Okaloosa County BOCC — September 16, 2014 — Vulcan-Form

CONTRACT/LEASE RENEWAL FORM Date: August 18, 2014 Company Name: Vulcan Materials Co. Attn: Geoff Cook Address: 157 John Sims Parkway Valparaiso, FL 32580 RE: C1 4-2074-PW Dear Mr. Cook The Okaloosa County Board of County Commissioners agrees to renew the subject contract/lease, #C14-2074-PW for an additional term. The contract renewal period will be 10/1/14 to 9/30/15. The annual budgeted amount for this contract is $250,000. 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 __ Dept. heater 7 Signature: ZY Z 4 | AUTHORIZED COMPANY REPRESENTATIVE Contractor: Vue Aad Mareciacs ComPAry Approved By: BAl Cal / { GOOF Cok Approved’By; ERNIE PADGETT Approved By: : Title: Dire ag /SA ces MayAgcer CHARLES K. WINDES, JR. CHAIRMAN Date: Date: yes roy 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 Certificate 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.