Okaloosa County BOCC — May 15, 2013 — F-15 Renewal Package 2013 — reading text

loaned objects. Revised 8 Dec 2011 NATIONAL MUSEUM of the U.S. AIR FORCE RCS: HAF-HO(A) 8801 INVENTORY REPORT Loan Account Number SspDA0398 11-Apr-13 ACCESSION # NOMENCLATURE Value $D-2009-0002 AIRCRAFT, F-15A(GF), 75-0044 $21,000 | certify that the above listed items shown on Pages 1 through 1 have been accounted for with any discrepancies so noted. Signature: (Historical Property Custodian) (Date) Don R. Amunds Typed or Printed Name Chairman, Okaloosa County BOCC Typed or Printed Title Page | 2013 POINT OF CONTACT INFORMATION SHEET ACCOUNT NUMBER CITY/ORGANIZATION NAME MAILING ADDRESS CITY STATE/COUNTRY ZIP CODE PHYSICAL LOCATION OF ITEM HISTORICAL PROPERTY CUSTODIAN | TITLE, HISTORICAL PROPERTY CUSTODIAN PRIMARY POINT OF CONTACT TITLE PRIMARY POINT OF CONTACT PRIMARY PHONE NUMBER ALTERNATE PHONE NUMBER PRIMARY FAX NUMBER EMAIL ADDRESS SDA0398 OKALOOSA COUNTY 101 E JAMES LEE BLVD CRESTVIEW FL 32536 Northwest Florida Regional Airport, 1701 State Rd 85 North MR DON R. AMUNDS CHAIRMAN, OKALOOSA COUNTY BOARD MR-GREG-DONOVAN— michael STewso nw AIRPORT DIRECTOR deputy dir ect? r 850-651-7160 (Airport) 850-651-7105 (County Board Ofc) 850-651-7164 (Airport) peste vse nw D> £0. okaloos.C. ® ACORD ee CERTIFICATE OF PROPERTY INSURANCE DATE (MM/DD/YYYY) 2/14/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. If this certificate is being prepared for a party who has an insurable interest in the property, do not use this form. Use ACORD 27 or ACORD 28. Okaloosa County, DBA: Okaloosa County 601-A North Pearl Street PRODUCER cONTACT Patricia Jenkins Public Risk | insurance Agency ue No. Exy: (38 6)252-6176 | (Alc, No); (386) 239-4049 co EMAL 45. Pjenkins@bbpria.com Daytona Beach FL 32115 | CUSTOMER ID: 00001966 INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A :Amrisc INSURERB:Travelers Prop & Cas Co of Am INSURER C :Lloyds INSURER D: Crestview FL 32536 ~ ” Te INSURER E : - oe ee INSURER F: | COVERAGES CERTIFICATE NUMBER:CP12101000193 REVISION NUMBER: LOCATION OF PREMISES / DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 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 AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ea TYPE OF INSURANCE POLICY NUMBER C ATE (MMVDDIYYYY) DATE (MAWDENYYYY) COVERED PROPERTY LIMITS x | PROPERTY *AMR-31420 Certain X | BUILOING $ 75,000,000 CAUSES OF LOSS | DEDUCTIBLES Underwriters at Lloyds x PERSONAL PROPERTY i ¢ INCLUDED BASIC BUILDING *MSP-12290-02 QBE BUSINESS INCOME $ _ BROAD GONTENTS Specialty Ins. Co. x EXTRA EXPENSE $ 2,000, 000 A | X | SPECIAL *CPP9653576-02 Steadfast 10/1/2012 | 10/1/2013 |__| RENTAL VALUE $ _ X | EARTHQUAKE Insurance Co. 7 BLANKET BUILDING $ oe X | WIND BLANKET PERS PROP | X | FLOOD BLANKET BLOG &PP | ¢ | X | Flood $ 25,000, 000 X | Earthquake $ 25,000, 000 (NLAND MARINE TYPE OF POLICY $ CAUSES OF LOSS $ NAMED PERILS POLICY NUMBER $ $ __| ORIME $ _ TYPE OF POLICY —_ $ 1$ B | x | BOILER & MACHINERY / BM21-7943N492 10/1/2012 | 10/1/2013 ls EQUIPMENT BREAKDOWN // /i/ —— . 100, 000, 009 C_ | Terrorism - Certified Acts UTS2512292.12 10/1/2012 | 10/1/2013 Sublimit $ 5,000,000 Combined Liab $ 5,000, 000 Value $21,000. actual loss sustainted. SPECIAL CONDITIONS / OTHER COVERAGES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Certificate issued with respects to Loan Agreement for F-15A Aircraft, S/N#75-0044, Replacement Building/contents coverage are provided on a replacment cost basis & BI/EE is No co-insurance penalty applies. occurrence, except 3% named storm wind/hail, $100,000 min, $5,000,000 max Deductible-AOP $50,000 per CERTIFICATE HOLDER CANCELLATION United States Air Force Heritage Program National Museum of the U.S. Air Force ACCORDANCE WITH THE POLICY PROVISIONS. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn:Patricia Ochos, Static Display Prog AUTHORIZED REPRESENTATIVE 1100 Spaatz Street Wright-Patterson AFB OH 45433-7102 Paul Dawson/AMBER LOC ee ee ACORD 24 (2009/09) INS024 (200909) © 1995-2009 ACORD CORPORATION. Ali rights reserved. The ACORD name and logo are registered marks of ACORD RECEIVED FEB 1 sm ae ee “(3-13 CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number: © j/~/ 9S9-/4P Tracking Numbers? 14-13 Contractor/LesseeName: /“ nti on 4 Museum, 4, the vsfFt Purpose: statl. iy splay /E- is) pe?) 13 Lean Agreems “TTI . od f Date/Term: Aww vat (_] GREATER THAN $10,000 ) $10 ,000 OR LESS Amount: \ Department: {er fe ‘13 Dept. Monitor Name: __ avid Winer Purchasing Review | Procurement requirements are met: Lint Date: Zhu 7™~ t /Lease Coordinator Risk M anag ent Review MONE S. SWE AL. Mf a tn (8 tae bocow ert valve “Lyi & Wie: a Ss ‘eheatl Tf dog not have Wha tig HE it ve.7) zZ LO Risk Management Director _ _ Hf afe3 | ' County Attorney Review AE befitute. Tahal Be ur #./ Date: 2,/ af 13 | Following Okaloosa County Board of County Commissioners approval: Contract & Grant Review Document has been appropriately reviewed and is executable: Date: Contracts & Grants Manager REVISED BY BCC 3-21-00 Dave Miner From: Jack Allen Sent: Tuesday, April 23, 2013 9:58 AM To: Dave Miner Subject: RE: F-15 Contract Renewal Yes, use the old one and the e-mail. | did not route the new one. From: Dave Miner Sent: Tuesday, April 23, 2013 9:56 AM To: Jack Allen Subject: FW: F-15 Contract Renewal Jack: Can | use this e-mail along with the old coordination sneet for the agenda or should | wait for the new coordination sheet? Dave From: John Dowd Sent: Monday, April 22, 2013 11:48 AM To: Jack Allen; Dave Miner; Gary Real Ce: Jon Morris Subject: RE: F-15 Contract Renewal Jack: The revised Agreement is fine. Florida law does allow us to indemnify up to our insurance limits. Thanks, John From: Jack Allen Sent: Monday, April 22, 2013 10:51 AM To: Dave Miner; John Dowd; Gary Real Cc: Jon Morris Subject: RE: F-15 Contract Renewal Mr. Dowd, This is for tracking # 544-13 that you signed with comments to substitute paragraph 10.1. Thanks, Jack From: Dave Miner Sent: Monday, April 22, 2013 10:41 AM To: John Dowd; Gary Real Cc: Jack Allen; Jon Morris Subject: F-15 Contract Renewal Mr. Dowd: Attached is the updated agreement for the F-15 Contract renewal concerning the hold harmless. Please review. We would like to put this on the Agenda for the next meeting on May 7". Thank you. David E. Miner Airports Administration Properties and Leases 1701 State Road 85 North Eglin AFB, FL 32542-1498 850-651-7160 ext. 4 Northwest Florida Regional Airport (VPS) Destin Airport (DTS) Crestview / Bob Sikes Airport (CEW) "Please note: Due to Florida's very broad public records laws, most written communication to or from County employees regarding County business are public records, available to the public upon request. Therefore, this written e- mail communication, including your e-mail address, may be subject to public disclosure."