Okaloosa County BOCC — October 15, 2013 — AOL Blue Horizon JR Skyways to Williams — reading text

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. SUI Cre TYPE OF INSURANCE NSR WD POLICY NUMBER (MMII) (MMIDBIVYYY) LIMITS | GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A |X | coMMERCIAL GENERAL LABILITY GL2021805 07/04/2013 | 07/01/2014 | PAM ee en Occurrence) [8 50,000 | cLAIMS-MADE OCCUR MED EXP {Anyone person) | $ 5,000 PERSONAL & ADVINJURY | $ 1,000,000 | GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMPIOP AGG | $ 2,000, 000 | poucy |X ]58% [- |10c ; AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A |X] CA2021803 07/01/2013 | o7/o1/2014 2 ene : wee | A] ANY AUTO BODILY INJURY (Per person) | $ ALL OWNED AUTOS BODILY INJURY (Per accident) | $ |__| SCHEDULED AUTOS PROPERTY DAMAGE LX | HIRED AUTOS (Per accident) § | X_| NON-OWNED AUTOS PIP $ 10,009 X | PIP (CA2021803 07/01/2013 | 07/01/2014 $ |__| UMBRELLALIAB | X | occur EACH OCCURRENCE $ 5,000,000 EXCESS LIAB 7 §,000,000 A CLAIMS-MADE cu206452900 07/04/2013 | az/o1/2014 | AGGREGATE $ ; DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH: AND EMPLOYERS LIABILITY VIN X [SRY LIMITS ER A | ANY PROPRIETORIPARTNERIEXECUTIVE WC2021807 07/01/2013 | 07/01/2014 | EL. EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? NIA (Mandatory in NF) E.L. DISEASE - EA EMPLOYEE] $ 500,000 Ifyes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | $ 500,000 A |Leased CPP2021804 07/01/2013 | 07/01/2014 |Limit: 150,000) Equipment Ded: 2,500 Re: Lot DESCRIPTION 3 OPERATIONS | LOCATIONS / VEHICLES (Attach ACORD 101, Additional Rema Schedule, If more space is required) Block 2, Bob Sikes Airpe added as 31 obs payeé as respects this hangar only. ort, Crestview ' Certificate holder is CERTIFICATE HOLDER CANCELLATION Okaloosa County Crestview, FL 32536 602-C N. Pearl Street OKALAO1 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 Liebe bled ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION. Ail rights reserved. The ACORD name and logo are registered marks of ACORD CHARTIS AEROSPACE INSURANCE SERVICES, INC. CERTIFICATE OF INSURANCE THIS IS TO CERTIFY TO: OKALOOSA COUNTY 602-C N. PEARL STREET CRESTVIEW, FL 32536 THAT THE FOLLOWING POLICY/IES OF INSURANCE HAS/HAVE BEEN ISSUED TO: HARVEY L. WILLIAMS AND LINDA S. WILLILAMS ZKRIVIK COURT FT. WALTON BEACH, FL 32547 AIRCRAFT POLICY NO. AV 012833273-01 POLICY PERIOD: From May 28, 2013 to _ May 28, 2014 INSURANCE COMPANY NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA LIMITS OF LIABILITY LIABILITY COVERAGES EACH PERSON EACH OCCURRENCE Bodily Injury Excluding Passengers $ $ Property Damage $ XXXX $ Passenger Bodily Injury $ $ Single Limit -- IN cluding Passengers, $ XXXX $ 4.000.000 With Passenger Liability Limited To $ NOT APPLICABLE $ XXXX a PHYSICAL DAMAGE COVERAGE: PHYSICAL DEDUCTIBLES: IN-MOTION REGISTRATION INSURED DAMAGE - NOT INGESTION NUMBER MAKE AND MODEL = YEAR VALUE COV. —_IN-MOTION MOORING Ni2WE BEECH KING AiR C90 2008 $ 2,230,000. F $ N/A _$ N/A $ $ $ $ $ $ $ $ $ PHYSICAL DAMAGE Coverage Indentified F. Ground & Flight G.NotIn Flight =H. Notin Motion OTHER COVERAGES/CONDITIONS/REMARKS Coverage is subject to Date Recognition Exclusion Clause. ADDITIONAL INSURED WITH WORKMANSHIP EXCLUSION SUBJECT TO FORM CAV02 ATTACHED TO THIS POLICY. A certificate of insurance is issued as a matter of information only and confers no rights upon the certificate holder. A certificate of insurance does not amend, extend, or alter the coverage, terms, exclusions, conditions, or other provisions afforded by the policies referenced therein. If the policy referenced above is cancelled before the expiration date, notice of cancellation shall be provided to the certificate holder if such notice of canceilation has been included within this policy and/or endorsements attached thereto. Certificate No.3 , ehEih KN hore Date of Issue _August 6, 2013 (Authorized Representative) CAV30B (06/12) ADDITIONAL INSURED ENDORSEMENT This policy is amended as follows: (Only the clause(s) indicated by an "X" shall apply.) The scheduled persons or organizations are included as additional Insured. The scheduled persons or organizations are the registered owner of and are included as additional Insured. UO UO The scheduled persons or organizations are included as additional insured but only as respects liability coverages. The scheduled persons or organizations are included as additional Insured under liability coverages, but only as respects operations of the Named Insured. x] The scheduled persons or organizations are included as additional Insured but only as respects operations of the Named Insured. LI Workmanship Exclusion - The insurance extended by this endorsement shall not apply to, and no person or organization named in the schedule shall be insured for Bodily Injury or Property Damage which arises from the design,-manufacture, modification, repair, sale; or servicing of the Aircraft by that person. or organization. -- Schedule: OKALOOSA COUNTY 602-C N. PEARL STREET CRESTVIEW, FL 32536 All other provisions of this policy remain the same. This endorsement becomes effective August 6, 2013 to be attached to and hereby made a part of Policy No. AV 012833273-01 issued to _HARVEY L. WILLIAMS AND LINDA S. WILLILAMS By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA Endorsement No. 22 A, ig ~ Date of Issue August 6, 2013 KNC By (Authorized Representative) CAV02 (1/05) OYSTER CONTRACTING, LLC State Certified License No. CBC021099 904 Skipper Avenue, Fort Walton Beach, FL 32548 Email RoysterLLC@aal.com Phone(850) 863-2731 Fax (850) 863-5399 TO: WILLIAMS ELECTRIC DATE: April 26, 2013 CONTACT: Harvey Williams / Andy King PHONE: 862.1171 ADDRESS: 695 Denton Blvd. NW - Ft. Walton Beach, FL 32547 FAX: 862.2629 PROJECT: Hangar Crestview Airport OTHER: andy.king@williamselectric.com A. Royster Contracting hereinafter called “Seller” proposes to furnish the fallawing: SCOPE OF WORK This constitutes a proposal to include necessary plans, material, labor and equipment to enclose an existing Hangar (110°X50') as per sketches attached and as specifically described herein. INCLUDED * * Structural Plans by Florida Registered Engineer bearing his seal. Building Permit and Fire Dept. Fees Temporary Services; Portable Toilet Service and Dumpster for construction debris. Superintendent Necessary structural steel designed to support Hangar Door. Certified Welder Relocate (2) existing center columns of metal building; Columns to allow for new Hangar Door and for Plane entry. 26 Ga. R-Panel factory painted sheeting (standard color choice) for wails and Hangar Door. Necessary door trim, rake trim and corner trim. (1) 3070 Walk Door with Mortise Lock Hardware, Latch-Guard, Stainless Steel Hinges and Closer; 140 mph Wind Load. (1) 12' X 14' Roll-up Overhead Door with Electric Operator. Removal of Bird Netting. Removal of cancrete curb located inside of building. (2) 10 Ib. BC Fire Extinguishers Paue Loto HANGAR DOOR » AeroSwing Hydraulic Door System, 55 Ft. X 16 Ft. (Clear Opening) * Designed for Steel Header and Steel Jambs * 140 mph Wind Load / Exposure “C” * Designed for Single Phase, 220V Power ® Door includes all hydraulics, pump, weather seals, push button controls and fittings. « Installation and Operation Guide included. * Drawings and Engineering * Note. (6) Week Delivery Time EXCLUSIONS * Site Work * Concrete Work * Temporary Power or Water * Building Electrical, Mechanical or Plumbing * interior finishes or Painting. ALTERNATE 1. ADD $12,871.00 To install a R-25 VRR Faced, Retro Banding Insulation on Roof only. Base Contract Price 117,462.00 F.0.8. Job Site Terms Of Payment Progress Requests Based on Materials Stored and Work in Place Net five (5) days from invoice / Any Draws more than thirty (30) Days will be subject to a service charge of 1.5% per month. This offer will be automatically reclined unless accepted within _ Thirty (30) Days from date. OWNER / BUYER ROYSTER CONTRACTING, LLC Vase C. Keyl, w/7 Owners Authorized Signature) (Contractors Signature) Claude C. Royster, 1] 0426/13 (Printed Name and Fitley (Dates (Printed Names (Date) Ngee ty 0 es" a OPED Exlouale : G4. a OMSK, tet q &* Broce Wau r a a ut nN - NETRA SATb. £ r ore Baud 7 & Accor Can Vibe’ = 1-0" Wecbians Phan dow Cteeenew FL AAGAD 12 oe." KL hes ue, Le? a é— i" Cee Calamas j é-1 a Koy Sth. Loft woo" BOOwelL, BLEMAT CL Votes" ja plea daa Rae. Sos wow Sau ide 3° TaD HALT Saba thersbae. COgeeien ASS wey tea Pemoye fr NSTAde New Core nn eC e'8] Cosmas (ues [Sot \ yp, wie 5S Ay Sore Veto oe. bot 7 a a/R" eps Sot. woo" i Sourk eure Reaovg / ine tale L Mew) "Powe ( _ Maw Columis / ets oe) SoTo + | ead Cou UP oR Nowts Pleslstions Uulrowd? Laese. Creaneul Bag eokt (any seretie. — Whetay die Rowree. — Wo'o’ pers L 44 t Sey 0 Hate. Yoo e aot Ox = Zé a x fof OPED EXDWwALL s, Fe Coliseo ' kK A, 2a'-0" dL t1'.0° gu att \ AS: \ | : Celocmte a Va Colunns a é 2 54.1" vA bos o R la ? -o a |_ ae 2 5 | 2 : iv] 5 : a a |i? | oe | n 4 xi 4 j oe Grex Scale 2 [*- BeAt. 4 5! VB ees uy _——— T* + Oren a7 wall. sqn0 . Vere Feok Qos Ulm ino" ‘Manbiams Vans doe Clee eu, FL ANS 695 Denton Blvd NW Fort Wallon Beach, FIL 32459 small Project Contract Aqreement This CONTRACT AG REEMENT (“Agreement which term shall include all Exhibils attached hereto or listed hereon), dated August “£2013 is made by and between Williams Electric Co., Inc., a cor rporation (Owner”) and Royster Contracting, LLC., (Contractor), : TO BE PERFORMED: Subcontractor shall furnish all management, labor, mat 5, supplies, equipment, t ransportation, supervision, technical, professional anc | other s arvices, to build and renovate the Work in accordance with the attached Exhibit "A", incorporatec herein 1 by refer erice for all whic a is the Royster Contracting, LLC proposal dated April 26, 20 Wo rk K"). Exhibit "A", unbess contradicted by this Agree 5h Hoyyert, yali be fo O PAYMENT: The cost of the Work and payment terms for the Work will be as set forth ang to fod of one Form: to th CONMACLGL aq S Agree ment for a { dawith the Work of this i suibstantial co mplet HOR. 4 INSURANCE: Contractor is to secure, pay for and file with the Owner prior to starting the Work, factory to Owner at Owner's discretion) for Workers ty Damage Liability Insurance in such arnounts as agres restview Airport. certificates of insurance (in a form sabi gon and Public Liabiliby and ; quired by any authority at the C Compe Upon, GF a change in the Work @Charge” or 5, e Owner may at any time by written order direct “Changes”) and make any. Changes within the general scope of this Agreement. Upon receipt of such Chanae direction, Contracter shall provide Owner with a reasonable and fair cost for wich charge, nay suggest such changes as weil. CONTRACTOE Owrer Williams Electric Co., ine. Royster Contracting, LLC i wt _— Oe een : Uw al i. fre 5. © Preset WE: d Named / Title aa vines A a. mn _— witness: aver Sthype/ _ Dale: 8 y DES [1 { 7 Date: OB. ABS 3 “Printed Name ] Title _~“ _— i Dave Miner From: Gary Real Sent: Friday, August 23, 2013 12:23 PM To: Dave Miner Subject: RE: AOL Blue Horizon to Williams Ok, that will work. Thanks, Gary R. Real Risk Manager, Okaloosa County Florida 850-689-5979 Please note: Due to Florida's very broad public records laws, most written