Okaloosa County BOCC — August 18, 2015 — C W Roberts Renewal Form/ Coordination

CONTRACT/LEASE RENEWAL FORM Date:May 19, 2015 Company: CW Roberts Attn: Darryl Carpenter Address: 160 Industrial Park Rd City, St, Zip: Freeport, Fl 32439 RE: Contract renewal C14-2095-PW Dear Mr. Carpenter The Okaloosa County Board of County Commissioners agrees to renew the subject contract/lease, # C14-2095-PW for an additional term. The contract renewal period will be 10/1/15 to 9/30/16 . The annual budgeted amount for this contract is $250,000 . All other terms and conditions of the original agreement shall remain in full force and effect through the duration of this renewal. 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). COUNTY REPRESENTATIVES AUTHORIZED COMPANY REPRESENTATIVE Dept. Director Contractor: (’ [/9} QD ‘wfié 60»4%7 Signature: Date: ( ) Sy Approved By: Approved By: (as prescribe Approved By: Title: ‘/'/'('c %/G-JFM (as prescribed below on item 1) Date: Date: /= (7~ Lols County Department Instructions: 1) Obtain signatures from Department Director, authorized Company Representative and then 2) 3) Purchasing Director <$25K and less, 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). Keep a copy of this form for your records. Send original to Purchasing Services Coordinator. If you have any questions please contact the Purchasing Director at 850-689-5960, Fax: 850- 689-5998. CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number: (1Y - 2095 - § w Tracking Number: /’7’33—15 Contractor/Lessee Name: / \A] ?M oo runded B — 10— Purpose ?&W = l/una-l/ Date/Term: (”/j) 20 / )Y 1. [T GREATER THAN $50,000 Amount: #o?bo NrAS! 2. [] GREATER THAN $25,000 Department: U? W 3. D $25,000 OR LESS Dept. Monitor Name: A\/b ’{//Lb(/\ Document has been reviewed and includes adattachments or exhibits. Purchasing Review Prfirement requirements arem w // Date: 7“&?‘ ‘/5 Purchasmg DIréFtOl" or Desngnee Joanne Kublik or Sunnie Estes f\ _ / Risk Management Review Approvegd as written: W!% Date: 7’; Y. § Ri?k/Mahager or dé{gnee Laura Porter or Krystal King County Attorney Review Approved as written: ke Al chedd Date: County Attorney Gregory T. Stewart or Lynn Hoshihara Following Okaloosa County approval: Contracts & Grants Document has been received: Date: Contracts & Grants Manager Joanne Kublik From: Parsons, Kerry [KParsons@ngn-tally.com] Sent: Monday, July 27, 2015 12:06 PM To: Joanne Kublik Cc: Lynn Hoshihara Subject: RE: Renewals CW Roberts 2083 and 2095 ‘ThanksJo! Approved for legal purposes. From: Joanne Kublik [mailto:jkublik@co.okaloosa.fl.us] Sent: Monday, July 27, 2015 12:14 PM To: Parsons, Kerry Cc: Lynn Hoshihara Subject: RE: Renewals CW Roberts 2083 and 2095 Well doesn’t that beat all. Actually we had an antiquated scanner back then so there’s no telling. But here it is! Let me know if you need anything else. Jo Joanne Kublik, Contracts and Lease Coordinator Okaloosa County Purchasing Department 602-C North Pearl Street Crestview, Florida 32536 (850) 689-5960 jkublik@co.okaloosa.fl.us Please note: Due to Florida's very broad public records laws, most written communications to or from County employees regarding County business are public records, available to the public and media upon request. Therefore, this written e-mail communication, including your e-mail address, may be subject to public disclosure. From: Parsons, Kerry [mailto:KParsons@ngn-tally.com] Sent: Monday, July 27, 2015 10:49 AM To: Joanne Kublik Cc: Lynn Hoshihara Subject: RE: Renewals CW Roberts 2083 and 2095 Hey Jo: Take a look at the documents in the link, there is no contract. From: Joanne Kublik [mailto:jkublik@co.okaloosa.fl.us] Sent: Monday, July 27, 2015 11:31 AM To: Parso