Okaloosa County BOCC — December 16, 2014 — Air Methods Lease Renewal 12-8-14 — reading text

AMENDMENT NUMBER ONE TO LEASE AGREEMENT DATED JANUARY 10, 2012 BETWEEN BOARD OF COUNTY COMMISSIONERS OKALOOSA COUNTY, FLORIDA AND AIR METHODS This AMENDMENT NUMBER ONE, fully executed this day of , 2014, by and between the OKALOOSA COUNTY, FLORIDA (hereinafter called “LESSOR”) and AIR METHODS (hereinafter called “LESSEE”). WITNESSETH: WHEREAS, the LESSEE entered into the Original Lease Agreement effective January 10, 2012. WHEREAS, this Amendment Number One shall be subject to the terms, covenants, conditions, and agreements to be kept, performed and observed by LESSEE as stipulated in the Original Lease not amended in this Amendment. NOW, THEREFORE, the parties hereto, for, and in consideration of that lease, agree as follows to this Amendment as herein set forth: SECTION 1: TERM This Amendment Number One renews the term of the Lease as requested by LESSEE for an additional THREE (3) years as stated in the Original Lease. The expiration date will be November 30, 2017 SECTION 2: RENT A basic ground lease rent for the trailer and shed is SEVENTY FIVE CENTS ($.75) per square foot per year is established for ONE THOUSAND SEVEN HUNDRED TWNTY EIGHT (1,728) square feet. The base annual lease rent will be ONE THOUSAND TWO Y9L-90-Z1 BN ) ye: GASY HUNDRED NINETY SIX DOLLARS ($1,296.00) plus tax. A basic ground lease rent for the apron is NINE CENTS ($.09) per square foot per year is established for the TEN THOUSAND (10,000) square foot area. The base annual lease rent for the apron will be NINE HUNDRED DOLLARS ($900.00) plus tax. The Lease Rent provided for herein is all inclusive of any amounts to be paid to LESSOR by LESSEE for occupancy of the property. LESSEE shall pay to LESSOR at the office of the Airports Director, or at such other place as maybe designated by LESSOR, the Lease Rents will be due annually, and paid in advance whether or not an invoice is received. SECTION 3: NOTICES Notices for LESSEE will change to Air Methods Corporation, Jerrod Harris, 7211 South Peoria, Englewood, CO 80112. SECTION 4: ENTIRE AMENDMENT This Amendment consists of the following: Sections 1 to 4. It constitutes the entire Amendment of the parties on the subject matter hereof and may not be changed, modified, discharged, or extended except by written instrument duly executed by COUNTY and LICENSEE. IN WITNESS, the parties hereto have executed these presents as of the day and year first above written. BOARD OF COUNTY COMMISSIONERS OKALOOSA COUNTY, FLORIDA CHARLES K. WINDES, JR CHAIRMAN ATTEST: GARY J. STANFORD DEPUTY CLERK OF CIRCUIT COURT OKALOOSA COUNTY, FLORIDA GARY BOULLION REGIONAL VICE PRESIDENT AIR METHODS CORPORATION oO NATRESS Aga &~ WITNESS 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 GARY BOULLION who, under oath, deposes and says that he is authorized to execute contracts and lease agreements and that he executed the foregoing instrument for the uses and purposes contained therein. Sworn and subscribed before me this Sad day of Abttln lll 2014, AD. CZ My Commission expires: ape 2a & CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number: LID. - oO BS -AY’? Tracking Number: OS 4-4 Grant Funded: YES NO_ x Contractor/Lessee Name: Dw Mert ol Cage “y Purpose Co rnorunf’ Ke wae Date/Term: 1/20 Ir T Ltn, L | GREATER THAN $50,000 Gl. Rem Rbdes = 1, a-FH.0% [ono Hi Amount:G) Paw? Lynne ~ Goo. [Ornnndttoy. 9 L_] GREATER THAN $25,000 Department: ay P 3. $25,000 OR LESS Dept. Monitor Name: cf Larne ~ | fere~ Document has been reviewed and includes any attachments or exhibits. Purchasing Review Procur i O// Pare YD Ile Fay ( Date: 8 ~< 2 ly Purchasing irector Or Designee Joanne Kublik Risk Management Review Approved as written: po Le cated ad A py Date: 6 a5 ~| i Risk|Mahager or designee Krtpatel Kun a a) County Attorney Review Approved’ é as written: SS JD Date: x2 4|I U County Attorney _ Ea yy Gregory T. Stewart Ll: Yin He. sh hana Following Okaloosa County approval: Contracts & Grants Document has been received: Date: Contracts & Grants Manager DATE (MMIDDIYYYY) —N > | ACORD CERTIFICATE OF AVIATION LIABILITY lnSURANCE 30710014 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). CONTACT PRODUCER . NAME: (TX) Patti Ann Rogers 6800 Granite Parkway, #800 (le. No. xu: 972-980-0800 (ale, Nox. 214-705-6677 Plano, TX 75024-6647 ADDRESS: progers@airsure.com CUSTOMER ID #: AIRMETH-01 INSURER(S) AFFORDING COVERAGE % NAIC # INSURED INSURER A: Allianz Global Risks US Insurance Company 28 Air Methods sor poration INSURER B: As on file with AirSure Limited, LLC 72 Englewood CO 80112-4113 INSURER Gt INSURER D : INSURER E : INSURER F : 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. AIRPORT & FBO LIABILITY COVERAGES CERTIFICATE NUMBER: 20704360 REVISION NUMBER: INSURER LETTER | POLICY NUMBER EFFECTIVE DATE | EXPIRATION DATE | ADDITIONAL INSURED? (Y/N) | SUBROGATION WAIVED? (Y/N) A A2GA000137614AM 7/1/2014 7/1/2015 Y N COVERAGE OPTIONS LIMIT APPLIESTO | LIMIT APPLIES TO [| $ BIEAPER $ PD PREMISES LIABILITY |_| ¥ | CSL Bl and PD $ 50,000,000 | EAocc PREMISES MEDICAL PAYMENTS g 50,000 | EAPER $ EA OCC SALE OF FUEL & OIL $ BI EAPER $ 50,000,000 | AGGR PRODUCTS LIABILITY |__| —_ EXTENDED $ 50,000,000 | EAocc COMPLETED EXTENDED [| S$ BI EA PER $ 50,000,000 | acer OPERATIONS | : LIABILITY $ 50,000,000 | EAOcC CEOAL LABILITY i an m L| $ 50,000,000 | EAAIRCRAFT | $ 50,000,000 | EAoce FIRE LEGAL LIABILITY $ 4,000,000 | ANY ONE FIRE PERSONAL INJURY LIABILITY $ 25,000,000 EA Occ $ 25,000,000 AGGR ADVERTISING LIABILITY $ 25,000,000 | EAocc $ 25,000,000 | AGcR CONTRACTUAL LIABILITY J _| INCLUDED EXCLUDED COVERAGE CODE DESCRIPTION OPTIONS LIMIT - | APPLIESTO | LIMIT APPLIES TO Territory: Worldwide $ $ $ $ $ $ $ $ $ $ “ $ $ DESCRIPTION OF OPERATIONS / REMARKS (Attach ACORD 101, Additional Remarks Schedule, if more space is required) - SEE ADDITIONAL REMARKS SCHEDULE - CERTIFICATE HOLDER CANCELLATION Hangar Lease SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Okaloosa County Airport Authority 1701 State Road 85 North ACCORDANCE WITH THE POLICY PROVISIONS. Eglin AFB FL 32542-1498 AUTHORIZED REPRESENTATIVE y IIA 5 Kopp Bill Kingsley © 2009 ACORD CORPORATION. All rights reserved. ACORD 20 (2009/12) The ACORD name and [ogo are registered marks of ACORD CERT NO.: 20704360 CLIENT CODE: AIRMETH-01 (TX) Patti Ann Rogers 6/27/2014 3:21:26 PM (CDT) Page 1 of 2 ( AGENCY CUSTOMER ID: AIRME 1 LOC #: ——™ 6 ACORD ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED . aa Air Methods Corporation AirSure Limited 7301 South Peoria Street POLICY NUMBER Englewood CO 80112-4113 A2GA000137614AM CARRIER NAIC CODE Allianz Global Risks US Insurance Company EFFECTIVE DATE: 7/4/2014 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 20 FORM TITLE: Certificate of Aviation Liability (12/09) CERTIFICATE HOLDER: Okaloosa County Airport Authority ADDRESS: 1701 State Road 85 North Eglin AFB FL 32542-1498 The Named Insured includes the following: Air Methods Corporation, Mercy Air Service, Inc., LifeNet., Inc., dba ARCH Air Medical Services Inc., Rocky Mountain Holdings, LLC, FSS Airholdings, Inc., CJ Systems Aviation Group, Inc., CJ Critical Care Transportation Systems, Inc., Special Jet Services, Inc., CU Critical Care Transportation Systems of Florida, Inc., CJ Critical Care Transportation Systems of Kentucky, Inc., United Rotorcraft Solutions, LLC, OF Air Holdings Corporation, Omniflight Helicopters, Inc., Omniflight Helicopter Services, Inc. dba Fleet Management Resources, Inc., Georgia Aeromedical dba Air Rescue 1, Air Medical Partners, LLC, Omni Transport Systems, Alabama, LLC aka LifeSaver, LLC, Omni Transport Systems, Charleston, LLC aka Meducare, LLC, Native Air Services, Inc., Native American Air Ambulance, Inc., Native American Air Ambulance, LLC, OTS (SUB), LLC, Enchantment Aviation, Inc. dba Southwest Air Ambulance dba Southwest Med Evac, American Jets, Inc., and/or any associated, subsidiary, affiliated, managed, owned or controlled companies or entities thereof. Subject always to the scope of the policies noted above and the policies' declarations, insuring agreements, definitions, terms, limitations, exclusions, deductibles, warranties and endorsements remaining paramount: Solely as respects the Operations of the Named Insured the Certificate Holder is included as an Additional Insured under Section Two Coverage A - Bodily Injury and Property Damage Liability (Premises Liability). We won't cover the Certificate Holder for claims arising out of their liability as manufacturer, seller, handler, distributor or service facility of any product or service sold, handled, distributed or provided. © 2008 ACORD CORPORATION. All rights reserved. ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD ATTACHMENT CERT NO.: 20704360 CLIENT CODE: AIRMETH-01 (TX) Patti Ann Rogers 6/27/2014 3:21:26 PM (CDT) Page 2 of 2 —_— @ ACCORD eae ( ( CERTIFICATE OF AIRCRAFT INSUKANCE DATE (MIM/DDIYYYY} 6/27/2014. THIS CERTIFICATE 1S 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. certificate holder in lieu of such endorsement(s). 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 PRODUCER AirSure Limited 5800 Granite Parkway, #800 Plano, TX 75024-664 NAMED (TX) Patti Ann Rogers PHONE ext: 972-980-0800 (Ave, No): 214-705-6677 E-MAIL SOUR ESS progers@airsure. com PRODUCE | CUSTOMER 1D #; AIRMETH-01 INSURER(S) AFFORDING COVERAGE % | NAIC # INSURED INSURERA: Allianz Global Risks US Insurance Company 28 Air Methods Corporation INSURERB: As on file with AirSure Limited, LLC 72 7301 South Peoria Street : : Englewood CO 80112-4113 INSURER ¢ : INSURER D : INSURER E: INSURER F: 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