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Board of County Commissioners
Purchasing Department
State of Florida
CONTRACT/LEASE RENEWAL FORM
April 21, 2014
Mr. Dominic Persichini
TLT Transport, LLC
3061 Chippewa Lane
Pace, FL 32571
RE: Contract #C07-1474-PS (Non-Emergency Transports)
Dear Mr. Persichini:
The Okaloosa County Department of Public Safety agrees to renew the subject contract, #C07-1474-
PS for an additional term. The contract renewal period will be October 1, 2014, to September 30, 2015.
The annual budgeted amount for this contract is $50,000.00.
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) to: Okaloosa County Public
Safety, 90 College Boulevard East, Niceville, FL 32578.
AUTHORIZED COMPANY REPRESENTATIVE
Ly /¢f Contractor: ILT Transport, LLC
Dino J. Villani, Public Safety Director”
Approved By: Approved By: bo. “ ) on
Charles K. Windes, Jr.
Title: Chairman Title: besides fF
Date: Date: 64-26-14
County Department Instructions:
1) Obtain signatures from Department Director, authorized Company Representative and then Purchasing Director <$25K,
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 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 Manager at 850-689-5960, Fax-850-689-5998.