Okaloosa County BOCC — January 7, 2014 — Kansas-Final -Payment — reading text

Adoption of Resolution. The signatures below from the designated individuals from the Governing Bady of the Signature: (Signature of Sebreisty. Board Chairman or other mem er of the Governing Body} Typed Name & Title btkcte zt Morets Chevnws (Typed Narne and Title of individual who signed directly above) Attested By: Ge waa lf yee {Signature of one. additional person who can witness the pass Typed Name & Title: “Teves ly lod. Check tb hee (Typed name of individual who signed directly above} "REFERENCE: PURCHASING'S ONLINE CONTRACTS PRINTED/ATTACHED BY: BCC FINANCE JOHN R. DOWD ATTORNEY AT LAW SHALIMAR, FLORIDA 32579 POST OFFICE BOX 404 TELEPHONE (850) 651-1679 SO! EGLIN PARKWAY FACSIMILE (850) 651-2626 December 27, 2010 Kansas State Bank of Manhattan 1010 Westloop, P.O, Box 69 Manhattan, Kansas 66505-0069 Re: Government Obligation Contract dated as of December 7, 2010, between Kansas State Bank of Manhattan(Qbligee} and Okaloosa County Board of commissioners (Qbligor) Ladies and Gentlemen: As legal counsel to Obligor, I have examined the foregoing Contract and such other opinions, documents and matters of law as I have deemed necessary in connection with this Contract. Based on the foregoing, I am of the following opinions: 1. Obligor is a political subdivision of the State of Florida, or a constituted authority authorized to issue obligations on behalf of a political subdivision of the State. 2. Obligor has the requisite power and authority to purchase the Equipment and to execute and deliver the Contract and to perform its obligations under the Contract. The Contract and the other documents either attached hereto or required herein have been duly authorized, approved and executed by and on behalf of Obligor, and the Contract is a legal, valid and binding cbligation of Obligor enforceable in accordance with its terms. 3. The authorization, approval and execution of the Contract and all other proceedings of Obligor relating to the transactions contemplated thereby have been performed in accordance with all open meeting laws, public bidding laws and all other applicable state and federal laws. 4. There is no litigation, action, suit or proceeding pending or before any court, administrative agency, arbitrator or governmental body that challenges the authority of the Obligor or any of the Obligor’s officers or employees to enter into the Contracts. S. The above opinion is for the sole benefit of the Obligee listed above and can only be relied upon by the Obligee or any permitted assignee _ Subassignee ox successor of Obligee under the REFERENCE: PURCHASING'S ONLINE CONTRACTS PRINTED/ATTACHED BY: BCC FINANCE OPINION OF COUNSEL (Must be Re-typed onto attorney's letterhead) (Date, must be on or after the meeting date listed on Exhibit D, Obligor Resolution) Kansas State Bank of Manhattan 1010 Westioop, P.O. Box 69 Manhattan, Kansas 66505-0069 Re: Government Obligation Contract dated as of December 7, 2010, between Kansas State Bank of Manhattan (Cbligee) and Okaloosa County Board of Commissioners (Obligor} Ladies and Gentlemen: As legal counsel to Obligor, | have examined the foregoing Contract and such other opinions, documents and matters of law as | have deemed necessary in connection with this Contract. Based on the foregoing, | am of the following opinions: 4. Obligor is a political subdivision of the State of Florida, or a constituted authority authorized to issue obligations on behalf of a political subdivision of the State. 2. Obligor has the requisite power and authority to purchase the Equipment and to execute and deliver the Contract and to perform its obligations under the Contract. The Contract and the other documents either attached hereto or required herein have been duly authorized, approved and executed by and on behalf of Obligor, and the Contract is a legal, valid and binding obligation of Obligor enforceable in accordance with its terms. 3. The authorization, appreval and execution of the Contract and all other proceedings of Obligor relating to the transactions contemplated thereby have been performed in accordance with all open meeting laws, public bidding laws and all other applicable state and federal laws. 4. There is no litigation, action, suit or proceeding pending or before any court, administrative agency, arbitrator or governmental body that challenges the authority of the Obligor or any of the Obligor’s officers or employees to enter into the Contracts. 5. The above opinion is for the sole benefit of the Obligee listed above and can only be relied upon by the Obligee or any permitted assignee or subassignee or successor of Obligee under the Contract. Signature of Legal Counsel REFERENCE: PURCHASING'S ONLINE CONTRACTS PRINTED/ATTACHED BY: BCC FINANCE Schedule (01) BANK QUALIFIED CERTIFICATE RE: Government Obligation Contract dated as of December 7, 2010, between Kansag Stat e Bank of Manhatt (Obligee) and Okaloosa County Board of Commissioners (Obligor) Whereas, Obligor hereby represents that it is a “Bank Qualified” Issuer for the calendar year in wi ich this’ Contract is executed by making the following designations with respect to Section 265 of the Internal Revenue Code. (A “Bank Qualified Issuer” is an issuer that issues less than thirty million ($30,000,000) dollars of tax-exempt obligations during the calendar year). Now, therefor, Obligor hereby designates this Contract as follows: 1. Designation as Qualified Tax-Exempt Obligation. Pursuant to Section 265(b)(3)(B){i) of the Internal Revenue Code of 1986 as amended (the “Code’), the Obligor hereby specifically designates the Contract as a “qualified tax-exempt obligation” for purposes of Section 265(b)(3) of the Code. In compliance with Section 265(b)}(3)(D) of the Code, the Obligor hereby represents that the Obligor will not designate more than $30,000,000 of obligations issued by the Obligor in the calendar year during which the Contract is executed and delivered as such “qualified tax-exempt obligations’. 2. Issuance Limitation. In compliance with the requirements of Section 285(b)(3)(C) of the Code, the Obliger hereby represents that the Obligor (including all subordinate entities of the Obligor within the meaning of Section 265(b)(3)(E) of the Code) reasonably anticipates not to issue in the calendar year during which the Contract is executed and delivered, obligations bearing interest exempt from federal income taxation under Section 103 of the Code (other than “private activity bonds” as defined in Section 141 of the Code) in an amount greater than $30,000,000. A oy Okaloosa Count Boardiot Commissioners Signature [ 7 gnature fj ? Mago Hares Oe Typed Name and Title REFERENCE: PURCHASING'S ONLINE CONTRACTS PRINTED/ATTACHED BY: BCC FINANCE INSURANCE REQUIREMENTS Pursuant to Article V in the Government Obligation Contract, you have agreed to provi insurance covering the property in the Contract. A Certificate of Insurance naming*all in: coverages must be determined to us as soon as possible, but no later than the late on which delivery equipment occurs. If you have not taken possession of the equipment, please write: memo to Kansas State Bank stating your carrier, insurance agent and telephone number to reach them upon delhi . In the case of self-insurance, the amounts of lability and physical damage coverage are to be li form of certificate supplied by you. In addition, information regarding the nature of your self-insurance program should also be forwarded to us as soon as possible. INSURANCE REQUIREMENTS: 1. LIABILITY ¥ Minimum of $1,000,000.00 combined single-limit on bodily injury and property dantage. Y Ransas State Bank and/or Its Assigns MUST be listed as additional insured and loss payee. 2, PHYSICAL DAMAGE ¥ All risk coverage to guarautee proceeds sufficient to pay the applicable Purchase Option Price as set forth im Exhibit B of tre Contract. Kansas State Bank and/or Its Assigns MUST he listed as additional insured and loss payer. 3. ENDORSEMENT ¥ Obligee will receive at least thirty (30) days written notice from Insurer prior to alteration, cancellation or reduction of insurance coverage. PLEASE FAX THE CERTIFICATE TO US AS SOON AS POSSIBLE AT (785) 587-4068, AND MAIL THE ORIGINAL TO: Kansas State Bank and/or Its Assigns P.O. Box 69 Manhattan, Kansas 66505-0069 YOUR ASSISTANCE IS GREATLY APPRECIATED TO COMPLETE THIS TRANSACTION, IF YOU HAVE ANY QUESTIONS, PLEASE GIVE US A CALL AT (877) 587-4054, Okaloosa County Board of Conunissioners Insurance Company: Prefrrced bovernmends} Jygntence Jruge Agent's Name: /udhic Wish /nSurance. Agent ~ fag | Louse Telephone #: 386-239-4095 Fax #: e-mail —_ polawson 6 bbpria, Cow Address, City, State & Zip: 220 S.&d¢bayod Awe Devtone } ech 6. B24 REFERENCE: PURCHASING'S ONLINE CONTRACTS PRINTED/ATTACHED BY: BCC FINANCE ACORD EO RiLim aA Ti SADC : ToR RY DATE MIDDAY) {dino Bee ES Dero ae : 12/22/2010 PRODUCER 386.2 THIS CERTIFICATE (8 ISSUED AS A MATTER OF INFORMATION ac RG ONLY AND ERS NO RIGHTS UPON THE CERTIFICATE Public Risk Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P, 0. Box 2416 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Daytona Beach, FL 32215 Attn eet Ext A ce ORE Okaloosa County BOCC 601-A North Pear] Street ~“Lisvae Crestview, FL 32536 onary Y COMPANY D company Travelers Property & Casualty — B ee a ee oS re a THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDEO BY THE POLICIES DESCRIBED HEREIN |S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND GONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. F ied TYPE OF INSURANCE | POLICY NUMBER ATE MIDDAY) OATE MEDD COVERED PROPERTY uMTs LX] PROPERTY IAMR~ 26982 16/01/2010 | 10/01/2011 | BUILOING is 75,000,000 "CAUSES OF LOSS UNDERWRITERS AT LLOYDS, =} : _| PERSONAL PROPERTY 7 BASIC LONDON i BUSINESS INCOME BROAD H j X | EXTRA EXPENSE $ SPECIAL MSP-12290 - QBE SPECIALTY ____| BLANKET BULOINS ‘$s EARTHQUAKE STNSURANCE CO. |__| BLANKET PERS PROP s FLOOD ___| BLANKET BLDG APP | $ CPP9653576 - STEADFAST X| Flood s IEINSURANCE CO. $ |_| INLANO MARINE . $ _ TYPE OF POLICY = | CAUSES OF LOSS - _| NAMED PERILS _ OTHER oad CRIME TYPE OF POLICY B |X | owen macninery BM2 1+7943N492 10/01/2010 | 10/01/2011 | s 100000000 t 3 X | ovner UTS2512292.10 10/01/2010 | 10/01/2011 5,000,00d Terrorism Sublimit i i Combined Liab 5,000,000 } i i LOCATION OF PREMISESIDESCRIPTION OF PROPERTY Building and contents coverage are provided on a replacement cost basis and BI/EE is actual loss bustained. No co-insurance penalty applies. eee eeeee ey oivo Col0 Motor Graders, #501935, #501936, #501938, #501939 - $158,852ea. Kertificate Holder is listed as loss payee and additional insured. EXPIRATION DATE THEREOF, THE ISSUING GOMPANY WILL ENDEAVOR TO MAIL, GO __ ays WRITTEN NOTIGE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Kansas State Ban k of Man if] attan SUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1016 Westloop, PO Box 69 OF ANY KIND UPON THE COMPARY, ITS AGENTS OR REPRESENTATIVES. Manhattan, KS 66505-0069 AUTHORIZED REPRESENTATIVE ; ul Dawson/TRISH ere ete 6 pe pono REFERENCE: PURCHASING'S ONLINE CONTRACTS PRINTED/ATTACHED BY: BCC FINANCE 8038-G information Return for Tax-Exempt Governmental Obligations Form >» Under Internal Revenue Code section 149(e} : OMB No. 1545-0720 (Rev. May 2016} » See separate instructions. | Gaution: if the issue price is under $100,000, use Forrn 8038-GC. feias| Reporting Authority if Amended Rety’ here & LJ 1 Issuer's name 2 issuer's employer id Aueiber (EIN) Okaloosa County Board of Commissioners 59 T Roanysuita 4 Agport n: 3 Number and street (or P.O. box