Okaloosa County BOCC — March 18, 2014 — F-15 Renewal 2014 — reading text

NMUSAF to arrange shipping of returned loaned objects. Revised 8 Dec 2011 NATIONAL MUSEUM of the U.S. AIR FORCE RCS: HAF-HO(A) 8801 INVENTORY REPORT Loan Account Number S§DA0398 23-Jan-14 ACCESSION # NOMENCLATURE Value SD-2009-0002 AIRCRAFT, F-15A(GF), 75-0044 $21,000 | certify that the above listed items shown on Pages 1 through 1 have been accounted for with any discrepancies so noted. Signature: (Historical Property Custodian) (Date) Charles K. Windes, Jr. Typed or Printed Name Chairman, Okaloosa County BOCC Typed or Printed Title Page 1 2014 POINT OF CONTACT INFORMATION SHEET ACCOUNT NUMBER CITY/ORGANIZATION NAME MAILING ADDRESS CITY STATE/COUNTRY ZIP CODE PHYSICAL LOCATION OF ITEM HISTORICAL PROPERTY CUSTODIAN TITLE, HISTORICAL PROPERTY CUSTODIAN PRIMARY POINT OF CONTACT TITLE PRIMARY POINT OF CONTACT PRIMARY PHONE NUMBER ALTERNATE PHONE NUMBER PRIMARY FAX NUMBER EMAIL ADDRESS } i i |OKALOOSACOUNTY——«™ ‘SDA0398 i (Do( State AQ Se Mort { i } { GRESTVIEW i iFL Basya | Northwest Florida Regional Airport, 1701 State Rd 85 North i i i Mr, Cherles K. windes, TP, CHAIRMAN, OKALOOSA COUNTY BOARD MR MICHAEL STENSON DEPUTY DIRECTOR 850-651-7160 (Airport) 850-651-7105 (County Board Ofc) 850-651-7164 (Airport) mstenson@co.okalcosa.fl.us DATE (MM/DD/YYYY) —") ACORD CERTIFICATE OF PROPERTY INSURANCE 2/14/2013 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. If this certificate is being prepared for a party who has an insurable interest in the property, do not use this form. Use ACORD 27 or ACORD 28. PRODUCER CONTACT Patricia Jenkins Public Risk Insurance Agency PHONE exn. (386) 252-6176 FAX No); (386) 239-4049 7 P. O. Box 2416 E-MAIL : ki bb . AppREss: PJenkins@bbpria.com PRODUCER Daytona Beach FL 32115 CUSTOMER Ip; 00001966 i iNSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A:Amrisc Okaloosa County, DBA: Okaloosa County INSURERB:Travelers Prop & Cas Co of Am 601-A North Pearl Street INSURER C :Lloyds INSURER D : Crestview FL 32536 . INSURER E : INSURER F: COVERAGES . CERTIFICATE NUMBER:CP12101000193 REVISION NUMBER: LOCATION OF PREMISES / DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 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. he TYPE OF INSURANCE POLICY NUMBER f ATE (MMMVDD/YYYY) DATE (MM/DDIYYYY) COVERED PROPERTY LIMITS X | PROPERTY *AMR-31420 Certain XX | BUILDING $ 75,000,000 CAUSES OF LOSS | DEDUCTIBLES | Underwriters at Lloyds X_| PERSONAL PROPERTY | ¢ INCLUDED BASIC BUILDING *MSP-12290-02 QBE X | BUSINESS INCOME $ Inlcluded |__| BROAD __{ CONTENTS Specialty Ins, Co. X | EXTRA EXPENSE $ 2,000, 000 A | X | SPECIAL *CPP9653576-02 Steadfast 10/1/2012 |04/01/2014 RENTAL VALUE $ X | EARTHQUAKE Insurance Co. BLANKET BUILDING $ x | WIND BLANKET PERS PROP | ¢ X | FLOOD BLANKET BLDG &PP | ¢ X | Flood $ 25,000, 000 X_| Earthquake $__ 25,000,000 INLAND MARINE TYPE OF POLICY $ CAUSES OF LOSS § NAMED PERILS POLICY NUMBER $ $ CRIME $ TYPE OF POLICY a $ $ B | x | BOILER & MACHINERY / M5 J-BME1-7943N492-TIL~13 10/1/2012 | 04/1/2014 EQUIPMENT BREAKDOWN /1/ /1/ —_ $100,000, 000 § C. | Terrorism - Certified Acts UTS2512292.12 10/1/2012 | 04/1/2014 Sublimit $ 5,000, 000 Combined Liab $ 5,000,000 SPECIAL CONDITIONS / OTHER COVERAGES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Certificate issued with respects to Loan Agreement for F-15A Aircraft, S/N#75-0044, Replacement Value $21,000. Building/contents coverage are provided on a replacment cost basis & BI/EE is actual loss sustainted. No co-insurance penalty applies. Deductible-AOP $50,000 per occurrence, except 5% named storm wind/hail, $100,000 min CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN . . . H THE POLICY PROVISIONS. United States Air Force Heritage Program ACCORDANCE WIT c OVISIONS National Museum of the U.S. Air Force Attn:Patricia Ochos, Static Display Prog 1100 Spaatz Street Wright-Patterson AFB AUTHORIZED REPRESENTATIVE OH 45433-7102 Paul Dawson/AMBER Pee i ACORD 24 (2009/09) © 1995-2009 ACORD CORPORATION. All rights reserved. INS024 (200909) The ACORD name and logo are registered marks of ACORD CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number: hf a [SSF AW? ; Tracking Number: 3 Contractor/Lessee Name: National [Tad tbn, vite Grant Funded: YES NOX USA Purpose 26) 41 Ltn, Londsan)) (halts. ce fe as 5 cheph “oD Date/Term: Bpnuael 1. [| GREATER THAN 550,000 Amount: Z 2. [| GREATER THAN $25,000 Department: Af ; 3. he $25,000 OR LESS da l PAC Dept. Monitor Name: Hh e [eren. -Document has been reviewed and includes any attachments.or exhibits. Purchasing Review a Cecrae De, ped AL Procurement requirements.aré ‘met: a, : a << ff) WW . . : . Se ae 5 ae lf Lid MM M, L. Date: JAZ rants? pote ror pgs ignée Sex Ene Kidde a Risk Management Review Approved as wri VPP Jig i, @ a, Risk iyénager or or designee Cif rer fO Vora Date: 3f i |i if aay County Attorney > | As P Ly fy 1 Gh L yr : Fo 2a s/t Coulty ‘Attorney XY Following Okaloosa County approval: Contracts & Grants Document has been received: a Date: Contracts & Grants Manager Dave Miner From: John Dowd Sent: Tuesday, March 11, 2014 1:21 PM To: Jon Morris Ce: Joanne Kublik; Dave Miner Subject: RE: F-15.pdf Joanne and Jon: | realize that they modified it last year to address some of my concerns. It is ok for this renewal, but we would like for them to consider the proposed changes that | have advocated for future years. Thanks, John From: Jon Morris Sent: Tuesday, March 11, 2014 12:49 PM To: John Dowd Cc: Joanne Kublik; Dave Miner Subject: FW: F-15.pdf John, Would you please reconsider your recommendation for additional changes to paragraph 10.1 of the F-15 lease as expressed in the attached coordination sheet? Thanks for your assistance. From: Dave Miner Sent: Monday, March 10, 2014 12:49 PM To: Jon Morris Subject: FW: F-15.pdf From: Joanne Kublik Sent: Monday, March 10, 2014 12:48 PM To: Dave Miner Subject: F-15.pdf Dave - Mr. Dowd has some comments on page 3. Joanne Kublik, Contracts and Lease Coordinator Okaloosa County Purchasing Department 602-C North Pearl Street Crestview, Florida 32536 (850) 689-5960 jkublik@co.okaloosa.fl.us Please note: Due to Florida's very broad public records laws, most written communications to or from County employees regarding County business are public records, available to the public and media upon request. Therefore, this written e- mail communication, including your e-mail address, may be subject to public disclosure.