Backup Documents 05/22/2018 Item #16G1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 G 1
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office JAB --5/2271-8
4. BCC Office Board of County
Commissioners f LA(y\.lS2
5. Minutes and Records Clerk of Court's Office
frtifeb
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above,may need to contact staff for additional or missing information.
Name of Primary Staff Justin Lobb Airport Authority 239-642-7878
Contact/Department
Agenda Date Item was 5/22/18 Agenda Item Number 16G1 1�
Approved by the BCC
Type of Document CAP Lease Number of Original One
Attached Documents Attached
PO number or account n/a
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature TAMP OK JAB
2. Does the document need to be sent to another agency for addition: signatures? If yes, NA
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be JAB
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's NA
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the JAB
document or the fmal negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's JAB
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip NA
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 5/22/18 and all changes made during the JAB
meeting have been incorporated in the attached document. The County Attorney's
Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by t JAB
BCC,all changes directed by the BCC have been made,and the document is ready r the
Chairman's signature.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
16G1
MEMORANDUM
Date: June 15, 2018
To: Justin Lobb, Airport Manager
Collier County Airport Authority
From: Teresa Cannon, Deputy Clerk
Minutes and Records Department
Re: T-Hangar Lease Agreement w/Civil Air Patrol
Attached you will find a copy of the agreement as referenced above (Item #16G3),
approved by the Collier County Board of County Commissioners on Tuesday, May
22, 2018.
The original Agreement will be held in the Board's Minutes and Records
Department to be kept as part of the Board's Official Records.
If you have any questions, please contact me at 252-8411.
Thank you.
Attachment
1 6 G 1
taer T - HANGAR LEASE AGREEMENT
(7- COLLIER COUNTY AIRPORT AUTHORITY
2005 MAINSAIL DRIVE, SUITE I
NAPLES, FLORIDA 34114
(239)642-7878
THIS LEASE AGREEMENT is made and entered this day of
i ,20 1g',
by and between the Collier County Airport Authority (hereinafter referred to as "Authority"),and:
Name: Civil Air Patrol, a Congressionally chartered non-profit federal corporation and the official
Auxiliary of the United States Air Force.
Type of Entity: (circle one):
Individual
Corporation(insert State of Incorporation): -
Limited Liability Company (insert State where formed): -
Partnership(insert State where registered): -
Other(describe): Congressionally created nonprofit federal corporation
Phone Number: 508-922-8121
Address: 2003 Mainsail Drive,Naples,FL 34114
Email Address: cuddysock502@outlook.com
(hereinafter referred to as"Tenant")
1. PREMISES: The Authority hereby leases to Tenant T-hangar A4 at the Marco Island Airport.
2, AUTHORIZED AIRCRAFT: The Premises shall only be used for the parking and storage of the
Tenant's following described aircraft:
Aircraft I. D.: N407CV Aircraft Classification: SEL
Aircraft Color: Red,White,Blue
Aircraft Make: Cessna
Aircraft Model: 182T
3. TERM: The term of this agreement will commence on the 1st day of May , 20 18 , and
will continue on a month to month basis until at least 30 days' advance written notice to terminate is
given by one party to the other. The Authority may terminate this Lease for cause, as defined below,
on 3 days written notice to Tenant.
4. RENT: In consideration of the rights granted herein,Tenant shall pay the Authority during the term
of this Agreement the base rent and related charges applicable to the Premises in accordance with the
uniform rate schedule in effect and published by the Authority. This rate schedule is subject to
adjustment by the Authority. Any change in the rate schedule will become effective with respect to the
Fee owed by this Lease as of the 1St day of the second month following such change. Payment shall be
due in advance on the first day of each month without demand. Any failure to pay the fee in full and in
advance shall require payment of a late fee equal to thirty dollars($30.00)and any failure to pay in full
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and on time shall be cause for termination for cause of this Lease. In addition to a late charge, in the
event Tenant fails to pay the rentals, fees or charges as required to be paid under the provisions of the
Lease Agreement within thirty(30)days after the same shall become due, interest at one and one half
percent(1.5%)per month shall accrue on the delinquent payment(s)until the same are paid.
Notwithstanding the proceeding, the Authority understands and agrees the Civil Air Patrol is a tax
exempt federal corporation.
5. MAINTENANCE: Tenant accepts the premises "as is." Tenant shall maintain structural
components of the hangar against ordinary wear and tear, including doors and door mechanisms.
Tenant is responsible for all other damage to the premises caused by Tenant's use of or presence at/in
the premises.
6. LIABILITIES: To the extent permitting by federal law, Tenant hereby waives all future claims
against the Authority, its employees, agents and/or representatives for any and all liability for damage
to the aircraft and any other property in or around the hangar except for physical damage caused by
movement of aircraft solely by the Authority's employees, agents or representatives without any
participation in such movement (or instructions to move same) from Tenant or Tenant's agents,
employees or any other person with apparent authority on behalf of Tenant. Any act or use of the
premises by Tenant not expressly authorized by this Lease Agreement, including storage of any
flammable liquid or gel in the hangar or in the aircraft, and/or storage of other than aircraft fuel and oil
in the aircraft's tanks is unauthorized use. Hazardous materials are strictly prohibited.
7. USE OF PREMISES: The premises shall be used only for storage of airworthy aircraft only and
tools associated with aircraft repair that would not constitute a fire hazard. Painting and major aircraft
repairs therein are prohibited. T-Hangars are not to be used as sleeping quarters or storage of personal
vehicles with the following exception. The aircrafts owner's vehicle may be parked in the hangar
while the aircraft is in transit. Within the T-Hangar, Tenant shall be permitted to perform only repairs
and/or maintenance specifically authorized under Federal Air Regulations, Part 43, Section 43.3,
Preventative Maintenance unless otherwise authorized by the Executive Director or their designee.
This maintenance may be performed by the owner/pilot of the aircraft or a licensed A&P mechanic that
leases T-Hangar space at the airport. If a T-Hangar Tenant desires to have a mechanic or technician
that does not lease space at the airport, the following policy will be adhered to. All commercial
mechanics,technicians, or other persons doing business for compensation that do not lease space at the
airport shall be required to register with the Authority, give proof of liability insurance and sign a
statement holding the Authority harmless, list qualifications, licenses, etc., and pay a vendors fee in the
amount of$25.00 per day. Whenever separate airport maintenance facilities are not available, annual
inspections will be approved by the Airport Manager with prior approval. All other use of or storage
within the premises is strictly prohibited unless authorized in writing by the Airport Manager.
8. TERMINATION FOR CAUSE: Notwithstanding the notice provision of paragraph 3 above, the
Authority may terminate this Lease Agreement for cause by giving Tenant not less than three (3) days'
advance written notice to vacate. Any breach of this agreement by Tenant is cause for such
termination. If Tenant does not remove its aircraft and all other property brought onto the premises by
or on behalf of Tenant,the Authority may summarily remove all such property without any liability.
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9. ACCESS, SECURITY AND KEYS: Tenant expressly authorizes the Authority's Executive Director,
or other duly authorized representative or agents of Authority, access at all reasonable times to the
Premises. Tenant agrees to always cooperate with the Authority in every respect, including security
regulations. Security of the hangar and all property therein is the sole responsibility of the Tenant.
Tenant shall provide the Authority with a duplicate key to any lock or locking device that secures the
Premises. The Authority shall not be responsible for theft, vandalism, pilferage, or other damage or
loss to any property except that which may result because a lock or other locking device opened by the
Authority is not re-locked through negligence of the Authority.
10. EMERGENCY SITUATIONS: In the event of an emergency, (e.g. hurricane)any vacant hangar is
subject to aircraft temporary occupancy at the discretion of the Executive Director provided such
occupancy is to protect the aircraft from potential exposure to loss or damage because of the
emergency.
I I. LEASE MANUAL: Tenant shall be provided with the Authority's Lease Manual (if any), which
the Authority may be amend from time to time. The terms of this manual shall be deemed to be
incorporated by reference into this Agreement, and Tenant shall be bound by the terms of this Lease
Manual, as of the 1't day of the second month Tenant receives a copy of the Lease Manual or an
amended Lease Manual. With respect to any terms in this Lease Agreement which are in conflict with
the Lease Manual, the Lease Manual shall control.
12. RULES AND REGULATIONS: Tenant shall comply with the Authority's published Rules and
Regulations for this airport, which are on file at the address set forth above, as such regulations may be
amended from time to time by the Authority including such reasonable and uniform landing fees, rates or
charges, as may from time to time be levied for airfield operational privileges and/or services provided at
the Airport.. Tenant shall also comply with any and all applicable governmental statutes, rules, orders and
regulations. Tenant shall not allow any signs, cards or placards to be posted or placed on the Premises
without prior written approval of the Authority.
13. ASSIGNMENT: This Lease Agreement is personal to Tenant. Tenant shall not assign this Lease, and
may not sublet the Premises, or any part thereof without advance written approval from the Authority,
which approval shall be in the Airport Director's sole discretion.
14. DISCHARGE OF LIENS: In the event of the filing of any mechanic's lien or materialman's lien or
liens, or any other charge whatsoever against the Premises or any improvement thereof during the term of
the lease,(or any extension thereof).Tenant immediately shall take all necessary steps to secure the release
of same. In the event Tenant fails to take reasonable steps to secure the release of any such liens or
charges, the Authority upon ten (10)days'prior written notice to Tenant, shall have the right and privilege
of taking the necessary steps, including payment, to secure the release of any such lien or charge, and any
amount so paid by the Authority including reasonable expense and costs (including attorney's fees), shall
be added to the rental due hereunder from Tenant to the Authority and shall be paid by Tenant to the
Authority immediately upon receipt by Tenant from the Authority of any itemized statement thereof.
15. INDEMNIFICATION: To the extent permitted by federal law, Tenant shall defend, indemnify, and
hold Authority and its officers, agents, servants, representatives and employees harmless from and
against any and all loss, damage, actions, lawsuits, claims, cost and expense (including attorneys' fees),
as a result of any personal injury, death, property damage, penalty, fine or any other claim or suit of
whatever nature, arising from the Civil Air Patrol's negligent or tortious acts or omissions which result
Page 3 of 6
Form Effective 3/8/11; Revised January 1-8-13;Revised 12-10-13
0bJ
16G1
in claims or suits against the Authority, and agrees to be liable for any damages proximately caused by
such acts or omission. Nothing herein is intended to serve as a waiver of State of Florida or Federal
sovereign immunity by any party to which sovereign immunity applies. Nothing herein shall be
construed as consent by the Authority or the Civil Air Patrol to be sued by third parties in any matter
arising out of this agreement. Any and all other personal property of Tenant or his officers,employees,
servants, agents, guests or business visitors shall be stored and otherwise used on the Airport at
Tenant's sole risk of damage or loss.
This agreement shall be governed by the laws of the State of Florida, and the parties stipulate that
venue for any matter, action or proceeding relating to this agreement shall be in the State Courts of
Collier County, Florida or the U.S. District Court for the Middle District of Florida, Fort Myers
Division. Each party waives any defense of improper or inconvenient venue as to either court and
furthermore consents to personal jurisdiction in each court.
16. INSURANCE REQUIREMENTS: Tenant shall secure and maintain in force at its expense liability
insurance coverage for its activities on the airport, occupation of the Premises and on Tenant's liability
under the indemnities set forth in this lease manual and in the lease agreement. The insurance policy shall
have coverage limitations providing no less than$100.000.00 per person and $300,000.00 per incident and
shall not be subject to cancellation or material change except after thirty(30) days prior written notice of
such cancellation or material change to the Authority. Ultra light vehicles operating under FAR Part 103
are not required to carry the insurance coverage limits listed above. Tenant shall secure and deliver to
Authority appropriate insurance certificates showing evidence of the coverage as required hereunder. Said
insurance policy or policies providing such coverage, as well as the insurers providing same, shall be
subject to the prior review and approval of Authority. The said insurance policies shall contain a clause or
endorsement by which the insurance carrier(s) waives all rights of subrogation against Authority, except
where the Authority or its Agents are guilty of a specific act of negligence. Insurance requirements are
expressly subject to change in the Authority's Lease Manual.
17. SURRENDER-DAMAGES: Tenant, at the termination of the lease, will immediately surrender,
release and yield up the premises to the Authority peaceably, quietly and in good order and condition,
reasonable wear and tear excepted, and failing so to do will pay as rental to Authority for the entire time
such possession is withheld, the sum of Ten Dollars ($10.00) plus one thirtieth of the monthly rental in
effect at the time of said termination,per day or for any such penalty or payment as may be provided in the
Lease, at the option of the Authority; provided that the provisions of this clause shall not be deemed a
waiver by Authority of any right of re-entry as herein provided, nor shall the receipt of said rent, or any
part thereof, or any other act in apparent affirmation of tenancy, by Authority, operate as waiver of any
right or remedy available to Authority hereunder for a breach of any of the covenants contained in the
lease agreement. Upon the expiration or termination of the lease, Tenant shall remove its personal
property and equipment from the premises, and Tenant shall be liable for and pay for any damage caused
to the premises or any other property of Authority as a result of Tenant's occupation of the premises,
Tenant's removal or failure to remove Tenant's property, including but not limited to any and all costs
incurred by the Authority in removing and storing Tenant's property.
18. DEFAULT-TERMINATION:
A. In the event of default by Tenant in the payment of the rental obligation on the day the same becomes
due or payable, which default continues for ten (10) days, or in the event of any default by Tenant with
respect to any other covenant or obligation of Tenant under the lease agreement, then in any or either of
Page 4 of 6
Form Effective 3i8/11;Revised January 1-8-13;Revised 12-10-13
16G1
such events, Authority at its election, at or after the expiration of ten (10)days' previous notice in writing
of such default sent as provided below to Tenant,may declare a forfeiture and termination of the lease,and
at that time all rent due or to become due under the then existing term of the lease shall become
immediately due and payable.
B. In addition, Authority may re-enter said Premises, after expiration of effective notice, with or without
process of law and, if necessary, remove Tenant or any persons occupying said Premises under Tenant,
without prejudice to any remedies which might otherwise be available. Tenant waives any demand for
possession of the Premises and any structure, property or improvement then situated thereon, and upon
termination at such election of Authority,Tenant must surrender and deliver the Premises immediately.
C. Authority further shall have the right to terminate the lease agreement in the event of the occurrence
of any of the following: insolvency of Tenant, liquidation or dissolution of Tenant; the institution of a
voluntary or involuntary bankruptcy proceeding by or against Tenant; assignment by Tenant for the
benefit of creditors; the appointment of a receiver or trustee to manage the property of Tenant or if
Tenant fails to adhere to the provisions of the agreement.
D. All the remedies referenced herein shall be in addition to and not in derogation of any remedies
provided in the Lease or available at law or in equity.
19. DESTRUCTION OF PREMISES: In the event that the Premises or the improvements located thereon
shall be destroyed in whole or in part by fire, or other casualty, Tenant, at its option, may terminate this
Lease or, at its cost and expense, may elect in writing to Authority to repair or reconstruct said Premises or
improvements. Such election shall be made within thirty(30)days of the date of such destruction. If such
election is made,rental payments shall continue unabated and uninterrupted.
20. AIRPORT DEVELOPMENT: The Authority reserves the right to further develop or improve the
landing and other areas of the Airport as it sees fit, regardless of the convenience, desires or view of the
Tenant,and without interference or hindrance.
21. ATTORNEY FEES: Tenant shall pay the cost of collection and reasonable attorney's fees whenever
the Authority retains the service of an attorney to collect overdue rents or to enforce any other term or
condition set forth in this Lease or Lease Manual.
22. AIRPORT OPERATIONS: Tenant shall prevent any use of the Premises which would interfere with
or adversely affect the operation or maintenance of the Airport, or otherwise constitute an airport hazard,
and will restrict the height of structures,objects of natural growth and other obstructions on the Premises to
such height as comply with Federal Aviation Regulations, Part 77.
23. CONDEMNATION: If, at any time during the term of the lease, title to the whole or substantially all
of the premises shall be taken in condemnation proceedings or by any right of eminent domain, the
affected lease(s)shall terminate and expire on the date of such taking and the fixed rental and other charges
payable hereunder shall be apportioned and paid to the date of such taking. Nothing in this paragraph is
intended to waive Tenant's constitutional rights to be compensated by any government, person or
organization which appropriates Tenant's private property.
24. REMEDIES CUMULATIVE-NO WAIVER: The rights and remedies granted to Authority under the
lease agreement shall be deemed to be cumulative and non-exclusive. The failure by Authority at any time
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to assert any such right or remedy shall not be deemed to be a waiver, and shall not preclude the assertion
of such right or remedy at a later date.
25, DOMINANT AGREEMENTS: This Lease Agreement is subordinate and subject to all existing
agreements between the Authority and the Federal Aviation Administration,the Authority and the State of
Florida, and the Authority and Collier County. During the time of war or national emergency, the
Authority shall have the right to lease the landing area or any part thereof to the United States Government
for military or naval or similar use, and, if such lease is executed, the provisions of this Lease Agreement
insofar as they are inconsistent with the provisions of the lease to the Government, shall be suspended.
Any executed agreement shall be subordinate to the provisions of any existing or future Agreement
between Authority and the United States, relative to the operation or maintenance of the Airport, the
execution of which has been or may be required as a condition precedent to the expenditure of Federal
funds for the development of the Airport.
IN WITNESS WHEREOF,the parties hereto, by their duly authorized representatives, have
executed this Lease Agreement on the date first above written.
AS TO TENANT:
�. ►
(Sig a re of Licen •
John A. Salvador
(Print name)
National Headquarters CAP
Chief Operating Officer
(Title— If corporation, LLC,etc.)
AS TO AUTHORITY:
ATTEST: BOARD OF Co . TY COMMISSION OF COLLIER
COUNTY,F RI ;SERVING • OLLIER COUNTY
DWIGrHT E..l k cK,CLERK
AIRPORT° UT R
By:
.est as to '15Y CLERK ANDY SOLIS,CHAIRMAN
signature Only. . Item# (0;
Agenda
Approval for form and legality:
Date
Date
Jennifet'A.Bel Pedio _4J p`� Rec'd � '+ l
Assistant County Attorney o
Deputy Clerk
Page 6 of 6
Form Effective 3/8/11; Revised January 1-8-13; Revised 12-10-13
16G1
AcoRd CERTIFICATE OF AVIATION LIABILITY INSURANCE 1
°AT`'M1e10D1YYYY'
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS
41
CERTIFICATE
HOLDER.
8
THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE AFFORDED BY THE S
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 pollcy(Iss)must have ADDITIONAL INSURED provisions or 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 certificate holder In lieu of such endorsement(s).
PRODUCER
AirSure Limited AirSure Limited
25548 Genesee Trail Road Ll i& >�: 303.526-5300 WC,NeL 303-5264303
Golden,CO 80401
PRa 'EER
CUSTOMER ID It:
INSURED
eSI$$
URERAFFORDINGCOVERAGE % NMC#
INSURE%A: Allianz Global Risk
Civil Air Patrol
General Counsel INSURER e:
105 South Hansell St., Building 714 INSURER C:
Maxwell AFB AL 36112 INSURER
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.
AIRPORT&FBO LIABILITY COVERAGES CERTIFICATE NUMBER:41429486 REVISION NUMBER:
INSURER LETTER I POUCY NURSER EFFECTIVE DATE EXPIRATION DATE ADDITIONAL INSURED?(Y/N) SUSROGMTON WANED?n I N)
A SA00031101 1011/2017_ 10/1/2020 Y N
COVERAGE OPTIONS UNITANPUES TO UNIT APPIJEs TO
PREMISESiJABILRY Li $ BI EA PER $ PD
$10,000,000 EA OCC _
PREMIUMS MEDICAL PAYMENTS $25,000 EA PER $ EA OCC
PRODUCTTILUUNLRYSALE OF FUEL 8 011. $ BI EA PER $10,000,000 AGGR
EXTENDED $10,000,000 EA OCC
COMPLETED EXTENDED
OPERATION .-•- u $ BI EA PER $10,0170,000 AGGR
Lim $10,000,000 EA OCC
HANGARX:EPER5 INCLUDING TAX
LEGALLIA$IITY — IN FIGHT $ EAJURCRAFT $10,000,000 EA OCC
FIRE LEGAL LIABILITY $10,000,000 ANY ONE FIRE
PERSONAL INJURY LIABILITY '$10,000,000 EA OCC $10,000,000 AGGR
ADVERTISING UABRUTY $10,000,000 EA OCC $10,000,000 AGGR
CONTRACTUALUABIUTY / INCLUDED EXCLUDED
COVERAGE '
CODE DESCRIPTION OPTIONS UNIT APPLIES TO UNIT APPUESTO
EXCESS AUTO $9,000,000 EXCESS 0,41.000.000
PRIMARY
EXCESS EMPLOYER $9,000,000 EXCESS O,$1,000,000 PRIMARY
IND CONTRACTORS $10,000,000 EA OCC $10,000,000 $AGGREGATr
5 $
$ '5
$ S
DESCRIPTION OF OPERATIONS/REMARKS (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
Certificate Holder is included as additional Insured but only with respects operations of the Named Insured. Certificate Holder is not
covered for claims arising out of their liability as a manufacturer,seller,handler,distributor or service facility of any product or
service sold,handled,distributed or provided.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Collier County Airport Authority THE EXPIRATION DATE THEREOF, NOTICE PALL BE DELIVERED IN
2005 Mainsail Drive, Suite 1 ACCORDANCE WITH THE POLICY PROVISIONS.
Naples FL 34114
AUTHORIZEDREPRESSNTATIVE • torzo
1 1(CO)Kerr Dodd
SP 2009,2015 ACORD CORPORATION. All rights reserved.
ACORD 20(2016103) The ACORD name and logo are registered marks of ACORD
41429499 111.20 06 Coverages 1 Icor Kathy Melton 1 4/11/201. 9:16:32 AN uvri 1 Page 1 of 1