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

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