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5. Consent to Assignment �QNSEW 'rq. A E This Consent to Assignnient is entered into is day of 2020, by and between Monroe County, a political subdivision of the State �FfFlorida, hereafter County, Charlene P. Helba, Trustee, Jules I. Beckwitt Revocable Trust, hereafter Assignor, and 212 LfNDAHL, LLC, hereafter Assignee, the parties agreeing as follows. I The County leases an irregularly shaped parcel of land measuring 102' by 36' by 135' by 15' located at the Florida Keys Marathon International Airport, through a Contract of Lease dated July 15,2020 to Charlene P.Helba,Trustee,Jules 1. Beckwitt Revocable Trust,as Lessee. 2. Article 7 of the Lease Agreement provides that the Lessee may not assign the Lease without written approval from the Director of Airports. 3. Assignor and Assignee have entered into an agreement to transfer to Assignee all of the Assignor"s right,title and interest in the Lease. consideration of its consent to the assignment from Monroe County, the Assignee agrees to be bound by all the terms and conditions of the Original Contract of Lease to July 15,2020 between Monroe County as Lessor and Charlene P. Helba,Trustee, Jules I.Beckwitt Revocable Trust,as Lessee. 5. This assignment of lease shall become effective A4�� 2020. MONRIOE COUNTY,FL - By. R p ichard S ickland, Directdr of Airports ASSIGNOR—CHARLENE P. HELBA,TRUSTEE, JULES I. BECKWITT REVOCABLE TRUST WITNESSES: Charlene P. Helba, Trustee ASSIGNEE—212 Llµ,..- �.. - L, LLC. .... ...... W I S • David air.M r A 'WE lair CONSENT TO ASSIGNMENT QFJ"AS This Consent to Assignment is entered into tbi y of kq��2020,by and between Monroe County, a politicAl subdivision of the State of Florida, hereafter County, Chadene P. Helba,Trustee, Jules 1. Beckwitt Revocable Trust, hereafter Assignor, and 212 LINDAHL, LLC, hereafter Assignee,the parties agreeing as follows- I The County leases an irregularly shaped parcel of land measuring 102' by 36' by 135 by 15' located at the Florida Keys Marathon International Airport,through a Contract of Lease dated July 15,2020 to Charlene P. Helba,Trustee,Jules 1.Beckwitt Revocable Trust,as Lessee. 2. Article 7 of the Lease Agreement provides that the Lessee may not assign the Lease without written approval from the Director of Airports. 1 Assignor and Assignee have entered into an agreement to transfer to Assignee all of the Assignoes night,title and interest in the Lease. C In consideration of its consent to the assigraneut from Monroe County, the Assignee agrees to be bound by all the terms and conditions of the Original Contract of Lease dated July 15,2020 between Monroe County as Lessor and Charlene P.Helba,Trustee, Jules 1. Beckwitt Revocable Trust�as Lessee- 5. This assignment of lease shall become effective 3/ ,2020. MONROE COUNTY,FLQWDA By --'ZZ�d'S-trick d,Dir'e"c'tor of Airports ASSIGNOR-CHARLENE P. HELBA,TRUSTEE, JULES 1, ECKWITT REVOCABLE TRUST Wl ESSES- Charlene P. Helba,Trustee ASSIGNEE-212 LINDAHL, LLC. WITNESSES: David LaClair,Mwmger SWORN STATEMENT UNDER ORDINANCE NO. 010-1990 MONROE COUNTY, FLORIDA ETHICS CLAUSE (Company) "...warrants that he/it has not employed, retained or otherwise had act on his/her behalf any former County officer or employee in violation of Section 2 of Ordinance No. 010-1990 or any County officer or employee in violation of Section 3 of Ordinance No. 010-1990. For breach or violation of this provision the County may, in its discretion, terminate this Agreement without liability and may also, in its discretion, deduct from the Agreement or purchase price, or otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the former County officer or employee." 0WV%7QA Y C C0* 0N.NOTARY Z PUBLIC R .0 783287j§jj�f—f6 re) 0 My COMMISSION E SDj XPIR E 2/2W2023 STATE OF. V 7 COUNTY OF: Subscribed and sworn to (or affirmed) before me, by means of M/physical presence or 0 online notarization, on jp (date) by �--Lc�......... m(nae of affiant) /She is IL personally known to me or has produced E' L P (type of identification) as identification. yea ,r A My Commission Expires: PUBLIC ENTITY CRWE STATEMENT "A person or affiliate who has been placed on the convicted vendor list following a conviction for public entity crime may not submit a bid on a contract to provide any goods orservices to a public entity, may not submit a bid on a contract with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to public entity, may not be awarded or perform work as a CONTRACTOR, supplier, subcontractor, or CONTRACTOR under a contract with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of being placed on the convicted vendor list." — (Respondent's name) e'4ey I have read the above and state that neitherA nor any Affiliate has been placed on the convicted vendor list within the last 36 months. OV�0!1' ty�Con NOT PUBLIC REG.07832870 .4?tnature) MY COMMISSICN 1�4 EXPIRES 212&2023 "e joate; A. N ALTH 01 STATE OF COUNTY OF. —Ycaj��� Subscribed and sworn to (or affirmed) before me, by means of IQ/Physical presence or 0 online notarization, on (date) by (name of affiant). he/She is personally known to me or has produced (type of identification) as identification. �15T—Aii?:LY SUC My Commission Expires: DRUG-FREE WORKPLACE FORM The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that: (Name of Business) 1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2. Inform employees about the dangers of drug abuse in the workplace, the business' policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. 3. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection (1). 4. In the statement specified in subsection (1), notify the employees that, as a condition of working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction. 5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, or any employee who is so convicted. 6. Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section. As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements. AN"O, 3 C 0 0 A�' :0� NOTAFV �9 'UBLIC 70%. ignature) REr,.Vg328 Nly COMMISSM,Z_ . &@ate s EXPMES 2102023 ,-'4t Z STATE OF: A COUNTY OF: Subscribed and sworn to (or affirmed) before me, by means of 0/physical presence or 0 online notarization, on (date) by LL ,,L (name of affiant). el he is personally known to LCI I' C�L4_ 1�cl me or has produced F L I'Dr- (type of identification) as identification. NOTARY PU My Commission Expires: 2.6 Aj_,3 DATE(MM/DDYYY) A�" /YCERTIFICATE OF LIABILITY INSURANCE 9/29/2020 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 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 CONTACT NAME: Ilea Pooran Marsh &McLennan Agency LLC PHONE FAX 9850 N.W. 41 st Street A/C No Ext: 305-591-0090 A/C,No): Suite 100 ADDRESS: Miami FL 33178 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Hallmark Specialty Insurance Company 26808 INSURED 212LINDAHL INSURER B: 212 Lindahl, LLC 1200 4th St. PMB 703 INSURERC: Key West FL 33040 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:176462574 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY Y P094003140 7/28/2020 7/28/2021 EACH OCCURRENCE $1,000,000 DAMAGE S( RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence) ccurrence) $100,000 X 0 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 ❑ PRO POLICY JECT ❑ LOC PRODUCTS-COMP/OP AGG $ X OTHER: $ A AUTOMOBILE LIABILITY Y P094003140 7/28/2020 7/28/2021 COMBINED SINGLE LIMIT $1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE : AGGREGATE $ DED RETENTION$ _RISK, $ WORKERS COMPENSATION " dt PER STATUTE OERH AND EMPLOYERS'LIABILITY Y/N y' "" M� ° -- -- ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICE R/M EMBER EXCLUDED? ❑ N/A 1 0/1/2 0 2 0 (Mandatory in NH) '°'�� ""`tee E.L.DISEASE-EA EMPLOYEE $ If yes,describe under - DESCRIPTION OF OPERATIONS below ,_ . - E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1111 12th street Suite 408 AUTHORIZED REPRESENTATIVE Key West FL 33040 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD