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Okaloosa County BOCC — February 4, 2014 — ECA Amendment 5 — reading text
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SIVED-OCT4 4.7008.
CONTRACT & LEASE INTERNAL COORDINATION SHEET —
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Contract/Lease Number: £. OF oD 33S" -f r Tracking Number: 15 9-f
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Contractor/Lessee Name: Ase PX twee dhe. Emon Grant Funded: YES___ NO»
J Const” Avloyl a~
Purpose: Chews.c, Paes Atte 6a. 4! aalttcs
Date/Term: _fae b= Bae a> 1. (1) GREATER THAN $80,000
Amount: 2, [[] GREATER THAN $25,000
Department: fiirye vte 3. BY $25,000 OR LESS
Dept. Monitor Name: Hormans/ wey
Document has been reviewed and Includes any attachments or exhibits,
Derte: iolts i, 4
Purchasing Review
Risk Management Review
County Altomey Review
County Atforney
Following Okaloosa County approval:
Contract & Grant
Doaument has been received:
Date:
Contracts & Grants Manager
AMENDMENT NUMBER FIVE
LEASE AND LICENSE AGREEMENT
AERO FX, INC. d.b.a. EMERALD COAST AVIATION
This AMENDMENT is entered into effective this day of
, 2013, by and between OKALOOSA COUNTY, FLORIDA, a
political subdivision of the State of Florida, (hereinafter referred to as LESSOR) and
AERO FX, INC., d.b.as. EMERALD COAST AVIATION, (hereinafter referred to as
LESSEE).
WITNESSETH:
WHEREAS, Aero FX, Inc. d.b.a. Emerald Coast Aviation entered into the original
lease no. L08-0335-AP30 effective January 1, 2009, Amendment Number One effective
July 13, 2010, and Amendment Number Two effective August 3, 2010, Amendment
Number Tree effective June 19, 2012, and Amendment Number Four effective March 19,
2013.
WHEREAS, this Amendment Five shall be subject to the terms, covenants,
conditions, and agreements to be kept, performed and observed by LESSEE as stipulated
in the original lease agreement and amendments not otherwise amended in this
amendment.
THEREFORE, the LESSOR and LESSEE, each in consideration of the agreement
to be performed by the other, do hereby agree as follows:
SECTION 1:
The Risk Management Department reviewed the insurance limits and is changing Acro
FX, Inc., d-b.a. Emerald Coast Aviation limits to the following:
Airport or General Liability (Premises) $5,000,000
Products (Fuel Sales) $5,000,000
Completed Operations (Maintenance) $2,000,000
Hangarkeepers Legal Liability $1,000,000 per aircraft
$2,000,000 per occurrence
Environmental/Storage Tank Liability $5,000,000
Business Automobile $1,000,000
All other information in Section 17 remains the same.
SECTION 2:
This AMENDMENT NUMBER FIVE consists of the following: Sections | — 2. It
constitutes this entire Amendment of the parties on the subject matter hereof and may not
be changed, modified, discharged, or extended except by written instrument duly executed
by LESSOR and LESSEE.
(The remainder of this page intentionally left blank)
IN WITNESS WHEREOF, the parties hereto have executed these presets as of the
day and year first written.
JONATHAN DUNN, PRESIDENT
AERO FX, INC. dba EMERALD COAST
AVIATION
ATTESTS:
Cri prda
WITNESS
BOARD OF COUNTY COMMISSIONERS
OKALOOSA COUNTY, FLORIDA
DON R. AMUNDS
CHAIRMAN
ATTEST:
GARY J. STANFORD
DEPUTY CLERK OF CIRCUIT COURT
OKALOOSA COUNTY, FLORIDA
ACKNOWLEDGEMENTS
STATE OF FLORIDA
COUNTY OF OKALOOSA
Before me, the undersigned officer duly authorized to take acknowledgments in the
COUNTY and STATE aforesaid, personally appeared JONATHAN DUNN who, under
oath, deposes and says that he is authorized to execute contracts and lease agreements and
that he executed the foregoing instrument for the uses and purposes contained therein.
Sworn and subscribed before me this /7 Hy day of A/evenh2¢ _, 2013, A.D.
“TOMMY L RIMKUS mw,
. MY COMMISSION #FFO19743 LA Pwo»
EXPIRES August 31, 2017
FloridaNotaryService.com NOTARY
My commission expires: cg uy 3 vA 2037
DATE (MM/DD/YY YY)
—7 »
ACORD CERTIFICATE OF LIABILITY INSURANCE 12/02/2013
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.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CoMeer
Eastern Aviation Services, LLC ° FAX
3070 Five Forks Trickum Road (AIC, No):
Lilburn, GA 30047 ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: QBE Insurance Corporation 39217
INSURED INSURERB :
Aero FX, Inc., Fuel FX, Inc., and Contract FX, Inc. dba
Emerald Coast Aviation INSURER ¢ :
5545 John Givens Road INSURER D :
Crestview, FL. 32539 INSURERE :
INSURERF:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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.
INSR ADDL|SUBR POLICY EFF
LTR TYPE OF INSURANCE INSR | WVD POLICY NUMBER (MM/DD/YYYY) (MDD YYY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $25,000,000
DAMAGE TO RENTED
A x COMMERCIAL GENERAL LIABILITY Y QAV0000838 11/30/2013 | 11/30/2014 PREMISES (Ea occurrence} $100,000
‘| CLAIMS-MADE OCCUR MED EXP (Any one person) $5,000
PERSONAL & ADV INJURY _| $25,000,000
GENERAL AGGREGATE Not Applicable
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - GOMP/OP AGG | $25,000,000
POLICY FRO. Loc HANGARKEEPERS $1,000,000 / $2,000,000
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY Se aecident) $
ANY AUTO BODILY INJURY (Per person) | $
ALL OWNED SCHEDULED ;
AUTOS AUTOS BODILY ee $
“OWNED PROPERTY DAMA
HIRED AUTOS AUTOS (Per accident) §
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED | | RETENTION $ $
WORKERS COMPENSATION WG STATU- OTH-
AND EMPLOYERS’ LIABILITY YIN TORY LIMITS ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E,L, EACH ACCIDENT $
OFFIGER/MEMBER EXCLUDED? NIA
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE] $
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | $
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
The Certificate Holder is included as an additional insured as respects operations of the Named Insured.
Coverage is primary and non-contributory to any other insurance available to the Certificate Holder.
The Certificate Holder will be provided with thirty (80) days (ten (10) days if for non-payment of premium) notice of cancellation.
The coverage includes On Airport Auto Liability Limit at $25,000,000 each occurrence.
The coverage includes Contractual Liability, Independent Contractors Liability, and Excess Auto Liability.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
enaleosa co aed 1 Str THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Crostui ort EL 0536 ACCORDANCE WITH ye pols PROVISIONS.
restview, Oger .
AUTHORIZED REPRESENTATIVE .
QBE Insurance Corporation
|
© 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
ACORDs provided by Forms Boss. www.FormsBoss.com; (c) impressive Publishing 800-208-1977
|
CERTIFICATE OF LIABILITY INSURANCE
OP ID: CR
DATE (MMIDDIYYYY)
12/10/2012
EMERA-1
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
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
certificate holder in lieu of such endorsement(s).
IMPORTANT: [f the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
Aero FX, Inc. dba
PRODUCER CONTACT
Eastern Aviation Ins. Servs. PHONE FAX
3070 Five Forks Trickum Road (AIC, No, Ext): (AIC, No):
P.O. Box 1534 E-MAIL
Snellville, GA 30078 ADDRESS:
Terry M. Britt INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A; Granite State Insurance Co.
INSURED Emerald Coast Aviation INSURER 8: Praetorian Insurance Company
5545 John Givens Road INSURER C:
Crestview, FL 32539 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:
REVISION NUMBER:
THIS {S§ 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.
linSR ADDL BUBR POLICY EFF. | POLICY EXP
LTR TYPE OF INSURANCE INSR |wvD POLICY NUMBER (MMIDDIYYYY)_|(MM/DDIYYYY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) _| $
| CLAIMS-MADE “OCCUR MED EXP (Any one person) —_| $
PERSONAL & ADVINJURY | $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG | $
POLICY FRO LOC $
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY (Ea accident) $ 1,000,000)
A ANY AUTO 02-CA-019047925-1/000 06/26/2013 | 06/26/2014 | BODILY INJURY (Per person) | $
ALL OWNED |_| SCHEDULED BODILY INJURY (Per accident) | $
- NON-OWNED PROPERTY DAMAGE
X | HIRED AUTOS AUTOS (PER ACCIDENT) $
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED | RETENTION $ $
WORKERS COMPENSATION WC STATU- OTH-
AND EMPLOYERS' LIABILITY YIN TORY LIMITS ER
B_ | any PROPRIETOR/PARTNER/EXECUTIVE iAWC0500165 11/30/2013 | 11/30/2074 | £1. EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? [| NIA
(Mandatory in NA) E.L. DISEASE - EA EMPLOYEE] $ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | $ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
CERTIFICATE HOLDER
CANCELLATION
OKALOOS
Okaloosa County
602-C North Pearl Street
Crestview, FL 32536
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Terry M. Britt
ACORD 25 (2010/05)
© 1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
NTEGR
integro Insurance Brokers
Two Financial Center Building,
66 South Street, Suite 800
Boston, MA 02171
CERTIFICATE OF INSURANCE
Named Insured: World Fuel Services Corporation
9800 NW 41* Street
Miami, FL 33178
Period of Insurance: April 15, 2013 to April 15, 2014 at 12:01am Eastern time on both days
Insurance Carrier(s): | Chartis Aerospace Policy No. PL00339 1673-12
and other insurers each for their own share and not for that of other participants.
Description of Coverage: Only as respects FBO dealers for the Named Insured
Products Liability solely with respect to the sale of fuel
and lubricants provided by the Named Insured
Limit of Coverage: $75,000,000 per occurrence and in the annual aggregate Combined Single Limit for
Bodily Injury and Property Damage
Excess of Underlying
