Okaloosa County BOCC — November 4, 2012 — DebrisContractRenewal2013

Board of County Commissioners Purchasing Department State of Florida November 27, 2012 CONTRACT/LEASE RENEWAL FORM DRC Emergency Services, LLC Attn: Ms. April Callaway 740 Museum Drive Mobile, Alabama 36608 RE: Emergency Debris Removal Contract Dear Sir: The Okaloosa County Public Works Department wishes to renew the subject contract/lease #C08-1558- PW2-144 for an additional term. The contract renewal period will be January 1, 2013 to December 31, 2013 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) to Jim Reece, Okaloosa County Recycling Office, 84 Ready Ave, Fort Walton Beach, FL 32548. Should you have any questions please call 850-609-6168, jreece@co.okaloosa.fl.us COUNTY REPRESENTATIVE AUTHOURIZ| Approved By: Approved By: y _@ Print Name: Don R. Amunds Print name: Robey T. Kolo Title: CHAIRMAN Title: Vlada ain Qivecto/ Date: Date: ___ || | 41 | Oe. County Department Instructions: 1) Obtain signatures from Department Director and authorized Company Representative. (Purchasing Director, County Administrator or BCC Chairman, if necessary) Make sure the company provides a current Certificate of Insurance. (If applicable) 2) Keep a copy of this form for your records. 3) Send original to; Jack Allen, Purchasing Services Manager. If you have any questions please contact Jack Allen at 850-689-5960, Fax—850-689-5998, e-mail: jallen@co.okaloosa.fl.us Dept./Director: Public Works Co) : Woes, WLC Board of County Commissioners Purchasing Department State of Florida November 27, 2012 CONTRACT/LEASE RENEWAL FORM Storm Recovery Services Attn: Ms. Carol Patton 1442 W. I-65 Service Rd. 5 Mobile, Alabama 36693 RE: Emergency Debris Removal Contract Dear Sir: The Okaloosa County Public Works Department wishes to renew the subject contract/lease #C08-1564- PW2-146 for an additional term. The contract renewal period will be January 1, 2013 to December 31, 2013 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) to Jim Reece, Okaloosa County Recycling Office, 84 Ready Ave, Fort Walton Beach, FL 32548. Should you have any questions please call 850-609-6168, jreece@co.okaloosa.fl.us COUNTY REPRESENTATIVE AUTHOURIZED COMPANY REPRESENTATIVE Dept./Director: Public Works Contractor: STORM RECONSTRUCTION SVCS, INC yp ow. je 0 ) Approved By: Approved By: HLL 4 Gal b- 4 iMag, Print Name: Don R. Amunds Print Name: Carol A Patton RS 73 Sg, Title: CHAIRMAN Title: Executive Vice President > aponare.. * Foi C esa iS Date: Date: 11/28/2012 SB- oS. County Department Instructions: Zo" watgies ae = 1) Obtain signatures from Department Director and authorized Company” tepresentative. (Purchasing Director, County Administrator or BCC Chairman, if necessary Make sure the company provides a current Certificate of Insurance. (If applicable) 2) Keep a copy of this form for your records. 3) Send original to; Jack Allen, Purchasing Services Manager. If you have any questions please contact Jack Allen at 850-689-5960, Fax—850-689-5998, e-mail: jallen@co.okaloosa.fl.us Board of County Commissioners Purchasing Department State of Florida November 27, 2012 CONTRACT/LEASE RENEWAL FORM BAMACO, Inc. Attn: Mr. Robert Mitchell 6869 Hwy. 100 W. Bunnell, Florida 32110 RE: Emergency Debris Removal Contract Dear Sir: The Okaloosa County Public Works Department wishes to renew the subject contract/lease #C08-1563- PW2-145 for an additional term. The contract renewal period will be January 1, 2013 to December 31, 2013 _. 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) to Jim Reece, Okaloosa County Recycling Office, 84 Ready Ave, Fort Walton Beach, FL 32548. Should you have any questions please call 850-609-6168, jreece@co.okaloosa.flus COUNTY REPRESENTATIVE AUTHOURIZED COMPANY REPRESENTATIVE Dept./Director: Public Works Contractor: Approved By: Approved B Print Name: Don R. Amunds Print Name: Title: CHAIRMAN Title: Pr. es! dent Date: Date: ulg Wg County Department Instructions: 1) Obtain signatures from Department Director and authorized Company Representative. (Purchasing Director, County Administrator or BCC Chairman, if necessary) Make sure the company provides a current Certificate of Insurance. (If applicable) 2) Keep a copy of this form for your records. 3) Send original to; Jack Allen, Purchasing Services Manager. If you have any questions please contact Jack Allen at 850-689-5960, Fax-850-689-5998, e-mail: iailen@co.okaloosa.fi.us