Okaloosa County BOCC — July 11, 2017 — Signed Renewal of Joint Use Agreement w School District

CONTRACT/LEASE RENEWAL FORM Date: April 28, 2017 Company: Okaloosa Co. School District Attn:Superintendent Address: 120 Lowery Place, SE City, St, Zip: Ft. Walton Beach, FL 32548 RE:Renewal of Joint Use Agreement for Ry Dear Superintendent, The Okaloosa County Board of County Commissioners agrees to renew the subject contract/lease, # C12-1963-PW for an additional term. The contract renewal period will be June 5. 2017 to June 5, 2022 . The annual budgeted amount for this contract is $.0.00 . 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 sigh below and return this form along with a current Certificate of Insurance listing Okaloosa County as co-insured (if applicable). COUNTY REPRESENTATIVES AUTHORIZ\E'DtGQMPANY REPRESENTATIVE Dept. Direc Gecweete:/ %MMW Signature! Superintendeft bf SEjools, V \d \‘”l \) Mary Beth Jackson Date: 5 Approved By: 4#-—\ M Approved By: (as prescribdaregKisela 1) Date: & ',4 l"‘ Approved By: Title: (as prescribed below on item 1) 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 Certificate 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.