Okaloosa County BOCC — August 6, 2013 — Contract Renewal — reading text

CONTRACT/LEASE RENEWAL FORM en August 2, 2013 Public Financial Management, Inc. Atin: Mr. Kenneih D. Fullerton 8200 Bryan Dairy Road, Suite 325 Largo, FL 33777 RE: Contract Renewal Dear Mr. Fullerton: The Okaloosa County Airports agrees to renew the subject contract, #C03-0786-AP for an additional term. The contract renewal period will be October 1, 2013 to September 30, 2014. The annual budgeted amount for this contract is $30,000.00. If you are in agreement, please sign below and return this form along with a current Centificate of Insurance listing Okaloosa County as co-insured (if applicable). AUTHORIZED COMPANY REPRESENTATIVE 2-(% Contractor: Pallic Fra encto! La neg easeG Fat. Approved By: Kb LJ. AM COUNTY REPRESENTATIVES Dept. Director Signature: Approved af. EL a £ (as prescribed Below ofitern item 1) {7 Approved By: Title: MA FAXING Li peclor (as prescribed below on item 1) , County Department Instructions: 1) Obtain signatures from Department Director, authorized Company Representative and then Purchasing Director <S25K 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 Certificate of Insurance. (lf 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, Ka: Dave. b/o V0 | [o0rh ry Lo a whe Lhe EXHIBIT E L Chany 5. CZ b~t- ye CONTRACT & LEASE 7 INTERNAL COORDINATION SHEET Contract/Lease Number: COZ-0 Be LIP Tracking Number: /7 9-/O t { ( j Contractor/Lessee Name: fb cc Prmene nk Ma pagewerh Fec, Hh ene RMdeissry Seypvwes Agneenen™ 4 30- || enlens! m dye perirds ) GREATER TELAN $10,000 d (_] $10,000 OR LESS Amount: WJé_5 7 ovo. Brat dhy f f Department : Ar prbe Dept. Monitar Name: dav zd Wainy yy i ; Purpose: Date/Term: | Purchasing Review Procurement requirements are met: KP La pe Date: 3, 2/2 €ontfacts/Lease Coordinator Risk Management Review Date: é fale Rsk Manageméit Director County Attorney Review Date: bliolvo Following Okaloosa County Board of County Commissioners approval: County A Attorney Contract & Grant Review i | Document has been appropriately reviewed and ts executable: | Date: — & Grants Manager REVISED BY BCC 3-21-00 Dave Miner From: Jack Allen Sent: Friday, October 04, 2013 12:09 PM To: Dave Miner Subject: FW: Coordination for Public Financial Attachments: Coordination for Public Financial.pdf Dave, This email is in response to your voicemail concerning the attached coordination. The attached coordination represents the completion of the review process (Purchasing, Risk, Legal) that was done in 2010 for this agreement. The current renewal request does not call for any changes/amendments within the agreement other than the dates. The renewal is available as outlined in the excerpt below from the term section of the contract. Please let me know if you have any questions. Thanks, Jack SECTION 2: Term This agreement shall commence on April 1, 201.0 and expire on September agreement may be extended in increments of one year periods at the opti The parties agree that any future extensions of this agreement may be ag COUNTY and the CONSULTANT, and that it will not be necessary for F&F t any such extensions. From: Jack Allen Sent: Thursday, September 19, 2013 12:11 PM To: Dave Miner Subject: Coordination for Public Financial Dave, Here’s the coordination that was done in 2010 when the agreement was updated from the 2002 version. Thanks, Jack ) ® ACORD Meee CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 9/16/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Frank Crystal & Co., Inc. dba Crystal & Company Financial Square, 32 Old Slip CONTACT NAME: Ryan Farnsworth (AIG. No, Ext):212-504-1814 [ FAS, woy:242-509-1292 E-MAIL Abbress:ryan.farnsworth@crystalco.com New York NY 10005 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :|ndian Harbor Insurance Company 836940 INSURED INSURER B: Public Financiaf Management, Inc. INSURER C: Two Logan Square, Suite 1600 . 18th and Arch Streets INSURER: Philadelphia PA 19103 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 597734912 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR IADDL|SUBR POLICY EFF [| POLICY EXP LTR TYPE OF INSURANCE INSR | WVD POLICY NUMBER (MM/DDIYYYY) | (MM/DDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE 10 RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ | CLAIMS-MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADVINJURY | $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG | $ PRO- $ POLICY JECT LOG AUTOMOBILE LIABILITY COMBINED SINGLE CIMIT 3 ANY AUTO BODILY INJURY (Per person) | $ ALL OWNED SCHEDULED ; ‘AUTOS AUTOS BODILY INJURY (Per accident) | $ NON-OWNED PROPERTY DAMAGE 3 HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- [orn AND EMPLOYERS’ LIABILITY YIN TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E,L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? [| NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE] $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | $ A Professional Liability IELU128061 12 11/30/2012 i 1/30/2013 Limit of Liability $15,000,000 each claim/aggregate all claims. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Evidence of Coverage only. THE PROFESSIONAL LIABILITY POLICY IS NON-CANCELABLE BY THE INSURER EXCEPT FOR NON-PAYMENT OF PREMIUM. CERTIFICATE HOLDER CANCELLATION Okaloosa County, Florida 602C North Pearl Street Cresiview FL 32536 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Z, Ya E | g aaa ree en oe ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD