Okaloosa County BOCC — August 5, 2014 — Fuels Management Amendment One

AMENDMENT NO. 1 TO CONTRACT FOR FUELS MANAGEMENT AND OPERATIONS SERVICES AT THE NORTHWEST FLORIDA REGIONAL AIRPORT (CONTRACT #C12-1938-AP) This AMENDMENT made and entered into this _ day of , 2014, amends the Contract for Fuels Management and Operations Services, dated October 1, 2011 (the “Contract”), by and between Okaloosa County, Florida, a political subdivision of the State of Florida (the “County’’) and Fuel FX, Inc. dba Emerald Coast Aviation, a Florida corporation, (the “Operator”) as follows: 1. Section 4.01 of the Contract is hereby amended to extend the term of the Agreement for an additional five (5) years ending at midnight on September 30, 2021. 2. Section 5.03 of the Contract is hereby replaced with the following: The Operator shall be required to pay the County a per-gallon fee of four cents ($0.04) per gallon for each gallon of Jet Fuel delivered to the Fueling Facilities each month during the term of the Contract. The amount may be included as an expense of services under Operator’s proposed schedule of fees per gallon for into-plane fuel service, but it may not be separately stated or levied as a separate fee upon air carrier’s into-plane gallonage. The Jet Fuel Fee for the term commencing on October 1, 2016 and ending on September 30, 2021, shall be increased to reflect the increase in the Consumer Price Index (the “CPI”’). The CPI shall be the revised CPI for All Urban Consumers for all items — U.S. City Average published by the Bureau of Labor Statistics, U.S. Department of Labor. 3. Exhibit B of the Contract is hereby replaced with the following: County reserves the right to modify, amend and supplement this attachment upon written notice to the Operator. The maximum fee per gallon for Ground Fuel Services, as referenced in Section 5.02, shall be $0.12 per gallon during the term of this Contract. All other provisions of the Contract shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed on the day and year first hereinabove written. Approved as to form: By: Gregory T. Stewart, County Attorney ATTEST: Clerk of the Circuit Court Witnesses: O) pultuhs. Pyne dual Signgture Senna Bucnuw Print Name een te Signature “FD OW Duww Print Name OKALOOSA COUNTY, FLORIDA Charles K. Windes, Jr., Chairman Board of County Commissioners Date: FUEL FX, INC. DBA EMERALD COAST AVIATION la 2 KO) Z rdfpeec Jonathdén Dunn, President/Owner Date: [28/204 “Tom Rionkus, Geer ; Cor Tbnakhen Dunn CONTRACT & LEASE INTERNAL COORDINATION SHEET a) Contract/Lease Number; (}o2 - SP 38 - A i Tracking Number:_/0.% / > [4 — coop .Grant Funded: YES «NO Das Contractor/Lessee Name: C- ( A ane Pat ue - ", fn we, wehbe { Purpose ay YN vlLnowt | , C TR py } Date/Term:__f- JO- Is 1. LJ GREATER THAN $50,000 Amount: 2, [| GREATER THAN $25,000 AD Department:__ fl 3, L] $25,000 or Less Dept. Monitor Name” Q\erumean. | fd Jen, — | Document has been reviewed and includes any attachments or exhibits. Purchasing Review _ Procurement requirements are-met: N _ f ry oy fk enc oN — LEY, Le L lA Date: 7 7 / ‘ / va Hettasing bec or DgSignee Joanne Kublik Risk isk Management Review Approved as written:5 wee) Date: rhe Lig Risk Manager or — oar Rn County Attorney Review Approved as written: So. Aah S cate 17 Cl=1y (Ler Attorp tpey \ Gregory T. Stewart Following Okaloosa County approval: Contracts & Grants Document has been received: Date: Contracts & Grants Manager DATE (MM/DD/YY YY) —) » 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 RONTACT Eastern Aviation Services, LLC : FAX 8070 Five Forks Trickum Road (A/G, 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 C 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. Nen TYPE OF INSURANCE ADDL /SUBR POLICY NUMBER (MMDBYYYY) |_ HOO ey LIMITS | GENERAL LIABILITY EACH OCCURRENCE $25,000,000 A X_| COMMERCIAL GENERAL LIABILITY Y QAV0000838 11/30/2013 | 11/30/2014 PREMISES (ee ovntirence) | $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 - COMP/OP AGG | $28,000,000 POLICY FRO. LOG HANGARKEEPERS $1,000,000 / $2,000,000 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY (Per person) | $ ALL OWNED AUTOS NT BODILY INJURY (Per accident} $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED | | RETENTIONS $ WORKERS COMPENSATION WC STATU- [oak AND EMPLOYERS’ LIABILITY VIN TORY.LIMITS ER ANY PROPRIETOR/PARTNER/EXEGUTIVE NIA E.L. EACH ACCIDENT $ OFFIGER/MEMBER EXCLUDED? f (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE] $ If yes, describe under E E.L. DISEASE - POLICY LIMIT } $ DESCRIPTION OF OPERATIONS below 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 (30) 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 owen County Sir THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cs -C! or 3 536 ACCORDANCE WITH Ys Pougy PROVISIONS. restview, ager MH, tdtage 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 | a CERTIFICATE OF LIABILITY INSURANCE EMERA-1 OP ID: CR DATE (MMIDDIYYYY) 06/23/2014 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. 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). if SUBROGATION IS WAIVED, subject to PRODUCER CONTACT NAME: 5070 Five Forks Yrickum Road (AVS Wo, Ex: (AIS, No): Snellville “GA'30078 ADDRESS: Terry M. Britt INSURER(S) AFFORDING COVERAGE NAIC # INSURER A; Granite State Insurance Co. INSURED Emerald Coast Aviation dba INSURERB: Praetorian Insurance Company Bade FX, Inc. & Fuel Inc. insuReRc: Lexington Insurance Company Crestview, FL 32539 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN Reba BY PAID CLAIMS, INSR DDL SUBR OLIGYEFF | POLICY EXP [NSE TYPE OF INSURANCE Nee WVD POLICY NUMBER (MNVDDIYYYY) (MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED X | COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) _| § CLAIMS-MADE OCCUR MED EXP (Any one person) | $ PERSONAL & ADV INJURY | $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG | $ POLICY DRG. LOC $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident) $ 1,000,000 A ANY AUTO 02-CA-019047925-02/000 06/26/2014 | 06/26/2015 | BODILY INJURY (Per person) | $ ALL OWNED SCHEDULED ; ALL OM | | Sotto BODILY INJURY (Per accident) | $ rx X | NON-OWNED PROPERTY DAMAGE 3 HIRED AUTOS AUTOS (PER ACCIDENT) X | Comp X {Collision § UMBRELLA LIAB OccUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED | | RETENTION $ $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS' LIABILITY VIN TORY LIMITS ER C_ | ANY PROPRIETOR/PARTNER/EXECUTIVE AAWC0500165 11/30/2013 | 11/30/2014 | &.1. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? [| NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | $ 1,000,000 B |Property 41-LX086581302-02/000 06/26/2014 | 06/26/2015 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION Okaloosa County 602-C North Pear! Street Crestview, FL 32536 OKALOOS 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