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Okaloosa County BOCC — November 16, 2013 — R & E Farms Contract Extension — reading text
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he ry CONTRACT/LEASE RENEWAL FORM
Leanne
eee
August 23, 2013
R&E Farms LLC
Attn: William Rivenbark
625 Burnt St.
Black, AL 36314
RE: Biosolids Removal
Dear Mr. Rivenbark:
The Okaloosa County Water & Sewer Department agrees to renew the subject contract/lease,
# C09-1691-WS for an additional term. The contract renewal period will be 10-1-2013 to 3-
31-2014. The annual budgeted amount for this contract is $60,000.
If you are in agreement, please sign below and return this form along with a current Certificate
ot Insurance listing Okaloosa County as co-insured (if applicable).
COUNTY REPRESENTATIVES AUTHORIZED COMPANY
REPRESENTATIVE
; UL
Dept. Director ru Contractor: A E Far ws , L
Signature: / /]
JA | | 3
Approved By: :
Approved By:
(as prescribed below on item 1)
: oy . re eC SK
Approved By: Title: C of ow
(as prescribed below on item 1)
pe24- 13
Date: Date:
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 Administrator’s signatures are required. 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 Purchasing Services Coordinator.
If you have any questions please contact the Purchasing Director at 850-689-5960, Fax: 850-689-
5998.