Okaloosa County BOCC — January 19, 2016 — Access 2 Care Coordinated Review Sheet

CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number: /\/W Tracking Number:Zéfi(;L_—Lg_ Grant Funded: YES NO Contractor/Lessee Name: A’QCMOQ\ CM_Q Purpose” ] MQMM% a_Vord . s fabvide Liancad-pinie, b | cceds 3 Cane (@ Actorklars Date/Term: 1. [] GREATER THAN $50,000 Amount: D% H'&L#’M/} A WA ,Q,a/(palmé [] GREATER THAN $25,000 Department: 3. D $25,000 OR LESS Dept. Monitor Name: é S@g@ed i I4 ).,0/2{4 Document has been reviewed and includes any attachments or exhibits. Purchasing Coordination Date: / - 7"/ L/ Purchasing Manager or Desighee | Joanne Kublik or Sunnie Estes 1 | Risk Management Review Approved as written: \pze athached Date: Risk Manager or designee Laura Porter or Krystal King County Attorney Review Qoo cdXached Approved as written: ¢ Date: County Attorney Gregory T. Stewart, Lynn Hoshihara, Kerry Parsons or designee Following Okaloosa County approval: Contracts & Grants Document has been received: Date: Contracts & Grants Manager Joanne Kublik From: Parsons, Kerry <KParsons@ngn-tally.com> Sent: Friday, January 08, 2016 10:35 AM To: Joanne Kublik Cc: Lynn Hoshihara; Laura Porter; Janet Willis; Elliot Kampert Subject: RE: Access2Care Please review Jo: The above referenced registration form application is approved for legal sufficieny. Kerry From: Joanne Kublik [mailto:jkublik@co.okaloosa.fl.us] Sent: Thursday, January 07, 2016 3:30 PM To: Parsons, Kerry; Lynn Hoshihara; Laura Porter Subject: Access2Care Please review Please review. Thanks, Jo Joanne Kublik, FCCM Contracts and Lease Coordinator Okaloosa County Purchasing Department 602-C North Pear] Street Crestview, Florida 32536 (850) 689-5960 jkublik@co.okaloosa.fl.us Please note: Due to Florida's very broad public records laws, most written communications to or from County employees regarding County business are public records, available to the public and media upon request. Therefore, this written e-mail communication, including your e-mail address, may be subject to public disclosure. Joanne Kublik From: Laura Porter Sent: Friday, January 08, 2016 12:22 PM To: Joanne Kublik Subject: RE: Access2Care Please review This meets the requirements for approval by Risk Management. Iaura ffivrter Risk Manager Okaloosa County Board of County Commissioners (850) 689-5977 Fax: (850) 689-5973 Please note: Due to Florida's very broad public records laws, most written communications to or from County employees regarding County business are public records, available to the public and media upon request. Therefore, this written e-mail communication, including your e-mail address, may be subject to public disclosure. From: Joanne Kublik Sent: Thursday, January 07, 2016 2:30 PM To: 'Parsons, Kerry'; Lynn Hoshihara; Laura Porter Subject: Access2Care Please review Please review. Thanks, Jo Joanne Kublik, FCCM Contracts and Lease Coordinator Okaloosa County Purchasing Department 602-C North Pearl Street Crestview, Florida 32536 (850) 689-5960 jkublik@co.okaloosa.fl.us Please note: Due to Florida's very broad public records laws, most written communications to or from County employees regarding County business are public records, available to the public and media upon request. Therefore, this written e-mail communication, including your e-mail address, may be subject to public disclosure.