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Okaloosa County BOCC — November 5, 2013 — LEASE RENEWAL FORM AND ORIGINAL LEASE - DENT TECH UNIT 1308A — reading text
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CONTRACT/LEASE RENEWAL FORM
CONTRACT# L11-0387-WS
. DENT TECH OF N.W. FLORIDA, INC.
Date: October 11, 2013 REVENUE
Company Name: Dent Tech of N.W. Florida, Inc. EXPIRES: 09/30/2014
Attn: Marcus Jandran
Address: 1308-A Oddfellow Road
City, State, Zip: 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, #L11-0387-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
$6,678.00.
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: Dent Tech of N.W, Florida, Inc.
Jeff Littrell Ce~ >»
Signature: aM UA) Approved By: ——5
Approved By: is Print Name:_{Y) $ Oa nd oun
{as prescribed below on item
Approved Byy Zoe f Gc L* Title: Ke Cbd wt [ous nN oc)
(as prescribed below on item}
Date: MAS 1? Date: 10 “29 -)\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 >$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.
Printed By Gerard
ACORD
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMDDIYY)
5/1/2018
PRODUCER
Harris Insurance Services, Inc.
123 Miracle Strip Parkway S. E.
Fort Walton Beach, FL 32548
Phone - (850)244-2111 Fax - (850)243-5265
THIS CERTIFIGATE IS ISSUED AS A MATTER OF INFORMATION ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER: THE COVERAGE
AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC#
INSURED
Dentiech
4408 Odefellow Rd. Unit A
Ft Walton Beach, FL 32547
INSURER A: Tapco Underwntters, Inc.
INSURER 8:
INSURER C:
INSURER 0:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOP INDICATED NOTWITHSTANDING ANY REQUIREMENT, |
ERM 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 DESGRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUGED BY
ANY PROPRIETORPARTNER/EXECUTIVE
OFFIGER/MEMBER EXCLUDED?
If yes, describe under
SPEGIAL PROVISIONS balow
PAID CLAIMS,
hae [Aaa “TYPE OF INSURANCE POLICY NUMBER — [FOUCY ETRE MODMY) LIMITS
‘GENERAL LIABILITY CH OCGURRENCE EY 500,000
l— URMM 4/30/2013 4/30/2014 DAMAGE TO RENTED
x | COMMERCIAL GENERAL LIABILITY PREWSES [Hg occurance $ 100,000
Aly ] CLAIMS MADE OCCUR MED EXP (Any one person) | $ 5,000
PERSONALB ADVINJURY 1$ 800,000
GENERAL AGGREGATE $ 4,000,000
| GENL AGGREGATE LIMIT APPLIES PER: ' PRODUCTE-COMPIOP AGS $ 500,000
[_] Poticy PROJECT Loc
AUTOMOBILE LIABILITY [COMBINED SINGLE LIMIT
. | ANY AUTO a accident) §
— =
ALL OWNED AUTOS BODILY INJURY
_— (Es person) §
|__} SCHEDULED AUTOS
HIRED AUTOS BODILY INGURY
— {Per accldent) 3
|__| NON-OWNED Autos
PROPERTY DAMAGE
{Per accident) $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT [$
[|] ANY AUTO OTHER THAN EAACG|3
L-—| AUTO ONLY: aoa 15
EXCESS/UMBRELCA LIABILITY EACH OCCURRENCE 5
occuR im > CLAIMS MADE AGGREGATE 3
DEDUCTIBLE
|] RETENTION §
WORKER'S COMPENSATION AND Torvume |_| cer
EMPLOYERS' LIABILITY EL DISEASE. EA ACCIDENT 5
ELL DISEASE- FAEMPLOYEE
FL DISEASE- POLIGY LIAIT 8
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSVEHICLESEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
CERTIFICATE HOLDER AND ADDITIONAL INSURED
CANCELLATION
Okaloosa County Department Of Growth Management
1804 Lewis Turner Bld
Fort Walton Beach, FL 32647
Phone: Fax:
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
_10_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO DO 80 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE INSURER, {TS AGENTS OR REPRESENTATIVES,
AUTHORIZED REPRESENTATIVE te .
Gerard Harris
ACORD 25 (2001/08)
EXHIBIT B
CONTRACT, LEASE, AGREEMENT CONTROL FORM
Date: October 12, 2011
Contract/Lease Control #: #L11-0387-WS
Bid #: NA Contract/Lease Type: REVENUE
Award To/Lessee: DENT TECH OF NW EL, INC,
Lessor/Owner: OKALOOSA COUNTY
Effective Date: 10/01/2011
Expiration Date: 09/30/2012
Description of Contract/Lease: 1308 A ODD FELLOW RD, FWB
Department Manager: WS
Department Monitor: J. LITTRELL
Monitor's Telephone #: 651-7172
Monitor's FAX # OR E-Mail: JLITTRELL@CO.OKALOOSA.FL.US
Date Closed:
Remarks:
Cc: — Finance Dept Contracts & Grants Division
lOT ELE Cp f 2 ELA
rl i liAn~ 1/20 (12
IDOL (e- Gl ea li4
¢ Aras fe é fo feet Sy
EXHIBIT D
CONTRACT & LEASE
INTERNAL COORDINATION SHEET
Contract/Lease Number: _ Tracking Number: eval ]
Contractor/Lessee Name: Den? Feely of N00f forile, he.
Purpose:
bate/Term: Gf $x [202 ton 2,1 yrs, 0) oRERTER THAN $50,000
| amount: 556 SO OTS RENTER THAN §25,001
Department: L/S. 3, [£4$25,000 OR Less
Dept. Monitor Name: _<« ZL. i ice Lf
Purchasing Review
? ion shui p " Date: & EZ [y _
Risk Management Review
Approved as written:
“a enna
KS
S Pore BE Date: ~f tl
isk Management Dir&ctor
ony County Attorney Review
County Attorney
Following Okaloosa County approval:
Contract & Grant
Document has been received:
Date:
Contracts & Grants Manager
LEASE # L11-0387-WS
DENT TECH OF NW FL, INC
1308 A ODDFELLOW ROAD, FWB
This Lease Agreement made as of this Ist day of October 2011, between OKALOOSA
COUNTY, 1804 Lewis Turner Blvd., Fort Walton Beach, Florida 32547 (hereinafter
referred to as Lessor), and Dent Tech of N.W. Florida Inc. (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 1308 A Odd Fellow Rd,_
Fort Walton Beach, F'L 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 reference to the use of said parking area, including the right
to provide for certain reserved parking as, from time to time, determined by the Lessor,
and particularly provided that employees, agents, and principals of Lessee shall park in
designated areas so as to assure Lessor's other tenants and Lessor's customers and
visitors convenient and proximate parking contiguous to the building or buildings in
which its tenants are located.
(c) Lessee acknowledges that Lessee has inspected the leased premises and hereby
accepts same in "as is" condition, and (2) Lessor has made no warranties and/or
representations regarding the condition of the leased premises.
2. Term.
(a) The term of this Lease shall be for one (1) year commencing on the 1day of
October, 2011 and terminating on the 30" day of September, 2012. Lessee shall be
entitled to extend this lease for two (2) additional years, by giving notice to Lessor at
least 30 days prior to the expiration of the initial term, provided Lessee has not been in
default of this Lease agreement at any time during the initial term. Lessee may
terminate this Lease due to extraordinary circumstances as approved by Lessor with 60
days notice, which approval shall not be unreasonably withheld.
(b) During the final four (4) months of this Lease term, Lessor shall be permitted to
show prospective tenants the leased premises upon giving Lessee twenty-four (24)
hours’ notice.
3. Rental, Lessee hereby covenants and agrees to pay to the Lessor at the Courthouse,
101 E. James Lee Blvd., Crestview, Florida 32536, or at such other place as the Lessor may
1
from time to time designate in writing, as rental for said premises during the term of this
Lease, an annual rental, payable monthly in advance, beginning on the first day of
commencement of this Lease and continuing on the same day of each month thereafter for
the entire term of this Lease as follows:
(a) $525.00 per month during the term of this Lease; ($556.50) with 6% sales tax
(b) a sum equal to 10% of any rent not received by Lessor within ten (10) days of the
due date thereof.
Lessee shall be required to pay to Lessor, in addition to the amounts above, any
sales or rental taxes which are applicable to this lease. ($31.50)
4. Use of Premises. The Lessee shall use said premises for commercial/industrial use and
for no other purpose whatsoever.
Lessee shall comply with all present and future laws or ordinances applicable to the
leased premises and shall not commit or suffer waste on the premises, or use or permit
anything on the premises which may be illegal, or constitute a private or public nuisance,
or conflict with or invalidate or increase the cost of any of Lessor's fire and extended
coverage insurance, or which may be dangerous to persons or the property of the Lessor or
other tenants of Lessor's building, their agents, servants, employees, and customers.
Notwithstanding the foregoing, Lessee's effecting an increase in the cost of any of Lessor's
fire and extended insurance is curable by Lessee's payment of such increase in cost.
5, Repairs, Maintenance, and Changes by Lessee (a) The Lessee shall make all necessary
repairs to the interior of the leased premises, including window and plate glass and the
fixtures and cquipment therein or used in connection therewith, including the maintenance
of all fixtures and equipment located within the leased premises, which repairs shall be in
quality and class equal to the original work, in order to maintain said premises, fixtures,
and equipment in good condition and repair; provided, however, that the Lessee shall be
responsible for any painting, carpeting, or any repair necessitated by the Lessee's neglect
or omission. If Lessee fails to perform its obligations of maintenance or repair hereunder,
Lessor is authorized to come onto the leased premises, make such repairs, and upon billing
to the Lessee by the Lessor, Lessee shall reimburse the Lessor for the costs of such repairs
plus interest thereon at the lesser of the highest legal rate allowed in the State of Florida or
10 points above the prime rate of interest charged by Regions Bank (or its successor). Upon
the expiration of or prior termination of this Lease, the Lessee shall remove all property of
the Lessee from the premises, except plumbing and other fixtures and leasehold
improvements which may have been installed by the Lessee and except as otherwise
provided in this Lease, and surrender the leased premises to the Lessor "broom clean" in
as good order and condition as they were upon Lessee commencing business, or were
placed by Lessee thereafter, ordinary wear and tear and damage by fire excepted. Any
property left on the premises after the expiration or other termination of this Lease may be
