Okaloosa County BOCC — May 19, 2015 — Contract Lease Renewal Form - Ritz Food Store

CONTRACT/LEASE RENEWAL FORM May 4, 2015 Mr. Cy Eubanks Bennett Eubanks Oil Co., Inc. 17410 Main Street North Blountstown, FL 32424 RE: Okaloosa County Lease for Ritz Food Store Dear Mr. Eubanks The Okaloosa County Board of County Commissioners agrees to renew the subject lease, # L03-0215-BCC for an additional term. The contract renewal period will be June 10, 2015 to June 10, 2020. The monthly rental for this property is $3,445.00 which includes taxes. 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. COUNTY REPRESENTATIVES AUTHORIZED COMPANY REPRESENTATIVE Dept. Dire Contractor: Beanctt Eobanks O:) Cn., Fac, Signature: Approvegd By & ; . /- g Approved By: % __— Approved By: Title: I/ 'fi (as prescribed below onitem 1) Date: Date: {/“" g County Department Instructions: 1) Obtain signatures from Department Director, authorized Company Representative and then 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 Ceirlificate 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.