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EXHIBIT A
FORM OF NOTE
NO. R -1
CITY OF FORT WALTON BEACH, FLORIDA
CAPITAL IMPROVEMENT REFUNDING REVENUE NOTE, SERIES 2013
STATED
RATE OF INTEREST MATURITY DATE DATE OF ISSUE
2. 30% July 1, 2031 May 6, 2013
REGISTERED OWNER: PINNACLE PUBLIC FINANCE, INC.
PRINCIPAL AMOUNT: $ 4, 470, 610. 00
KNOW ALL MEN BY THESE PRESENTS, that the City of Fort Walton Beach,
Florida ( the " City"), for value received, hereby promises to pay to the Registered Owner
on the Maturity Date specified above the principal amount then outstanding pursuant to
the terms of that certain Loan Agreement dated May 6, 2013 between the City and the
Registered Owner ( the " Agreement'), plus interest thereof from the Date of Issue set
forth above to the date of payment thereof, at the Stated Rate until payment of the
Principal Amount above stated, such interest to be calculated on a 360 -day year
comprised of twelve 30 -day months. This Note shall bear interest at a fixed rate of
interest equal to the Rate of Interest stated above. The Rate of Interest on this Note is
subject to adjustment as set forth in the Agreement under the definition of "Stated Rate."
Interest on the Note shall be payable semi -annually on each January 1 and July 1,
commencing January 1, 2014 ( each an " Interest Payment Date ") and at the maturity or
earlier prepayment of the Note. Principal due on this Note shall be paid each July 1,
commencing July 1, 2014, in the amounts set forth below:
Date Due Amount
07/ 01/ 2014 187, 659. 00
07/ 01/ 2015 210, 709. 00
07/ 01/ 2016 212, 966. 00
07/ 01/ 2017 219, 874. 00
07/ 01/ 2018 221, 381. 00
07/ 01/ 2019 227, 408. 00
A -1
Date Due Amount
07/ 01/ 2020 233, 083. 00
07/ 01/ 2021 238, 399.00
07/ 01/ 2022 243, 347. 00
07/ 01/ 2023 252, 694. 00
07/ 01/ 2024 256, 506. 00
07/ 01/ 2025 259, 906. 00
07/ 01/ 2026 267, 88300
07/ 01/ 2027 275, 295. 00
07/ 01/ 2028 282, 127. 00
07/ 01/ 2029 288, 365. 00
07/ 01/ 2030 293, 998. 00
07/ 01/ 2031 299, 010.00
Prior to January 1, 2019 the Note may be prepaid in whole, but not in part, on any
Interest Payment Date at the option of the City, from any moneys legally available
therefor, upon 10 days prior written notice to the Lender, by paying to the Lender 101%
of the outstanding principal amount of the Note, together with the unpaid interest accrued
on the outstanding principal amount of the Note to the date of such prepayment.
Beginning January 1, 2019 the Note may be prepaid in whole on any Interest Payment
Date or in part on any July 1, commencing July 1, 2019, at the option of the City, from
any moneys legally available therefor, upon 10 days prior written notice to the Lender,
without a prepayment premium, by paying to the Lender the principal amount of the Note
to be prepaid, together with unpaid interest accrued on the portion of such principal
prepaid. In the event of partial prepayment, the Loan shall be reamortized, utilizing the
remaining principal balance over the remaining term of the Loan. Capitalized terms used
herein and not defined are used as defined in the Agreement.
This Note is issued under the authority of Chapter 166, Florida Statutes, as
amended, the City Charter and other applicable provisions of law, and pursuant and
subject to the terms and conditions of Resolution No. 2013 - 12 duly adopted by the City
Council of the City on April 23, 2013 ( the ' Resolution "), to which reference should be
made to ascertain those terms and conditions.
Subject to the limitations and restriction set forth in the Agreement, the City has
covenanted in the Agreement to budget and appropriate in each Fiscal Year while this
Note is outstanding sufficient amounts, from legally available Non -Ad Valorem
Revenues, to pay the principal of and interest on this Note during such Fiscal Year, as
more particularly provided in the Agreement.
This Note shall not constitute a general obligation or indebtedness of the City, and
the Lender shall never have the right to require or compel the levy of taxes on any
property of or in the City for the payment of the principal of and interest on this Note.
A -2
This Note shall not constitute a lien upon the Refunded Bonds, or upon any property of or
in the City, but shall be payable solely from the Pledged Funds in the manner provided in
the Agreement. Reference is made to the Agreement and the Resolution for the
provisions relating to the security for payment of this Note and the duties and obligations
of the City hereunder.
Pursuant to the Resolution, the City has designated this Note as a " qualified tax -
exempt obligation' under Section 265( b)( 3) of the Internal Revenue Code of 1986, as
amended.
It is hereby certified and recited that all acts, conditions and things required by the
Constitution and laws of the State of Florida to happen, exist and be performed precedent
to and in the issuance of this Note, have happened, exist and have been performed in
regular and due form and time as so required.
IN WITNESS WHEREOF, the City Council of the City of Fort Walton Beach,
Florida, has caused this Note to be executed by its Mayor, and attested by its Clerk, either
manually or with their facsimile signatures, and its seal or a facsimile thereof to be
affixed, impressed, imprinted, lithographed or reproduced hereon, and this Note to be
dated May 6, 2013.
CITY OF FORT WALTON BEACH,
FLORIDA
vwccx\/' C. LY1
Mike Anderson, Mayor
Attest: Approved for form and legal sufficiency
a, a,
Helen Spencer, Ofty Clerk Hayes Dykes, City A eN' /
A -3
The following abbreviations, when used in the inscription on the face of the within
Note, shall be construed as though they were written out in full according to applicable
laws or regulations:
TEN COM -- as tenants in common
TEN ENT -- as tenants by the entireties
JT TEN -- as joint tenants with right of survivorship
and not as tenants in common
UNIT TRANS MIN ACT
Gust.)
Custodian for
under Uniform Transfers to Minors Act of
State)
Additional abbreviations may also be used though not in list above.
I:
V1
ASSIGNMENT
FOR VALUE RECEIVED, the undersigned sells, assigns and transfers to
Insert Social Security or Other Identifying Number of Assignee
Name and Address of Assignee)
the within bond and does hereby irrevocably constitute and appoint
as attorneys to register the transfer of the
said bond on the books kept for registration thereof, with full power of substitution in the
premises.
Dated:
Signature guaranteed:
NOTICE: Signature must be guaranteed by
an institution which is a participant in the
Securities Transfer Agent Medallion
Program ( STAMP) or similar program. NOTICE: The signature to this assignment
must correspond with the name of the
Registered Holder as it appears upon the
face of the within bond in every particular,
without alteration or enlargement or any
change whatever and the Social Security or
other identifying number of such assignee
must be supplied.
A -5
2. 1
INCUMBENCY CERTIFICATE
I, Helen Spencer, City Clerk of the City of Fort Walton Beach, Florida ( the
City "), DO HEREBY CERTIFY as follows:
I.The following are now, and have continuously been since the dates of
beginning of their respective current terms shown below, the duly elected, qualified and
acting members of the City Council of the City of Fort Walton Beach, Florida ( the
Council'), and the dates of the beginning and ending of their respective current terms are
hereunder correctly designated opposite their names:
Beginning Date Ending Date
Member of Current Term of Current Term
Mike Anderson, Mayor April 1, 2009 March 31, 2017
Bobby Griggs April 1, 2011 March 31, 2015
Dc Joyce gillic gossom April 1, 2010 March 31, 2015
John Mead April 1, 2013 March 31, 2015
Trey Goodwin April 1, 2011 March 31, 2015
Amy Jamieson April 1, 2013 March 31, 2017
C. H. 'Bull" Rigdon April 1, 2010 March 31, 2017
Dick Rynearson April 12009 March 31, 2017
2.2. TheThe followingfollowing areare now,now, andand havehave continuouslycontinuously beenbeen sincesince thethe datesdates ofof
beginning beginning ofof theirtheir respectiverespective currentcurrent termsterms ofof officeoffice shownshown below,below, thethe dulyduly electedelected oror
chosenchosen
( ( asas thethe casecase maymay be),be), qualifiedqualified andand actingacting officersofficers ofof thethe CityCity andand thethe datesdates ofof thethe
beginningbeginning andand
