Okaloosa County BOCC — June 7, 2016 — Lease Renewal Form

CONTRACT/LEASE RENEWAL FORM Date: 03/24/2016 Company: Office of Criminal Conflict and Civil Regional Counsel, Region 1 Address: P O Box 1019 City, St, Zip: Tallahassee, FL 32302 RE: Office Space Lease, L16-0423-WS Dear Mr Lewis The Okaloosa County Board of County Commissioners agrees to renew the subject contract/lease, #L16-0423-WS for an additional term. The contract renewal period will be 07/01/2016 to 06/30/2017 . The annual budgeted amount for this contract is $.19,125.00 . 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 Certificate of Insurance listing Okaloosa County as co-insured (if applicable). COUNTY REPRESENTATIVES AUTHORIZED COMPANY REPRESENTATIVE X Dept. Director—— : Contractor; Signature: Date: Approved By: W é L’ng/L; Approved By: (as prescribe Date: & / Approved By: (as prescribed below on item 1) Charles K. Windes, Jr.; Chairman Date: Date: 9-zo (& Title: (2E4108AL GORPUaT WuNsTL, | ¥PEAT County Department Instructions: 1) Obtain signatures from Department Director, authorized Company Representative and then 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). 2) Keep a copy of this form for your records. 3) Send original to Purchasing Services Coordinator. If you have any questions please contact the Purchasing Director at 850-689-5960, Fax: 850- 689-5998.