Okaloosa County BOCC — September 6, 2016 — Tommie Mattonie's Signed Lease Renewal

CONTRACT/LEASE RENEWAL FORM June 16, 2016 Tommy Mattonie's Tom Garner 723 Eglin Parkway: Fort Walton Beach, FL 32547 RE: L12-0395-BCC Dear Mr. Garner: The Okaloosa County Board of County Commissioners agrees to renew the subject contract/lease, #L12-0395-BCC for an additional term. The contract renewal period wil be 11/01/16 to 10/31/17 . The annual budgeted amount for this contract is $ 1,871.48 witax. All other terms and conditions of the original agreement shall remain in full force and effect through the duration of this renewal. 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 (itapplicable). COUNTY REPRESENTATIVES AUTHORIZED COMPANY REPRESENTATIVE Dept. Direetay ' . Contractor,__ /0?4 A Signcfure%\_gfi& 77»«4“7 Miottens e Dater_ B—\—ilp { P Approved By: / fi? /€ y Approved By: John Hofstad, Date: y Approved By: Title: & Vit Charles K. Windes, Jr., Chairman Date: Date: € ”Z'/é County Department 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 cument Cedificate 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 850-689-5940, Fax: 850- 689-5998.