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RECEIVED MAR 03 7014
CONTRACT & LEASE INTERNAL COORDINATION SHEET
Contract/Lease Number: Tracking Number: 6 75/44
Contractor/Lessee Name: C ' bance aay (EX +t, Was xo SBrant Funded: YES” NO a
Cevacl C ony bu I Sec
Purpose{ ve. Lereunes i Maks ie nee - Lt) cis fT acd Cea Ce dsveyy
Date/Term: Inve fp eas rad Day Of Cc Use ak 1. [-] GREATER THAN $50,000
Amount: / en Js oo Fyre.) 2, [] GREATER THAN $25,000
4 od
Department: “7th 3, L] $25,000 OR LESS
Dept. Monitor Nam etter aoe | PYeren,
/
Document has been reviewed and includes any attachments or exhibits.
Purchasing Review
a:
Procurement requirements 9) are met:
in
Date:
wa -
Purchasing : Director or or Besignee
Risk Management Review
Approves as writtery a Lo
“eft, LA Date:.
Risk wioner or “designee
County Attorney Review
a so LLY
Cot nty Attorney /
Following Okaloosa County approval:
Contracts & Grants
Document has been received:
Date:
Contracts & Grants Manager
LEASE FOR BARBERING/MASSAGE/NAIL TECH CONCESSION
CHAMPION CONTRACTORS, INC.
AND
CUTS BY ANGELA
This LEASE FOR BARBERING/MASSGAE AND NAIL TECH
CONCESSION, fully executed this day of , 2014,
by and between the COUNTY OF OKALOOSA, a political subdivision of the State of
Florida, acting by and through its BOARD OF COUNTY COMMISSIONERS
(hereinafter called “COUNTY”) and CHAMPION CONTRACTORS, INC. AND CUTS
BY ANGELA, (hereinafter called “LESSEE”):
WITNESSETH:
COUNTY hereby lets to LESSEE and LESSEE hereby hires and takes from COUNTY at
the Northwest Florida Regional Airport in the County of Okaloosa, State of Florida
(hereinafter referred to as “AIRPORT”), that certain location in the Terminal.
This Lease for Barbering/Massage and Nail Tech Concession (hereinafter called
“LEASE”) is subject to the following terms, covenants, conditions, and agreements to be
kept, performed, and observed by the LESSEE.
SECTION 1: TERM
The term of this LEASE shall commence on the date of the formal execution of this
LEASE by COUNTY for one (1) three (3) year term. LESSEE will have an option to
renew this lease for one (1) additional two (2) year term if LESSEE is in full compliance
with the terms of this LEASE and with approval by COUNTY. LESSEE shall give
COUNTY at least one hundred twenty (120) days written notice prior to the expiration of
this lease of its intent to renew. Either party may, without cause, cancel this Agreement
by giving not less than sixty (60) days written notice to the other party, which notice shall
state the date and reason for cancellation or termination.
SECTION 2: FEES:
LESSEE shall pay to the COUNTY twelve (12) percent of the gross sales. Gross sales
shall not be offset with other expenses of operation. A certified report of gross sales and
all expenses shall be submitted monthly with the payment of the aforesaid fee no later
than the fifteenth (15th) day of the month.
SECTION 3: ESCALATION CLAUSE:
COUNTY reserves the right to increase the fee two (2) percent at the option of lease
renewal.
SECTION 4: LATE CHARGES:
If LESSEE fails to pay no later than the fifteenth (15") day of the month, LESSEE shall
then pay interest to the COUNTY at the maximum legal allowable rate authorized by the
State of Florida.
SECTION 5: ALTERATIONS TO FACILITIES
No construction, modification, or alterations of improvements are permitted without prior
written approval by COUNTY.
SECTION 6: COMPLIANCE WITH GOVERNMENTAL PROCEDURES
LESSEE shall conform to all the requirements of applicable State and Federal statutes
and regulations and all County Ordinances and regulations, and shall secure such permits
and licenses as may be duly required by any such laws, ordinances, or regulations as may
be promulgated by COUNTY.
SECTION 7: CARE OF LEASED PREMISES
LESSEE shall keep said premises neat, clean, and orderly at all times. LESSEE shall not
commit or suffer to be committed on the Leased Premises, any waste, nuisance, or
unlawful act.
SECTION 8: ASSIGNMENT AND SUBLEASE
The Leased Premises may not be sublet, in whole or in part, and LESSEE shall not assign
this LEASE or any portion of this LEASE at any given time without prior written consent
of COUNTY. This LEASE shall be binding on the assigns, transfers, heirs, executors,
successors, and trustees of the parties hereto.
SECTION 9: RIGHTS OF ENTRY RESERVED
COUNTY has the right to inspect the Leased Premises at any time.
SECTION 10: BUINESS TAX RECEIPT
LESSEE will during the entire term or any extension of this LEASE, obtain a Business
Tax Receipt from Okaloosa County and give a copy to COUNTY.
SECTION 11: NOTICES
Any and all notices to be given under this LEASE may be served by enclosing the same
in a sealed envelope and directed to the other party at its address and deposited in the
mail as first class mail with postage therein paid. When so given, such notice shall be
effective from the date of mailing. Unless otherwise provided in writing by the parties
hereto, the address of the AIRPORTS DIRECTOR is as follows: Okaloosa County
Airports, Airports Director, 1701 Highway 85 North, Eglin AFB, FL 32542-1498. The
address of the LESSEE is Champion Contractors, Inc, Howard J. Holley and Cuts by
Angela, Angela Holley, P.O. Box 155, Crestview, Florida 32536.
SECTION 12: INSURANCE
LESSEE agrees that LESSEE, shall, during the entire term or any extension of this
LEASE, keep in full force and effect, a policy of general liability insurance with respect
to the leased premises. The limit of general liability shall not be less than ONE
MILLION ($1,000,000.00) dollars combined single limit (CSL). LESSEE shall purchase
and maintain Worker’s Compensation Insurance Coverage for all workers’ if required by
Law and include Employers Liability Coverage of at least $100,000 each person-
accident, $100,00 each person-disease, $500,000 aggregate-disease. Prior to occupying
the lease premises and annually upon renewal, LESSEE shall furnish COUNTY a
Certificate of Insurance evidencing all required insurance. COUNTY will be listed as an
additional insured. The Certificate of Insurance shall be delivered to the Contracts and
Lease Coordinator, 602 — C North Pearl Street, Crestview, Florida 32536 and a copy to
COUNTY. On request, LESSEE shall deliver an exact copy of the policy including all
endorsements. COUNTY reserves the right to increase the general liability amount as
required.
SECTION 13: HOLD HARMLESS
To the fullest extent permitted by law, LESSEE shall indemnify and hold harmless
COUNTY, its officers and employees from liabilities, damages, losses, and costs
including, but not limited to, reasonable attorney fees, to the extent caused by the
negligence, recklessness, or intentionally wrongful conduct of the LESSEE and other
persons employed or utilized by the LESSEE in the performance of this Agreement.
SECTION 14: NON-DISCRIMINATION
LESSEE, for its self, its personal representatives, successors, in interest, and assigns, as
part of the consideration hereof, does hereby covenant and agree that (1) no person on the
grounds of race, color, or national origin shall be excluded from participating in, denied
the benefits of, or be otherwise subjected to discrimination in the use of said facilities, (2)
that in the construction of any improvements on, over, or under such land and the
furnishing of services thereon, no person on the grounds of race, color, or national origin
shall be excluded from participation in, denied the benefits of, or otherwise be subjected
to discrimination, and (3) that LESSEE shall use the Leased Premises in compliance with
all other requirements imposed by or pursuant to Title 49, Code of Federal Regulation,
Department of Transportation, Subtitle A, Office of the Secretary, Part 21,
Nondiscrimination in Federally assisted programs of the Department of Transportation
Effectuation of Title VI of the Civil Rights Act of 1964, and as said regulations may be
amended.
That in the event of breach of any of the above nondiscrimination covenants,
COUNTY shall have the right to terminate the LEASE and to reenter and repossess said
property and the facilities thereon, and hold the same as if said LEASE had never been
made or issued. This provision shall not be effective until the procedures of Title 49,
Code of Federal Regulations, Part 21, are followed and completed, including exercise or
expiration of appeal rights.
SECTION 15: PLACE OF PAYMENTS
All payments and notices to COUNTY shall be given or mailed to the following address:
OKALOOSA COUNTY AIRPORTS
AIRPORTS DIRECTOR
1701 HIGHWAY 85 NORTH
EGLIN AFB, FL 32542-1498
SECTION 16: ENTIRE LEASE
This LEASE consists of the following: Sections 1 to 16, both inclusive. It constitutes the
entire LEASE 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 LESSEE.
(This remainder of this page intentionally left blank)
IN WITNESS, the parties hereto have executed these presents as of the day and
year first above written.
ATTESTS:
GARY J. STANFORD
DEPUTY CLERK OF CIRCUIT COURT
OKALOOSA COUNTY, FLORIDA
ATTESTS:
Leila Ae
WITNESS
Let Leds
WITNESS
BOARD OF COUNTY COMMISSIONERS
OKALOOSA COUNTY, FLORIDA
CHARLES K. WINDES, JR.
CHAIRMAN
~ HOWARD J. HOLLEY
CHAMPION CONTRACTORS, INC.
GULAT HOLLEY
CWAS BY ANGELA /’
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 HOWARD J. HOLLEY, who,
under oath, deposes and says that he is the duly authorized to execute contracts and lease
agreements and that he executed the foregoing instrument for the uses and purposes
contained therein.
Pend
Sworn and subscribed before me this _/ = day of [Mere LT , 2014.
NOTARY PUBLIC
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My Commission expires: [(- AS -1?
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 ANGELA HOLLEY, who,
under oath, deposes and says that she is the duly authorized to execute contracts and lease
agreements and that she executed the foregoing instrument for the uses and purposes
contained therein.
Sworn and subscribed before me this _/& dayof Mere bn , 2014.
NOTARY PUBLIC
gititttitie, - 2 - “
See DAVID EOWARD MINER
* + Notary Public - State of Florida
ov. My Comm, Expires Nov 23, 2017
Commission # FF 40599
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My Commission expires: //~ 23 71?
ACCORD
|
CERTIFICATE OF LIABILITY INSURANCE
OP ID: SD
DATE (MMIDDIYYYY)
03/11/2014
CHAN-03
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
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
certificate holder in lieu of such endorsement(s).
IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
PRODUCER CONTACT
Waidorff Ins & Bonding - FWB PHONE FAX
45 Eglin Parkway NE, Ste 202 (AIC, No, Ext): | {AIC, No):
Fort Walton Beach, FL 32548 E-MAN
Danny Hare ADDRESS:
INSURER{S) AFFORDING COVERAGE NAIC #
insurer A: National Trust Insurance Co. 20141
INSURED Champion Contractors, Inc. INSURER B: The FCC! Insurance Company 10178
P.O. Box 155
Crestview, FL 32536 INSURER ¢ :
INSURER B:
INSURER E :
INSURER E >
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.
linge DOL SUBR CY EXP
rink TYPE OF INSURANCE INS WD POLICY NUMBER CADDY) (UMBIVYYY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 4,000,006,
in | DAMAGE TO RENTED
A | | commerciAt GENERAL LIABRITY > 4 31 04109344. 10/10/2013 | 10/40/2014 DAMAGE t (Ea ocomrencey | # 100,008
| CLAIMS-MADE OCCUR MED EXP {Any ane person) | $ 5,000
|__| PERSONAL & ADVINJURY | $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG | § 2,000,000
POLICY FRO- Loc Emp Ben. $ 1,000,000
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY FOMBINED § §
ANY AUTO BODILY INJURY (Perperan} | &
ALL OWNED SCHEDULED BODILY INJURY (Per accident) | $
J NON-OWNED PROPERTY DAMAGE 3
HIRED AUTOS AUTOS (PER ACCIDENT)
$
X | umpretaciaw = | X | occur EACH OCCURRENCE $ 1,000,000
B EXCESS LIAB CLAIMS-MADE UMB00114364 10/10/2013 | 10/10/2014 | accrecate $ 1,000,006;
pep |X | RETENTIONS 40000 5
WORKERS COMPENSATION We STATU- OTH-
AND EMPLOYERS" LIABILITY X Ey, LIMITS ER
B | ANY PROPRIETORIPARTNER/EXECUTIVE WC13A66690 06/16/2013 | 06/16/2014 | &L. EACH ACCIDENT $ 1,006,000,
OFFICER/MEMBER EXCLUDED? NIA
(Mandatory in NH} E.L. DISEASE - EA EMPLOYEE] $ 1,000,000
If yes, describe under 4 0.080)
DESCRIPTION OF OPERATIONS below ELL. DISEASE - POLICY LIMIT | § ,000,
DEBCRIPTION OF OPERATIONG { LOCATIONS ¢ VEHICLES (Attach ACORD tt, Additianat Remarke Schedule, mare space is required}
County Commissioners
602-C North Pearl Street
Crestview, FL 32536
CERTIFICATE HOLDER CANCELLATION
OKALB01
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Gkaloosa County Board of CORD T c
AUTHORIZED REPRESENTATIVE
Lang Rare
ACORD 25 (2919/05)
© 1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
ii | . CUTS-01 OP ID: PJ
ACCOR — CERTIFICATE OF LIABILITY INSURANCE eee maa
” 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. :
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 fiew of such endarsementt(s).
nan Sut pers aS Ps rTP ashe san ape ehh Sr SCS CW St St As EPAPER PSPs
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
PRODUCER CONTACT F -
NAME: ort Walton Beach Client
Waldorff Ins & Bonding - FWB PHONE
45 Eglin Parkway NE, Ste 202 (Ale Wo, Exo: 850-581-4925 [ (AIG, Noy. 850-581-4920
Fort Walton Beach, FL 32548 ROORESS:
Fort Walton Beach Client = :
INSURER(S} AFFORDING COVERAGE NAIC #
insurer a: Southern -Owners ins. Go. 10190
INSURED Cuts By Anglea INSURER B :
Angela Holley DBA : ”
1701 Hwy 85, North BISURERC:
Eglin AFB, FL 32542 INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: : REVISION NUMBER:
THIS 1S 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 POLIGIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFF POLICY EXP
INR TYPE OF INSURANCE INSE POLICY NUMBER ADDI) (AMODIVYYY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,069
A 1X | commercial GENERAL LIABILITY x 78750945 03/44/2074 | 03/14/2015 | DAMACETORENTED ls 300,000
| CLAIMS-MADE OCCUR MED EXP (Any one person) | $ 16,000
—_ PERSONAL & ADVINJURY | $ 1,000,000
—_ GENERAL AGGREGATE $ 4,060,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMPIOP AGG | $ 4,000,000
| POLICY | | 58%: | loc $
AUTOMOBILE LIABILITY i ae Livi |,
ANY AUTO BODILY INJURY (Perperson) | $
[| ALL OWNED SCHEDULED 7
AUTOS AUTOS NED aeOPE alin accident) | $
| OPER]
HIRED AUTOS AUTOS (PER ACCIDENT) $
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED | | RETENTION $
WORKERS COMPENSATION we STATU- [or
AND EMPLOYERS’ LIABILITY vs TORY LIMITS: ER
ANY PROPRIETOR/PARTNERIEXECUTIVE EL. EACH ACCIDENT $
OFFICERIMEMBER EXCLUDED? NIA
{Mandatory in NH} EL DISEASE - EAEMPLOYEE| $
if yes, describe under
DESCRIPTION OF OPERATIONS below EL. DISEASE - POLICY LIMIT | $
ee 1701 Highway 85 North, Eglin AFB, FL 32342-1498.
fel
dded as additional insured as respects General Liabil
DESCRIPTION OF OPERATIONS J LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
Certificate holder is
ity.
CERTIFICATE HOLDER
CANCELLATION
OKALBO1
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.
Contracts & Lease
cOordinator
602-C North Pearl Street
\Crestview, FL 32536
AUTHORIZED REPRESENTATIVE
Lue lilleff
ACORD 25 (2010/05)
© 1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD