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Okaloosa County BOCC — September 2, 2014 — Task order approval form C12-2007-TDC - 152 — reading text
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employee, eic., of their business.
Indicate either “yes” (a county employee, elected official, or agency is also associated with
your business}, or “no”. If yes, give person(s} name(s) and position(s) with your business.
YES ( No oa
NAME(S) POSITION(S)
FIRM NAME: “Plan Vea 1c Meetinas
BY (PRINTED): Erm Win aga ciy
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BY (SIGNATURE): ae
TITLE: Manray & Warcels AL, Services deo
DATE: 4224/14
ADDRESS: BOS Maret Mawe,
“Roose i Nene 2eo te
PHONE NO. (9 8-8 33- Lool
E-MAIL EpotyWoclnt he rlanuy mcm eed rySs Comm
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.:; 504.581.7191
Department/Division: Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TO#152
Requesting Department's Suggested Vendor: CVENT, Inc.
Vendor's Address: 8180 Greensboro Drive, 9th floor, McLean, VA, 22102
Vendor's Telephone No.: 571-765-5242 Point of Contact: Sam Berkovitz
Sole sourcel sus) ication: The largest online event management company; the go-to site for meeting
VN AGL. san fed Z
Requesting Depaitmient Head Signature Date 7
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Commenls:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: aE Disapprove:
Amount of Purchase: Date:
26 15 tl aa CZ] ep
Purchasing Director Signature Dafe
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose
if any Okaloosa Board of County Commissioner, employee(s), elected officials(s), or if any of its
agencies is also an owner, corporate officer, agency, employee, etc., of their business.
Indicate either "yes” (a county employee, elected official, or agency is also associated with
your business), or “no”. If yes, give person(s) name(s) and position(s) with your business.
NAME(S) POSITION(S)
FIRM NAME: Cvent, Inc.
BY (PRINTED):
/
BY (SIGNATURE):
TITLE: sonid, Director, clond/ontroter
DATE: 1/34/2014 3/+¢|2014
ADDRESS: 8180 Greensboro Drive, 9th Floor
McLean, VA 22102
PHONE NO. (703) 226 - 3522
E-MAIL biling@cvent.com
SINGLE SOURCE PURCHASE DATA SHEET
Date: 98/01/2014 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
Department/Division: Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TO#152
Requesting Department's Suggested Vendor: Google
Vendor's Address: 1600 Amphitheatre Parkway, Mountain View, CA, 94043
Vendor's Telephone No.: 650-253-0000 Point of Contact: N/A- self-serve ad model
Sole Source sbeitication: Google is the #1 online search engine; online marketing is an essential
component of “\ 14/2015 Strategic Marketing.Plap’adopted by TDC and BCC.
_ LE 08/01/2014 oy. 44
Requesting Depattmept Héad Signature ‘Date *
REVIEW BY PURCHASING DEPARTMENT
VERIFY iF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: ZE Disapprove:
Cr
Amount of Purchase: Date:
24 u tolmak Be (4
Purchasing Director Signature
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
Department/Division: Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TO#152
Requesting Department's Suggested Vendor: Bing Cthicvosstt\
Vendor's Address: l Miewoso-# Min Leduund , WA UFOS2.
Vendor's Telephone 0.: Y2g §&Z gk Point of Contact:_ A - C-¢
Sole Source Justificati n Bing is the #2 online search engine; online marketing is an essential
component of the 2 wl Strategic Marketing Plan adopted by TDC and BCC.
a KZ, 08/01/2014 Sh “SG
até
Requesting eee Signature
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: a Disapprove:
ar)
Amount of Purchase: Date:
ha Holerak Of22/ (4
Purchas cl hasing Director Signature Bate
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 19
SINGLE SOURCE PURCHASE DATA SHEE
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
Department/Division: Tourist Development Department (TDD)
Item Description: 2014/2015 Media Plan TO#152
Requesting Department's Suggested Vendor: Yahoo!
Vendor's Address: 701 First Avenue, Sunnyvale, CA, 94089
Vendor's Telephone No.: 408-349-3300 Point of Contact: Emily Murlidhar
Sole Source Justification: Yahoo! is the #3 online search engine; online marketing is an essential
component of the 2014/2015 Strategic Marketing Plan adopted by TDC and BCC.
\ (A Aa 08/01/2014 SYP
Requesting Depattment Head Signafure Date / ‘
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: Z " Disapprove:
Amount of Purchase: Date:
2h wr Hleaal Bfz2 [4
PurchGsing Director Signature ate
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
SINGLE SOURCE PURCHASE DATA SHEET
Date: 8/01/2014 PR No.: Requestor: Peter Mayer Phone No.: 504.581.7191
Department/Division: Tourist Development Department (TDD)
ltem Description: 2014/2015 Media Plan TO#152
Requesting Department's Suggested Vendor: LinkedIn
Vendor's Address: 2029 Stierlin Court, Mountain View, CA, 94043
Vendor's Telephone No.: 650-687-3600 Point of Contact: Ashley Law
f
Sole Source se . The world's largest online network for professionals, which is a target group
identified in the 2014/2015\Strategic Marketing Plan adopted by the JDC and BCC.
WI << ¢ 08012014 fk /p2 Jez
Date/
Requesting Department ‘ Signature
REVIEW BY PURCHASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No::
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: Jf Disapprove:
Amount of Purchase: Date:
Suartobrak Bez (4
Purchasing Diréctor Signature
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
Tourist Development Department
Conflict of Interest Disclosure Certification
TO BE USED FOR SOLE-SOURCE ACQUISITIONS INVOLVING MULTI-NATIONAL ENTITIES
Peter Mayer Advertising, Inc. (“Peter Mayer”) affirms, to the best of its knowledge, information and
belief, that no county employee, elected official, member of the Tourist Development Council nor any
business associate or relative of an elected official, as defined in section 112.3143(1), Florida Statutes,
has any financial interest, direct or indirect, in the procurement of goods or services by the vendors
listed below:
Bing
Facebook
Google
Linkedin
Yahoo
The above-listed vendors were selected solely based on their qualifications, experience, reputation, cost
and availability and not due to any actual or perceived relationship these vendors have or may have with
any county employee or elected official.
p/ =
Peter Mayer Advertising, Inc.
James Geiger
Print Name
8.11.14
Date
