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AMENDMENT NUMBER ONE
TO
AIRPORT ACCESS AND LICENSE AGREEMENT DATED JULY 7, 2009
BETWEEN
BOARD OF COUNTY COMMISSIONERS
OKALOOSA COUNTY, FLORIDA
AND
CRESTVIEW TECHNOLOGY AIRPARK, LLC
This AMENDMENT NUMBER ONE, fully executed this day of
, 2014, by and between the OKALOOSA COUNTY, FLORIDA
(hereinafter called “COUNTY”) and CRESTVIEW TECHNOLOGY AIRPARK, LLC
(hereinafter called “LICENSEE”).
WITNESSETH:
WHEREAS, the LICENSEE entered into the Original Agreement effective July 7,
2009.
WHEREAS, this Amendment Number One shall be subject to the terms, covenants,
conditions, and agreements to be kept, performed and observed by LICENSEE as
stipulated in the Original Agreement not amended in this Agreement.
NOW, THEREFORE, the parties hereto, for, and in consideration of that
Agreement, agree as follows to this Agreement as herein set forth:
SECTION 1: TERM
This Amendment Number One extends the term of the Agreement as requested by
LICENSEE for an additional TWENTY FIVE (25) years as stated in the Original
Amendment. The expiration date will be September 30, 2039.
SECTION 2: ENTIRE AMENDMENT
This Amendment consists of the following: Sections 1 to 2. 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
PAUL S. HSU, Ph.D.
CRESTVIEW TECHNOLOGY AIRPARK, LLC
WITNESS / aj
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 PAUL S. HSU 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 (p_ day of Augy AST , 2014, AD.
Pee, KIMBERLY A PEREZ
3s @) #2 MY COMMISSION # EE193576 hor _L-
-s6 EXPIRES April 29, 2016
errs aeeones FlotidaNotaryService.com wands OTARY C)
My Commission expires: ori! F4, DO! ty.
CONTRACT & LEASE INTERNAL COORDINATION SHEET
Contract/Lease Number: CO 41TH AL Tracking Number: [0 3} “a te
Grant Funded: YES. * NO >
Contractor/Lessee Name: Cnoslviews feck A hoge" linn L.
Purpose \NécerneO Koo LQ htt Papontitnd Potomacsrn,
Date/Term: Seplencten 3o QO 39 1, L] GREATER THAN $50,000
Amount: 2. [J GREATER THAN $25,000
Department: Ae 3. L] $25,000 or Less
Dept. Monitor Name QA en tneian
Document has been reviewed and includes any stenmens or exhibits,
Purchasing Review
ee r aay
Le faa << Mi Date: Lb3 Bio ly:
16)
Zee =
Dieser Designee Joanne Kublik
Risk Management Review
Approved as wan “ J /
W/L Vid Ce fy fo Date: é [lO fos
f f
Risk Manager or designee Cx ak ren IC Va vA
f
County Attorney Review
Approved as ss Ci~{ MY
JAW. we We) co Date: t
coh nty ile Gregory T, Stewart
4
Following Okaloosa County approval:
Contracts & Grants
Document has been received:
Date:
Contracts & Grants Manager
oe
“.. TPp
-%e @™.s
e Ey
e @ Environmental Compliance
oes Obsolescence Management
www.totalpartsplus.com
709 Anchors Street NW Fort Walton Beach, Florida 32548
Phone: (850) 244-7293 Fax: (850) 664-5349
Paul S. Hsu, Ph.D.
Chairman
August 6, 2014
David Miner
Okaloosa County Airports
“1701 State Road 85 N
.. Eglin Air Force Base, Florida 32542-1498 |
“Dear Mr. Miner:
Please accept this letter to clarify that Dr. Paul Hsu and Robert Keller share 50/50 equal
ownership interest in Crestview Technology Air Park, LLC. Currently the property is occupied
by Sunshine Aero, owned by Robert Keller.
All the best,
AIG AEROSPACE INSURANCE SERVICES, INC.
CERTIFICATE OF COMMERCIAL LIABILITY INSURANCE
This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been
issued to the Named Insured. !t does not grant any rights to any party nor can it be used, in any way, to modify coverage
provided by such policies, alteration of this certificate does not,change the terms, exclusions or conditions of such policies.
Coverage is subject to the provisioris of thie-policies, including.any exclusions or conditions, regardless of the provisions of any
other contract, such as between. the. certificate: hold d.the: ned Insured... The limits shown-below are the limits provided
at the policy inception. “Subsequent paid claims, may. reduce these limits.
Producer: Named Insured:
AIR-SUR, INC. SUNSHINE AERO INDUSTRIES, INC.
TOM COUGHLIN AGENCY, 141 SAGE BRUSH TRAIL, AND AS ENDORSED
SUITE 3164 AIRPORT ROAD
ORMOND BEACH, FL 32174 CRESTVIEW, FL 32539-7110
General Liability
Insurer Name: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
Policy Number: AP 003383199-20
Policy Effective Date: August 31, 2014 ; Policy Expiration Date: August 31, 2015
$ 10,000,000. Each Occurrence Limit
$ 500,000. Damage To Premises Rented To You Limit (any one premises)
_ $ 25,000. Medical Expense Limit (any one person)
Limits $ 10,000,000. Personal & Advertising Injury Aggregate Limit
of $ NOT APPLICABLE General Aggregate Limit
Insurance $ 40,000,000.:_..]. F Completed Operations Aggregate. Limit
$ 10,000,000. Each Aircraft Limit
$ 10,000,000. Each Loss Limit
$ 5,000. Hangarkeepers Deductible (each aircraft)
General Aggregate Limit applies per: Policy [| Project [] Location
Description of Operations/Locations/Endorsements/Special Provisions
AS PER ATTACHED CGL1033, CGL193 AND CGL232.
Additional Insured Status Yes
THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER.
IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES)
MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH
ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT
INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT.
Cancellation
in the event of cancellation of any policy described above, the insurer will attempt to mail 30 days written notice to the
certificate holder prior to the effective date of cancellation. However, failure to do so will not impose duty or liability upon the
insurer, its agents of representatives, nor will it delay cancellation.
Certificate Holder: OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS
OKALOOSA COUNTY AIRPORTS DIRECTORS Certificate No.6
602 - C PEARL STREET, CRESTVIEW, FL 32536
Authorized Representatl
August 18, 2014 RRJ
* Date of Issue
CGL309 (3/05)
Includes copyrighted material of Insurance Services Office, Inc. with its permission
: ™ -
ACCORD
|
CERTIFICATE OF LIABILITY INSURANCE
SUNSHAE
OP ID: DA
DATE (MMIDDIYYYY)
09/05/2014
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
Air-Sur, Inc.
141 Sage Brush Trail, Suite A
Ormond Beach, FL 32174
Robert W. Tyler, Jr., AAI, AIP
CONTACT
NAME:
Donna K. Alex, CIC, AAl, CPIW
PHONE ext); 386-672-6210
FAX
(A/C, No):
EMAL .s, dalex@air-sur.com
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: American Southern Insurance Co
INSURED Sunshine Aero Industries, Inc INSURER B : Liberty Mutual Fire Ins. Co,
Robert Keller
3164 Airport Road INSURER C :
Crestview, FL 32539-7110 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 REDUCED BY PAID CLAIMS.
INSR ADDL|SUBR] POLICY EFF_ | POLICY EXP
LTR TYPE OF INSURANCE INSD | WYD POLICY NUMBER (MMIDDIYYYY) | (MM/DD/YYYY) LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTED
CLAIMS-MADE OccUR PREMISES (Ea occurrence} $
MED EXP (Any one person) $
PERSONAL & ADVINJURY | $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY [| GRO: [| Loc PRODUCTS - COMP/OP AGG | $
OTHER: $
AUTOMOBILE LIABILITY (Ea'acaident) INGLE LIMIT $ 1,000,000)
A {|X| anvauto BA900531 08/31/2014 | 08/31/2015 | BODILY INJURY (Per person) | $
ALL OWNED SCHEDULED BODILY INJURY (Per accident)| $
= NON-OWNED PROPERTY DAMAGE 8
HIRED AUTOS AUTOS (Per accident)
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED [ RETENTION $ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS’ LIABILITY YIN X | Starure |_|
BJ ANY PROPRIETOR/PARTNER/EXECUTIVE WG2Z21969306014 08/31/2014 | 08/31/2015 | EL. EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? C1 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
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
THIS CERTIFICATE REPLACES ANY PREVIOUSLY ISSUED CERTIFICATE (S).
Automobile coverage placed through Preferred Aviation Underwriters
FOR INFORMATION ONLY
CERTIFICATE HOLDER
CANCELLATION
Okaloosa County
602 - C North Peari Street
Crestview, FL 32536
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
fll UGE x
ACORD 285 (2014/01)
The ACORD name and logo are registered marks of ACORD
© 1988-2014 ACORD CORPORATION. All rights reserved.
AIG AEROSPACE INSURANCE SERVICES, INC.
CERTIFICATE OF COMMERCIAL LIABILITY INSURANCE
This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been
issued to the Named Insured. {t does not grant any rights to any party nor can it be used, in any way, to modify coverage
provided by such policies. alteration of this certificate does not, change the terms, exclusions or conditions of such policies.
Coverage Is subject to the provisions of the-policies, including.any exclusions or conditions, regardless of the provisions of any
other contract, such as between.the certificate:holder.and the. éd Insured:. The limits shown-below are the limits provided
at the policy inception. Subsequent paid claims may reduce these limits.
Producer: Named Insured:
AIR-SUR, INC. SUNSHINE AERO INDUSTRIES, INC.
TOM COUGHLIN AGENCY, 141 SAGE BRUSH TRAIL, AND AS ENDORSED
SUITE 3164 AIRPORT ROAD
ORMOND BEACH, FL 32174 CRESTVIEW, FL 32539-7110
General Liability
Insurer Name: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
Policy Number: AP 003383199-20
Policy Effective Date: August 31, 2014 , Policy Expiration Date: August 31, 2015
$ 10,000,000. Each Occurrence Limit
$ 600,000. Damage To Premises Rented To You Limit (any one premises)
_ $ 25,000. Medical Expense Limit (any one person)
Limits $ 10,000,000. Personal & Advertising Injury Aggregate Limit
of $ NOT APPLICABLE General Aggregate Limit
Insurance $ 10,000,000.: __..|. Products/Gompléted: Operations Aggregate.Limit
a * pei ees Haingarkeepers Limit.
$ 10,000,000. Each Aircraft Limit
$ 10,000,000. Each Loss Limit
$ 5,000. Hangarkeepers Deductible (each aircraft)
General Aggregate Limit applies per: Policy [| Project [| Location
Description of Operations/Locations/Endorsements/Special Provisions
AS PER ATTACHED GGL1033, CGL193 AND CGL232.,
Additional Insured Status Yes
THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER.
IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES)
MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH
ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT
INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT.
Cancellation
In the event of cancellation of any policy described above, the insurer will attempt to mail 30 days written notice to the
certificate holder prior to the effective date of cancellation. However, failure to do so will not impose duty or liability upon the
insurer, its agents or representatives, nor will it delay cancellation.
Certificate Holder: OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS
OKALOOSA COUNTY AIRPORTS DIRECTORS Certificate No. 6
602 - C PEARL STREET, CRESTVIEW, FL 32536
Authorized Representati
August 18, 2014 RRJ
° Date of Issue
CGL309 (3/05)
includes copyrighted material of Insurance Services Office, Inc. with its permission
PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT
This policy is amended as follows:
Only to the extent as stated within a written contract between the Named Insured and party(ies) as stated in
the Schedule, coverage hereunder is primary and non-contributory with any insurance, co-insurance, or self
insurance maintained by those party(ies):
SCHEDULE
OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS |
OKALOOSA COUNTY AIRPORTS DIRECTORS
602 - C PEARL STREET
CRESTVIEW, FL 32536
All other provisions of this policy remain the same.
This endorsement becomes effective _August 31, 2014 to be attached to and hereby made a part of
Policy No. AP 003383199-20 issued to_ SUNSHINE AERO INDUSTRIES, INC.
AND AS ENDORSED
By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
Endorsement No. TBD ihe
Date of Issue August 18, 2014 RRJ By
(Authorized Representative)
CGL1033 (12/08)
ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SCHEDULE
1. Designation of Premises (Part Leased to You):
2. Name of Person or Organization (Additional Insured):
OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS
OKALOOSA COUNTY AIRPORTS DIRECTORS
602 - C PEARL STREET
CRESTVIEW, FL 32536
3. Additional Premium: INCLUDED
(If no entry appears above, the information required to complete this endorsement will be shown in the
Declarations as applicable to this endorsement.)
WHO IS AN INSURED (SECTION II) is amended to include as an insured the person or organization shown in
the Schedule but only with respect to liability arising out of the ownership, maintenance or use of that part of the
premises leased to you and shown in the Schedule and subject to the following additional exclusions:
This insurance does not apply to:
1. Any "occurrence" which takes place after you cease to be a tenant in that premises.
2. Structural alterations, new construction or demolition operations performed by or on behalf of the person or
organization shown in the Schedule.
All other provisions of this policy remain the same.
This endorsement becomes effective August 31, 2014 to be attached to and hereby made a part of
Policy No. AP 003383199-20 issued to _ SUNSHINE AERO INDUSTRIES, INC.
AND AS ENDORSED
By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
Endorsement No. TBD th
Date of Issue August 18, 2014 RRJ
(Authorized Representative)
CGL193 (3/05)
includes copyrighted material of Insurance Services Office, Inc. with its permission
WAIVER OF TRANSFER OF RIGHTS .OF RECOVERY AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SCHEDULE
Name of Person or Organization:
OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS
OKALOOSA COUNTY AIRPORTS DIRECTORS
602 - C PEARL STREET
CRESTVIEW, FL 32536
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
The Transfer Of Rights Of Recovery Against Others To Us Condition (SECTION IV - COMMERCIAL
GENERAL LIABILITY CONDITIONS) is amended by the addition of the following:
We waive any right of recovery we may have against the person or organization shown in the Schedule above
because of payments we make for injury or damage arising out of your ongoing operations or "your work" done
under a contract with that person or organization and included in the “products-completed operations hazard".
This waiver applies only to the person or organization shown in the Schedule above.
All other provisions of this policy remain the same.
This endorsement becomes effective August 31, 2014 to be attached to and hereby made a part of
Policy No. AP 003383199-20 issued to _SUNSHINE AERO INDUSTRIES, INC.
AND AS ENDORSED
By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
Endorsement No. TBD The
Date of Issue_August 18, 2014 RRJ By
(Authorized Representative)
CGL232 (3/05)
Includes copyrighted material of Insurance Services Office, Inc. with its permission
Dave Miner
From: Krystal King
Sent: Tuesday, August 26, 2014 10:45 AM
To: Dave Miner
Subject: RE: COI Approval
| reviewed the COI you sent on the above referenced and find that it meets our requirements.
Kegstal hing
Okaloosa County
Risk Management
(850) 689-5977
Fax (800)89-5973
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 email communication including your email
address, may be subject to public disclosure.
From: Dave Miner
Sent: Tuesday, August 26, 2014 9:38 AM
To: Krystal King
Subject: COI Approval
Krystal:
Attached you will find the certificates of insurance for Sunshine Aero. Please review and let me know if the insurance is
OK so 1 can send the amendment of the agreement to the Board for approval.
Thank you.
Dave
David E. Miner
Properties and Leases
Okaloosa County Airports
(850) 651-7160 Ext. 4
www.flyvps.com
"Please note: Due to Florida's very broad public records laws, most written communication to or from County
employees regarding County business are public records, available to the public upon request. Therefore, this written e-
mail communication, including your e-mail address, may be subject to public disclosure.”