Okaloosa County BOCC — August 24, 2013 — Revised Task Order 59 — reading text

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 Manager Comments: Purchasing Services Manager Signature Date PURCHASING MANUAL - SINGLE SOURCE DETERMINATION Comments: Approve: Me | Disapprove: Amount of Purchase: Date: 0). F0-1% Purchasing Director Signature Date Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 19 SINGLE SOURCE PURCHASE DATA SHEET Date: July 26, 2013 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191 Department/Division: Tourist Development Department (TDD) Item Description: Online Media Placement Requesting Department's Suggested Vendor: Visit Florida Vendor's Address; 2540 W. Executive Center Circle, Suite200 Tallahassee, FL 32301 Vendor's Telephone No.: 850.205.3871 Point of Contact: Chris Smith Sole Source Justification: Website is the official cooperative site for Florida travel, with members receiving a 50% discounted rate. Website is the number ond\visited site for Florida travel. Purchase is for prominent position on home page ~~ 1/29/13 Requesting a Head Signature ’ Ddte REVIEW BY P HASING 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: Oy ai Se Signature of Buyer Who Reviewed Date Purchasing Services Manager Comments: Purchasing Services Manager Signature Date PURCHASING MANUAL - SINGLE SOURCE DETERMINATION Comments: Approve: (2 ; Disapprove: Amount of yp y (Ly Date: Milt Ton 09- 30-"% Purchasing Director Signature Date Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 19 SINGLE SOURCE PURCHASE DATA SHEET Date: July 26, 2013 PR No.: Requestor: Peter Mayer Phone No.:; 504.581.7191 Departme nt/Division: Tourist Development Department (TDD) Item Description: Online Media Placement Requesting Department's Suggested Vendor: Google Vendor's Address: 1600 Ampitheatre Parkway, Mountain View, CA 94043 Vendor's Telephone No.: 650.253.0000 Point of Contact: NA- Self Serve Ad Model Sole Source Justification: Google offers unparalleled reach for our planned keyword search campaign. We will purchase and manage the search campaign dirtctly through the Google AdWords interface. AW July 26, 2013 Requesting Department Head Signature oy, Date REVIEW BY CHASIN PARTMENT 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 Manager Comments: Purchasing Services Manager Signature Date PURCHASING MANUAL - SINGLE SOURCE DETERMINATION Comments: Approve: YY} Disapprove: Amount of Purchgse; Date: O%- J0Y Purchasing Director Signature Date Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 19 SINGLE SOURCE PURCHASE DATA SHEET Date: July 26, 2013 PRNo.: Requestor: Peter Mayer Phone No.: 504.581.7191 Department/Division: Tourist Development Department (TDD) Item Description: Online Media Placement Requesting Department's Suggested Vendor: Facebook Vendor's Address: 1 Hacker Way, Menlo Park, CA 94025 Vendor's Telephone No.: 650.543.4800 Point of Contact:_NA- Self Serve Ad Model Sole Source Justification: Facebook offers unparalleled reach for our planned social ad targeting placement. We will purchase and manage the sedrch campaign directly through the Facebook Ads interface. July 26, 2013 Resins sea Head Signature we Date 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 Manager Comments: Purchasing Services Manager Signature Date PURCHASING MANUAL - SINGLE SOURCE DETERMINATION Comments: Approve: Disapprove: Amount of Pyrc Date: min 09- 40:4 Purchasing Director Signature Date . Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 19 SINGLE SOURCE PURCHASE DATA SHEET Date: July 26, 2013 PR No.: Requestor: Peter Mayer Phone No.; 504.581.7191 Department/Division: Tourist Development Department (TDD) Item Description: Online Media Placement Requesting Department's Suggested Vendor: Media Mind Technologies, Inc. Vendor's Address: 135 West 18th Street, 5th Floor, New York, NY 10011 Vendor's Telephone No.: 972.581.1996 Point of Contact: Mina Reddell Sole Source Jvstification: Media Mind is Peter Mayer's preferred ad serving partner. We will be utilizing Media Mind's service to serve ads that run as pat of our upcoming shoulder season campaign. Peter Mayer currently holds an ad serving contract with Media Mind. WW“ July 26, 2013 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 Manager Comments: Purchasing Services Manager Signature Date PURCHASING MANUAL - SINGLE SOURCE DETERMINATION Comments: Approve: My Disapprove: Amount of Pyrghase: Date: < OV F014 Purchasing Director Signature Date Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 CONFLICT OF INTEREST DISCLOSURE FORM For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose if any Okaloosa Board of County Commissioner, employee(s), elected officials(s), or if any of its agencies is also an owner, corporate officer, agency, employee, etc., of their business. Indicate either “yes” (a county employee, elected official, or agency is also associated with your business), or "no". If yes, give person(s) name(s) and position(s) with your business. f YES NO__~ NAME(S) POSITION(S) FIRM NAME: fexas MONTHLY BY (PRINTED): TFASOM SWEVBERS BY (SIGNATURE): Qemr rmeclleey TITLE: Ciel. Opeuliony (Map - DATE: q [0 [12 ADDRESS: PHONE NO. Sia-3a0-L77Z3 E-MAIL DEwei DBERGAT EAS matte yt CO CONFLICT OF INTEREST DISCLOSURE FORM For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose if any Okaloosa Board of County Commissioner, employee(s), elected officials(s), or if any of its agencies is also an owner, corporate officer, agency, employee, etc., of their business. Indicate either "yes" (a county employee, elected official, or agency is also associated with your business), or “no”. If yes, give person(s) name(s) and position(s) with your business. a YES NO_ ue. NAME(S) POSITION(S) FIRM NAME: Southon ] ina BY (PRINTED): os flee cle BY (SIGNATURE): J ae wr! ifs AS Lh lope TITLE: ane achat dense Me DATE: 3A ADDRESS: [27] Avtine fle Aner Now Che Nu poe PHONE NO. LAL) 32U3--Y sus E-MAIL 46 pwiqibe, le Le tire tne. Cou CONFLICT OF INTEREST DISCLOSURE FORM For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose if any Okaloosa Board of County Commissioner, employee(s), elected officials(s), or if any of its agencies is also an owner, corporate officer, agency, employee, etc., of their business. Indicate either “yes” (a county employee, elected official, or agency is also associated with your business), or "no". If yes, give person(s) name(s) and position(s) with your business. s YES NO Vv NAME(S) POSITION(S) FIRM NAME: BY (PRINTED): Y (SIGNATURE): ak aN - a TITLE: had WT DATE: “Teolzolr oo ADDRESS: “ VPOPxx oo Ta! Asser EL 42.20?- PHONE NO. ia) 205-2621 E-MAIL coll nSC Vis eile toy bvidg.ot ore 4