Okaloosa County BOCC — November 4, 2012 — Assignment of Lease Neal to Robbins — reading text

ADDRESS OF AGENCY INSURANCE COMPANY Lexington Insurance Company 100 Summer Street 00000 0000 Boston MA 02110 AGENCY NAME AND MAILING ADDRESS OF INSURED POLICY NUMBER 41-LX -086481932-0/000 PHIL ROBBINS AND ARMADA SYSTEMS POLICY PERIOD P.O. BOX 307 FROM: 10-01-12 TO: 10-01-13 MARY ESTHER FL 32569 At 12:01 A.M. standard time at the mailing address shown. LIMITS OF INSURANCE GENERAL AGGREGATE S$ 1,000,000 PRODUCTS-COMPLETED OPERATIONS AGGREGATE| §$ EXCLUDED PERSONAL INJURY & ADVERTISING INJURY $ EXCLUDED EACH OCCURRENCE $ 1,000,000 DAMAGE TO PREMISES RENTED TO YOU $ EXCLUDED ANY ONE PREMISES MEDICAL EXPENSE $ EXCLUDED ANY ONE PERSON STATE-1 LOCATION OF ALL PREMISES YOU OWN, RENT OR OCCUPY: Loc # 1: 10011 AIRPORT RD DESTIN PMS PDTS LOC CLASSIFICATION CODE PREMIUM BASIS RATE RATE 1 WAREHOUSES - PRIVATE - OTHER THAN NOT-FOR-PROFIT 68706 = AREA 2,500 PRODUCTS-COMPLETED OPERATIONS ARE SUBJECT TO THE GENERAL AGGREGATE LIMIT ADDITIONAL INSURED WAREHOUSES - PRIVATE - OTHER THAN NOT-FOR-PROFIT 68706 AREA IF ANY OKALOOSA COUNTY NORTHWEST FLORIDA REG AIRPORT PER FORM: CG2010 (07-04) 1701 STATE RD 85 N, #1 ELGIN AFB, FL 32542 10-01-12 Page 4 of 5 Insured Commercial General Liability DECLARATIONS NAME AND ADDRESS OF AGENCY 00000 0000 AGENCY INSURANCE COMPANY Lexington Insurance Company 100 Summer Street Boston MA 02110 NAME AND MAILING ADDRESS OF INSURED PHIL ROBBINS AND ARMADA SYSTEMS P.O. BOX 307 MARY ESTHER FL 32569 POLICY NUMBER 41-LX -086481932-0/000 POLICY PERIOD FROM: 10-01-12 TO: 10-01-13 At 12:01 A.M. standard time at the mailing address shown. MANUSCRIPT FORMS: CG2142 (12-04) : EXCLUSION - SPECIFIED OPERATIONS LOCATION AND DESCRIPTION OF OPERATIONS: AS PER POLICY EXCLUDED HAZARDS: CG2144 (07-98) : LIMITATION OF COVERAGE TO DESIGNATED PREMISES OR PROJECT AS PER POLICY TERRORISM RISK INSURANCE ACT FOR FLORIDA IS INCLUDED $2 GENERAL LIABILITY PREMIUM $232 FORMS AND ENDORSEMENTS €62135 (10-01) cG0001 (12-07) 78689 (07-03) CG2143 (12-04) 87295 (01/08) €62137 (10-01) €62142 (12-04) 58332 (07-93) CG62145 (07-98) €62139 (10-93) C62144 (07-98) 82540 (04-05) APPLYING TO COMMERCIAL GENERAL LIABILITY COVERAGE PART AND MADE PART OF THIS POLICY AT TIME OF ISSUE: 62104 (11-85) 62147 (12-07) CG2146 (07-98) CG2138 (11-85) CG0220 (03-12) CG2155 (09-99) IL0021 (09-08) €62010 (07-04) CG2153 (01-96) THESE DECLARATIONS AND THE COMMON POLICY DECLARATIONS, IF APPLICABLE, TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE FORM(S) AND FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. 10-01-12 Page AUTHORIZED REPRESENTATIVE 5 of 5 Insured FORMS SCHEDULE INSURANCE COMPANY NAME AND ADDRESS OF AGENCY Lexington Insurance Company 100 Summer Street 00000 0000 Boston MA 02110 AGENCY NAME AND MAILING ADDRESS OF INSURED POLICY NUMBER 41-LX -086481932-0/000 PHIL ROBBINS AND ARMADA SYSTEMS POLICY PERIOD P.O. BOX 307 FROM: 10-01-12 TO: 10-01-13 MARY ESTHER FL 32569 at 12:01 A.M. standard time at the mailing address shown. COMMON POLICY PACKAGE 89644 (07-05) COVERAGE TERRITORY FORM ILQ017 (11-98) COMMON POLICY CONDITIONS 76105 (02-09) FLORIDA - CANCELLATION/NON-RENEWAL ENDORSEMENT PRG2040 (07-06) MINIMUM EARNED PREMIUM PRG2023 (07-05) SERVICE OF SUIT FORM PRG7003 (11-09) ESTIMATED TAXES, ASSESSMENTS AND SURCHARGES COMMERCIAL PROPERTY FORMS CP1032 (08-08) WATER EXCLUSION ENDORSEMENT 97064 (03-08) BUILDING AND PERSONAL PROPERTY COVERAGE FORM 97072 (03-08) CAUSE OF LOSS - SPECIAL FORM 97069 (03-08) SUPPLEMENTAL DECLARATIONS 100380 (12-08) ORDINANCE OR LAW AMENDATORY ENDORSEMENT 100381 (12-08) COVG FOR LOSS TO THE UNDAMAGED PORTION OF A BLDG 97100 (05-08) COMMERCIAL PROPERTY CONDITIONS 99079 (05-08) EXCLUSION OF LOSS DUE TO VIRUS OR BACTERIA 99024 (05-08) FLORIDA CHANGES - LEGAL ACTION AGAINST US 96556 (02/08) 90611 (03-06) INTEGRATED PROPERTY INSURANCE SOLUTIONS WINDSTORM COMMERCIAL GENERAL LIABILITY FORMS 87295 (01/08) EXCLUSION-VIOLATION OF STATUTES IN CONNECTION WITH CG2145 (07-98) EXCLUSION - DAMAGE TO PREMISES RENTED TO YOU CG2135 (10-01) EXCLUSION-COVERAGE C-MEDICAL PAYMENTS CG2104 (11-85) EXCLUSION-PRODUCTS-COMPLETED OPERATIONS HAZARD IL0021 (09-08) NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT CG2138 (11-85) EXCLUSION-PERSONAL AND ADVERTISING INJURY CG2137 (10-01) EXCLUSION-EMPLOYEES AND VOLUNTEER WORKERS AS INSUR CG2139 (10-93) CONTRACTUAL LIABILITY LIMITATION CG0001 (12-07) COMMERCIAL GENERAL LIABILITY COVERAGE FORM (OCCUR) CG2147 (12-07) EMPLOYMENT-RELATED PRACTICES EXCLUSION CG2010 (07-04) ADDITIONAL INSURED-OWNERS, LESSESS OR CONTRACTORS CG0220 (03-12) FLORIDA CHANGES - CANCELLATION & NONRENEWAL CG2142 (12-04) EXCLUSION- EXPLOSION, COLLAPSE AND UNDERGROUND PROP CG2144 (07-98) LIMITATION OF COVERAGE TO DESIGNATED PREMISES 78689 (07-03) FUNGUS EXCLUSION REVISED CG2146 (07-98) ABUSE OR MOLESTATION EXCLUSION CG2153 (01-96) EXCLUSION-DESIGNATED ONGOING OPERATIONS CG2155 (09-99) TOTAL POLLUTION EXCLUSION WITH A HOSTILE FIRE EXCP 10-01-12 Page 1 of 2 Insured GENERAL CHANGE ENDORSEMENT NAME AND ADDRESS OF AGENCY INSURANCE COMPANY Lexington Insurance Company 100 Summer Street 00000 0000 Boston MA 02110 AGENCY NAME AND MAILING ADDRESS OF INSURED POLICY NUMBER 41-LX -086481932-0/001 PHIL ROBBINS AND ARMADA SYSTEMS POLICY PERIOD P.O. BOX 307 FROM: 10-01-12 TO: 10-01-13 MARY ESTHER FL 32569 at 12:01 A.M. standard time at the mailing address shown. EFFECTIVE 10-01-12 THIS POLICY IS AMENDED AS SHOWN COMMERCIAL PROPERTY For an additional/return premiums, the items below are changed as indicated: ADDING: OKALOOSA COUNTY NORTHWEST FLORIDA REGIONAL AIRPORT 1701 STATE RD 85 N, #1 ELGIN AFB, FL 32542 AS LIENHOLDER LOSS PAYEES: DESCRIPTION OF PROPERTY: OKALOOSA COUNTY NORTHWEST FLORIDA REG AIRPORT 1701 STATE RO 85 N, #1 ELGIN AFB, FL 32542 FORMS AND ENDORSEMENTS APPLYING TO COMMERCIAL PROPERTY COVERAGE PART AND MADE PART OF THIS POLICY AT TIME OF ISSUE: IL1207 (07-02) AUTHORIZED REPRESENTATIVE 11-28-12 Page 1 of 1 Insured FORMS SCHEDULE NAME AND ADDRESS OF AGENCY INSURANCE COMPANY Lexington Insurance Company 100 Summer Street 00000 0000 Boston MA 02110 AGENCY NAME AND MAILING ADDRESS OF INSURED POLICY NUMBER 41-LX -086481932-0/001 PHIL ROBBINS AND ARMADA SYSTEMS POLICY PERIOD P.O. BOX 307 FROM: 10-01-12 TO: 10-01-13 MARY ESTHER FL 32569 END. DATE: 10-01-12 COMMERCIAL PROPERTY FORMS IL1207 (07-02) 11-28-12 Page At 12:01 A.M. standard time at the mailing address shown. FLORIDA POLICY CHANGES 1 of 1 SIGNATURE OF AUTHORIZED REPRESENTATIVE Insured 10-4 we RECEIVED 2 [0-2-1 CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number:_408-032/~-A/P Tracking Number: 9Q74/Z- Contractor/Lessee Name: jewmes L, NM eal { Purpose: FreL Yo id | Robbins _/ BRE Armadha sy ger $ AS GREATER THAN 510,000 [] $10,000 OR LESS Date/Term: Sup So 2? S / af wy Amount: 4,7 57°%? a-yeor p! s tan, Department : Aree f ts Dept. Monitor Name: a) av Lf wine r Purchasing Review Procurement requirements are met: Date: ; By Cc éase Coordinator V4 Risk Management Review Must shou) toot, soe Joe Approved as written: DA novenlo7 0 \ te: iin Aout Date: ollie wd Risk anagemetnt Director 4 County Aaorney Review 5 Re kay 3 Date: _/ L js wh ma Following Okaloosa County Board of County Commissioners approval: pypved County Attorney \ Contract & Grant Review Document has been appropriately reviewed and is executable: Date: Contracts & Grants Manager REVISED BY BCC 3-21-00 Dave Miner From: Gary Real Sent: Monday, November 26, 2012 5:01 PM To: Dave Miner Subject: RE: Property Insurance wording That looks great. Gary R. Real Risk Manager, Okaloosa County Florida 850-689-5979 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 e-mail communication, including your e-mail address, may be subject to public disclosure. From: Dave Miner Sent: Monday, November 26, 2012 4:48 PM To: Gary Real Cc: Mike Stenson Subject: Property Insurance wording Mr. Real: This is out of a new lease that we are negotiating with the company to come into the Bob Sikes Airport in Crestview. Is this wording sufficient? (b). PROPERTY: LESSEE agrees to maintain property insurance on any permanent building or improvement constructed on the Property in an amount not less than full replacement value of such building and its improvements and agrees that the proceeds from such insurance shall be used promptly by LESSEE to repair and/or replace the hangar building and any improvements thereto. LESSOR shall be listed as a joint loss payee with LESSEE on all property insurance policies unless LESSEE is required, under the terms of any mortgage or other security agreement, to name the lender therein as primary loss payee under such coverage. In that event the LESSOR, shall be named as second loss payee and any other loss payee shall be subsequent to that. Thank you. Dave Armada Systems 2172 W Nine Mile Rd # 389 Pensacola, FL 32534 850-664-5197 PAY . . ororror_OK, Ca Auicpoed- Adlmin. 63-566/632 1 51 08 _larS dd \ls 1$ /OOO. ‘0 Cee. Phruaadl 4 ie0 pottars ff) m= First City Bank 135 Perry Ave. SE Ft. Walton Beach, FL 32548 FOR Age. 't063 2OSEB4I: 069,00 LLVOME, - O&