Backup Documents 01/08-09/2013 Item #16G 1ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16GI
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office. The completed routing slip and original
documents are to be forwarded to the Board Office only after the Board has taken action on the item.)
ROUTING SLIP
Complete routing lines #1 through #4 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 muting lines #1 through #4 rtmmnlotP rha rhrrl lief .nil f ,,, M .,, Q V:i�,... �i: - 4491
Route to Addressee(s)
List in routing order
- - - -- - -
Office
Initials
Date
•l.
appropriate.
(Initial)
Applicable)
2.
January 8, 2013 V
Agenda Item Number
16G1
3.
signed by the Chairman, with the exception of most letters, must be reviewed and signed
4. Jeff Klatzkow
County Attorney
Number of Original
1
5. BCC Office
Board of County Commissioners
Documents Attached
6. Minutes and Records
Clerk of Court's Office -7
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval. 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, including Sue Filson, need to contact staff for additional or missing
information. All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the
item.)
Name of Primary Staff
Debbie Brueggeman
Phone Number
(239) 642 -7878 Ext. 34
Contact
appropriate.
(Initial)
Applicable)
Agenda Date Item was
January 8, 2013 V
Agenda Item Number
16G1
Approved by the BCC
signed by the Chairman, with the exception of most letters, must be reviewed and signed
Type of Document
History Flight License Agreement
Number of Original
1
Attached
I
Documents Attached
INSTRUCTIONS & CHECKLIST
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I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Re 2.24.05, Revised 9.18.
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
appropriate.
(Initial)
Applicable)
1.
Original document has been signed/initialed for legal sufficiency. (All documents to be
signed by the Chairman, with the exception of most letters, must be reviewed and signed
by the Office of the County Attorney. This includes signature pages from ordinances,
resolutions, etc. signed by the County Attorney's Office and signature pages from
contracts, agreements, etc. that have been fully executed by all parties except the BCC
Chairman and Clerk to the Board and possibly State Officials.)
2.
All handwritten strike - through and revisions have been initialed by the County Attorney's
N/A
Office and all other parties except the BCC Chairman and the Clerk to the Board
3.
The Chairman's signature line date has been entered as the date of BCC approval of the
document or the final negotiated contract date whichever is applicable.
4.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
signature and initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip
, (�
should be provided to Ian Mithchell in the BCC office within 24 hours of BCC approval.
ENV
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 v6 deadlines! I
6.
The document was approved by the BCC on_01 -08 -1 (enter date) and all changes
^�
made during the meeting have been incorporated in the attached document. The
County Attorney's Office has reviewed the changes, if applicable.
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I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Re 2.24.05, Revised 9.18.
16G1
MEMORANDUM
Date: January 14, 2013
To: Debbie Brueggeman, Operations Coordinator
Collier County Airport Authority
From: Teresa Cannon, Deputy Clerk
Minutes and Records Department
Re: License Agreement with History Flight, Inc.
Attached is one (1) copy of the document referenced above
(Agenda Item #16G1), approved by the Board of County Commissioners on
Tuesday, January 8, 2013.
If you have any questions, you may contact me at 252 -8411.
Thank you.
16G1
Collier County Airport Authority Commercial Aviation Operations License Agreement
COMMERCIAL AVIATION OPERATIONS LICENSE AGREEMENT
MU04" COLLIER COUNTY AIRPORT AUTHORITY
W 2005 MAINSAIL DRIVE, SUITE 1
NAPLES, FLORIDA 34114
(239) 642 -7878
LICENSEE:
History Fliaht,
Inc.
LICENSEE'S PHONENUMBER:
(888)743 -3311
LICENSEE'S
ADDRESS:
5490 Overseas Hwv
#101, Marathon, FL 33050
1. Licensee /Commercial Aviation Operator: The Collier County Airport Authority (licensor) hereby
licenses Histor,�Fli t, Inc. (licensee) to conduct specific and limited commercial aviation operations at
the Marco Island Executive Airport. This bare license with no interest attached, begins on
January 19, 2013 and continues to January 20, 2013.
2. PREMISES: Marco Island Executive Airport located at 2005 Mainsail Drive Naples, Florida. The
premises consist of the airport air operations areas, common use areas and other public use areas on
airport specifically designated for aviation use or as approved by the Immokalee Airport Manager.
3. OPERATIONS: "This license agreement allows for the specific commercial aviation operations as listed:
AIRCRAFT STATIC DISPLAY & FLIGHT TOUR OPERATIONS OF WWII VINTAGE AIRCRAFT, SALE OF
RELATED MERCHANDISE, SOUVENIRES & MEMEROBILIA BY LICENSEE ONLY.
Any related activity or sale of merchandise by others in conjunction with licensee but not provided for
under the not for profit status of the licensee shall be prohibited except as authorized by separate license
agreement by licensor in consideration of then applicable rates and fees for said commercial activity.
4. FEE: Licensee shall pay a nominal license fee of 150.00, in consideration of licensee status as 501(c) 3
not - for - profit corporation. Documented proof of 501(c) 3 incorporation shall be provided by licensee
and become a part hereof.
MINIMUM STANDARD REQUIREMENTS: The Collier County Airport Authority (CCAA)
Minimum Standards for Commercial Specialized Aviation Service Operations requires that for the
licensed activities listed in paragraph 3 (above), a minimum of 300 square feet of office space, restroom
facilities and aircraft tie down or hanger space to accommodate each type of activity. For the terms of
this license, the CCAA is allowing on a temporary basis, the minimum standards be met through use of
the common area and restroom facilities in the airport terminal building. The aircraft tie down
requirements must continue to meet the written requirements independently. The use of the terminal's
common areas and restroom facilities are available to the licensee in the same manner as the general
public and under the same terms and conditions as allowed to the general public and only during normal
operating hours of the terminal building.
6. LIABILITIES: Licensee hereby waives all future claims against Licensor, its employees, agents and/or
representatives for any and all liability for damage to aircraft and any other property on the premises
except for physical damage caused by movement of aircraft solely by Licensor's employees, agents or
representatives without any participation in such movement (or instructions to move same) from
Page 1 of 3
Collier County Airport Authority Commercial Aviation Operations License Agreement
1
Licensee or Licensee's agents, employees or any other person with apparent authority on behalf of
Licensee. Any act or use of the premises by Licensee not expressly authorized by this license or which
is deemed unsafe by the airport manager or against the CCAA rules and regulations, policies and
procedures or other regulation is unauthorized.
7. INDEMNIFICATION AND INSURANCE:
a. Licensee agrees to indemnify fully and save and hold harmless Collier County, Authority, and
their officers, agents, and employees from and against all losses, damages, claims, liabilities, and
causes of action of every kind or character and nature as well as costs and fees, including
reasonable attorney's fees connected therewith including any and all appeals, and the expense of
the investigation thereof, based upon or arising out of damages or injuries to any and all third
persons or their property. Authority shall give Licensee prompt and reasonable notice of any
such claim or action. Licensee shall have the right to investigate, compromise, and defend the
same to the extent of its own interest.
b. During the entire term of this agreement, Licensee shall provide, pay for, and maintain the types
of insurance required by the Collier County Risk Management Department as listed in exhibit B
attached and made a part hereof for the commercial aeronautical activities to be conducted as
listed in item 3 of this agreement. All insurance shall be from responsible companies duly
authorized to conduct the respective insurance in the State of Florida and/or responsible risk
retention group insurance companies registered with the State of Florida. All liability policies
shall provide that the Authority and the County of Collier as additional insured as to the uses of
the licensed premises under this agreement and shall also provide the Separation of Insured's
Provision. Prior to the execution of this agreement by licensee, the specified insurance coverage
and limits required must be evidenced by properly executed Certificates of Insurance on the
forms which are deemed acceptable by Authority.
8. USE OF PREMISES: The premises shall be used only for those commercial operations listed in this
agreement for aircraft owned by or leased to Licensee with a valid proof of insurance on file with the
CCAA.
9. TERMINATION FOR CAUSE: Licensor may terminate this license immediately for cause. Any
breach of this agreement by Licensee is cause for such termination.
10. SECURITY AND SAFETY: Licensee agrees to always cooperate with Licensor in every respect to
insure the security and safety on the premises.
11. EMERGENCY SITUATIONS: In the event of an emergency, (e.g. hurricane) access may be denied to
the premises at the discretion of the Executive Director, Airport manager or designee, provided such
denial of access is to protect the public or airport from potential exposure to loss, damage or safety
because of the emergency.
Page 2 of 3
16G1
Collier County Airport Authority Commercial Aviation Operations License Agreement
12. AUTHORIZED AIRCRAFT:
Aircraft I. D.: alo ito Aircraft Color: ea Mo
Aircraft Make: _h6r-V , �¢ r' r Aircraft Model: AT -(o 7'eZca go
Aircraft I. D.: 1�5 . Aircraft Color:
Aircraft Make: Aircraft Model:
Aircraft I. D.: Aircraft Color:
Aircraft Make:
Aircraft I. D.:
Aircraft Make:
LICENSEE:
M IAJOL
(print name)
Witness (signature)
A.A,W' 1)
(print name)
AS TO THE LICENSOR:
Attest:
DWIGHT )',-BR, Clerk
. Aircraft Model:
Aircraft Color:
. Aircraft Model:
HIST Y FLIG C.
By:
(Print Name and Title)
BOARD OF COUNT
OF COLLIER COUN
COLLIE COUNTY
WOMAN
COMMISSIONERS
Y, FLORIDA, serving as the
IRPORT AUTHORITY
ESQ.
Item #=�'
Agenda
Date
Date
az=c��
Deputy Clerk
Page 3 of 3
INTERNAL REVENUE SERVICE
P. 0 sox 7509
CINCINNATI, OH 45201
Date
JUL 2 6 2012
HISTORY FLIGHT INC
C/O MARK NOAH
5409 OVERSEAS HWY 101
MARATHON, FL 33050
Dear Applicant:
16Gi
DEPARTMENT OF THE TREASURY
Employer Identification Number:
76-0806901
DLN:
17053046347022
Contact Person:
THOMAS E GERITY ID# 31664
Contact Telephone Number:
(877) 829-5500
Accounting Period Ending:
December 31
Public Charity Status:
509(a)(2)
Form 990 Required;
Yes
Effective Date of Exemption:
February 10, 2012
Contribution Deductibility:
Yes
Addendum Applies:
Yes
We are pleased to inform you that upon review of your application for tax
exempt status we have determined that you are exempt from Federal income tax
under section 501(c)(3) of the Internal Revenue Code. Contributions to you are
deductible under section 170 of the Code. You are also qualified to receive
tax deductible bequests, devises, transfers or gifts under section 2055, 2106
or 2522 of the Code. Because this letter could help resolve any questions
regarding your exempt status, you should keep it in your permanent records.
Organizations exempt under section 501(c)(3) of the Code are further classified
as either public charities or private foundations. we determined that you are
a public charity under the Code section(s) listed in the heading of this
letter.
Please see enclosed Publication 4221-PC, Compliance Guide for 501(c) (3) Public
Charities, for some helpful information about your responsibilities as an
exempt organization.
Lct+-O= 047
-2-
TTTqT(,)RY VLTGHT TVC
Enclosure: Publication 4221-PC
Sincerely,
Holly 0 Paz
Director, Exempt Organizations
Rulings and Agreements
Lett^,r 947 (r)O/M)
16G1