Okaloosa County BOCC — September 16, 2014 — Southern Rock Lime

CONTRACT/LEASE RENEWAL FORM Date: August 18, 2014 Company Name: Southern Rock & Lime, Inc. Atin: James Clemons PO Box 297 Blountstown, Fl 32624 RE: C14-2108-PW Dear Mr. Clemons: The Okaloosa County Board of County Commissioners agrees to renew the subject contract/lease, #C14-2108-PW for an additional term. The contract renewal period will be 10/1/14 to 9/30/15. The annual budgeted amount for this contract is $250,000. lf 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 Dept. Directoy Y / | Contractor: Soc tons Lock x0, Mey LAC- Approved hee Approved ye s z Sy go j Z i" (as prescribed below on ite 1) NJ Approved By: Title: Pion nlest (as prescribed below on item 1) Date: Date: Veh County Department Instructions: 1) Obtain signatures from Department Director, authorized Company Representative and then Purchasing Director <$25K and less, County Administrator <S50K and less or Board >S50K, as necessary. If Board approval is required, the Chairman and County Administrator's signatures are required. Make sure the company provides a current Cerificate 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 Director at 850-689-5960, Fax: 850- 689-5998.