Okaloosa County BOCC — September 6, 2016 — ESi Acquisition Sole Source

SOLE SOURCE PURCHASE DATA SHEET Date: 18 Aug 2016 PR No.: Direct Pay Requestor: Ken Wolfe Phone No.: 51-7150 Department/Division: _Public Safety / Emergency Management ltem Description: WebEOC Software Support Requesting Department's Suggested Vendor: In’rermedix/[‘:sf /“rfltzw'finl:'an N Iflfl. Vendor's Address: 6451 N. Federal Highway Suite 1000, Ft Lauderdale, FL 33308 Vendor's Telephone No.: 254-308-8700 Point of Contact:_Mark Demskl Sole Source Justification: Vendor is the sole provider of the Webeoc dlsqs’rer management software and sole provider of the support and mainienance software package. %/fl“//z &-7-/L ques partm tDlr r Sign ’rure Date V.I_-- %Jlgflf ean, Ir, %DL .............................................................................. REVIEW BY PURCHASING DEPARTMENT VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED Vendor #1 Contact: Phone No.: Vendor #2 Contact: Phone No.: Vendor #3 Contact: Phone No.: Buyer Comments: Signature of Buyer Who Reviewed Date Purchasing Services Coordinator Comments: Purchasing Services Coordinator Signature Date ............................................................................................................ PURCHASING MANUAL - SOLE SOURCE DETERMINATION Comments: MAOA‘M@ Wu%&/ul ‘ Approve: 21:— Disapprove: Amount of Purchase: Date: 82afll Date