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

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.”