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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

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