2014 Vk hada 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: r am Disapprove: Amount of Purchase: - Date: WMuitele, a “t / 1O((4 Purchasing Director Signature Date ' ZEA fealorek. 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 CONFLICT OF INTEREST DISCLOSURE FORM For purposes of determining any possible conflict of interest, all bicders/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 elther “yes” (a counly 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. Ye NO NAME(S) POSITION(S) FIRM NAME: (i OMI | US BY (PRINTED): Gx. Si; fbewek at BY (SIGNATURE): ZZ) THLE: RVO /Mar tet Murmmser DATE: B-267/¥ ADDRESS: @3( Man Sfacet Caton Loe bf 7°90 v . 4 PHONE NO. (2253 236-3576 E-MAIL <Gesg bene Field@Camalas Com SINGLE SOURCE PURCHASE DATA SHEET Date: __‘| Id | PR No.: Requestor: Phone No.: 5045817191 Depariment/Division: Tourist Development Department (TDD) Item Description: 2014/2015 Media Plan TO 148 Requesting Department's Suggested Vendor: Cumulus - Lafayette Vendor's Address: 202 Galbert Rd, Lafayette, LA 70506 Vendor's Telephone No.: 337-408-9208 Point of Contact: Robin Chapman Sole Source Justification: Cumulus is the nation's second largest radio station operator; Lafayette is a primary target audience in the FY 2014/15 Strategic Marketing Plan adopted by TD0/& BGC; 3:1 ROI v \ MN ZF i a 08/01/2014 FL E [4 v4 7 Requesting Department\Head Signature Dat, 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: Pp on Amount of Purchase: Date: <2. 4 /) Cl z= afi in bebe 710 f 4 Purchasing Director Signature Date! Za) facto eek 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 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 elther "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. YES. NO L NAME(S) POSITION(S) FIRM NAME: Gran Les Wechce BY (PRINTED): Ae ni Wanna BY (SIGNATURE}: Lhe Cay bra— TITLE: S30 wOA Q he ou nt Prue Cu #10 DATE: 8 | 2-2 [AE ADDRESS: AND al lye rk kee . Yaelauette, [A 20506 PHONE NO. 253) — He - -4L.0 a E-MAIL aan nha Did iN OC 4 NAIM S: Com SINGLE SOURCE PURCHASE DATA SHEET ale |), { Date: 4 Ic I jt PR No.: Requestor: Phone No.: 5045817191 Department/Division: Tourist Development Department (TDD) Item Description: 2014/2015 Media Plan TO 148 Requesting Department's Suggested Vendor: Cumulus - Huntsville Vendor's Address: 806 Governors Dr SW Vendor's Telephone No.: 256-262-1201 Point of Contact: Cythia Bryce Sole Source Justification: Cumulus is the nation's second largest radio station operator; Huntsville is a phimary target audience in the FY CLE Strategic arketing Plan adopted v TD £3" ROI . VW Sce ’ 08/01/2014 ile Requesting Deparimept Head Lt 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 Purchase: Date: af metolie al a H com 4 Purchasing Direct Sig, atur Date eShasing Director Slant 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 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 p sition(s) with your business. YES. NO. NAME(S) POSITION(S) FIRM NAME: mvs BY (PRINTED): Ota du (QD BY (SIGNATURE): TITLE: i $ W vows: {dv 7 UVES by ev AL 355 PHONE NO. ISU rd lad) E-MAIL Court rere (0 Cus _— SINGLE SOURCE PURCHASE DATA SHEET { Date: “TTS H aT) { v Department/Division: Tourist Development Department (TDD) |] U PRNo.: Requestor: Phone No.: 5045817191 Item Description: 2014/2015 Media Plan TO 148 Requesting Department's Suggested Vendor: Cumulus - Birmingham Vendor's Address: 244 Goodwin Crest, Birmingham, AL 35209 Vendor's reser No.: 205-945-4646 Point of Contact: Reade Taylor Sole Source Justification: Cumulus is the nation's second largest radio station operator; Birmingham is a oe tget audience in FY 2014/15 Strategic Marketing Plan adopted ay a 3:1 ROI rn SLC oso12014. 7 UY &) Requesting Departmen Head Signature Bate 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 Purchase: Date: <b, Stlnal afi fi Purchasing Director Signature Date! ed Zan beclorake 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 CONFLICT OF INTEREST DISCLOSURE FORM For purposes of determining any possible conflict of interest, all bidders/proposers, must clisclose if ony 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. YES NO. WA NAME(S) POSITION(S) FIRM NAME: BY (PRINTED): Reade. Tay lew BY (SIGNATURE): Cage TITLE: ferns Shs Meaoger DATE: cy es fh 4 ADDRESS: 244 Goodwin Crk Birminghan AM SF%eM PHONE NO. Cedysr-re te E-MAIL Peace. Fey fe 7.0 tlw le b.c2 mm SINGLE SOURCE PURCHASE DATA SHEET lis] Date: 9 LS hi “| PRNo.: Requestor: Phone No.:5045817191 Tt Depariment/Division: Tourist Development Department (TDD) Item Description: 2014/2015 Media Plan TO 148 Requesting Department's Suggested Vendor: Cumulus - Montgomery Vendor's Address: Suite 300, One Commerce St, Montgomery, AL 36104 Vendor's Telephone’ Noy; 334-240-2248 Point of Contact: _Lanier Harris Sole Source Justification: Cumulus is the nation's second largest radio station operator; Montgomery is a primary target\audience in the FY 2014/15.SMP adopted by TDC & BCC; 3:1 RO; \ Ly 7 \ in eéhgrv 08/01/2014 a Date Requesting Department mt Signature \ -EVIEW 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: 4F Disapprove: Amount of Purchase: Date: un tbr QUO [14 . . . A yn 7] Purchasing Director Signaluy obra 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 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, eitc., 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. YES. NO__XXXX_ NAME(S) POSITION(S) FIRM NAME: _ Cumulus Media/Montgomery BY (PRINTED): ‘Lanier W. Harris BY (SIGNATURE): WAALS \N 4 FORA, TITLE: _Key Account Manager DATE: 8/25/14 ADDRESS: Suite 300, One Commerce Street Montgomery AL 36104 PHONE NO. 334-240-2248 E-MAIL lanier.harris@cumulus.com SINGLE SOURCE PURCHASE DATA SHEET |), Date: A iS HA PR No.: Requestor: Phone No.: 5045817191 Department/Division: Tourist Development Department (TDD) Item Description: 2014/2015 Media Plan TO 148 Requesting Department's Suggested Vendor: Cumulus - Little Rock Vendor's Address: 700 Wellington Hills Road, Little Rock, AR 72211 Vendor's Telephone No.: 501-401-0200 Point of Contact: Gena Wilfong Sole Source Justification: Cumulus is the nation's second largest radio station operator; Little Rock is a ‘liner target audience in the FY 20141 |5 Strategic Marketing Plan adopted by TDC & BCC; 8:1 ROI G N DN SE 08/01/2014 WELLS 7 F Requesting naa Signature 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: L- Disapprove: [= Amount of Purchase: Date: Durvbtdral Q Jt fd Purchasing Director Signature Date Za] Fedorek 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 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. YES, No NAME(S) POSITION(S) FIRM NAME: Cumulus Radin Corporation BY (PRINTED): G ena Wilfang BY (SIGNATURE): Kha Wibpenp TITLE: Business Manager DATE: Slaalwy ADDRESS: 100 Weilington Hills Road Cite Role, RE Teast PHONE NO, 20\-UD- O00 E-MAIL —gena wilfong@ cumulus.coan SINGLE SOURCE PURCHASE DATA SHEET he Date: FIST prno.: Requestor: Phone No.; 5045817191 Lt t Department/Division: Tourist Development Department (TDD) Item Description: 2014/2015 Media Plan TO 148 Requesting Department's Suggested Vendor: Entercom Communications Vendor's Address: 800 Poydras Street, Suite 400, New Orleans, LA 70124 Vendor's Telephone Nd,: 504-250-5150 Point of Contact: Stephen Klein Entercom develops unique locally programmed stations & partners with the N.O. Sole Source Justification. Saints & Pelicans; v Orleai is a primary ee) audience in FY 2014/15 SMP adopted by TDC & 71 ROI oe: WN £LE LE 08/01/2014 Requesting Department Head Signature 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: AE Disapprove: — of Purchase: Date: 2 fbbeb Tied Purch hi Director Signature Date Zan Fedorak 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 CONFLICT OF INTEREST DISCLOSURE FORM ’ For purposes of determining any possible confilct of interest, all bicders/proposers, must disclose if any Okaloosa Board of County Commissioner, employee(s), elected officlals(s), or if any of Its agencies is also an owner, corporate officer, agency, employee, etc., of their business. Indicate either "yes" fa 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. YES, NO__ XxX . NAME(S) . ; POSITION(S) ’ FIRM NAME: . Entercom Communications BY (PRINTED): Stephen Klein , BY (SIGNATURE): He. Kb. Te: Senior Account Executive DATE: ; Monday August 25, 2014 ADDRESS: , 800 Poydras Street Suite 400 ; ____ New Orleans, Louisiana 70124 PHONENO. 504-250-5150 EMAIL sklein@entercom.com SINGLE SOURCE PURCHASE DATA SHEET Date: ) g Iu eRe requestor 5045817191 Li 0.: equestor: Phone No.: xy Department/Division: Tourist Development Department (TDD) Item Description: 2014/2015 Media Plan TO 148 Requesting Department's Suggested Vendor: South Central Media - Knoxville Vendor's Address: 1100 Sharps Ridge Memorial Park Dr, Knoxville, TN 37917 Vendor's Telephon@No.: 865-329-8635 Point of Contact:_Terryl Oliver Sole Source Justification: The #1 W25-54 stn offering the best added value pkg. Knoxville is a primary target audience in the FY 2014/15 SMP, adopted by TDC & BCC; 3:1 Ri Jef 14] LLG M (08/01/2014 Requesting Department Held Signature he 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: hoa u eral oY (o/ i4 Purch sing Director Signature Date Zar tedo-wk- 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 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 ts also an owner, corporate officer, agency, employee, etc., of fheir 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. YES. NOo_ NAME(S) POSITION(S) FIRM NAME: Wdxh-97.5 Fm BY (PRINTED): Tecast Olwer py (siGnatury: fan ; f ¢ M actA TITLE: ' I sntsce. > iheate DATE: : S/o Lik ADDRESS: LOO Sha fit Pedy Memeriat- fark In. Anoxwtile IN, 37417 PHONE NO, §ig 5 -229-8b35 E-MAIL —to liver @seuthcenta! meu dom Od of Ya frd aumnacl wall be terry), cher @Mue radie.com SINGLE SOURCE PURCHASE DATA SHEET Oo | sel | IN | \U PR No.: Requestor: Phone No.:.5045817191 Date: Department/Division: Tourist Development Department (TDD) Item Description: 2014/2015 Media Plan TO 148 Requesting Department's Suggested Vendor: Alpha Media - Louisville Vendor's Address: 5205S. 4th St, 2nd Floor, Louisville, KY 40202 Vendor's Telephone No.: 502-625-1270 Point of Contact: Rhiannon Meyer Sole Source Justification: Alpha Media's WKMA is a top 5 station offering the highest added vale pkg.) Louisville is a = udience in the FY 2014/15 SMP adopted by TDC & BCC; 3:1 ROI LL 08/01/2014 PLES LY Requesting Department en Dafe 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: oe Disapprove: Amount of Purchase: Date: PAM toler alt Qo] Purchasing Director Signature Date! in keetorele. 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 CONFLICT OF INTEREST DISCLOSURE FORM For purposes of determining any possible conflict of interest, all bidcers/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., af 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. YES No 6 NAME(S) POSITION(S) FIRM NAME: Aha Media Lose We BY (PRINTED): ry cuanen A nerer BY (SIGNATURE): c aw OO fa ne YX. Yuin TITLE: Qsek. “Busintss Panag DATE: @\aosuy ADDRESS: S80 Ste St And La, Lovisdtte, KY Udada PHONE NO, Soa-~ LOS: (AGO E-MAIL Chiaanen, Musee alvhamntclinusa . Corny SINGLE SOURCE PURCHASE DATA SHEET Date: 4 ‘a T Department/Division: Tourist Development Department (TDD) | PR No.: Requestor: Phone No.: 5045817191 Item Description: 2014/2015 Media Plan TO 148 Requesting Department's Suggested Vendor: Flinn Broadcasting -Memphis Vendor's Address: 6080 Mt. Moriah, Memphis, TN 38115 Vendor's Telephone No.: 901-375-9324 Point of Contact: Carey Dickey Sole Source Justificati Top 5 W25-54 Station (non-Urban) with high W25-54 composition & highest value package. Memphis is M3 Requesting Department H ad Signature Dajé 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: primary target audience in the FY 2014/15 SMP adopted by TDC & BCC; 3.5:1 ROI SEE ee 08/01/2014 PIED? 5 7 Signature of Buyer Who Reviewed Date Purchasing Services Manager Comments: Purchasing Services Manager Signature Date PURCHASING MANUAL - SINGLE SOURCE DETERMINATION Comments: i = A ; Approve: < Disapprove: Amount of Purchase: Date: Sauchn ale P/O PE Purchasing Director Signature Bate / eA fpeverny 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 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 |s 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. YES. NAME(S) POSITION(S) FIRM NAME: F[,92 BromQeeelisigCan (2482 HA BY (PRINTED): Cow sey ethan BY (SIGNATURE): ZA ea 7. a in f° TITLE: Sew it WAL +t ~Cre o le DATE: 2 Pas (14 ADDRESS: GQKO pAt. Moaiatt Aheygbrie STP» ag 5 PHONE NO, (4o('\ 435°-9F220Y E-MAIL _ Carey ethan Coun. SINGLE SOURCE PURCHASE DATA SHEET | alcliy Date: I | ia PR No.: Requestor: Phone No.: 5045817191 Department/Division: Tourist Development Department (TDD) Item Description: 2014/2015 Media Plan TO 148 Requesting Department's Suggested Vendor: WDEF & WDOD Radio - Chattanooga Vendor's Address: 2615 South Broad Street, Chattanooga, TN 37408 : 423-321-6200 Point of Contact: Cheri Moore Vendor's Telepliog N Sole Source soil lei Stations can be heard throughout SE TN, NW GA (often to NW metro Atlanta), & most of NE AL; top-feeder markets in the FY 201 Pe Pad iw TDC & BCC; 3:1 ROI XX te 08/01/2014 / G/ly Requesting Department Feta Signature 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: xt Disapprove: ——_§_ Amount of Purchase: Date: Bur Polinok 10 4 Peehsing Direqtor Spits 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 CONFLICT OF INTEREST DISCLOSURE FORM For purposes of determining any possible conflict of interest, all bidcers/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. YES. NO____X NAME(S) POSITION(S) FIRM NAME: WDEF FM and WDOD FM. BY (PRINTED): Cheri Monroe BY (SIGNATURE): VA VAL = TITLE: Account Executive DATE: 8/25/14 ADDRESS: 2615 South Broad Street Chattanooga, TN 37408 PHONE NO, (423) 321- 6200 E-MAIL cmonroe@wdefradio.com ry SINGLE SOURCE PURCHASE DATA SHEET Alot Date: g Ke | he PR No.: Requestor: Phone No.: 5045817191 Department/Division: Tourist Development Department (TDD) Item Description: 2014/2015 Media Plan TO 148 Requesting Department's Suggested Vendor: The Radio People - Jackson Vendor's Address: 265 Highpoint Dr, Ridgeland, MS 39157 Vendor's Telephone.No.: 601-956-0102 Point of Contact: Bill Rakestraw Sole Source Justificati WJKK is the #2 non-urban station W25-54 offering the best added value pkgs. Jackson is a primary target idience in the FY 2014/15 S| adopted by TDC & BCC; 3:1 ROI . Irv ZC _ossosn0is PIG S49 : 7 e Requesting Department i Signature Dat 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: wis Disapprove: Amount of Purchase: Date: Liat ole elt — BAholi¢e Purchasing Director Signature ob Date / (Ov ar Fe 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 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 wiih your business), or "no". IF yes, give person(s} name(s} and position(s} with your business. YES NO va NAME(S) POSITION(S) FIRM NAME: The Qvadtes Veale BY (PRINTED): Pill Qaveskcad BY (SIGNATURE): TITLE: DATE: ADDRESS: PHONE NO. E-MAIL Louse Wa GARY. Gon lait Gladopece. wet- SINGLE SOURCE PURCHASE DATA SHEET \ alc Date: | ( | [U PR No.: Requestor: Phone No.: 5045817191 Department/Division: Tourist Development Department (TDD) Item Description: 2014/2015 Media Plan TO 148 Requesting Department's Suggested Vendor: Red Hills Broadcasting - Tallahassee Vendor's Address: 3000 Olsen Rd, Tallahassee, FL 32312 Vendor's AN 850-386-8004 Point of Contact: Hank Kestenbaum Sole Source Justification: Red Hills' WHTF & WANK: Top 5 W25-54 offering highest AV Package Tallahassee is a ning ar audience in the F) 291 4 yy by TDC & BCC; 3:1 ROI ‘ ~\on d x 4 08/81/2014 GL ESIA Requesting Department era Date L EVIEW 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: Zz / _ Disapprove: O Amount of Purchase: Date: Abu ssttinal 8 ide Purcha ing Director Signature Date ’ hay Zahy tele Cai ‘a 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 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 ousiness. 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. YES NO. ae NAME(S) POSITION(S) FIRM NAME: Ken fr L Jum Cas, Lg BY (PRINTED): Tm bist E02 Ala BY (SIGNATURE): Abt l= —_ TITLE: Cencek Mpsecec DATE: ¥/. Pt Lig. ADDRESS: Zaee Ciecea ha Theramaste, £6 32310. PHONE NO. WSO - 34 Hoo E-MAIL han kk aed’ A Ms R30 (0. Com