Okaloosa County BOCC — August 24, 2013 — Assignment of Lease Blue Horizon JR Skyways to Mr. Williams — reading text

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. su Lie TYPE OF INSURANCE NER il POLICY NUMBER (MMIDOIYYYY) (WMIODIYYYY) LIMITS [ GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A [|X | comMERCIAL GENERAL LIABILITY GL2021805 07/04/2013 | 07/01/2014 | Oar Ee currence) _[$ 50,000 | cLAIMS-MADE OCCUR MED EXP (Any one person) _| $ 5,000 _ PERSONAL & ADV INJURY | $ 1,000,000 |__| GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP/OP AGG | $ 2,000,000 ) | poucy | X | iBS [| LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A IX] CA2021803 07/01/2013 | o7ors2014 Ee cen : acanae | A} ANY AUTO BODILY INJURY (Per person) | $ ALL OWNED AUTOS BODILY INJURY (Per accident) | $ |__| SCHEDULED AUTOS PROPERTY DAMAGE ; |X | HIRED AUTOS (Per accident) | X_| NON-OWNED AUTOS PIP $ 10,000 X | PIP CA2021803 07/01/2013 | 07/01/2014 $ | [uwareauias |X | occur EACH OCCURRENCE $ 5,000,000 EXCESS LIAB 7 00} A CLAIMS-MADE -leuz0¢452900 07/01/2013 | 07/01/2014 |ACSREGATE $ 5,000,0 DEDUCTIBLE $ RETENTION _$ $ WORKERS COMPENSATION xX | WC STATU- [aie AND EMPLOYERS' LIABILITY VIN TORY LIMITS ER AL | ANY PROPRIETOR/PARTNER/EXECUTIVE WC2021807 07/01/2013 | 07/01/2014 | £1. EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? [| NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE] $ 500,000 lf yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | $ 500,000 A |Leased CPP2021804 07/04/2013 | 07/01/2014 |Limit: 150,000 Equipment Ded: 2,500 Re: Lot Block 2, Bob FL. Sikes Airport, Crestview, added as "toss payeé as respects t is hangar only: DESCRIPTION 3 OPERATIONS { ak a ae i frase ® {Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder is CERTIFICATE HOLDER CANCELLATION OKALAO1 Okaloosa County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 602-C N. Pearl Street Crestview, FL 32536 AUTHORIZED REPRESENTATIVE Li bpd ACORD 25 (2009/09) © 1988-2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CHARTIS AEROSPACE INSURANCE SERVICES, INC. CERTIFICATE OF INSURANCE THIS IS TO CERTIFY TO: OKALOOSA COUNTY 602-C N. PEARL STREET CRESTVIEW, FL 32536 THAT THE FOLLOWING POLICY/IES OF INSURANCE HAS/HAVE BEEN ISSUED TO: HARVEY L. WILLIAMS AND LINDA S. WILLILAMS 7 KRIVIK COURT FT. WALTON BEACH, FL 32547 AIRCRAFT POLICY NO. AV 012833273-01 POLICY PERIOD: From May 28, 2013 to _ May 28, 2014 INSURANCE COMPANY NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA LIABILITY COVERAGES LIMITS OF LIABILITY EACH PERSON EACH OCCURRENCE Bodily Injury Excluding Passengers $ g Property Damage $ XXXX $ Passenger Bodily Injury $ $ Single Limit -- IN cluding Passengers, $ XXXX $ 4.000.000 PHYSICAL DAMAGE COVERAGE: PHYSICAL PEDUCTIBLES: IN-MOTION REGISTRATION INSURED DAMAGE NOT INGESTION NUMBER MAKE AND MODEL = YEAR VALUE COV. IN-MOTION MOORING N12WE BEECH KING AIR C90 2008 $ 2,230,000. F $ NIA §$ N/A $ $ $ $ $ $ $ $ $ PHYSICAL DAMAGE Coverage Indentified F. Ground & Flight G.NotIn Flight =H. NotIn Motion OTHER COVERAGES/CONDITIONS/REMARKS Coverage is subject to Date Recognition Exclusion Clause. ADDITIONAL INSURED WITH WORKMANSHIP EXCLUSION SUBJECT TO FORM CAV02 ATTACHED TO THIS POLICY. A certificate of insurance is issued as a matter of information only and confers no rights upon the certificate holder. A certificate of insurance does not amend, extend, or alter the coverage, terms, exclusions, conditions, or other provisions afforded by the policies referenced therein. if the policy referenced above is cancelled before the expiration date, notice of cancellation shall be provided to the’ certificate holder if such notice of cancellation has been included within this policy and/or endorsements attached thereto. Certificate No.___3 AGEL The By Date of Issue _August 6, 2013 KNC CAV30B (06/12) (Authorized Representative) ADDITIONAL INSURED ENDORSEMENT This policy is amended as follows: (Only the clause(s) indicated by an "X" shall apply.) [| The scheduled persons or organizations are included as additional Insured. [| The scheduled persons or organizations are the registered owner of and are included as additional Insured. [| The scheduled persons or organizations are included as additional Insured but only as respects liability coverages. The scheduled persons or organizations are included as additional Insured under liability coverages, but only as respects operations of the Named Insured. The scheduled persons or organizations are included as additional Insured but only as respects operations of the Named Insured. Workmanship Exclusion - The insurance extended by this endorsement shall not apply to, and no person or organization named in the schedule shall be insured for Bodily Injury or Property Damage which arises from the design, manufacture, modification, repair, sale, or servicing of the Aircraft by that person or organization. Schedule: OKALOOSA COUNTY 602-C N. PEARL STREET CRESTVIEW, FL 32536 All other provisions of this policy remain the same. This endorsement becomes effective August 6, 2013 to be attached to and hereby made a part of Policy No. AV 012833273-01 issued to _ HARVEY L. WILLIAMS AND LINDA S. WILLILAMS By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA Endorsement No. 22 aie Date of Issue _August 6, 2013 KNC (Authorized Representative) CAV02 (1/05) POYSTER CONTRACTING, LLG State Certified License No. CBC021099 804 Skipper Avenue, Fort Walton Beach, FL. 32548 Email RoysterLLC@aal.com Phone(850} 863-2731 Fax (850) 863-5399 TO: WILLIAMS ELECTRIC DATE: April 26, 2013 CONTACT: Harvey Williams / Andy King PHONE: 862.1171 ADDRESS: 695 Denton Bivd. NW - Ft. Walton Beach, FL 32547 FAX: 862.2629 PROJECT: Hangar Crestview Airport OTHER: andy. king@williamselectric.com A. Royster Contracting hereinafter called “Seller” proposes to furnish the following: SCOPE OF WORK This constitutes a proposal to include necessary plans, material, labor and equipment to enclose an existing Hangar (110°X50') as per sketches attached and as specifically described herein. INCLUDED Structural Plans by Florida Registerad Engineer bearing his seal. Building Permit and Fire Dept. Fees Temporary Services; Portable Toilet Service and Dumpster for construction debris. Superintendent Necessary structural steel designed to support Hangar Door. Certified Welder Relocate (2) existing center colurnns of metal building; Columns to allow for new Hangar Door and for Plane entry. 26 Ga. R-Panel factory painted sheeting (standard color choice) for walls and Hangar Door. Necessary door trim, rake trim and corner trim, (1) 3070 Walk Door with Mortise Lock Hardware, Latch-Guard, Stainless Steel Hinges and Closer; 140 mph Wind Load. (1) 12' X 14' Roll-up Overhead Door with Electric Operator. Removal of Bird Netting. Removal of concrete curb located inside of building. (2) 10 lb. BC Fire Extinguishers Pane Lolo HANGAR DOOR * AeroSwing Hydraulic Door System, 55 Ft. X 16 Ft. (Clear Opening) « Designed for Steal Header and Steel Jambs ¢ 140 mph Wind Load / Exposure “C” « Designed for Single Phase, 220V Power ¢ Door includes all hydraulics, pump, weather seals, push button controls and fittings. « installation and Operation Guide included. * Drawings and Engineering * Note. (6) Week Delivery Time EXCLUSIONS * Site Work * Concrete Work * Ternporary Power or Water * Building Electrical, Mechanical or Plumbing * — Interior finishes or Painting. ALTERNATE 1. ADD $12,871.00 To install a R-25 VRR Faced, Retro Banding insulation on Roof only. Base Contract Price $ 117,462.00 F.0.8. Job Site Terms Of Payment Progress Requests Based on Materials Stored and Work in Place Net five (8) days from invoice / Any Draws more than thirty (30) Days will be subject to a service charge of 1.5% per month. This offer will be autornatically reclined unless accepted within _ Thirty (30) Oays from date. OWNER / BUYER ROYSTER CONTRACTING, LLC Li, be ee Vieuedbe 0. Keyl le Owners Authorized Signature} (Contractors Signature) ¥ Claude C. Rovster, 04/26/13 (Printed Name and Tithe) iDate) (Printed Name) (Date) oC WMEevRL Stet pe. Reyoracte i o's” ) 2 : 7 FY \°F OPED ExhawalL ® aw i] 9 toy : 53-1 ad 7 wn {| -o 3 : : ie 2 a 3) 2 <7 - Ore EH awd ee h 5 Ano Cat Ves a 1-0" Weerans Han doe CHESS GU, CL AAGAS Kaystée. Dak i + * 2 ps pty ant" Le fhe kT, LP = Pow By OAS « é— tv" Cee Cosas iy wy wotea! BsOWwelL, BLENATIOL Ve tein! at doe Sole wou Su id 3 Ta HeaLatr Walia tharstae. Obese ANSAS ise" yah Remo ye [STALL v2. i Nea) Cane anne SE ~ Se | MRA Conmis / mero /Sute, \ Aig TS Ae Se 2 Winbae bo — sat ce PAE SNe wo'- 4 —H Sour EUatiens Remoug, fetal L News | PAeE Te Mea Columis / here oe) Terres, 4oT0 8 Uw OF ook. Nowa Glelprions Wusaud? Lnsese. Crrtecheu) Sag-Pokt (Ron songs ot WISTAL abet, cs Sonne n Moto" nets Royer. , 1 Z ar oe ay 35-0" NaAEAe. Wow et ORs = t F Ort Euipwall oo COLUM oP 4 } \,_ Zo"0" y t'-o° ge At FES Relocmte a Colannss a ’ * OK 9 ear’ DEKORK Lg ‘ sf , > tt 7 f a -o a Hy na j : a &§ 7 ¢ a fis pa a uy ? 4 ae ; 3 bores SAS 7 (eee Oa 5. Maeies uy e n TL L Oren ee wate 3Boi° TY Weevt Beok Qs \ bp" wt i a" Wietiams than de CleS Seu FL ANS MS