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Okaloosa County BOCC — June 17, 2014 — Task order approval form — reading text

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TASK ORDER APPROVAL FORM CONTRACT #: C03-0927-GM TASK ORDER #: 56 TASK ORDER AMOUNT: $464,919.00 +$50 OFFERED BY CONSULTANT: Okaloosa County Transit FIRM’S NAME Ruth Lovejoy REPRESENTATIVE’S PRINTED NAME Rome R fore aa b-1214 SIGNATURE CCIM, Executive Director TITLE DATE RECOMMENDED FOR APPROVAL APPROVED BY OKALOOSA COUNTY (Department Director) (Per Purchasing Manual) e $25,000 or less approved by Purchasing Director e Between $25,001 and $50,000 approved by Purchasing Director and County Administrator e Inexcess of $50,000 approved by the Board. / Oe tl mall SIGNATURE PURCHASING T DIRECTOR Zi poAoral Gav Maier wae Dieceyre fl [A TITLE DATE / (hove I, 20/¢/ DATH COUNTY ADMINISTRATOR (if applicable) CHAIRMAN (if applicable) VY DATE DATE Contracted Transportation Services Task Order No. 56 Contractor: Okaloosa County Transit (OCT) Contract No.: C03-0927-GM, Agreement for Operation of Okaloosa County Public Transit Task Order Description Provide passenger trips for non-sponsored transportation disadvantaged citizens in accordance with Chapter 427, Florida Statutes, Rule 41-2, F.A.C. OCT to provide monthly invoices. Funding is being provided by the following grant and therefore all terms and conditions apply: Grant Program: Trip and Equipment Grant Agreement Granting Agency: Florida Commission for the Transportation Disadvantaged (FCTD) CSFA: 55.001 FM/Job No.: 43202718401 Period of Services: July 1, 2014 — June 30, 2015 Cost of Services: Based on grant reimbursement amount of $464,919.00 +$50 Local Match: Local Cash Funds of $51,658.00 are provided through collection of fares, general revenue funds are NOT required. Authorization Okaloosa County Transit (OCT) Okaloosa County Board of County Commissioners (approved in accordance with the Purchasing Policy) Ruth Lovejoy, CCTM, Executive Director Elliot Kampert, Director < | rid / Signature and Da Signature and Date Charles K. Windes, Jr, Chairman Approved by Name, Title Signature and Date

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