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LEASE
FOR
SIGHTSEEING FLIGHT OPERATIONS
BOARD OF COUNTY COMMISSIONERS
OKALOOSA COUNTY, FLORIDA
TO
TIMBERVIEW HELICOPTERS, INC.
This LEASE FOR SIGHTSEEING .FLIGHT OPERATIONS, fully executed this
(3 of _Sanvery 2014, by and between the COUNTY OF OKALOOSA,
a political subdivision of the State of Florida, acting by and through its BOARD OF
COUNTY COMMISSIONERS (hereinafter called “COUNTY”) and TIMBERVIEW
HELICOPTERS (hereinafter referred to as “OPERATOR”).
1. OPERATOR is permitted to conduct said operations from February 1, 2014 to
January 31, 2015, however, OPERATOR is required to provide seven (7) days
written notification in advance to the Federal Aviation Administration Flight
Standards District Office, Birmingham, Alabama, of approval of this LEASE prior
to official start date of operations. This LEASE shall be automatically renewed and
extended for one year periods unless terminated as provided herein.
2. OPERATOR shall conduct said operations from the hours of daylight to sunset only.
3.OPERATOR shall Hold Harmless, to the fullest extent permitted by law,
OPERATOR shall indemnify hold harmless COUNTY, its officers and employees
from liabilities, damages, losses, and costs including but not limited to reasonable
attorney fees, to the extent caused by negligence, recklessness, or intentional,
wrongful conduct of OPERATOR and other persons employed or utilized by
OPERATOR in the performance of this LEASE.
4, OPERATOR shall provide a current Certificate of Insurance reflecting Public
Liability in an amount not less than One Million ($1,000,000.00) dollars and Property
Damage in an amount not less than One Hundred Thousand ($100,000.00) and
shall name Okaloosa County as an Additional Insured throughout the period of said
operations.
5. OPERATOR shall comply with all Airport rules and regulations and all applicable
federal, state, and local rules and regulations.
6. OPERATOR shall provide a copy of applicable federal authorization to conduct said
operations.
OPERATOR shall provide a copy of all certifications applicable to conduct said
operations.
OPERATOR shall pay to COUNTY five percent (5%) of the gross sales for the
privilege of operating at the airport. Gross sales shall not be offset with other
expenses of operation. Certified report of gross sales and all expenses shall be
submitted monthly with the payment of the aforesaid fee.
. OPERATOR shall submit to the office of the Airports Director at the address
Northwest Florida Regional Airport, 1701 State Road 85 North, Eglin Air Force
Base, Florida, 32542-1498, by the fifth (St) day of each month, an Activity Report
for the preceding month which reflects the number of flights per day, number of
passengers carried per day, gross, and five percent of gross.
10.OPERATOR shall be responsible for crowd control of its customers as well as
observers inside and outside of the Airport’s security fence and shall be required to
direct traffic to ensure safety at its location if necessary.
11.0PERATOR shall maintain strict traffic control of vehicles and pedestrians in its
12.
13.
14.
operational area to preclude unauthorized access to other areas of the Airport.
OPERATOR shall at its sole expense maintain the structural integrity of all temporary
operational interior fence boundaries for the purpose of security, safety, and
operational containment.
OPERATOR shall be subject to the rules and regulations as defined in the approved
Minimum Standards and Operating Policy for Okaloosa County general aviation
airports, most specifically for fueling of aircraft by private owners, with such
Minimum Standards attached herewith and made a part of this AGREEMENT
as Attachment 1 and Operating Policy attached herewith and made a part of this
AGREEMENT as Attachment 2.
OPERATOR or OKALOOSA COUNTY may terminate this permit at any time upon
fifteen (15) days prior written notice.
It is emphasized that nothing contained herein shall be construed as permission by
Okaloosa County to conduct any commercial activity or venture exclusive of other
operators.
(The remainder of this page intentionally left blank)
IN WITNESS, the parties hereto have executed these presents as of the day and
year first written above.
ills
WITNESS iS
ATTESTS:
BOARD OF COUNTY COMMISSIONERS
OKALOOSA COUNTY, FLORIDA
GARY J. STANFORD
DEPUTY CLERK OF CIRCUIT COURT
OKALOOSA COUNTY, FLORIDA
CHARLES K. WINDES, JR
CHAIRMAN
ACKNOWLEDGMENTS
STATE OF FLORIDA
COUNTY OF OKALOOSA
Before me, the undersigned officer duly authorized to take acknowledgments in the
COUNTY and STATE aforesaid, personally appeared —~Tssin” dohrses5
who, under oath, deposes and says that HE is a duly authorized representative of
TIMBERVIEW HELICOPTERS, to execute contracts and lease agreements and that HE
executed the foregoing instrument for the uses and purposes contained therein.
SWORN and SUBSCRIBED before this | BE day of Sanoeey , 2014.
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Attachment 1
BOARD OF COUNTY COMMISSIONERS
OKALOOSA COUNTY, FLORIDA
MINIMUM STANDARDS
FOR
FULL-SERVICE FIXED BASE OPERATIONS
AND SPECIALTY SERVICE OPERATIONS
BOB SIKES AIRPORT
DESTIN/FT. WALTON BEACH AIRPORT
BOARD OF COUNTY COMMISSIONERS
OKALOOSA COUNTY, FLORIDA
MINIMUM STANDARDS
FOR
FULL-SERVICE FIXED BASE OPERATIONS
AND SPECIALITY SERVICE OPERATIONS
BOB SIKES AIRPORT - DESTIN/FT. WALTON BEACH AIRPORT
Section I.
Section 2.
Section 3.
Section 4,
Section 5.
Section 6.
Section 7,
Section 8.
Section 9.
Section 10.
Section It.
Section 12.
Section 13.
Section 14.
Section 15.
Section 16.
Scction 17.
General Provisions
Facilities
Flight Instruction--
Fuel and Lubricants
New Applications
Page
_ 3
4
Hangaring, Parking, and Tie-Down 5
Line Service ---- 5
Maintenance and Repair Services- 5
Miscellaneous Customer Services - )
Aircraft Charter and Taxi Services 6
6
Assistance to Disabled Aircraft 7
7
Special Aeronautical Activities and Services 9
Specialized Operations and Other Aeronautical Functions--------------- 1}
Self-Fueling by Private Owners {2
Minimum Requirements - Flying Clubs 13
14
Insurance Requirements 16
17
Waiver of Minimum Standards
Section 18.
Section 19.
Violations, Penalties, and Procedures
Safety and Security
Date of Adoption
17
17
18
MINIMUM STANDARDS
FOR
FULL-SERVICE FIXED BASE OPERATIONS
AND SPECIALITY SERVICE OPERATIONS
BOB SIKES AIRPORT - DESTIN/FT. WALTON BEACH AIRPORT
SECTION 1. GENERAL PROVISIONS:
a. A full-service Fixed Base Operator (hereinafter referred to as “FBO”). shall, at
its sole expense, provide and maintain all equipment, facilities, and aircraft necessary to
provide the required services and level of performance in a clean and safe condition at all
times. In addition, all personnel of the FBO shall conduct themselves in a courteous and
businesslike manner at all times. Personnel who have public/customer contact (excluding
pilots and office personnel) shall be clothed in attractive uniforms with appropriate
insignia and nameplate so they may be readily identified by customers. AIRPORT
personnel will conduct inspections and evaluations, at least on a weekly basis, to ensure
conformity with these standards. The AIRPORT personnel will also survey customers
and users periodically to determine the overall quality of service being rendered by the
FBO.
The FBO shall furnish good, prompt, courteous, and efficient services adequate to meet
all reasonable demands on a fair, reasonable, and nondiscriminatory basis to all users of
the AIRPORT. It shall maintain and operate its business in a first-class manner and shall
at all times keep the premises in a safe, clean, and orderly condition, consistent with the
business activity contemplated hereunder and satisfactory to the BOARD.
The FBO shall be properly staffed to provide services during minimum normal operating
hours between 7:00 A.M. and 10:00 P.M., seven (7) days a week, and other hours when
necessitated by business or emergency conditions.
b. Specialty Service Operators will be properly staffed to provide services during
minimum normal operating hours between 8:00 A.M. and 5:00 P.M., five (5) days a
week.
c. The FBO shall select and appoint a full-time manager of its operation herein
authorized. Such manager shall be highly qualified and experienced, and vested with full
power and authority to act in the name of the operator in respect to the method, manner,
and conduct of the services to be performed hereunder. Such manager shall be available
at the AIRPORT during regular business hours, and during the manager’s absence, a duly
authorized subordinate shall be in charge and available at the AIRPORT.
The FBO shall provide, at its sole expense, a sufficient number of employees to
effectively and efficiently provide the services herein authorized. All operators shall
control the conduct, demeanor, and appcarance of its employees and representatives.
Such employees shall be trained by the operator and shall possess any technical
qualifications and hold certificates of qualification as may be required for such employee
to carry out assigned duties. It shall be the responsibility of the operator to maintain
close supervision over its employees to assure a high standard of service to customers of
the operator. Upon reasonable objection from the BOARD concerning the conduct,
demeanor, or appearance of any employee, the operator shall forthwith take all steps
necessary to remove the cause of the objection.
d. All operators shall comply with all applicable local, state, and federal
environmental statutes and regulations, including but not limited to, requirements for
aboveground storage tanks and piping, for the disposal of waste oil and other potentially
hazardous substances, and for the refueling of aircraft and vehicles.
SECTION 2. FACILITIES:
The FBO shall lease a minimum of One Hundred Thousand (100,000) square feet to
provide space for all buildings, aircraft parking, paved ramp area, and employee and
customer parking.
a. The FBO shall provide a minimum of one thousand (1,000) square feet of
properly lighted, heated and air conditioned building space on airport property for office,
restrooms, and public use area,
b. The FBO shall provide a minimum of ten thousand (10,000) square feet of
clear-span hangar of adequate dimensions to accommodate storage, maintenance, and
repair of aircraft normally frequenting the AIRPORT.
c. The FBO shall provide a minimum of seventy-five thousand (75,000) square
feet of paved area for the parking, tie-down, and maneuvering of aircraft.
d. The FBO shall have a minimum paved area sufficient to park and maneuver a
minimum of twenty (20) automobiles for employee and patron parking.
e. No building, structure, tie-downs, ramps, paving, taxi areas, or other
improvements or additions to the AIRPORT shall be altered, removed, placed, or
constructed on the AIRPORT without the prior approval of the BOARD or its authorized
representative. In the event of any construction, the BOARD may, at its discretion,
require an appropriate bond to guarantee the completion of construction and/or
demolition. The BOARD reserves the right to review any proposals for construction on
the AIRPORT, particularly in regard to conformity with the existing Airport Layout Plan.
Any proposal for construction on the AIRPORT shall be aesthetically compatible with
existing buildings on the AIRPORT.
Off-airport facilities with access with access to the airfield (“through-the-fence”
operations) are strictly prohibited.
SECTION 3. HANGARING, PARKING, AND TIE-DOWN:
The FBO shall provide, as a minimum, main hangar parking for at least four (4) twin-
engine, based aircraft of 12,500 pounds or less, and apron parking for a minimum of
twenty (20) based or itinerant aircraft.
SECTION 4. LINE SERVICE:
The FBO shall, during normal business hours, provide line service as follows:
a. Ramp parking and tie-down assistance, including ramp personnel and vehicles
as appropriate;
b. Tie-down ropes, chains, and anchors;
c, Aircraft towing services utilizing motor driven drawbar vehicles capable of
moving single and multi-engine aircraft weighing up to 12,500 pounds;
d. Mobile electrical ground power assistance with a minimum 14/28 volt, 1,600
ampere surge capacity;
e. Cabin cleaning including on-board toilet, and catering services.
SECTION 5. MAINTENANCE AND REPAIR SERVICES:
The FBO shall provide service and repair of aircraft airframes and powerplants. The
FBO must hold all applicable certificates/ratings and must offer these services for small
aircraft of 12,500 pounds and under. The FBO must also meet all requirements as
specified under FAR Parts 43, 65, and 145 for the operation of a certified repair station,
not less than airframe Class 3 rating. The FBO is allowed, but not required, to provide
repair, sales, and service of aircraft avionics, radios, instruments and other limited class
ratings for propellers, accessories, and powerplants. If the FBO chooses to
provide avionics, radio, instrument, propeller, accessory, or powerplant repair service, the
service personnel must hold all applicable certificates and ratings required under FAR
Part 145.
SECTION 6. MISCELLANEOUS CUSTOMER SERVICES:
The FBO shall provide a facility and trained employees who are capable of providing the
following:
a. UNICOM equipment to facilitate airborne customer requests;
b. A discreet flight planning area properly equipped with appropriate wall charts,
AIM, NOTAM’s board, and a local-access telephone to contact the Flight Services
Station.
c. Flight planning aids and miscellaneous small flight aid and comfort
ACCESSOTIES;
d. Conveniently located pay telephones;
e. A convenient, comfortably furnished, public waiting area with adjoining
restroom facilities;
f, A discrete vending area within the FBO premises with the availability of both
hot and cold beverages and prepackaged snacks;
g. Aviation grade inflight oxygen refills upon 24-hour notice;
h. Acceptance of one or more national bank and one or more oil company credit
cards for fueling, line, and related services.
SECTION 7. AIRCRAFT CHARTER AND TAXI SERVICE:
The FBO shall provide aircraft charter and taxi service and must occupy a minimum of
200 square feet of properly lighted, heated and air conditioned space on the AIRPORT
for office and public use areas with such minimum space to be in addition to the
minimum space requirements as identified in Section 2a of these Minimum Standards.
The FBO must hold a valid FAA Commercial Air Taxi Operator’s Certificate under Part
135 and be registered with the Civil Aeronautics Board, or replacement agency, under the
Economic Regulations of Part 298 with ratings appropriate to, and licensing for, the
functions to be accomplished. The FBO shall provide an adequate number of aircraft
meeting all requirements of the certificates held. Atleast one (1) aircraft shall be multi-
engine and completely equipped for flight under instrument conditions. Aircraft shall be
owned by, or leased to, the FBO by agreement in writing, and shall meet all applicable
requirements of Part 135 of the Federal Aviation Administration (FAA) regulations. The
FBO shall provide an FAA-certified commercial pilot with instrument rating for each
aircraft and who is authorized to conduct charter and air taxi operations.
SECTION 8. FLIGHT INSTRUCTION:
The FBO shall provide flight instruction and must occupy a minimum of 400 square feet
of properly lighted, heated and air conditioned space on the AIRPORT for use as office,
classroom, and briefings with such minimum space in addition to the minimum space
requirements as identified in Section 2a of these Minimum Standards. The FBO shall
employ at lease one (1) full-time pilot who is properly certified by the FAA as a flight
instructor with appropriate instrument ratings to cover instruction for both primary and
complex flight instruction for multi-engine and single engine aircraft as certified by FAR
Part 141. The FBO shall own or have under written lease at least two (2) properly
certified aircraft equipped for flight instruction, with at least one of those aircraft fully
equipped for instrument flight instruction.
SECTION 9, ASSISTANCE TO DISABLED AIRCRAFT:
The FBO shall, on thirty (30) minutes notice during normal business hours, and two (2)
hours notice after normal business hours, provide equipment and trained personnel to
temove disabled aircraft with a gross weight of 12,500 pounds or less from the Air
Operations Area (AOA), and shall be required to perform such service on request of, and
with acceptable release from, the owner or operator of the disabled aircraft, or the
Airports Director or his or her designee.
SECTION 10. FUEL AND LUBRICANTS:
The FBO may provide aviation fuels, including Jet A and 100LL octane aviation
gasoline, in sufficient quantities to meet the needs of the based and itinerant general
aviation customers at the AIRPORT if the FBO is currently and continually providing
services as set forth in Sections 2 through 9 of these Minimum Standards. The FBO must
be in full compliance with such services and certified in compliance by the Airports
Director prior to the FBO being granted permission to provide aviation fuels under this
Section 10. In the event the FBO does not currently provide such services as identified in
Sections 2 through 9 and/or fails to continually provide such services, in that event, the
FBO will not be granted permission or permission will be withdrawn to provide aviation
fuels at the AIRPORT. The Airports Director will periodically conduct inspections of the
leased premises to certify the FBO is in compliance with all applicable sections of these
Minimum Standards.
The FBO Shall provide, as a minimum, one (1) mobile tender (fuel truck) for Jet A fuel
with a capacity of at least 2,000 gallons and one (1) mobile tender (fuel truck) of at least
1,000 gallon capacity of 1OOLL octane aviation gasoline.
The following general rules shall govern the refueling, defueling, oil services and
sumping of aircraft, and the place of fuels in storage tanks or dispensers:
a. No aircraft shall be refueled, defueled, or oil-serviced while aircraft engines
are running or being warmed by application of heat, and/or while such aircraft is in a
hangar. Aircraft shall be refueled on hard surface areas only and only in areas approved
by the Airports Director.
b. No person shall smoke or permit any open flame on the airfield within the
perimeter fence, within 100 feet of an aircraft undergoing fuel servicing, or within 50 feet
of any hangar.
c. Prior to the fuel servicing of any aircraft, it and the fuel dispensing equipment
shall be grounded to a point or points of zero electrical potential in order to prevent the
possibility of static ignition of volatile liquids.
d. All equipment used to store or deliver fuel to aircraft or vehicles shall be
inspected by a qualified representative of the County’s Environmental Services
Department on a semi-annual basis. Environmental officers are authorized to require and
enforce the immediate cessation of fuel service operations under conditions which they
deem jeopardizes public safety. All other situations which violate any provisions
contained herein shall be cured by the FBO in a timely manner as determined by the
Airports Director.
e. Fueling, pumps, meters, hoses, nozzles, fire extinguishers, and grounding
devices shall be UL - approved where applicable and will be kept in first class condition
at all times.
f, Fuel pumps shall be powered and the flow shall be controlled by a deadman
flow control in the nozzle. Nozzles shall have a cable with a plug or clip for bonding to
the aircraft. Pouring or gravity flow shall not be permitted.
g. Fuel systems shall have a means for quickly and completely stopping fuel flow
in the event of an emergency. Fuel dispensing containers shall have a valve mechanism
such that water or other contaminants can be drained from the lowest portion of the tank.
An in-line filtration system utilizing a 5-micron or less fuel filter element shall be
included in the dispensing system,
h. When a malfunction of the refueling equipment is detected, all refueling
operations shall cease immediately and the malfunctions or irregularities detected on or
within the aircraft being serviced will be brought to the attention of the aircraft owner or
the FBO immediately.
i. Crews engaged in the fueling and defueling of aircraft shall exercise extreme
caution to prevent spills. When a spill occurs, servicing will cease, the County’s
Environmental Services Department will be notified immediately, and spills will be
removed or absorbed with suitable material dependent upon the nature of the spill, and
approval by the Airports Director, and in conformance with all local, state, and federal
rules.
j. During fuel handling operations in connection with any aircraft, no less than
two (2) CO2 or approved dry chemical fire extinguishers of ten pounds or larger shall be
immediately available for use in connection therewith.
k. No person shall perform or allow performance of any refueling activity when
lighting is observed in the immediate vicinity of the AIRPORT or during an electrical
storm.
1, No person shall use any material or equipment during fueling and defueling
operations which is likely to cause a spark or ignition.
m. No person shall start the engine of an aircraft when there is a flammable
substance on the ground under or around the aircraft.
n. All hoses, funnels, and appyrtenances used in fueling and defueling operations
shall be equipped with a grounding device to prevent ignition of volatile liquids.
Furthermore, funnels shall be metal and have a capacity of not less than two (2) gallons
to reduce the risk of spillage.
o. No aircraft shall be fueled or defueled while passengers are on board the
aircraft.
p. No airborne radar equipment shall be operated or ground tested on any area
wherein the directional beam of high intensity radar is within 300 feet, or low intensity
radar (less than SOK W output) is within 100 feet of another operation or aircraft refueling
truck.
q.. During fueling and defueling, fuel handling devices and vehicles shall be
placed so as to be readily removed in the event of fire so as to permit direct driving away
from the loading or fueling position. Not more than one refueling truck shall be
positioned to serve the same aircraft.
r. Fuel shall not be transferred from a vehicle fuel system to an aircraft fuel tank
or intermediary tank for the purpose of fueling aircraft.
s. Storage of fuel shall be in compliance with all applicable federal, state, local
and EPA requirements.
SECTION 11. SPECIAL AERONAUTICAL ACTVITIES AND SERVICES:
The following categories of services may be as an optional service offered by a full-
service FBO, or as an approved Specialty Service Operator:
a. AVIONICS INSTRUMENT SALES, SERVICES AND REPAIRS - The
operator engaged in aircraft avionics must occupy a minimum of 300 square feet of
properly lighted, heated and air conditioned space on the AIRPORT for office, shop, and
other needs. The operator shall have available to it at all times, by ownership, lease, or
contract, hangar space to accommodate customer requirements. The operator must
provide aircraft avionics, radio, and instrument repair service and shall hold all
applicable certificates and ratings required under FAR Parts 145 and 65 and may, in
addition, engage in aircraft radio and instrument sales.
b. AIRCRAFT RENTAL - The operator engaged in the rental of aircraft at the
AIRPORT must occupy a minimum of 200 square feet of properly lighted, heated and air
conditioned space on the AIRPORT for office and public use areas. The operator shall
own or have under a written lcase, and have available to rent to persons with a current
pildt certificate, at least one (1) two-place, fixed-gear aircraft, and one (1) four-place,
retractable-gear aircraft equipped for night and instrument flight. Aircraft must meet all
federal and state regulations including, but not limited to, those promulgated by the
Federal Aviation Administration.
c. AIRCRAFT SALES - The operator engaged in the selling of new or used
aircraft at the AIRPORT must occupy at least 200 square feet of properly lighted, heated
and air conditioned space on airport property for office and public use areas. The
operator must have under a lease a minimum amount of paved area or hangar space to
accommodate the projected inventory of aircraft.
The operator shall have one full-time authorized agent to transact sales who maintains a
current commercial pilot certificate with an instrument rating and is rated for the types of
aircraft to be demonstrated. It will be at the discretion of the operator whether or not to
be an authorized factory dealer, or what manufacturers he or she chooses to represent. A
dealer of new aircraft shall have available or on cal] at least one current model
demonstrator and shall provide for demonstrations of additional models of the
manufacturer for which a dealership is held, if any. A dealer shall provide an adequate
supply of parts and servicing facilities to customers during aircraft and parts warranty
periods.
d. OTHER SERVICES - The operator who has been approved by the BOARD to
offer the following services at the AIRPORT shall occupy an appropriate amount of
office, vehicle and aircraft parking, maintenance, storage and apron space:
1. Aircraft exterior painting;
2. Aircraft interior modification including, but not limited to, custom
seating and finishing;
3, Contract major airframe repair and/or rebuilding;
4, Whole or part aircraft type modifications under the auspices of a
Supplemental Type Certificate,
5. Turbine engine hot section repair,
. Propeller overhaul and repair,
nN
_ Engine/flight instrument overhaul and repair;
—
Accessory overhaul and repair;
~
9, Avionics repair and installation with specialization in complex
equipment such as pulse-radar and HIS systems;
10. Specialized aircraft sales of a single or limited type and/or
manufacturer such as for a multi-engine turbine;
11. Contract reciprocating engine overhaul and rebuilding;
12. Specialized aircraft charter services;
13. Agricultural application;
14. Fire fighting;
15, Power line or pipeline patrol;
16. Any other operations specifically excluded from Part 135 of the
Federal Aviation Regulations.
Each repair service offered above shall be under an appropriate FAA-certified Repair
Station license of either a class or limited rating as defined in FAR 145. All general and
enforcement provisions of a full-service FBO shall apply to Specialty Service Operators.
SECTION 12. SPECIALIZED OPERATIONS AND OTHER AERONAUTICAL
FUNCTIONS:
The requirements specified in this section, 12a through 12g, shall be applicable to any
operator desiring to engage in specialized commercial aeronautical activities including,
but not limited to, aerial photography, sightseeing, accessory overhaul, and prop shops.
a. Facilities - Said operators shall lease or construct the following facilities:
Specialty shops and specialized commercial aeronautical activities are encouraged to be
tenants of existing operators. However, special requirements will be reviewed by the
Airports Director on an individual basis.
b. Pilots - Said operators shall provide a sufficient number of commercial pilots
who are certificated by the FAA and are appropriately rated to conduct the specialized
flight services offered.
c, Aircraft - Said operators shall provide a sufficient number of properly
certificated aircraft owned by, or leased under a written agreement to, the operator to
meet the public demand.
d. Hours of Operation - Said operators shall maintain sufficient hours of
operations to meet the public demand.
e, Insurance - Said operators shall provide adequate comprehensive general
liability insurance combined single limit coverage to protect the operator and the
COUNTY from legal liabilities involved.
f, Other Services - Said operators may provide any of the other services
contained in this Section 12 of these Minimum Standards. In providing any such
services, said operators shall meet the standards for such services, the standards of which
are contained in this Section 12.
g. Optional, Incidental Services - Said operators may provide any other services
the operator deems incidental to its operation. However, no non-aeronautical activities
may be performed that are presently being performed on a limited contractual basis by
persons having valid contracts with the COUNTY to perform such services on the
AIRPORT.
SECTION 13. SELF-FUELING BY PRIVATE OWNERS:
Self-fueling by private owners of aircraft using automotive gasoline (MoGas) will be
permitted by the BOARD, provided that owners adhere to provisions in Sections 10a
through 10s of these Minimum Standards as well as those further defined herein.
a, MoGas must meet ASTM D-439-58 standards at the time of delivery into the
aircraft. MoGas may be substituted for AvGas in only those aircraft for which an
individual Supplemental Type Certificate (STC) has been approved by the Federal
Aviation Administration. A copy of the individually held STC must be on file with the
BOARD,
b. All MoGas self-fueling operations will be governed by a permit issued by the
Airports Director for a fee of $500.00 and shall be valid for a period of one (1) year. A
permit must be issued for each aircraft subject to self-fueling operations.
c. All private users shall also pay a fuel flowage fee as determined by the
BOARD. A fuel flowage report, invoice, or receipt with the appropriate remittance shall
be provided to the Airports Director by the tenth (10) day of each month for fuel
dispensed on the AIRPORT. Fees may be adjusted from time-to-time as deemed
necessary by the BOARD.
d. Private users shall be responsible for the payment of the appropriate Federal
Excise Tax on aviation gasoline and for all reports required by the Internal Revenue
Service and shall comply with all applicable federal statutes and all regulations, including
but not limited to, those promulgated by the Federal Aviation Administration.
e. All private users shall obtain and keep in effect during the term of their permit
and/or operations, an insurance policy which provides coverage for general liability to
include premises and property damage, of at least one million ($1,000,000) dollars
combined single limits, and said policy shall name the Okaloosa County Board of
Commissioners as an additional insured. The user shall also furnish the Airports Director
with a certificate from the user’e ineurance carrier executed on an approved farm
showing such insurance to be in full force and effect.
f. Private users who do not have written permission from an FBO which allows
the user to refuel on the FBO’s leased premises shall coordinate with, and receive written
permission from, the Airports Director for the location of, and access routes to, an
alternative fueling location.
g. The Chapter 108, Hangarmates of Experimental Aircraft Association currently
operating under lease agreement with the BOARD at the Bob Sikes Airport are
heretofore considered exempt from the standards for self-fueling by private owners as set
forth above.
SECTION 14. MINIMUM REQUIREMENT - FLYING CLUBS:
Regulations
Prior to commencement of aeronautical activities, each club must obtain approval from
the BOARD and secure a lease and operating agreement for proposed activities. Prior to,
and during the term of the lease and operating agreement, each club, at the request of the
BOARD will submit sufficient documentation to establish ownership, financial status,
and technical ability, in addition to adhering to the following regulations:
a. Each club must be registered as a non-profit corporation or partnership.
b. Each member must be a bona fide owner of the aircraft or stockholder in the
corporation.
c. The club may not derive greater revenue from the use of its aircraft than the
amount necessary for the actual operation, maintenance, and replacement of its aircraft.
d. The club will file and keep current with the Airports Director a complete list of
the club’s membership and investment share held by each member.
e. The club’s aircraft will not be used by other than bona fide members for rental
and will not be used by anyone for commercial operations.
f. Student instruction can be given in club aircraft to club members provided such
instruction is given by a Lessee based at the AIRPORT who provides flight instruction,
or by an instructor who shall not receive remuneration in any manner for such service.
g. Aircraft maintenance performed by the club shall be limited to only that
maintenance that does not require a certificated mechanic. All other maintenance must
be provided by a lessee based at the AIRPORT who provides such service, or by a
properly certificated mechanic who shall not receive remuneration in any manner for
such service.
13
SECTION 15. NEW APPLICATIONS:
Any corporation, partnership, or individual desiring to receive permission to operate as a
full-service FBO, a Specialty Service operator, or any other business or aeronautical
activity on the AIRPORT shall first make application to the BOARD’s Airports Director.
The application shall be in sufficient detail to discern the completed qualifications of the
applicant to perform the desired service and shall include the following:
a. A written letter detailing the nature of the proposed activity as well as the
following:
1. The name, address, and telephone number of the applicant;
2, A detailed description of the proposed operation, to include the date of
commencement;
3. The professional qualifications of the personnel who will manage
and/or operate the proposed service;
4, Descriptions and cost estimates of any proposed capital improvements
on the proposed site.
5, Pro forma operating statement for first year’s activity.
b. A current financial statement prepared or certified by, a certified public
accountant, if available, and if not, a current financial statement as provided to a financial
institution. The BOARD shall be entitled to consider the type of financial statement in
evaluating the applicant’s financial ability to provide responsible, safe, and adequate
service to the public.
c. A written listing of the assets owned, leased, or being purchased which will be
used in the business on the AIRPORT. Copies of any leases or purchase contracts must
be attached.
d. A current credit report covering all areas in which the applicant has done
business in the past ten (10) years.
e. A written authorization of the FAA and all aviation or aeronautic commissions,
administrators, or departments of all states in which the applicant has engaged in aviation
business to release information in their files relating to the applicant or its operation. The
applicant will execute such forms, releases, or discharges as may be requested by those
agencies.
f. The applications shall be signed and submitted by every person owning an
intcrcst in the business, those who will be managing the business if already designated,
every partner of a partnership, and each director and/or officer of the corporation.
14
g. Any additional information and material necessary or requested by the
BOARD to establish to the satisfaction of the BOARD that the applicant can qualify and
will comply with these Minimum Standards.
The application together with all supporting documentation shall be submitted to the
Airports Director. For Fixed Base Operations, once all application material is submitted
and reviewed by the Airports Director, and provided the application is deemed complete,
the Airports Director shall request BOARD directive to initiate the Bid Process.
All other aviation-related Specialty Service Operations and/or company or individual
who uses the AIRPORT or any of its improvements of facilities for any revenue-
producing business or commercial aeronautical activities and once all application
material is submitted and reviewed by the Airports Director, the matter shall be
considered within thirty (30) days of the next regularly scheduled meeting of the
BOARD, provided the application is deemed complete.
The BOARD may deny any application if, in its opinion, it finds any one or more of the
following:
a. The applicant for any reason does not meet the qualifications, standards, and
requirements established by these rules and regulations, or is not prepared to meet same
within a reasonable time to be established by the BOARD;
b. The applicant’s proposed operation or construction will create a safety hazard
on the AIRPORT;
c. The granting of the application will require the BOARD to spend funds or to
supply labor or materials in connection with the proposed operation, or the operation will
result in a financial loss to the BOARD,
d. No appropriate, adequate, or available space or building exists at the
AIRPORT which would accommodate the entire activity of the applicant at the time of
application nor is contemplated within a reasonable time thereafter;
e. The proposed operation, airport development, or construction does not comply
with the Airport Master Plan then in effect;
f. The development or use of the area requested by the applicant will result in a
congestion of aircraft or buildings, or will result in unduly interference with the
operations of any present Fixed Base Operator on the AIRPORT relating to problems
with aircraft service and/or prevent free access to the Fixed Base Operator’s area;
g. The applicant has either intentionally or unintentionally misrepresented or
omitted any material fact in tho application or in supporting documents;
15
h. The applicant has failed to make full disclosure on the application or in
supporting documents;
i, The applicant has a record of violating the rules and regulations of any other
airport or civil air regulations, FAA regulations, or any other rules and regulations
applicable to Okaloosa County Airports;
Jj. The applicant has defaulted in the performance of any lease or any other
agreement with the BOARD;
k. The applicant does not, in the opinion of the BOARD, exhibit adequate
financial responsibility to undertake the project, based upon current financial information
provided;
|. The applicant cannot provide a performance bond in the amount required by
the BOARD for that contract;
m. The applicant has been convicted of any felony or a misdemeanor involving
moral turpitude.
Nothing contained herein shall prohibit the BOARD from granting or denying, for any
reason it deems sufficient, an application to do business on the AIRPORT for the purpose
of selling, furnishing, or establishing non-aviation products supplied for any service or
business of a non-aeronautical nature, or an application for the non-profit use of an
airport facility.
SECTION 16. INSURANCE REQUIREMETNS:
The operator will provide, and maintain in full force and effect, insurance coverage in the
following types and minimum amounts:
a. For full service Fixed Base Operations, general liability coverage to include
premises and property damage of at least two million ($2,000,000.00) dollars combined
single limit (CSL); aircraft liability coverage of at least two million ($2,000,000.00)
dollars CSL; products/completed operations liability coverage of at least two million
(2,000,000.00) dollars CSL; hangarkeepers liability coverage of at least two million
($2,000,000.00) dollars CSL. Insurance coverage shall be applicable to the type of
activity being conducted.
b. For any Specialty Service Operator offering one or more of the services in
Section 11 above, general liability coverage to include premises and property damage of
at least one million ($1,000,000.00) CSL; aircraft liability coverage of at least one
million ($1,000,000.00) CSL; and products/completed operations liability coverage of at
least one million ($1,000,000.00) CSL.
16
The Okaloosa County Board of Commissioners shall be named as an additional insured
on all such policies, The operator shall also submit to the Airports Director a certificate
of insurance from the operator’s insurance carrier, executed on the approved form,
verifying the types, limits and expiration dates of all policies.
SECTION 17. WAIVER OF MINIMUM STANDARDS:
The BOARD may, at its discretion, waive all or any portion of the Minimum Standards
set forth herein for the benefit of any government or governmental agency performing
non-profit public services to the aircraft industry, The BOARD may further temporarily
waive any of the Minimum Standards for non-governmental applicants where it deems
such waiver to be in the best interest of the AIRPORT’s operation and public good.
SECTION 18. VIOLATIONS, PENALTIES AND PROCEDURES:
If the Airports Director determines that any of these Minimum Standards have been
violated by an entity operating on the AIRPORT, and that he or she cannot resolve the
matter satisfactorily by notice to, and discussion with, the offending operator; then the
Airports Director may recommend to the BOARD that formal action be taken against the
offending operator. The BOARD shall allow the operator notice and an opportunity to be
heard before deciding whether and what action should be taken against the operator for
the alleged violation. Such action may include, but not limited to, reprimand, suspension
of airport operations by the operator, or revocation of the operator’s right to conduct
business at the AIRPORT.
SECTION 19. SAFETY AND SECURITY:
All operators shall abide by all provisions of the approved AIRPORT rules and
regulations, If violations of the approved AIRPORT rules and regulations result in fines
being levied by any federal or state agency, the operator will reimburse the BOARD for
the full cost of said fines within thirty (30) days of payment by the BOARD.
The attached Minimum Standards for Full-Service Fixed Base Operations and Specialty
Service Operations were adopted at the regular scheduled meeting of the Okaloosa
County Board of Commissioners on , 1997.
17
These Minimum Standards supersede any standards previously established by the
Okaloosa County Board of Commissioners.
BOARD OF COUNTY COMMISSIONERS
OKALOOSA COUNTY. FLORID?
7
: / (fo <
Wt. byl» Luke
WM A HARRISON
CHAIRMAN
18
Attachment 2
OPERATING POLICY
Destin/Ft. Walton Beach Airport (DTS) and Bob Sikes Airport (CEW)
Aircratt Maintenance and Fueling of Personally-Owned Aircraft by Aircraft Owners and their Employees
The performance of aircraft and engine repair, maintenance, and fueling operations are
considered to be aeronautical services regulated by the Okaloosa County Board of
Commissioners, except where such services are performed by the aircraft owner and/or
their employees. Federal regulation requires that owners of aircraft and their employees
be allowed to perform certain maintenance and fueling of their own aircraft,
With reference to the above, a policy is heretofore established which provides for the
safety and economy of the airports. In this regard, the following areas are hereby
designated for such activity with related comments for the compliance thereof:
1, Owners of aircraft who have a hangar lease for storage of aircraft with
Okaloosa County are permitted to perform their own maintenance utilizing their
employees upon Lessee’s stored aircraft in the hangar premises subject to federal, state,
and local regulations. Allowable maintenance activities in the leased areas pursuant to
the approved hangar lease with Okaloosa County are limited to changing tires and
batteries, servicing batteries, changing oil, vacuuming aircraft, washing aircraft, and
replacement of plugs, with such allowable activities being considered minor maintenance
for a personally-owned aircraft.
Repairs and maintenance of aircraft not personally-owned by the Lessee is strictly
prohibited in the hangar.
2. Limited preventive (minor) maintenance in Group III aircraft t-hangars is
limited to the following non-hazardous work:
Removal, installation, and repair of landing gear tires.
Replacing elastic shock absorber cords on landing gear.
Servicing landing gear shock struts by adding oil, air, or both.
Servicing landing gear wheel bearings, such as cleaning and greasing.
Replacing defective safety wiring or cotter keys.
Lubrication not requiring disassembly other than removal of
nonstructural items such as cover plates, cowlings, and fairings.
Making simple fabric patches not requiring rib stitching or the removal
of structural parts or control surfaces.
h. Replenishing hydraulic fluid in the hydraulic reservoir.
Repairing upholstery and decorative furnishings of the cabin, cockpit,
when the repairing does not require disassembly of any primary
me pe op
ge
~.
8/28/2013
8/28/2013
k.
m.
s
structure or operating system or interfere with an operating system or
affect the primary structure of the aircraft.
Making small simple repairs to fairings, nonstructural cover plates,
cowlings, and small patches and reinforcements not changing the
contour so as to interfere with proper air flow.
Replacing side windows where that work does not interfere with the
structure or any operating system such as controls, electrical
equipment, etc.
Replacing safety belts.
Replacing seats or seat parts with replacement patts approved for the
aircraft, not involving disassembly of any primary structure or
operating system.
Trouble shooting and repairing broken circuits in landing light wiring
circuits.
Replacing bulbs, reflectors, and lenses of position and landing lights.
Replacing wheels and skis where no weight and balance computation
is involved.
Replacing any cowling not requiring removal of the propeller or
disconnection of flight controls.
Replacing or cleaning spark plugs and setting of spark plug gap
clearance.
Replacing and servicing batteries.
Replacement or adjustment of nonstructural standard fasteners
incidental to operations.
The installations of anti-misfueling devices to reduce the diameter of
fuel tank filler openings provided the specific device has been made a
part of the aircraft type certificate data by the aircraft manufacturer,
the aircraft manufacturer has provided FAA-approved instructions for
installation of the specific device, and installation does not involve the
disassembly of the existing tank filler opening.
Removing, checking, and replacing magnetic chip detectors.
The inspection and maintenance’ tasks prescribed and specifically
identified as preventive maintenance in a primary category aircraft
type certificate or supplemental type certificate holder’s approved
special inspection and preventive maintenance program when
accomplished on a primary category aircraft provided:
(i) They are performed by the holder of at least a private pilot
certificate issued under part 61 who is the registered owner
(including co-owners) of the affected aircraft and who
holds a certificate of competency for the affected aircraft
(1) issued by a school approved under Sec. 147.21(e) of
NFPA 409; (2) issued by the holder of the production
certificate for that primary category aircraft that has a
special training program approved under Sec. 21.24 of
NFPA 409 subchapter; or (3) issued by another entity that
has a course approved by the Administrator; and
(ii) The inspections and maintenance tasks are performed in
accordance with instructions contained by the special
inspection and preventive maintenance program approved
as part of the aircraft’s type design or supplemental type
design.
x. Removing and replacing self-contained, front instrument panel-
mounted navigation and communication devices that employ tray-
mounted connectors that connect the unit when the unit is installed
into the instrument panel, (excluding automatic flight control systems,
transponders, and microwave frequency distance measuring equipment
(DME)). The approved unit must be designed to be readily and
repeatedly removed and replaced, and pertinent instructions must be
provided. Prior to the unit’s intended use, and operational check must
be performed in accordance with the applicable sections of part 91 of
NFPA 409.
Updating self-contained, front instrument panel-mounted Air Traffic
Control (ATC) navigational software data bases (excluding those of
automatic flight control systems, transponders, and microwave
frequency distance measuring equipment (DME)) provided no
disassembly of the unit is required and pertinent instructions are
provided. Prior to the unit’s intended use, and operational check must
be performed in accordance with applicable sections of part 91 of this
chapter.
3. Owners of aircraft and/or their employees who do not have a hangar lease with
Okaloosa County are permitted to perform these maintenance activities on the paved
apron, provided however, the Airports Director determines that the area is safe and will
not interfere with airport operations. The type of maintenance activity and duration will
determine the location after review with the aircraft owner.
4, No personal refueling of aircraft is permitted.
5. Any maintenance or fueling operations performed by persons other than
owners and/or their employees are considered to be performing a commercial operation
and requires a fully executed lease agreement with the Board of County Commissioners.
The term “EMPLOYEE” shall be defined as an individual who is on the payroll of the
aircraft owner and is receiving compensation on a regular basis with federal income tax
and social security taxes being deducted from his/her salary. Services provided by
‘contract are considered to be a commercial activity and requires a fully executed
agreement between the Board of County Commissioners and the Contractor.
8/28/2013
uly authorized personnel, passengers
lly conducted by the airport attendants
taxi space or aprons. However, this
unrestricted use of the
aces in connection
6. No person or persons, except airmen, d
going to or from aircraft, or persons being persona
shall be permitted to enter the landing area proper,
does not give any person or persons so accepted the privilege of
Airport. The privileges are confined to the necessary use of these sp
with the flights, inspections and routine duties.
7. Airport Operating Restrictions:
a) All banner towing by fixed, rotary or any other type of aircraft, to include pick-up
and drop-off is prohibited at the Destin/Ft. Walton Beach Airport (DTS).
b) As DTS and CEW do not have designated heliports, all rotary wing aircraft are
required to operate in compliance with non-air traffic control tower procedures.
Sunil Harman, A.A.E., IAP
Airports Director
8/28/2013
ACORLY CERTIFICATE OF AIRCRAFT INSURANCE
SATS RAPA yy
04/10/2014
Wenner” .
(THS CERTIFICATE EB BSUED ASA MATTER OF INFORMATION ORLY AND GORFERS NO RIGHTS” URON THE CERTIFICATE HOLDER THS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER
IMPORTANT: if tha certificate folderis an ADDITONAL INSURED, the pollcy(lea) must he endorsed, FSUBROGATION [5 WAIVED, sub]nct to
the terms and conditions ofthe policy, cartain poles may require an endorsement. A etafamant on this certificate does not confer rights to the
certificate holder In leu of such enctorsament(s),
PRODUCER
BO, BOX 458
AIR CAPITAL INSURANCE, LL.0
WICHITA, KS 87201
CONTACT
NAME;
FAX
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FONE
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EMAIL ADORGES:
7 . PRODUCER QUSIAER ON
TMBERVIEW HELICOPTERS, INC. INSURER (8) AFFORDING COVERAGE % NA: No,
2142 N. SQORD. NEURER A:U.S. SPECIALTY INSURANCE COMPANY 400%
WELLSVILLE, KS 66092 MAREE 8:
NEURER 0:
NEURER OD:
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REURER OF:
THIS TS TG CERTIEY THAT THE POLICIES OOF TNEURARICE TIS TELY ETC
FAVE TERA RSE! Ty THE INSURED NAMED ABOVE FOR INE POCICY PERTIG
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 ANO CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
REVISION NUM BER:
POLICY INFORMATION CERTIFICATE NUMBER:
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OUST RAT PERSURE € [* EGMMERCTA AIRBTANE KT HERO ER MIRED FLEE I EXCESS QUOTA
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DESCRIPTION OF OPERATIONS / REMARKS (Aftach ACORD 104, Additional Remarks Schedule, ff more s pace Is re quired)
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CERTIFICATE HOLDER
ORALOOST COUNTY
602-6 NORTH PEARL
CRESTVIEW, FL 32836
TOUTE ATT OR THE AT OVE GESERIBEL POLICIES BET AN CELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED (N
MC CORDANCE WITH THE POLICY PROVISIONS.
Fron ELLATION
AUTHORIZED REE ESENT ATIVE
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ACORD 21 (200917)
2009 ACORO CORPORATION. All rights reserved,
The ACORD name and logo are registered marks of ACORD
was)
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ACCORD
CERTIFICATE OF AIRCRAFT INSURANCE
ov
HAE PEON AY
10/2014
“THS CERTIFICATE i BSUED ASA MATTER GF RFORMATION ONLY AND CONFERS NO RGHTS” TRON THE CERTIFICATE HOLDER. “TH
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUNG INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
certificate holdar in lleu of such endorsament(s),
IMPORTANT: If the certificate holder is an ADOMIONAL INSURED, the pollcy(ies)m tat be endorsed. f SUBROGATION [8 WAIVED, au hjectto
the tarms and conditions of the poly, certain polkks may requke an endorsament. A statament on this certificate doas not confer rights fo the
FROCLCER
AIR CARITAL INSURANCE, LLC. PHONE FAX
P.O, BOX 458 ING, fle Ba (NC, Mok
WICHITA, KS 67201 EoMAIL ADDRES:
PRODUCER CUSTOMER 01 No
RSORED x 3 COVERAGE fy NAIC No,
TIMBERVIEW HELICOPTERS, INC. INSURER(8) AFFORD ING COVERAGE Bi AIC No,
2142 N. 300RD. NORE A: U.S, SPECIALTY INSURANCE COMPANY 10%
WELLSVILLE, KS 68092 NSURER_B:
PRURER C.
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TES TET CERTIET TAT THE POLICIES CF INSTITANCE LTS TEL BELOW HAVE BREN TSSUIELY TO TTS TUE NAMEL) RECITES EDIT THis POLICY PERTH
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEGT TO WHIOH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANGE AFFORDED BY THE POLICIES DESCRISED HEREIN [S SUBJECT TO ALL THE TERMS ,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POUCY FORMATION
CERTIRCATE NUMBER:
REVISION NUM BER:
RUICY WE TREO NESS GREAT
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DESCRIPTION OF OPERATIONS / REMARKS (Attach ACORD 104, Additional Ramarks Schedule, If more s pace Is re quirad)
Cartticale Palderis ineluded aa an Add tonal rieurad.
CERTIFICATE HOLDER
ANGELL ATION
OSACTUGA COUNTY
802-6 NORTH PEARL
CRESTVIEW, FL 32686
STOULT ANY GE TTE ADOVE DESC RITE POLICIES BE CANCELLED BEFORE THE
MXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
IWOCORDANCE WITH THE POLICY PROVISIONS,
POTION RS HATESEATATIVE
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ACORD 21 (200912)
@ MH) ACORD CORPORATION, All rights reserved.
The ACORD name and logo are registered marks of ACORD
PTE TOA a
ACORIY CERTIFICATE OF AIRCRAFT INSURANCE onroraot
be awn
THS CERTIFICATES ISSUED ASA MATIER OF INFORMATION CALY AND CONFERS NO HGHTS OPON THE CERTIFICATE HOLDER TH
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND ORALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE SUNG INSURER(S), AUTHORZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: Ifthe certificate hofderis a ADDITIONAL INSURED, tha poftey(ies) must bo andordart. FSUSROGATION 18 WAIVED, subject te
the tarms and conditions ofthe polby, curtain pofcks may require an endorsement, A statomant on this certificate does not confer rights to the
certlficate holderin Hau of such endorsements).
COTINT
FRODUCER NAME:
AIR CAFITAL INSURANGE, LLC. FHIONE FAK
P.O, BOX 458 (A, No. BM (NC, Nok:
WICHITA, KS 67201 E-MAIL, ADDREBS:
. PROOQUCER CUSTOMER D No
RUFEG RDING COVERAGE % NAIC N
TIMBERVIEW HELICOPTERS, INC. INSURER(8) AFFORDING COVERAGE a
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WELLSVILLE, KS 66092 NSURFR BE
NOURER OC.
NOIRER D:
NEURER E:
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THIS TS 1S CERTIFY THAT THE POLIGIES OF INSURANCE LISTED BELUW HAVE SEEN ISSUED IO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TQ 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 SUGH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
POLICY INFORMATION CERTIPCATE NOWBEFS: REVISION NUMBER:
FOURY TW TRE OF RRINESS” RODE
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AIRCRAFT INFORMATION | | ACORD 333, Aircraft Schedule attached
BAR WIE RCE SERV RONEER REGS TRATION” ROMER
2010 ROBINSON R44 N2117T8
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ARCRAFT HULL jon FiQht pea AGREED VALUE . 4
$ 80,000 | Pad. - In motion
x | Including Passengers Ra 4,000,000 | FA Qce $ EA PER
AIRCRAFT UABILITY Lnnred — § 100,000 | gapass $ AGGR
CT RON CREW
MEDICAL AYMENTS pomene $ 5,000 | ga PuR $ 20,000 JéA OCG
EXOLUDING CRAY
COVERAGE
CODE. CRRCRIPTION OPTIONS . LIMIT APPLIES TO Mit APPUES TO
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DESCRIPTION OF OPERATIONS / REMARKS (Aitach AGORD 161, Additional Ramarks Schadule, ff more s pace la required)
Cerliicate holder ie mckidad as an Additonal ineured.
CERTIFICATE HOLDER ANGELL ATION
TATOOS CONT SOUL NY OF TIE AB OVE. ESO RIBED PUT ICIES GE OMITELCED BEF GRE THE
602-6 NORTH PEARL k:XPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
SUORDANGE WITH THE POLICY PROVISIONS,
CRESTVIEW, Fl. 32536 ‘
ATTCRIZED " REMTESEATATIVE
Ae a aaa
@ 2009 ACORD CORPORATION, All rights reserved,
ACORD 21 (200912) The ACORD name and logo are reglstered marks of ACORD
RECEIVED Jan. <2 204
CONTRACT & LEASE INTERNAL COORDINATION SHEET 2
far Berl
Contract/Lease Number: Tracking Number: §33-) 4
Contractor/Lessee Name: a mbev eu” Hel ¢ “f feus Grant Funded: YES___NO_%~
Purpose: st qh tse aan ‘Torrs
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Date/term: Jew 31, 21S veweur sas [ GREATER THAN $50.000
Amount: 9 % 6, Gress 2. () GREATER THAN $25,000
Aiepets 3. C1 $25,000 OR LESS
Department:
i ‘ Herman / Mi we
Dept. Monitor Name: f ( v
Document has been reviewed and Includes any attachments or exhibits.
Purchasing Review
Date: [P38 IAB
Risk Management Review
Date: / [ Z/ 1S
County Afforney Review
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/ t
Date: l 6
County Attorney
Following Okaloosa County approval:
Contract & Grant
Document has been received:
Dote:
Contracts & Grants Manager