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CONTRACT/LEASE RENEWAL FORM
Date: July 8, 2014
Company Name: Destin Fire Control District
Attn:. Kathryn Wagner
Adaress: 848 Airport Road
City, State, Zip: Destin, FL 32541
RE: Interlocal Agreement for Beach Safety & Lifeguard Services
Contract C14-2086-TDD
Dear: Ms. Wagner:
The Okaloosa County Tourist Development Department agrees to renew the subject
contract/lease, # C14-2086-TDD for an additional term. The contract renewal period
will be October 1, 2014 to September 30, 2015. The annual budgeted amount for this
contract is $ an amount equal to that which is budgeted and appropriated by the
Board of County Commissioners to the Okaloosa County Beach Safety Division for the
provision of beach safety and lifeguards services within the Service Area.
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
Contractor: DESTIN Fize CoNTROe
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NORM IN C8
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Dept. Director
Signature:
Approved By: 27t. Saff
Approved aN
(as prescribed below on item 1)
Approved By: Title: Chairman
(as prescribed below on item 1) .
Date: fof /iy Date: als Li pi
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 Administrator's signatures
are required. Make sure the company provides a current Certificate of Insurance. (lf
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.
DisT2er
TOURIST DEVELOPMENT DEPARTMENT
CONTRACT APPROVAL FORM
CONTRACTOR NAME: DESTIN FIRE CONTROL DISTRICT
PURPOSE: BEACH SAFETY & LIFEGUARD SERVICES
TERM: Expires September 30, 2015
AMOUNT: Equal to that which is budgeted and appropriated by the
BoCC to the Okaloosa County Beach Safety Division
I have reviewed the above-referenced Contract and find it to be in compliance with
the Tourist Development Department Operations & Procedures Manual, the
Okaloosa County Purchasing Manual and applicable local, state and federal laws,
rules and regulations.
(Initial applicable authorization)
LH This approval authorizes the contract to be entered into by the County and
executed by the appropriate authorizing official in accordance with the
Okaloosa County Purchasing Manual.
This approval authorizes the payment under the Contract to be processed
for payment.
APPROVED AS TO FORM AND LEGALITY:
TDD ATTORNEY Cy
LYNN HOSHIHARA
JUNE 12, 2014
