Okaloosa County BOCC — September 15, 2015 — TRUE NORTH RENEWAL & COORDINATION SHEET

CONTRACT/LEASE RENEWAL FORM August 25, 2015 True North Emergency Management, LLC Attn: Nelson Lucius 2501 Avenue J., Suite 120 Arlington, TX 76006 RE: Contract Renewal, C12-1947-PW Dear Sir: The Okaloosa County Board of County Commissioners agrees to renew the subject contract/lease, # C12-1947-PW for an additional term. The contract renewall period will be Jan 1. 2016 to Dec 31, 2018 . The annual budgeted amount for this contract is $.20,000.00 . 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 Trae Wor[h Fmergenc Dept. Directo Contractor;_MHare g e w27 €27, 562 Signature 7 Approved By: Approved By: ;5 j am Date: Approved By: Tile, Manag e r (as prescribed below on item 1) 4 Date: Date: 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 Cerlificate 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 o 7 P ) 7 7 : Contract/Lease Number:_( [2-149 97- 1w Tracking Number: 1970 -lS _ " Grant Funded: YES NO T e cth Contractor/Lessee Name:_ / ‘Lol / TN Purpose / Gl cor f — e J Vipicia Date/Term:___ |-+ ) i '\ \ % 1. [XGREATER THAN $50,000 B J Tet( amoune,__ ¥ =10 ;G / LA 2. [] GREATER THAN $25,000 Department:___ |- Lo 3. [] $25,000 R LESS Dept. Monitor Name: “*\L\’\'ux \ Document has been reviewed and includes any attachments or exhibits. Purchasing Review ‘Procurement requirement; are/m’ét: Purchasing Dir)eEtor or Desighee Joanne Kublik or Sunnie Estes Risk Management Review Approyed as written: W% vater__ P~/ ~AS™ Risk/Managergf] designee Laura Porter or Krystal King County Attorney Review Approved as written: 7E 2<" Date: fi/l)lS County Wow T. Stewart or Lynn Hoshihara r Following Okaloosa County approval: Contracts & Grants Document has been received: Date: Contracts & Grants Manager