Okaloosa County BOCC — June 21, 2016 — Timberview Helicopters, Inc. Amendment One 6-9-16 — reading text

CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number: L {Lll" OLf dl{” A"P Tracking Number: (7 5//’/5 Contractor/Lessee Nc:me:/r‘\ Y aVtIIN) H@‘EGGWVS Grant Funded: YES___ NO}é Purpose: Fomenelment /V\A_MW @Vl'a Date/Term: o 3], 2617 1. [ GREATER THAN $50,000 Amount: __ D 0/0 of Cuoss 2. [] GREATER THAN $25,000 Department: /H/pod: o3 /@325,000 OR LESS Dept. Monitor Name: S_‘—C\O’\JG //{/({:/\u&/ Document has been reviewed and includes any attachments or exhibifs. Purchasing Review erqunfs are met: y /{//{VAA ‘ Date: L/ fég fi/ 6 Purchasing Director or désignee Risk Management Review Date: Q "2 7’/(69 County Altorney Review Approved as written: Hm S gee w-_=,~yvxfl':v( fléd«ce £-5=- 1k Date: County Atftorney Following Okaloosa County approvat: Confract & Grant Document has been received: Date: Contracts & Grants Manager Dave Miner From: Parsons, Kerry <KParsons@ngn-tally.com> Sent: Thursday, May 05, 2016 8:30 AM To: Dave Miner Ce: Melissa Weisser; Lynn Hoshihara Subject: RE: Hangar Lease - BSAP - Johnson With the revisions, both are approved for legal sufficiency. From: Dave Miner [mailto:dminer@co.okaloosa.fl.us] Sent: Wednesday, May 04, 2016 6:04 PM To: Parsons, Kerry Subject: RE: Hangar Lease - BSAP - Johnson Ms. Parsons: For your review. If you need anything else let me know. Dave From: Parsons, Kerry [mailto:KParsons@ngn-tally.com] Sent: Wednesday, May 04, 2016 4:48 PM To: Dave Miner; Melissa Weisser Cc: Stephanie Herrick; Zan Fedorak; Lynn Hoshihara Subject: RE: Hangar Lease - BSAP - Johnson Hey Dave: May | see the changed documents for both this and the Timberview? Once | have them and | see that all revisions are made | can approve. From: Dave Miner [mailto:dminer@co.okalogsa.fl.us] Sent: Tuesday, May 03, 2016 10:25 AM To: Parsons, Kerry; Melissa Weisser Cc: Stephanie Herrick; Zan Fedorak; Lynn Hoshihara Subject: RE: Hangar Lease - BSAP - Johnson Ms. Parsons: Changes accepted. Dave From: Parsons, Kerry [mailto:KParsons@ngn-tally.com] Sent: Monday, May 02, 2016 4:53 PM To: Dave Miner; Melissa Weisser Cc: Stephanie Herrick; Zan Fedorak; Lynn Hoshihara Subject: RE: Hangar Lease - BSAP - Johnson Please see my attached revisions. From: Dave Miner [mailto:dminer@co.okaloosa.fl.us] Sent: Wednesday, April 27, 2016 10:37 AM To: Parsons, Kerry; Melissa Weisser; Zan Fedorak Cc: Stephanie Herrick Subject: Hangar Lease - BSAP - Johnson Attached is the Hangar Lease for Mr. Johnson. Dave FIRST AMENDMENT TO LEASE L14-0404-AP TIMBERVIEW HELICOPTERS, INC., SIGHTSEEING FLIGHT OPERATIONS This First Amendment made and entered into this _ day of , 2016, hereby amends lease L14-0404-AP, executed January 24, 2014, between Okaloosa County, Florida, (hereinafter the “County”) and Timberview Helicopters, Inc., (hereinafter the “Operator™). WHEREAS, on January 24, 2014 the County and Operator entered into a Lease, L14- 0404-AP, which provides sightsecing flight operations from the Destin Executive Airport; and WHEREAS, the parties desire to amend the Lease to amend the insurance requirements. NOW THEREFORE, in consideration of the mutual covenants herein and other good and valuable consideration, the parties hereby agree to amend L14-0404-AP as follows: 1. 114-0404-AP is hereby amended to replace item 4 with the following: Operator shall provide a current Certificate of Insurance reflecting Aircraft Liability in an amount not less than One Million ($1,000,000.00) dollars and shall name Okaloosa County as an Additional Insured throughout the period of said operations. 2. All other provisions of the Lease shall remain in full force and effect through the duration of the renewal. IN WITNESS WHEREOF, the parties hereto have executed this amendment as of the day and year first written. TIMBERVIEW HELICOPTERS, INC. Jusfn Johnson ate: 5/!5‘20/( %{tness ‘ - WW Ml 1) 4 OKALOOSA COUNTY, FLORIDA Charles K. Windes, Jr., Chairman Date: ATTEST: 1.D. Peacock 11, Clerk DATE (MM/DD/YYYY) 05/26:2016 e ACC)_R’D@ CERTIFICATE OF AIRCRAFT INSURANCE 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. If SUBROGATION 18 WAIVED, subject fo 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). CONTACT PRODUCER NAME: Air Capital Insurance, LLC PHONE FAX PQRBox 458 (AC, No, Ext): (AC. No): Wichita, KS, 67201 E-MAIL ADDRESS: PRODUCER CUSTOMER IDNa. INSURER(S) AFFORDING COVERAGE INSURER A: U.S, SPECIALTY INSURANCE COMPANY INSURED NAIC No. Timberview Helicopters, Inc. 100% 100 Country Club Drive INSURER B Destin, FL., 32641 INSURER C: INSURER D INSURER E : INSURER F : THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTYATHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TQ WHICGH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLIGIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY INFORMATION CERTIFICATE NUMBER: REVISION NUMBER: POLICY TYPE LINE OF BUSINESS SUBCODE NDUSTRIAL PLEASURE & <7 | COMMERCIAL AIRPLANE HELICOPTER MED FLEET EXCESS QUOTA AID 0 BUS & 0 P SHARE | | MOMN-OWNED LIABILITY HULL & LIABILITY HULL ONLY U ONLY 0 AIRCRAFT INFORMATION 1 ] ACORD 333, Alrcraft Schedule attached YEAR MAKE MODEL SERIAL NUMBER REGISTRATION NUMBER 2004 ROBINSON R44 11 N7371T TERRITORY: AIRCRAFT COVERAGES INSURER LETTER POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE ADDITIONAL INSURED? (V/ N} SUBROGATION WAIVED? (Y7 ) RWO0181830-02 05/06/2016 01/01/2017 Y N COVERAGE OPTIONS LIMIT APRLIES TO LIMIT APPLIES TO 52 | AL RISK GROUND AND FLIGHT $ 300,000 6 1,000 Ded. - Not in motion ARCRAFT HULL 7] AL RISK GROUND ONLY AGREEDVALUE|c o1 0g Ded.~ In motion ARCRACT LIABILITY LIABILITY 5 1,000,000 EACCC 6 EAPER ] $ 100,000 EAPASS N AGER 54 | INCLUDING CREW 5 5 000 MEDICAL PAYMENTS 1 ExcLunin crew - EAPER $ 20,000 EAOQCC COVERAGE CODE DESCRIPTION OPTIONS LiMIT APPLIES TO LIMIT APPLIES TO DESCRIPTION OF OPERATIONS / REMARKS (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Certificate Holder is included as an Additional Insured. CERTIFICATE HOLDER CANCELLATION Okaloosa County, 5749A Old Bethel Rd., Crestview Rd, 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 S ACORD 21 (2009112) © 2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE (MMDE/YYYY) 05/26/2016 o ACORIY CERTIFICATE OF AIRCRAFT INSURANCE THIS CERTIFICATE IS ISBUED 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(les) must be endorsed. If SUBROGATION I8 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 certificate holder in lieu of such endorsement(s). CONTACT PRODUCER MAME: AirCapital insurance, LLC PHONE FAX PO Box 458 (NG, No, Ext): (AC, No), Wichita, KS, 67201 E-MAIL ADDRESS: PRODUCER CUSTOMER IDNo. INSURED INSURER{S) AFFORDING COVERAGE % NAIC No. Timberview Helicopters, Inc. INSURER A: U.S. SPECIALTY INSURANCE COMPANY 100% 100 Country Club Drive INSURER B Destin, FL., 32541 INSURER C: INSURER D INSURER E INSURER F : 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. POLICY INFORMATION CERTIFICATE NUMBER: REVISION NUMBER: POLICY TYPE LINE OF BUSINESS SUBCODE NDUSTRIAC FIEASURE & COMMERCIAL ARPLANE FELICOPTER WIXED FLEET EXCESS QUCTA AD O Bus 4 O SHARE ] NON-OWNED LIABILITY HULL & LIABILITY HULL ONLY U oty t AIRCRAFT INFORMATION , | ACORD 333, Alrcraft Schedule attached YEAR WMAKE MODEL SERIAL NUMBER REGISTRATIONNUMBER 2004 ROBINSON R44 i N7512N TERRITORY: AIRCRAFT COVERAGES TNEURER LETTER POLICY NUMBER EFFECTVE DATE EPIRATION DATE | ADDITIONAL INSURED? (Y /N SUBROGATION WAIVED? (V7 1] RW00181830-02 05062016 01012017 Y N COVERAGE OPTIONS LIMIT APRLIES TO LIMIT APPLIES TO = | ALL RISK GROUND AND FLIGHT [§ 150,000 3 1,000 Ded. - Not in motion ARCRAFT HULL "7 ] ALL RiSK GROUND ONLY AGREEDVALLE|g 45 000 Ded. - In mofion LIABILITY 5 1,000,000 EAOCC iy EAPER AIRCRAFT LIABILITY | $ 100,000 EAPASS s heeR 5 | INELUDING CREW 3 5,000 MEDICAL PAYMENTS 71 excLuome crew - EAPER £ 20,000 EAOCC COVERAGE CODE DESCRIPTION OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO DESCRIPTION OF OPERATIONS / REMARKS (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate Holder is included as an Additional Insured. CERTIFICATE HOLDER CANCELLATION Okaloosa County, 5749A Old Bethel Rd.,, Crestview Rd, 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. [RUTHORIZED REPRESENTATIVE o ACORD 21 (2009/12) © 2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE (MM/DDIYYYY) 05/26/2016 — ACORID’ CERTIFICATE OF AIRCRAFT INSURANCE 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. if SUBROGATION 18 WAIVED, subject to the terms and conditions of the policy, certain policles may reguire an endorsement. A statement on this certificate does nhot confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Air Capital Insurance, LLC PHONE FAX PO Box 458 (AVC, No, Ext): (AC, No): Wichita, KS, 67201 E-MAIL ADDRESS: PRODUCER CUSTOMER IDNo. INSURED INSURER(S) AFFORDING COVERAGE % NAIC N Timberview Helicopters, inc. () ° INSURER A:U.S. SPECIALTY INSURANCE COMPANY 100% 100 Country Club Drive INSURER B Destin, FL., 32541 INSURER C INSURER D INSURER E : INSURER F - THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABCVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TQ WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED