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Okaloosa County BOCC — September 16, 2014 — Crestview Technology Airpark Amendment One Extension — reading text

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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

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