Okaloosa County BOCC — October 20, 2015 — Signed Contract-Lease Renewal Form EC Wildlife Refuge L10-0371-PW

CONTRACT/LEASE RENEWAL FORM Date: September 4, 2014 Emerald Coast Wildlife Refuge, Inc. Amanda Wilkerson 105 Santa Rosa Blvd. Ft. Walton Beach, FL 32548 RE: Lease Renewal for the Former Fire Sg Dear Ms. Wilkerson, The Okaloosa County Board of County Commissioners agrees to renew the subject contract/lease, #L10-0371-PW for an additional term. The contract renewal period will be Oct. 31. 2015 to October 30, 2016 . The annual budgeted amount for this contract is $.1.00 . 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 Certtificate of Insurance listing Okaloosa County as co-insured (if applicable). COUNTY REPRESENTATIVES AUTHORIZED COMPANY REPRESENTATIVE Dept. Direc(f@m Contractor: Emerald Coast Wildlife Refuge Signature: s Date: . Approved By: Approved B (as prescribeg/below off item 1) Date: ’/é?/;f Approved By: (as prescribed below on item 1) Jeffrey M. Choplin, J.D. Title: President Date: Date: 21 September 2015 County Department Instructions: 1) Obtain signatures from Depariment 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.