Okaloosa County BOCC — September 15, 2015 — DFCD renewal

CONTRACT/LEASE RENEWAL FORM Date: June 27, 2015 Company Name: Destin Fire Control District Attn: Kathryn Wagner Address: 848 Airport Road City, State, Zip: Destin, FL 32541 RE: Interlocal Agreement for Beach Safety & Lifeguard Services Contract C14-2086-1DD Dear: Ms. Wagner: The Okaloosa County Tourist Development Department agrees to renew the subject confract/lease, # C14-2086-TDD for an additional term. The contract renewal period will be October 1, 2015 to September 30, 2016. The annual budgeted amount for this confract 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 Dept. Director Contractor, DESTIN _FirE ConTRoL DIiSTRWCT Signature: %M/ \ Approved By: Approved By: T . (as prescrib beyn item 1) Approved By: ?Z/’)" Title: Claieman x’o (as prescribed bélow on item 1) ‘W"”" y,.) Dete: . Date: 5'://1 //S' @vacw\ 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 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. TOURIST DEVELOPMENT DEPARTMENT CONTRACT APPROVAL FORM CONTRACTOR NAME: DESTIN FIRE CONTROL DISTRICT PURPOSE: BEACH SAFETY AND LIFEGUARD SERVICES TERM: EXPIRES SEPTEMBER 30, 2016 AMOUNT: Equal to amount budgeted and appropriated to the Okaloosa County Beach Safety Division for the provision of beach safety and lifeguard services I have reviewed the above-referenced Contract Payment Request 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: e "D / T TTORNEY LYNN HOSHIHARA JUNE 27, 2015 CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number: C/IL/"}Q-OXQ .7:7)1) Tracking Number: /53 i_[ - . Grant Funded: YES NO 1] Contractor/Lessee Name: MM Purpose_fi&&bum/ Date/Term: \;30& \ b 1. [_] GREATER THAN $50,000 Amount: 2. D GREATER THAN $25,000 Department: —TDD ) 3. I:] $25,000 OR LESS Dept. Monitor Name: Document has been reviewed and includes any attachments or exhibits. Purchasing Review "_":.! ; Date:_é “50 ‘5 / Joanne Kublik or Sunnie Estes \ Risk Management Review %"’?fi Date: @‘?'7*’”16 Risk’Mana@er or designee Laura Porter or Krystal King Approved as written: County Attorney Review Approved as written: = "2 _— e 3 1 [1S Countwow T. Stewart or Lynn Hoshihara ¥ Following Okaloosa County approval: Contracts & Grants Document has been received: Date: Contracts & Grants Manager