Okaloosa County BOCC — July 21, 2015 — Task Order 63

TASK ORDER APPROVAL FORM CONTRACT #: C03-0927-GM TASK ORDER #: 63 TASK ORDER AMOUNT: $ _ $464,219 + 27 OFFERED BY CONSULTANT: Okaloosa County Transit FIRM'S NAME Ruth Lovejoy REPRESENTATIVE'S PRINTED NAME SIGNATURE CCTM Executive Director -1 -1 5 TITLE DAIE RECOMMENDED FOR APPROVAL (Department Director) (UT X KT~ SIGNATURE ~ Zewsr C 1 ) ampPrer— Growm Mpape emens IR TITLE ’7//4/:) DATE L7 cou }W ADMINIS %Tcfie (if applicable) U A DATE ¢ APPROVED BY OKALOOSA COUNTY (Per Purchasing Manual) e $25,000 orless approved by Purchasing Director ¢ Between $25,001 and $50,000 approved by Purchasing Director and County Administrator e Inexcess of $50,000 approved by the Board. PURCHASING DIRECTOR Z el 7/ixis DATE CHAIRMAN (if applicable) DATE Contracted Transportation Services Task Order Number 63 Contractor: Okaloosa County Transit Contract Number: C03-0927-GM, Agreement for Operation of County Public Transit Task Order Description Provide passenger trips for non-sponsored transportation disadvantaged citizens in accordance with chapter 427, Florida Statutes, Rule 41-2, F.A.C. OCT to provide monthly invoices. Funding is being provided by the following grant and therefore all terms and conditions apply: Grant Program: Trip and Equipment Grant Agreement Granting Agency: Florida Commission for the Transportation Disadvantaged (FCTD) CSFA: 55.001 FM/Job No.: 43202718401/43202818401 Cost of Services: Based on grant reimbursement of $ 464,919 + $27 Note - OCT may only receive payment through this Task Order for services rendered through September 30, 2015, unless Contract C03-0927- GM is extended b the County Local Match: Local cash funds of § 51,658 are provided through collection of fares, general revenue funds are NOT required Authorization Okaloosa County Transit (OCT) Okaloosa County Board of County Commissioners (approved in accordance with Purchasing policy) _Ruth Lovejoy, CCTM, Executive Director Elliot L. Kampert, Director Qfi‘.— N ‘-‘"5'f$/ &[H W//V/” Signature and Date 8 / Signature and Date Nathan D. Boyles. Chairman Approved by Name, Title Signature and Date