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AMENDMENT TO LEASE TO CHANGE CORPORATE NAME AND INSURANCE CERTIFICATE I I Amendment to Lease Agreement This amendment entered into ~ 10 , 2000, between the City of Clearwater, Florida, a municipal corporaffc,n, hereinafter referred to as "Lessor," and Day tripper Aviation, Inc., hereinafter referred to as "Lessee;" WHEREAS, the Lessor and the Lessee entered into a Lease Agreement on February 1, 2000; WHEREAS, the Lessor and the Lessee have agreed to amend the Lease Agreement as provided herein; NOW THEREFORE, in consideration of the conditions and mutual covenants contained herein, the parties do hereby agree as follows: 1. To change the corporate name only of the Lessee, from Day tripper Aviation, Inc. to Clearwater Airpark, Inc. 2. All other terms and conditions of the Lease Agreement shall continue for the remaining term. Countersigned: CITY OF CLEARWATER, FLORIDA it-- f ~ By:A/?~~-n Brian J. Aun~t . .V~;frAfl)~: ifo~:n: Mayor-Commissioner ~It\ City Manager Approved as to form: Attest: ~~~t Assistant City Attorney ~/.&d-a,~ ~ynthi E Gou!;leau ' 0' CityClerk ' '., DAYTRIPPER AVIATION, iNC. /o~I///i~rl 7 ~'.J/ L (~) I . I OLD REPUBLIC INSURANCE COMPANY CERTIFICATE OF INSURANCE Date: DECEMBER 15, 1999 Eff: OCTOBER 01, 1999 This is to certify to: CITY OF CLEARWATER POST OFFICE BOX 4748 CLEARWATER, FLORIDA 33618-4748 That the following policies have been issued to; SUNCOAST FLYING SERVICES I INC. 1000 N. HERCULES AVENUE CLEARWATER I FLORIDA 34625 ITEM 1. Airport Liability Policy No. AP 7164 03 of the OLD REPUBLIC INSURANCE COMPANY. Policy Period: from OCTOBER 01, 1999 to OCTOBER 01, 2000 COVERAGE LIMITS OF LIABILITY Each Person/Each Occurence/Aggregate Bodily Injury (COMPLETED OPERATIONS Property Damage & PRODUCTS) Single Limit Bodily Injury (PREMISES) and Property Damage Contractual Liability: HANGARKEEPERS' LIABILITY: $100,000. $100,000. $1,000,000. $1/000,000. $1,000.000. $50,000. EACH AIRCRAFT / $200,000. DEDUCTIBLE: $1/000. EACH LOSS ITEM 2. OTHER INSURANCE AS DESCRIBED: THE ABOVE CERTIFICATE HOLDER IS INCLUDED AS AN ADDTIONAL INSURED I BUT ONLY AS RESPECTS OPERATIONS OF THE NAMED INSURED. This Certificate of Insurance neither affirmatively nor negatively amends I alters, or extends the coverage(s) afforded by the policy(ies) described above. The Aviation Managers have made provision for prompt notice to you in the event of cancellation of the above described policies but, except as otherwise stated in this certificate, the Aviation Managers assume no legal responsibility for any failure to do so. Phoe~,' ,:i.~-:,AVi~t~~ah&\:Bi~ :nc. :', .~ ,I..AA!} ,)/ W\J.;.- V L-- By ;\ jv iV~~1 ) CL (03-92) l .J....-- ';~~nv ,e ,:,;'J j ] RECEIVED ,. ,., , -s · 0; ='c ~ ~~ ~vV---)) )ncL~ r<-l) \L .J U N Oi 2000 CITY CLERK DEPARTMENT