Okaloosa County BOCC — April 7, 2015 — Signed Contract-Lease Renewal Form

CONTRACT/LEASE RENEWAL FORM Date: February 4, 2015 Michael Woodham 235 Matties Way Destin, FL 32541 RE: Ricky Street Boat Ramp Parking Area Dear Mr. Woodham: The Okaloosa County Board of County Commissioners agrees to renew the subject contract/lease, # 1L00-0143-PW for an additional term. The contract renewal period will be April 14, 2015 to April 14, 2020. The annual budgeted amount for this contract is $ 3,000.00. 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 (Iif applicable). COUNTY REPRESENTATIVES AUTHORIZED REPRESENT/,A}TIVW é%l» Dept. Director Property Owner:v)/\/% 0 Signature: Approved By: Approved By: (as prescribe Approved By: Title: Ll ry Derttl (as prescribed below on item 1) Date: J4% 19 evs Date: 2RV L, R4 County Department Instructions: 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 Adminisirator's signatures are required. Make sure the company provides a current Cerlificate of Insurance. U 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.