READ ALONGSIDE THE SOURCE
Okaloosa County BOCC — September 16, 2014 — Crestview Technology Airpark Amendment One Extension — reading text
Part 1 of 2. These parts divide the reading text for browsing; they are not the source document's page numbers.
Machine-extracted text — 55-Crestview Technology Airpark Amendment One Extension.pdf
Machine-extracted OCR text · Review label: Machine produced / unreviewed
Compare this copy with the preserved source. Review labels describe the recorded status of this file; they do not guarantee that the text is error-free. Spacing and line breaks are retained, with long lines wrapped to fit the screen.
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
