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Okaloosa County BOCC — May 6, 2014 — task order 28.6 — reading text
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TASK ORDER APPROVAL FORM
CONTRACT #: C03-0927-GM
TASK ORDER #: 28.6
TASK ORDER AMOUNT: July — $21,097.00; August — Based on per-member per-month rates set in
agreement
OFFERED BY CONSULTANT:
Okaloosa County Transit
FIRM'S NAME
Ruth Lovejoy
REPRESENTATIVE'S PRINTED NAME
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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 In excess of $50,000 approved by the Board.
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COUNTY ADMINISTRATOR (if applicable) CHAIRMAN (if applicable)
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DATE DATE
Contracted Transportation Services Task Order No. 28
Amendment No. 6
Contractor: Okaloosa County Transit (OCT)
Contract No.: C03-0927-GM, Agreement for Operation of Okaloosa County Public Transit
Task Order Description
Provide passenger trips to eligible Medicaid beneficiaries.
OCT to provide monthly invoices. Funding is being provided by the following grant and therefore
all terms and conditions apply:
Grant Program: Medicaid Non-Emergency Transportation Program
Granting Agency: Florida Commission for the Transportation Disadvantaged (FDOT)
Grant No.: BDN10
Financial Proj Id: 41604318201
Period of Services: July 1, 2014- August 31, 2014
Cost of Services: Based on the amended grant reimbursement amount of $21, 097.00 for the
month of July. Based on per-member per-month rates set in agreement for
the month of August.
Authorization
Okaloosa County Transit (OCT) Okaloosa County Board of County Commissioners
(approved in accordance with the Purchasing Policy)
Ruth Lovejoy, CCTM, Executive Director Elliot L. Kampert, Director
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Signature and Date i Signature and Date
Charles K. Windes, Jr., Chairman
Approved by Name, Title
Signature and Date