Okaloosa County BOCC — November 5, 2013 — Allwood Furniture Lease — reading text

CONTRACT/LEASE RENEWAL FORM LEASE # L07-0284-WS Date: October 11, 2013 ALLWOOD FURNITURE 1310 A & BODDFELLOW ROAD, FWB Company Name: Allwood Furniture EXPIRES: 09/30/2014 Attn: Stephen Isaac Address: 1310-A Odadfellow Road City, State, Zio: Fort Walton Beach, FL 32547 RE: Renew Lease Okaloosa County Water & Sewer Dear Sir, The Okaloosa County Water & Sewer Department agrees to renew the subject contract/lease, #LQ7-0284-WS for an additional term. The contract renewal period will be 10/1/2013 to 9/30/2014. The annual revenue received from this lease is $5,400.00. If you are in agreement, please sign below and return this form along with a current Certificate of Insurance listing Okaloosa County as co-insured (if applicable). COUNTY REPRESENTATIVES AUTHORIZED COMPANY REPRESENTATIVE Dept. Director Contractor:__Allwood Furniture Jeff Littrell ee Signature: Approved By: Approved By: Name: Stephen Tsaac (as prescribed below on item Approved By: GE Title: OwWner (as prescribed below on item Date: leh fz Date. Nev /as 9/3 County Department Instructions: 1) Obtain signatures from Department Director, authorized Company Representative and then Purchasing Director <$25K and less, County Administrator <$50K and less or Board >S$50K, as necessary. If Board approval is required, the Chairman and County Administrator's signatures are required. Make sure the company provides a current Certificate of Insurance. (lf applicable). 2) Keep a copy of this form for your records. 3) Send original to Purchasing Services Coordinator. If you have any questions please contact the Purchasing Director at 850-689-5960, Fax: 850- 689-5998, CONTRACT/LEASE RENEWAL FORM Date: October 11, 2013 LEASE # L07-0284-WS ALLWOOD FURNITURE Company Name: Allwood Furniture 4310 A & B ODDFELLOW ROAD, FWB Attn: Stephen Isaac EXPIRES: 09/30/2014 Address: 1310-B Oddfellow Road City, State, Zip: Fort Walton Beach, FL 32547 RE: Renew Lease Okaloosa County Water & Sewer Dear Sir, The Okaloosa County Water & Sewer Depariment agrees to renew the subject contract/lease, #LO7-0284-WS for an additional term. The contract renewal period will be 10/1/2013 to 9/30/2014. The annual revenue received from this lease is $5,400.00. If you are in agreement, please sign below and return this form along with a current Certificate of Insurance listing Okaloosa County as co-insured (if applicable). COUNTY REPRESENTATIVES AUTHORIZED COMPANY REPRESENTATIVE Dept. Director Contractor: Allwood Furniture Approved By: YZ Q ee Y —_— Approved By: C rint Name: Stl ef ASaKrl (as prescribed below on wy / Approved Baan Lou Title: Owner (as prescribed below on itent 1) Date: 12/1/72 Date. Nev _/ 2, rem! Jeff Littrell Signature: County Department Instructions: 1) Obtain signatures from Department Director, authorized Company Representative and then Purchasing Director <$25K and less, County Administrator <$50K and less or Board >$50K, as necessary. If Board approval is required, the Chairman and County Adminisirator's signatures are required. Make sure the company provides a current Certificate of Insurance. (lf applicable). 2) Keep a copy of this form for your records. 3) Send original to Purchasing Services Coordinator. If you have any questions please contact the Purchasing Director at 850-689-5960, Fax: 850- 689-5998, _— | ALLWO-4 OP ID: DKN ACORD CERTIFICATE OF LIABILITY INSURANCE “uo 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: certificate holder in lieu of such endorsement(s). lf the certificate holder is an ADDITIONAL INSURED, the polleylies) must be endorsed. the terms and conditions of the policy, certain policies may require an endorsement, A statement on this certificate does not confer rights fo the lf SUBROGATION IS WAIVED, subject to PRODUCER Phone: 941-377-7283] Sauce’ a E 3801 Bee Ridge Road, Sulte #6 Fax: 941-927-8464] (16; No. exu: (aS, No}: Sarasota, FL 34233 Pe os, House Account INSURER(S) AFFORDING GOVERAGE _NAIG# ; wsurer A: Lloyds of London INSURED All Wood Furniture Restoration INSURER B : : 1310 Unit A and B Oddfellow Dr INSURER C: Fort Walton Beach, FL 32547 = - INSURER D : INSURER E: ; INSURER F : 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 1S 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 _| POLICY EXP : ~ hin TYPE OF INSURANCE _ WD POLICY NUMBER {MNODIYY YY) | (MMIDDNYYY} LIMITS GENERAL LIABILITY FACH OCCURRENCE $ 300,000 AMAGE TO = A. |X | commercial GENERAL LIABILITY AU12042013A 12/04/2013 | 12/04/2014 | premises (eaoceurence) | $ 400,000 | CLAIMS-MADE OCCUR . MED EXP (Anyone person) | $ 5,000 PERSONAL & ADVINJURY | $ 300,000 || GENERAL AGGREGATE $ 600,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG | $ 600,004 X | pouicy TBO LOG $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea aedanth § ANY AUTO BODILY INJURY (Per person) | $ 7} ALL OWNED SCHEDULED ; ALL Ow scueD BODILY INJURY (Per accident)} $ = NON-OWNED PROPERTY DAMAGE 3 HIRED AUTOS AUTOS (Par accident) $ UMBRELLA LIAB OccUR EACH OGCURRENCE $ EXCESS LIAS CLAIMS-MADE AGGREGATE s DED | | RETENTIONS $ WORKERS COMPENSATION WG STATU- OTH- AND EMPLOYERS’ LIABILITY YIN TORY.LIMITS ER ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatery in Ne) E.L. DISEASE - EA EMPLOYEE| $ If yes, describe un + DESCRIPTION OF OF OPERATIONS below EL DISEASE - POLICY LIMIT | $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 104, Addillonal Remarks Schedule, If more space Is required} CERTIFICATE HOLDER CANCELLATION AllWood Furniture Restoration 1310 Unit A and B Oddfellow Dr Fort Walton Beach, FL 32547 SHOULD ANY OF THE ABOVE DESCRIBED POLIGIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Dari K Norelial AGORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD EXHIBIT B CONTRACT, LEASE, AGREEMENT CONTROL FORM o> L07-0284-WS Date: 7/5/. ALLWOOD FURNITURE 1310 A & B OPDFELLOW ROAD, FWB Contract/Lease Control #: EXPIRES. 7922/3 Bid #: N/A Contract/Lease Type: REVENUE Award To/Lessee: ALLWOOD FURNITURE Lessor: OKALOOSA COUNTY (WATER & SEWER) Effective Date: 11/1/2006 Term: 4/30/2012 RENEWABLE Description of Contract/Lease: BLDG B 1310 A & B ODD FELLOW RD, FWB Department Manager: WATER & SEWER ~ff ff dy get f Department Monitor: 9 // 4. 4/re: Monitor's Telephone #: 651-7172 Monitor's FAX #: 651-7193 Date Closed: (0[( (2010-9 [30/12 ID[ tO [ (A — PLES po [rf 13 — Wey Board of County Commissioners Purchasing Department State of Florida 08/22/2012 CONTRACT/LEASE RENEWAL FORM Allwood Furniture LEASE # L07-0284-ws Attn: Stephen Issac ALLWOOD FURNITURE ee Soe absnnstsom nono rH RE: L07-0284-WS Dear Mr. Isaac: The Okaloosa County Water & Sewer Department wishes to renew the subject contract/lease, #L07-0284-W5S for an additional term. The contract renewal period will be 10/01/2012 to 09/30/2013. if you are in agreement, please sign below and return this form along with a current Certificate of Insurance listing Okaloosa County as co-insured {if applicable)to Mark Griffin, Logistics Supervisor, (850)651-7176. COUNTY REPRESENTATIVE AUTHOURIZED COMPANY REPRESENTATIVE Contractor: Ate biter Dept./Director: Water & Sewer. es # wg ba | Approved BV é De i (Gee Approved By: _ x38 rE. Print Name: a As fap Lee #} Print Name: Lhihe: Cr}. Fe, Sho. C Title: fue chet Sn vees loud teh Title: Owner Date: 25/1 on Date: PL 5 / ad County Department Instructions: 1) Obtain signatures from Department Director and authorized Company Representative. (Purchasing Director, County Administrator or BCC Chairman, if necessary) Make sure the company provides a current Certificate of Insurance. (If applicable) 2) Keep a copy of this form for your records. 3) Send original to; Jack Allen, Purchasing Services Manager. If you have any questions please contact Jack Allen at 850-689-5960, Fax-850-689-5998, e-mail: j@llen@ce.ckalogsa fl.us COYPRESS Proper trés CASUALTY ae ee COMMERCIAL GENERAL LIABILITY POLICY PO BOX 41G59 JACKSONVILLE, FL 32203-1059 POLICY DECLARATIONS 1-889-833-1359 (FOR ALL INQLHRES) Policy Number GFL 1019729 01 81 Policy Period Fram 09/21/2012 Te 09/21/2013 Renewal of GFL 1019729 ; 12:04 AM, Standasd Time at the Neoed Insured's Address Transaction RENEWAL DEC "LARATI ne Effective: 02 / {21/2012 fais lesued: 06/06/2012 Named Insured and Address L310 UNIT A AND B ODDPELLOW DR _ Agent ALL HOOD PURNTI TURE G Aas 7 \ ALPRED C MALING 013323 7 - AL MALINS INSURANCE een S861 BREE RIDGE RD STE 6& FORT WALTON FL 32547 SARASOTA FL 34233-1157 Telephone: 941-377-7283 Business Descriptian aa of Bissiness Audit Period CARPENTRY RPORATIGN ANNUAL IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY. WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. LIMITS OF INSURANCE General Aggregate Limit (Other than Products-Completed Operations} 3 660,000 Products - Cornpleted Operations Aggregate Limit $ 600,000 Each Occurrence Limit $ 380,000 Personal and Advertising Injury Lirnit $ 360,060 Medical Expense Limit, any one person $ 5,000 Fire Damage Limit, any one fire $ 200,000 AMENDED LIMITS OF LIABILITY Refer to attached schedule, if any. CLASSIFICATIONS Refer to attached schedule. FORMS AND ENDORSEMENTS Refer to attached schedule, These Declarations together with the common policy conditions, coverage part declarations, coverage part coverage form{s} and form(s) and endorsements, if any, issued, complete the above numbered policy. TOTAL COVERAGE PREMIUM $ 450.60 TOTAL ASSESSMENTS AND FEES FL HURRICANE CATASTROPHE FUND ASSESSMENT 3 6.00 POLICY FRE $ 25.00 TOTAL POLICY PREMIUM: $3 481.00 COUNTERSIGNED pate: 08/96/2012 OM cet, wd ® CGL 100-FL 05 07 INSURED'S COPY Page 1 of 4 OOGOGOAL? + LEASE # L07-0284-WS ALLWOOD FURNITURE 1310 A & B ODDFELLOW ROAD, FWB EXPIRES: 09/30/2012 LEASE AGREEMEN This Lease Agreement made as of this Ist day of October 2011, between OKALOOSA COUNTY, 1804 Lewis Turner Bivd., Fort Walton Beach, Florida 32547 (hereinafter referred to as Lessor), and _Allwood Furniture (hereinafter referred to as Lessee). WITNESSETH: For and in consideration of the rental herein reserved, and of the covenants, conditions, agreements, and stipulations of the Lessee hereinafter expressed, the parties agree as follows: 1. Premises. The Lessor hereby leases to Lessee, and Lessee hereby leases from Lessor, the following described premises: (a) Being all of that commercial/industrial unit located at _1310 A & B, Odd Fellow Rd, Fort Walton Beach, FL 32547, hereinafter referred to as "leased premises."' . (b) Together with the right to use in common with Lessor, its employees, invites, and customers, and Lessor's other tenants and their employees, invites, and customers, the parking areas provided by the Lessor, its successors, or assigns, in the designated areas for the parking of automobiles, which are contiguous to the building in which the leased premises are located; provided that the Lessor retains the right to make reasonable rules. and regulations with