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Okaloosa County BOCC — 2013 meeting #1140 (date undetermined) — Lease Renewal — reading text
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CONTRACT/LEASE RENEWAL FORM
Date: May 20, 2013
Choctawhatchee Electric Coop, Inc.
Attn: Steve Rhodes, CEO
1350 West Baldwin Ave., P © Box 512
Defuniak Springs, FL 32433-0512
RE: Contract/Lease # L93-0065-WS 10-2
Dear Mr. Rhodes:
The Okaloosa County Water & Sewer Department agrees to renew the subject
contract/lease #L93-0065-WS10-2 for an additional term. The contract renewal
period will be 6/15/2013 to 08/31/2013, The annual budgeted amount for this
contract is $300.00 per month.
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 “™
Signature: \
{ Contractor:
aly _| x
iV NI ~
Approved By: Jeff Littrell Approved By: =
(as prescribed below on item 1)
Title: __Director Title: Ceo
Date: s [20 2.01% Date: <} 22 is
7
County Depariment Instructions:
1) Obtain signatures from Department Director, authorized Company Representative and then
2)
3)
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).
Keep a copy of this form for your records.
Send original to Purchasing Services Coordinator.
If you have any questions please contact the Purchasing Director at 850-689-5960, Fax: 850-
689-5998,