Okaloosa County BOCC — December 15, 2015 — Lease Renewal Form

CONTRACT/LEASE RENEWAL FORM Date: 12/15/2015 Company: Paradise Cleaning Attn: Brandi Bringham Address: 1310-E Oddfellow Rd. City, St, Zip: Ft. Walton Beach, FL 32547 RE: Lease Renewal Dear Ms. Bringham The Okaloosa County Board of County Commissioners agrees to renew the subject contract/lease, #L15-0416-WS for an additional term. The contract renewal period will be 12/16/15 to 12/15/16 . The annual budgeted amount for this contract is $.5,088.00 . 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 Dept. Director § Contractor; ?)’/Dmdl @{ Vlc\h(mt Signature: C) _— 1) 2 [2015 | V;Lamg Approved By: /Ifl% Approved-By: W&hw\ | . J (as prescribe elov%m item 1) Date: /Z,/%f Approved By: Tifle:@ WV\M / @P«@Z&m (as prescribed below on item 1) /‘ Date: Date: [ M 3 \\\V) 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 Adminisirator’s signatures dre 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.