Okaloosa County BOCC — March 1, 2016 — Glazesignedcontrenewal

CO NTRACT/LEASE RENEWAL FORM 02/17/2016 Glaze Communications Services, Inc. Attn: Brett W. Glaze 1864 Cowen Road Gulf Breeze, FL 32563 RE: Contract #C14-2147-IS Dear Brett: The Okaloosa County Board of County Commissioners agrees to renew the subject contract/lease, # C14-2147-IS for an additional term. The contract renewal period will be 02/17/2016 to 02/16/2017 . The annual budgeted amount for this contract is shall be based off of unit pricing which shall vary by Department budget. 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 (if applicable). COUNTY REPRESENTATIVES AUTHORIZED COMPANY REPRESENTATIVE Dept. Director Signature: _ _ _ _ _ _ _ _ __ Date: _ _ _ _ _ _ _ _ _ _ __ Approved By: _ _ _ _ _ _ __ (as prescribed below on item 1) Approved By: 7 ~?--- Date: _ _ _ _ _ _ _ _ _ _ __ Approved By: _ _ _ _~--- Title :_--"-e <-..Lf'--:e>=:..$ ~~f"-,(l~-t: :::..-<... ; _ _ _ _ _ __ (as prescribed below on item 1) Date:_ _ _ _ _ _ _ _ _ _ __ Date:_----"~__J/~ ~/ "7_ _ _7J<--/<.. . LLhL...----- 7 7 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 sUire 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.  ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE IMMIDDIYVVY) ~ 2/10/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTI FICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate h