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AMENDMENT #1 TO
CONTRACT/LEASE C95-0124-WS
BID NUMBER RFQ WS 49-95
OKALOOSA COUNTY
Contract is amended to assign purchase price to items listed in Amendment 1.
UCMR3 Metals Method 200.8 - $90.00
200.7 Rev 4.4 —Cd, Cr, Cu, Pb, Zn - $45
OKALOOSA COUNTY
By: </iab tole
Title: A, chasing Manager
Date: B12} 1¢
na thr a iy
Ernie Padgett, County Administrator
OKALOOSA COUNTY WATER & SEWER
Tl Li)
Director
Date: 3/7) Zo1y
TESTAMERICA, INC REPRESENTATIVE
Contractor: TestAmerica Laboratories, Inc
Approved By: Mike Nance
Signature, ZZ. Fis DP
Title: Senior Project Manager
FS 73
Date: Ys LY
Okaloosa County Board of Date
Count issi
Charles K. Windes, Jr., Chairman”. Seneonets
CONTRACT# C95-0124-w:
-0124-Ws
TEST AMERICA LABORAT
ORI
LAB TESTING & SAMPLING SN”:
EXPIRES: 09/30/2014
08-26-14P12:32 RCVD
‘CONTRACT/LEASE RENEWAL FORW
2)
3)
Piste: Mey M2 20 CONTRACT# C95-0124-WS
; TEST AMERICA LABORATORIES, INC.
anes ice LAB TESTING & SAMPLING
900 Lakeside Dive EXPIRES: 09/30/2015
Mobile, AL 36693
RE: Contract for Sampling and Analysis
Dear Mr. Nance
The Okaloosa County Water & Sewer Department agrees to renew the subject
contract/lease, #C95-0124-WS for an additional term. The contract renewal period
will be 10/1/2014 to 9-30-2015. The annual budgeted amount for this contract is
$50,000.
If you are in agreement, please sign below and return this form along with a current
Certificate of Insurance listing Okaloosa County as co-insured (if applicable).
COUNTY REPRESENTATIVES AUTHORIZED COMPANY REPRESENTATIVE
Signature: Se)
zt)
Approved nye ope: viz Ly Approved ee ZL, MILLA.
(as prescribed below on item 1)
Dept. Director~ Lthah Contractor: Lest hn Eraeee
NA :
Approved By: Title:__Sy. Lief Lana e
(as prescribed below on item 1)
Date: G/eJoy Date: SL Ll
Signature Date . 5
Okaloosa County Board of County Commissioners iorized Company Representative and then
Charles K. Windes, Jr., Chairman inistrator <$S0K and less or Board >S50K, as
irman and County Administrator's signatures
are required. make sure Ine company provides a current Certificate of Insurance. (lf
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,