READ ALONGSIDE THE SOURCE
Okaloosa County BOCC — August 18, 2015 — C W Roberts Renewal Form/ Coordination — reading text
Part 1 of 1. These parts divide the reading text for browsing; they are not the source document's page numbers.
C W Roberts Renewal Form/ Coordination — extracted reading text
Machine-extracted OCR text · Review label: Known limitations
Compare this copy with the preserved source. Review labels describe the recorded status of this file; they do not guarantee that the text is error-free. Spacing and line breaks are retained, with long lines wrapped to fit the screen.
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: Parsons, Kerry
Subject: RE: Renewals CW Roberts 2083 and 2095
Well, | don’t know what happened but let’s try again. Let me know if you have issues with this one.
http://www.co.okaloosa.fl.us/sites/default/files/contracts/contra_pdf/C14-2095-PW.pdf
Joanne Kublik, Contracts and Lease Coordinator
1