Okaloosa County BOCC — February 17, 2015 — NetworkCablingAndRepairContractRenewals — reading text

6l~~ , ACORD 25 (2010/05) © 1988-2010 ACORD CORPORA TION. All rights reserved, IN~02!\ l?n1 nn~ \ n1 Tho Ar.rll:)n n~rno !!lin'" Innn !!IIro ronic:t+oro1'4 m::lrLrc nf Ar..(",U:~n  Minority, Women & Florida Veteran Business Certification GSC Systems, Inc. Is certified under the provisions of 287 and 295.187, Florida Statutes for a period from: to 06/24/2013 06/24/2015 I ) EI' -\J<T\I~~'\T Of ~1.\.\.\(jE~I E"T SERVICES CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number:_ ____'-#--ft-- =. . .f#-4-------=­ Tracking Number:~IIl..loooI!~-L...L- /L _ Gr~n~nded: YES ~ 'S+ ~ NO-X Contractor/Lessee Name: ~ Purpose ~ T" ,3 Date/Term: c!l-j,g liS - !l-J n hy ~, 1. 0 GREATER THAN $50,000 Amount: ~ ~ , (1J'i) 2. D GREATER THAN $25,000 Department: ;:IS 3. D $25,000 OR LESS Dept. Monitor Name: ~o.... W~ '~"'llJ~"'LI''''''''~' Document has been reviewed and includes any attachmenZ r Purchasing Review Date: I-d-d--O Joanne Kublik Risk Management Review Approved as written: Date:-!-l~--=-d_ lp_-_\5 ~ ___ Kay Godwin or Krystal King County Attorney Review Approved as written: ~~ ~ COuntY ~=r Gre8Sr. Stewart or Lynn Hoshihara 12.."- ('S c-- Date:---i' +--=----_ Following Oka/oosa County approval: Contracts & Grants Document has been received: Date:._ _ _ _ _ _ _ _ _ Contracts &. Grants Manager  CONTRACT/LEASE REN EWAL FORM Date: January 7, 2015 Glaze Communications Services, Inc. Attn: Brett W. Glaze 1864 Cowen Rd 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 on additional term . The contr'act rene'vval period 'vvil! be 02/18/15 to 02/17/16. The annual budgeted amount for this contract could possibly exceed $50,000.00. If you are in agreement, plea se sign below a nd return this form a long with a current Certificate of Insurance listing Okaloosa County a s co- insured (if applicable). AUTHORIZED COMPANY REPRESENTATIVE Dept. Director Contractor: Glaze Communications Sig natu re :-----"--"'--..=..'-'L------,..-=:~"r Services, Inc. Approved By: . (as prescri y:JOHN HOFSTAD Approved By: ~~ f fOU_NT ADMINISTRATOR Ap p roved By: _ _ _ _ _ __ --':. .~. .L. ./'--'e=-=.5:. .:/._=C<o.c._' Titl e :_ _ ~(.'. .:I1___=f_ _ _ __ (as presGib i NATHAN D. BOYLES CHAIRMAN - - - - Date:_ _ _ _ _ _ _ _ _ __ Date:_ _ J ~_--"g'-- ",---=___ .;L~ I~ _ __ County Department Instruc~ions: 1) Obtain signatures from Deportment Director, authorized Company Representative and then Purc hasing Director <$25K and less, County Administrator <$50 K an d less or Board >$50K, as necessary. If Boord approval is req uired, the Chairman and County Administrator's signatures are required. Ma ke sure the com pan y provides a current Certificate of Insurance. (If a pplic a ble). 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.  Ar...c~ CERTIFICATE OF LIABILITY INSURANCE 12/;;'~;DIYYYY/ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON TH E CERTIFI CATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DO.ES NOT CONSTITUTE A CONTRACT BElWEEN THE ISSUING INSURER(S). AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, ttle polley(les) must be end orsed. If SUBROGATION IS WAIVED, subJect to the terms and conditions of the policy, certain poliCies may require an endo,.oment. A statement on this certificate does not confer rights to the certificate holder In lieu of such ondOl"8ement(s). PRODUCER l NAUE~~ 1 Waldorff Insurance & Bonding IH f.6J!1ltle!:O_.N~NE,,:-_-c.-..,. .-R"n-.-I:."-' ~ -O'JJ:: A--------TIfEiVM,-N-n .. ..­t "'-"-"-II-''>''''-- ; 45 Eglin Parkway NE Ste 202 ~~n~~~q.r" , . "'" ..Lt.. "-.," "'" ~~_ Fort Wallon Beach FL 32548 _LUll! INSUftfRlS\ AffORDING CO\lEAAoe INSURER A : ,-,,- Insurance C. 24112 INSURED GLAZ-01 INSURER B :The FCCI l mUll'AnN'l (' 10178 Glaze Communications Services INSURERC, Ino. INSURERD: 1864 Cowen Road Gulf Breeze FL 32563 IN9URERE: lNSURERF : COVERAGES CERTIFICATE NUMBER: 18551 61 60 REVISION NUMBER: ~~C~T~g. c~~~'% ~~:;~~;~~I~~g~I~~~~~~~~~i~1e,p!g~g~~~"JF Sf: 6~~T~6~ ~~E6~~~:~~:~T~i; :~:P~~~ ~gl~~~~1~~ CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlO CLAIMS. UIoIITS iA tlFtJFAAI I IAIII~ Iy ..., •..,""".,,,. 2 211 212014 211212015 51,000.000 IX'"" COt.olLlFRClAl GENERAll ' $100,000 _p CtAlMS-MADE ~ OCCUR I LIEDEXP (Any one ~) 1$5,000 IS1.ooo,ooo - - ------ - - ---­ - ----- ---------­ S7000 000 ~~~1Xr;r APD::: PRODUCTS. rnUDK'lp ."'" .? IVV'IIVV'I $ A , ..UTOIoiOBILE lIABlutY CVvP0937812 211 21201 .. '/1212016 : L1 MJI $1,000,000 - X #NAUTO - AlL OWI'ED r-­ SCHEDULED ; BOOIlY INJURY Q'.~ I S ~X AVT08 r,;­ ~~~ED __ HlREDAUTOS ~ AUTOS $ IA