Okaloosa County BOCC — September 16, 2014 — Verizon Wireless NWFRA Agreement with Certificate of Insurance and Internal Coordination — reading text

IN THE FACILITY crane AND Liens Fe PROTECTION SYSTEHS SHALL NOT BE ROUTED THROUGH METALLIC OBLEGTS THAT FORM A RING AROUND THE CONDUGTOR, SUCH AS METALLIC COMOUITS, METAL SUPPORT CLIPS OR SLEEVES THROUGH FLOORS, HEN IY 1S RESUIRED 70 BE HOUSED DI CONDUIT To MEET CODE REGUIREMENTS OR LOGAL CONDITIONS, TG CONDAT SHALL BE USED, HERE USE OF METAL CONDUIT [5 UNAVOIDABLE (E65, Rot MCT/ CONDUIT PROHIBITED BY LOGAL CODE) THE GROUND CORDUCTOR SHALL BE BONDED TO EACH END OF THE METAL Cone bert LISTED BONDING FITTINGS, JOMANSELL-CT ‘SUNTE.103 ROSWELL GA 306 verloniwireless ISSUED FOR PERMITTING & ISSUED FOR, PRELIMS DATE | OESGRIPTION: on e mash co 27395 ale a|8 8l<lo ai a wu) 3 ¢t zo if i oa 2 a = ua QO] az 0) o2 ww s| #° g a wean OTH vom ITM croc PAM nk VAIS-B20 m | ua Cae ELECTRICAL § GROUNDING KEY MOYES. ® PROPOSED #2 Ac STRANDED GREEN @ PROPOSED 2 ANG STRANDED ® PROPOSED §2 ANG STRANDED 61 WEUL_ATED COPPER HIRE FROM INSULATED COPPER WHRE FROM WED COPPER WIRE FROM PROPOSED HIEC, EGUIPHENT RACK TO THE EXISTING RELAY EGUIPHENT RACK 10 THE EXISTING PLANT TO THE EXISTING GROWD GRAND SYSTEM. GI GROUND SYSTEM, GROUND SYSTEM. MANUFACTURERS: MANUFAGTURERS SPECS, 'S SPECS, PROPOSED (2 AHS STRANDED GREEN PROPOSED 02 ANG STRANDED GREEH @ EULATED COPPER HIRE FROM PROPOSED @ PROPOSED $2 ANG STRANDED GREEN © INSULATED COPPER HIRE FROM PROPOSED: DAS EGUPMENT RACK 10 THE EXISTING INSULATED COPPER WIRE FROM PROPOSED: 70 THE EXISTING GROND GROUND 5) , GROUND PER BATTERY RAGK TO THE EXISTING GROUND SYSTEM. GROUND PER ANIFAGTIRER'S SPECS. SYSTEM. au PER MAMFACTIRERS: MANFAGTRERS SPECS, © perme e STRANDED GREEN COPPER WIRE FROM PROPOSED NOBE-B TO THE EXISTING GROUND SYSTEM. GROUND EGUPHENT PER HANFACTURER'S PROPOSED #2 ANG STRANDED GREEN INSULATED COPPER WIRE FROM PROPOSED ALUTIOS TO THE EXISTING GROUND SYSTEM, gon EQUPHENT PER MAWFACTRER'S, ‘SPECS. @ Proves 12 ane stRAWwED onent PROPOSED (2) #12 ANS 4 1) © ANG GHD. TO BE INSULATED COPPER WIRE PROFOSED ROUTED RATHI A I" COROUT FROM THE BIS CABINET TO THE EXISTING GROUND PROPOSED VERIZON AG PANEL TO THE SYSTEM GROVHD: T PER VERIZON DC PANEL. HANFAGTURER'S SPECS, D PROPOSED (3) 270 Ane 40) 56 ANG 61D. 70 BE ROUTED HITHIN A 2° CORDINY FROM THE PROPOSED ‘ORMER TO THE PROPOSED AC PANEL, @ Propose (2) 91 Ans 4 0 16 Ane GHD. To BE ROWED NITHIN AP CONDUIT FROM THE © PRoposen 42 Ane STRANDED eREEN IRSULATED COPPER WIRE FROM PROPOSED: AG PANEL, TO THE EXISTING GROUND SYSTEM. SROUND ECLAPMENT PER MANUFACTURERS EROPOSED TRANSFORMER TO THE EXISTING gS. a 5 a gv eMeTING EXISTING IsTiNs meicraes | Bt roy bas ‘ALL VERIZON ELECTRICAL PIRES TO BE § EXISTING GABLE TRAY. = TRARSITICN TO R65 CONANT ARD ROUTE 3 PALL WITH UNIGTRUT HARDARE YO PROPOSED OG POHER PLANT. | j algis ©.) ee HE RACK @ = fo Sralissy # i 8/8|8 —— | [— Lh o | 5qQ00 7 \ \ \ \ \\ S| & XY N \ \ \ 2] a EXISTING TELEPHORE EXISTING ALARM EXISTING TELCO EXISTING ALARM EXISTING FIBER, EXISTING 20/2064 EXISTINS CM) WALL, >| & a PANELS BOARD PAELS CONCANNS BPH.AG PANEL $20/240y IPH < w AC PAL 4 2 c iL ° 7) ELECTRICAL ¢ GROUNDING SITE PLAN: HEAD-END ROOM bala z ag SCALE: Ie 2! 5 z QO] 8 Daf uy ws they, 2 ap tintees, | Se bay 5s Ss AY, Sense Ba om . cone TH GRAPHIC SCALES ame PAM 2 oO 2 mt VHI3-820 SCALE: |" = 2! MECHANICAL GROUND CONNECTION JO MANS! cr 0 ROSWELL, GA 10078. GIONS less wire, SCALE: HES. E-2 EXISTING PANEL EH2D ABOI2ZTIS PHASE (2) 4 ANG & (0 #6 ANS porns t¢ CONDUIT @) 270 + #66 1 2° CONCAIT 200N2P 3 | 20027) RECTIFIER (2) 112 AMG ¢ () 6B ANG GHD. 2ONRF) RECTIFIER 2 (2) 412 AMG 4 (I) HO ANG GHD, AS 2OARF) RECTIFIER 13 _(2) 812 ANG 4 (I) §B ANG GAD. — 5O KVA TRANSFORMER = 480Vi120/240V one SINGLE PHASE RECTIFIER 84 (2) #12 ANG 4 (U) 88 ANG GND, #4 ANG 4 ANG ONE-LINE DIAGRAM NOT TO SCALE PROP. «24v / ~48¥ De POHER PLANT TKS BIO Le TRANS, CABIRET EB NODE B ROUTER CABINET (2) YO Atte FER BREAKER VA (2) 412 ANG CORIAIGTORS (PER RRH) {ROUTE IN 5/4" CONDUIT) {ROUTE tH 1 V2" RES CORDINT) (2) BO ANS CONDUCTORS: ROUTE 1H 3/4" CONDUIT) ANS. ENODE B ‘SIZE DC BREAKERS AHD HIRES FOR (l) MISC. RACK, () DAS TRAT, () DAS HEAD ERD EGUPHENT ¢ (I) RELAY EGUIPHENT RACK [eae , JOMANSELLCT SuntE ROSWELL, GA 30075 -280-2325 verizon wireless DATE DESCRIPTION: ‘A | $A6n3 | ISSUED FOR PRELIM © | wane | IGEIED FOR PERMITTING 4 NUN . se MA feel , ‘calliva ens Fhe gaanaayh ance NA REGIONAL FL. AIRPORT ONE-LINE DIAGRAM aE fy wom CT pom TM comm PAM > [as & VINIS-620 E-3 4 68'°Gg9 Bo | "spT-s \ ANT-18: ey 1 vw SURE LE . . Ta SPT-2 on 2nd Floor & > ‘ ToOANT-120n 2nd Floor * sos roan on 2nd Floor "To ODU on 2nd Floor x To ANT-13 on 2nd Floor To SPT Tst Floor @ NW Florida Ragional Alpor- VPS Kali Nooney [DATE Atcatel-Lucant ALU in-building Design Services 5/28/2013 ¥p9'6LS 160.42 ft : : a —! — | FE . — ! EY a man No \ Lea i ™~ ‘ — Er ° | TS - fo) To RHU-4 on fstFloor qa To RHU-1 on 1st Floor —— To ANT-1 on {st Floor To SPT-4 on 1st Floor To ANT-2 on 1st Floor Fo SPT-1 on Ist Floor | To ANT-D-2 on Rooftop: To ANT-D-1 an Rooftop To ANT-9 on ist Floor ‘and Floor DESIGNER @ NW Florlda Regional Afrport- VPS. Kall Naoney NY. Alcatel-Lucent FA in-bullding Design Services 5/28/2013 Alcatel-Lucent Rooftop NW Florida Reglonal Airport- VPS Kali Nocney ALU In-buiiding Design Services Ag aw 5/28/2043 —— DATE(MM/DD/YYYY) AACORD co! CERTIFICATE OF LIABILITY INSURANCE oring/20%4 THIS CERTIFICATE 1S 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. If SUBROGATION IS WAIVED, subject to L 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 hoider in lieu of such endorsement(s). = PRODUCER CONTACT 3 Aon Risk Services Northeast, Inc. PHONE - FAX 7 be Morristown NJ office (AIG. No. Ext): ©866) 283-7122 (NG. No; (800) 363-0105 & 44 whippany Road, Suite 220 E-MAIL ° Morristown N3 07960 USA ADDRESS: I INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: National Union Fire Ins Co of Pittsburgh |19445 Celico Partnership dba verizon wireless INSURER B: New Hampshire Ins Co 23841 180 Washington Val ley Road INSURER C: Illinois National Insurance Co 23817 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570054566670 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. Limits shown are as requested hes TYPE OF INSURANCE Neal we POLICY NUMBER cape lvvy ianDIVYOY) LIMITS A |X | COMMERCIAL GENERAL LIABILITY GL7266932 072075] eacH OCCURRENCE $1, 000, 000 DAMAGE TO RENTED i CLAIMS-MADE OccUR PREMISES (Ea oveurronce) $1,000,000 MED EXP (Any one person) . | PERSONAL & ADV INJURY $1,000,000] © |__] i<e) | GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 © | X | Pouicy [loner Loc PRODUCTS - COMP/OP AGG $2,000,000, = OTHER: 8 A CA 350-06-58 06/30/2014|06/30/2015| COMBINED SINGLE LIMIT 0 AUTOMOBILE LIABILITY AOS (Ea accident) $1,000,000 . A |x | ANYAUTO CA 350-06-59 06/30/2014106/30/2015 | BODILY INJURY ( Per person) 8 [—] ALL OWNED SCHEDULED MA BODILY INJURY (Per accident) 2g A |_| AuTos cA 350-06-60 06/30/2014|06/30/2015 [SropeRty DAMAGE a HIRED AUTOS iro NED VA (Per accident) = 5 UMBRELLA LIAB OCCUR EACH OCCURRENCE oO || EXCESS LIAB | | CLAIMS-MADE AGGREGATE DED] [RETENTION B | WORKERS COMPENSATION AND wc026035004 06/30/2014/06/30/2015 x | PER | |orH- EMPLOYERS' LIABILITY YIN work Comp ~ AOS STATUTE ER B ANY PROPRIETOR/ PARTNER / EXECUTIVE NIA wC026035006 06/30/2014|06/30/2015 E.L. EACH ACCIDENT $1,000,000 (Mandatory in NH) IL KY NC NH VT E.L. DISEASE-EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below EL. DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) = RE: VZwW Site: NW Florida REG Airport DAS, Location Code: 274867, Site Address: 1701 Florida 85, Eglin AFB, FL 32542. i =a = a CERTIFICATE HOLDER CANCELLATION a i: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ar EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE == POLICY PROVISIONS. ca | Okaloosa County AUTHORIZED REPRESENTATIVE Lie} 602-C North Pearl Street . Crestview FL 32536 USA ie . 5 a hn Boake Services Noiteast Inve = =e ACORD 25 (2014/01) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000035381 — LOC #: ACCORD aul ADDITIONAL. REMARKS SCHEDULE page _ of _ AGENCY NAMED INSURED Aon Risk Services Northeast, Inc. Celtco Partnership dba Verizon Wireless POLICY NUMBER See Certificate Number: 570054566670 CARRIER NAIC CODE See Certificate Number: 570054566670 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER certificate form for policy limits. ADDITIONAL POLICIES Ifa policy below does not include limit information, refer to the corresponding policy on the ACORD INSR ADDL |SUBR POLICY NUMBER nana RA TK LTR TYPE OF INSURANCE iNsD | WVD nen caverns nanan (MM/DD/YYYY) | (MM/DD/YYYY) WORKERS COMPENSATION B N/A wC026035007 06/30/2014] 06/30/2015 AK AZ GA VA B N/A wc026035008 06/30/2014) 06/30/2015 NJ PA C N/A wc026035009 06/30/2014| 06/30/2015 FL B N/A wc026035011 06/30/2014| 06/30/2015 MN B N/A wc026035012 06/30/2014| 06/30/2015 MA,ND,OH,WA,WI,WY A N/A wC026035005 06/30/2014| 06/30/2015 CA B N/A wc026035010 06/30/2014| 06/30/2015 ME ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number: Tracking Number: g 5G ~/ 1 “ Contractor/Lessee Name: Vbresyen. LO ucker, Grant Funded: YES. No_X vurpose, aati loctces 57 AwFerks : ek Daté/Term: Sie AB CincmOncaaniet 7, [~] GREATER THAN $50,000 Amount: df , CFD oo [amma bly: 2, [] GREATER THAN $25,000 Department: 4 a . 3, M $25,000 OR LESS Dept, Monitor Name: —Hormars [meron Document has been reviewed and includes any attachments or exhibits. Purchasing Review a, re wy); CW Cc os ib ia / Date: 5-8 5/4 meni aw or Dgsignee lV panne. Kabhi Deel Risk Management Review Ny as written: vA é Ala he Date: S- -9-/ A no f) ; Risk anager or Lot brett fe fone... t [\ County Attorney Review | Approved as writfem ~4 yt on) Date: 4 ( + y (beg wig: She wou A Following Okaloosa County approval: Contracts & Grants Document has been received: Date: Contracts & Grants Manager Dave Miner From: Sent: To: Cc: Subject: John, Jon Morris Monday, February 24, 2014 12:13 PM John Dowd Dave Miner FW: Verizon Lease and Site Access Agreement Coordination is the other coordination sheet for the Verizon lease in process or with the courier? Please recall that we have coordinated this with the Air Force and have their concurrence. Here is the reply we got: Mr. Morris, Thank you for calling and for providing this information by email. Since Verizon retains ownership of the DSA equipment, this installation is acceptable for