HomeMy WebLinkAbout2830 Contract Number: 2830
Vendor: NAVY - DEPT OF
Subject: Jet - F -8 Crusader (NAD Park)
Department: Parks
File Class: -LEG 12 -1
Begin Date: 03/08/1982
End Date: 06/01/2015
Review Date: 04/01/2015
Vault Date:
Comments: Option to Renew
Annual Certifications since last Agreement #1 -7/06
#2 -7/07 #3 -5/08 #4 -5/10
New Loan Agreement - 5/10
4002
N43 /Ser 10- 2 3 9 ,
CERTIFICATION OF LOANED GOVERNMENT PROPERTY
Under the terms of Public Law Title 10 USC § 2572, I certify that
the Government Property listed in the attachment is /are:
F 1H * M9 01 still required, displayed, and maintained in a clean
and safe condition, so that its appearance reflects favorably on
the Military Services. Current photograph(s) is /are attached.
The following items (list the NMNA Accession Numbers):
are in poor condition. A restoration plan to
upgrade the appearance of the loaned property will be submitted
to NMNA for approval before any work is started. Current
photograph(s) is /are attached.
have been relocated and /or restored. Current
photograph(s) is /are attached.
are no longer required. Please send
disposition instructions.
organization: C- i +-q � o - f / j3gtm eft m
Signature: '
Name: 2 nn k
Title: Qt 2Qc VK P4x1f-S 4 lle ex wb�
Address: &QD I-e-Gd glut')
Telephone: 3� x ( 73 - 530
FAX: 36 0 - 617 3 _ ST F
E -mail:
BE IT KNOWN, that on - M Iq 2� 2010, the above
individual personally appear d before me, and acknowledged this
CERTIFICATION OF LOANED GOVERNMENT PROPERTY to be a true and
accurate statement.
IN TESTIMONY WHEREOF, I have hereunto set my hand and seal this
A.D. 2 010 .
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Notary:
go My Commission Expires: 6111
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GOVERNMENT LOANED PROPERTY 5/11/2010
"ACCESSNUM. ;V -` - PORROWER;_ r : .. - , , Y .. - DES CRIPT,1,, DESIGNAT,. °ACBNUM ° ' LASERIAL :LNEXPIRES
005.083.001 CITY OF BREMERTON F -8H 147909 10 -240 6/1/2015
Page 1
1
DEPARTMENT OF THE NAVY
NATIONAL MUSEUM OF NAVAL AVIATION
_ 1750 RADFORD BLVD
SUITE C
PENSACOLA FLORIDA 32508 -5402
4002
N43 /Ser 10 -2 4 0
STANDARD RENEWAL LOAN AGREEMENT
By this agreement, made as of 10 May 2010 between the United
States of America, hereinafter called "the Government,"
represented by the Director, National Museum of Naval Aviation
(NMNA) , hereinafter called "the Lender," and the City of
Bremerton, 345 6th Street, Suite 600, Bremerton, WA 98337,
hereinafter called "the Borrower," incorporated and operating
under the laws of the State of Washington and located at
Bremerton, WA.
Pursuant to (Public Law 80 -421 (10 U.S.C. 2572)), the Lender
hereby loans to the Borrower the following United States
Government property which is permanently assigned to the Lender:
NMNA
AIRCRAFT BUREAU NUMBER ACCESSION NUMBER VALUE
F -8H CRUSADER 147909 2005.083.001 $100,000
The Lender agrees to renew the current loan for the above
listed property on sub- custody to the Borrower for a period of
five years commencing 10 May 2010 and ending 1 June 2015, with an
option for renewal, subject to the stipulations as set forth
below.
The Borrower agrees to not sub -lease or display the above
Government property at another location without prior written
permission from the Lender.
Any work product, equipment or material resulting from
efforts or at the expense of the Borrower with regard to the
aircraft will become a permanent part of the aircraft and will be
considered the property of the Lender unless specifically exempted
by the Lender.
The Borrower agrees to repair or replace, at the discretion of
the Lender, the borrowed item for any and all loss or damages that
may be inflicted on the item while the life of the loan is in
effect and /or until the loaned material is returned to the
physical custody of the Lender. The Borrower agrees to be
responsible to maintain corrosion control and routine
maintenance. If the material borrowed is irreplaceable the
borrower may be required to make monetary restitution to the
Lender up to and including the full amount of value of the item.
Executed on behalf of the Lender this �O day of Y llat4. '
,
2010, at Pensacola, Florida
United States of America
By: / CJ
HELEN I. WATSON
Loan Manager
National Museum of Naval Aviation
1750 Radford Boulevard, Suite C
Pensacola, FL 32508 -5402
ACCEPTANCE
The Borrower, through its authorized representative, hereby
accepts responsibility for the loaned property subject to the
terms and conditions contained in the Loan Agreement set forth
above.
Executed on behalf of the Borrower this day of — YMA
2010, at Aa.M -ert f o\ 1,41,J .
CITY OF BREMERTON
By:
Name: � y h 1 71 I ��� r / " a (
Title: CJr I� -eG'✓t , dart �L7^ .� /Ze ct¢ca
Address: 6 9V L' e V
gum ek+h 44 C31
Telephone: A60) q7?
Fax: (Uo) 47�-
E -mail:
Page 4 of 4
The Borrower shall obtain no interest in the loaned property
by reason of this agreement and title shall remain in the Lender
at all times. Any improvements, modifications or additions on or
to the property is limited to that approved in writing by the
Lender and becomes the property of the Lender.
The Borrower agrees to use the loaned property in a careful
and prudent manner, not without prior written permission of the
Lender to modify, restore, or mount on pylons or any structure
above ground in any way, which would alter the original form,
design, or the historical significance of said property, to
perform routine maintenance so as not to reflect discredit on the
Lender and to display and protect it in accordance with the
instructions set forth in Attachment One, incorporated herewith
and made part of this Loan Agreement.
The Borrower agrees to report annually to the Lender on the
condition and location of the property. The Borrower agrees to
display prominently a placard with the property at all times which
contains the following credit line: "THIS AIRCRAFT IS ON LOAN FROM
THE NATIONAL MUSEUM OF NAVAL AVIATION AT PENSACOLA, FLORIDA."
Additionally, articles published or submitted for publication or
websites that refer to the loaned 'aircraft must credit the
National Museum of Naval Aviation as owner of the aircraft with,
at a minimum, the words: "THIS AIRCRAFT IS ON LOAN FROM THE
NATIONAL MUSEUM OF NAVAL AVIATION, PENSACOLA, FLORIDA."
The Borrower agrees to provide the Lender with 4 x 6 color
prints on the loaned property within 90 days of the arrival of the
aircraft at the Borrower's location and upon submission of the
annual certification statement. The photographs shall depict one
full length photograph and one individual photograph clearly
identifying the Bureau Number /Serial Number, if applicable.
Photographs shall include general views of the display /storage
areas with enough detail to identify each aircraft and /or
artifact.
The Borrower agrees not to use the loaned property as security
for any loan, not to sell, lease, rent, lend, or exchange the
property for monetary gain or otherwise under any circumstances.
Sub- custody assignment or loaning the property to any other entity
will be only with the prior written approval of the Lender.
The Borrower agrees to allow authorized Department of Defense
representatives access to the Borrower's records and facilities to
assure accuracy of information provided by the Borrower and
compliance with the terms of this Loan Agreement.
Page 2 of 4
The Borrower agrees to indemnify, save harmless, and defend
the Lender from and against all claims, demands, actions,
liabilities, judgements, costs, and attorney's fees, arising out
of, claimed on account of, or in any manner predicated upon
personal injury, death, or property damage caused by or resulting
from possession and /or use of the loaned property.
The Borrower agrees to return said property to the Lender on
termination of this Loan Agreement, or earlier, if it is
determined that the property is no longer required, at no expense
to the Lender.
The failure of the Borrower to observe any of the conditions
set forth in this Loan Agreement and the attachment(s) thereto
shall be sufficient cause for the Lender to repossess the loaned
property. Repossession of all or any part of the loaned property
by the Lender shall be made at no cost or expense to the
Government; the Borrower shall defray all maintenance, freight,
storage, crating, handling, transportation, and other charges
attributable to such repossession.
The Borrower has read, understands and acknowledges that
concealing a material fact and /or making a fraudulent statement in
dealings with the federal government may constitute a violation of
18 USC 1001 (Attachment Two).
Page 3 of 4
ATTACHMENT ONE
SUPPLEMENTAL REQUIREMENTS FOR AIRCRAFT
1. The Borrower agrees to use the loaned aircraft for display
or educational purposes only and to protect the aircraft from
vandalism by displaying it behind fences, or by other suitable
means to deter easy access. The Borrower agrees to furnish the
Lender a notarized statement within 15 calendar days following the
last day of each calendar year, certifying that the aircraft is
still in the possession of the Borrower and being displayed in the
same manner and condition as indicated by the original photograph
or provide an updated photograph and details regarding changes.
2. The Borrower agrees that the loaned aircraft shall not be
restored to flying condition, nor shall the aircraft be flown
under any circumstances.
3. The Borrower agrees to maintain the loaned aircraft in
good material condition including corrosion control, painting,
preservation, etc. and not to cannibalize, exchange, or remove
parts of the aircraft or to modify the aircraft without written
permission by the Lender.
4. If, at any time, the loaned aircraft is no longer used for
display or educational purposes, or if the Borrower no longer
wishes to keep the loaned aircraft, written notice shall be given
to the Lender and the Lender shall be entitled to immediate
repossession of the aircraft. The Lender will exercise its option
within 60 days after receipt of written notice from the Borrower
and will:
a. Advise the Borrower that the Lender has another
- requirement for the loaned aircraft and will make appropriate
arrangements for repositioning.
b. Advise the Borrower that the Lender desires to
repossess the loaned aircraft and will arrange for appropriate
disposition at the present location.
C. Advise that the Lender has no further requirement for
the loaned aircraft, and that the Borrower, at the Borrower's
expense, is authorized, based on the Borrower's preference, to
dispose of the loaned aircraft by one of the following methods:
Al -1
I
I
(1) Demilitarize /destroy the property to the extent
required by current Department of Defense policy as set forth by
detailed guidance to be provided by the Lender. The Borrower
will be required to certify in writing to the Lender that all
requirements have been met and will provide the Lender with
photographs depicting the specific demilitarization and /or
destruction accomplished.
(2) Transport the loaned aircraft to the nearest
military activity, providing the installation commander of that
activity is agreeable to accepting the aircraft. The Borrower
will be responsible for any disassembly necessary and all
arrangements to accomplish the movement and will be required to
obtain a receipt from the military installation to be provided to
the Lender for record purposes.
Al -2
ATTACHMENT TWO
TITLE 18 - CRIMES AND CRIMINAL PROCEDURE
PART I - CRIMES
CHAPTER 47 - FRAUD AND FALSE STATEMENTS
Sec. 1001. Statements or entries generally
(a) Except as otherwise provided in this section, whoever,
in any matter within the jurisdiction of the executive,
legislative, or judicial branch of the Government of the United
States, knowingly and willfully —
(1) falsifies, conceals, or covers up by any trick,
scheme, or device a material fact;
(2) makes any materially false, fictitious, or
fraudulent statement or representation; or
(3) makes or uses any false writing or document
knowing the same to contain any materially false fictitious, or
fraudulent statement or entry;
shall be fined under this title or imprisoned not more than 5
years, or both.
A2 -1
Contract Number:
Vendor:
Subject:
Department:
File Class:
Begin Date:
End Date:
Review Date:
Vault Date:
Comments:
2830
NAVY - DEPT OF
Jet - F-8 Crusader
(NAD Park)
Parks
LEG 12-1
03/08/1982
06/01/2010
04/01/2010
Option to Renew
Annual Certifications since last Agreement #1-7/06
#2-7/07 #3-5/08
",-
4002
N43/Ser 08- 3 1 4
.....
CERTIFICATION OF LOANED GOVERNMENT PROPERTY
Under the terms of Public Law Title 10 USC 5 2572, I certify that
the Government Property listed in the attachment is/are:
X still required, displayed, and maintained in a clean
and safe condition, so that its appearance reflects favorably on
the Military Services. Current photograph(s) is/are attached.
The following items (list the NMNA Accession Numbers) :
are in poor condition. A restoration plan to
upgrade the appearance of the loaned property will be submitted
to NMNA for approval before any work is started. Current
photograph(s) is/are attached.
have been relocated and/or restored. Current
photograph(s) is/are attached.
are no
disposition instructions.
Organization:
Signature:
Name:
Title:
Address:
Telephone:
FAX:
longer
required.
Please
send
a/~ of Sd//t3!/;J jkh Drl
,)V~~ ~
1t0771/15 WS.bM/J-tJ
';;:~i>.D~JI /!/;/~t. /f~,JI4GC/
/ . {/ I
??o LeIS/> . i! tvfL
&l2E;tIE~tJ fc};1, ~fS/o-s$
360-47$-0$077
.360- //73- :S~-2.
E-mail:
BE IT KNOWN, tha t on If fA </ ~ -61 , 2008, the above
individual personally appe6.red before me, and acknowledged this
CERTIFICATION OF LOANED GOVERNMENT PROPERTY to be a true and
accurate statement.
IN TESTIMONY WHEREOF, I have hereunto set my hand and seal this
3O-!j day of , A. D. ~..;;;z..DCJy
SEAL
Nota
My C
ACCESSNUM
2005.083.001
, BORROWER",
CITY OF BREMERTON
< .pI;SCRIPT1'
ANNUAL CERTIFICATION
5/8/2008
Page 1
DEPARTMENT OF THE NAVY
NATIONAL MUSEUM OF NAVAL AVIATION
1750 RADFORD BLVD
SUITE C
PENSACOLA flORIDA 32508-5402
Mayor's Office
MAY 1 6 ZOOO
City of Bremerton
4002
N43/Ser 08- 3 1 4
MAY 0 9 2008
The Honorable Cary Bozeman
Mayor of the City of Bremerton
345 6th Street, Suite 600
Bremerton, WA 98337
Dear Mayor Bozeman:
Each year the National Museum of Naval Aviation (NMNA) ,is
required by the Department of Defense (DoD) to obtain informatlon
on the status and condition of Government Property on loan to
organizations. under Public. Law 10 USC' ~ 2572. Please complete
enclosure (1), with its attachment, and return the package to
NMNA by 12 June 2008. If these requirements are riot. satisfied,
NMNA will prepare a cancellation 'of future loans to your
activity.
Enclosure (1) is the yearly CERTIFICATION OF LOANED GOVERNMENT
PROPERTY, and its attachment lists the Government Artifacts which
are on loan to your organizat'ion. The DoD Standard Loan Agreement
requires that photographs be ,submitted with'this request. Please
provide two current 4x6 color phOtographs for each item listed in
the attachment' to enclosure (1) as follows: one individual full
length photograph of each item and one individual photograph of
each item clearly identifying the Bureau Number/Serial Number, if
applicable. Please print theNMNA Accession Number on the back of
each photograph and the date the photograph was taken.
Should any problems or questions arise pertaining to this request,
please contact me at (850) 452-3604, extension 3133.
Sincerely,
0~~~
HELEN I. WATSON
Loan Manager
Enclosure: 1. Certification.of Loaned Government Property with
Attachment: List of Government Artifacts on Loan
;,
Contract Number 2830
Vendor NAVY I DEPT OF
Subject JET - F-8 CRUSADER (NAD PARK)
Department CITY CLERK
Status Code HIS File Class 12-1
Amount
Begin Date
End Date
Review Date
$
03/08/1982
06/01/2010
04/01/2010
Insurance
GL $
AL $
E&O $
Insurance Total $
Insurance Review Date
Comments
Annual Certification 7/07
4002
N43/Ser 07-305
CERtIFICATION OF LOANED GOVERNMENT PROPERTY
Under the terrnffi of Public Law Title 10 USC ~ 2572, I certify that
the Government Property listed in the attachment is/are:
~ still required, displayed, and maintained in a clean
and safe condition, so that its appearance reflects favorably on
the Military Services. Current photbgraph(s) is/are attached.
The following items (list the NMNA Accession Numbers) :
are in poor condition. A restoration plan to
upgrade the appearance of the loaned property will be submitted
to NMNA for approval before any work i$ started. Current
photograph(s) is/are attached. '
have been relocated and/or restored. Current
photograph(s) is/are attached.
are
disposition instructions.
Organization, e;f o!'~t[dE~Io;)/ika/&])1
4v--"~~, .
d' ,"
Icrm[lde~$j11AIlJ .' . :
/l~/i i . itlJAl.'o/, &!' .
(,?6 Lek 'j&{/d",
7JtEtt1t::ef,;J A)A. fFJ/OJ3?fJj
~bO.r 413~sJos./
300 v 47$- ~oL
E-mail: .{)/A ..--
BE IT KNOWN, that on~J;~ ~ ' , 2007, the above
individual personally ap . ared before me, and acknowledged this
CERTIFICATION",oF LOANED GOVERNMENT PROPERTY to be a true and
accurate statement.
no
Signature:
Name:
Title:
Address:
Telephone:
FAX:
IN TESTIMONY WHEREOF, I have
~ day of .Ji!,!y ';''''i':~>t>..
/ "",............. ,. ....
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","'0' ~ ........PC'L'.
SEAL ~ ~ If. .. ~;- ,
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OF \" '. r;'l:
. ,,\100#
longer
required.
send
Please
hereunto set my hand and seal this
, A.D. 2007.
Notary:!) .
My Commlss
dj/~~
J\ J/ ~t~ Public
Iv-. rt.ae~ashlngton
n Expi~P. HOCK
My AppoIntment Expires May 15. 2010
ANNUAL CERTIFICATION
6/20/2007
..".'
Page 1
v1v~::J
~l
DEPARTMENT OF THE NAVY
NATIONAL MUSEUM OF NAVAL AVIATION
1750 RADFORD BLVD
SUITE C
PENSACOLA FLORIDA 32508-5402
4002
N43/Ser 07-305
:JUN 2 1 2007
The Honorable Cary Bozeman
Mayor of the City of Bremerton
345 6th Street, Suite 600
Bremerton, WA 98337
Dear Mayor Bozeman:
Each year the National Museum of Naval Aviation (NMNA) is
required by the Department of Defense (DoD) to obtain information
on the status and condition of Government Property on loan to
organizations under Public Law 10 USC ~ 2572. Please complete
enclosure (1), .with its attachment, and return the package to
NMNA by 23 July 2007. If these requirements are not satisfied,
NMNA will prepare a cancellation of future loans to your
activity.
Enclosure (1) is the yearly CERTIFICATION OF LOANED GOVERNMENT
PROPERTY, and its attachment lists the Government Artifacts which
are on loan to your organization. The DoD Standard Loan Agreement
requires that photographs be submitted with this request. Please
provide two current 4x6 color photographs for each item listed in
the attachment to enclosure (1) as follows: one individual full
length photograph of each item and one individual photograph of
each item clearly identifying the Bureau Number/Serial Number, if
applicable. Please print the NMNA Accession Number on the back of
each photograph and the date the photograph was taken.
Should any problems or questions arise pertaining to this request,
please contact me at (850) 452-3604, extension 3133.
Sincerely,
~~o~
HELEN I. WATSON
Loan Manager
Enclosure: 1. Certification of Loaned Government Property with
Attachment: List of Government Artifacts on Loan
Vendor
Subject
Department
Status Code
Amount
Begin Date
End Date
Review Date
Insurance
Comments
Contract Number 2830
NAVY, DEPT OF
JET - F-8 CRUSADER
CITY CLERK
HIS File Class
(NAD PARK)
12-1
$
03/08/1982
06/01/2010
04/01/2010
GL $
AL $
E&O
Insurance Total $
Insurance Review Date
REQUEST FOR PROPERTY CONDITION UPDATE SENT BY NAVY
6/06
,.,
4002
N43/Ser 06- 420
,.J
"..e
CERTIFICATION OF LOANED GOVERNMENT PROPERTY
Under the terms of Public Law Title 10USC ~ 2572, I certify that
the Government Property listed in the attachment is/are:
ref! # 14190 still required, displayed, and maintained in a clean
and safe condition, so that its appearance reflects favorably on
the Military Services. Current photograph(s) is/are attached.
The following items (list the NMNA Accession Numbers) :
are in poor condition. A restoration plan to
upgrade the appearance of the loaned property will be submitted
to NMNA for approval before any work is started. Current
photograph(s) is/are attached.
have been relocated and/or restored. Current
photograph(s) is/are attached.
are no
disposition instructions.
longer
required.
Please
send
Title:
Organization:
Signature:
Name:
FAX:
~
bfO laD &0r{
13fC:ftlEg)IJ;), if )/1. ff,~ /0 ~,530f
3~O- ~73 r-S3fJS
300 ~ 1113~ 5&'~..2
Address:
Telephone:
E-mail:
, , i)iJ <1tt-'} ~ ~~
BE IT KNOWN, that.-on bJYi/ 13/J!i'EJllJlAc::. ,~, the above
individual personally appeared before me, and acknowledged this
CERTIFICATION OF LOANED GOVERNMENT PROPERTY to be Cli true and
accurate statement.
1)()AJ P
Notary:
My Commission Expires:
#JA7/<r; ~
and Slft6tl,ry~lIe
Stote of Washington
DON D. HOCK
ntment Expires May 15. 2010
IN TESTIMONY WHEREOF, I have hereunto set
~~~ay
, A.D. 2006.
Encl
(1)
ANNUAL CERTIFICATION
_" 6/14/2006
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2005.083.001 ICITY OF BREMERTON I F-8H 1147909 105-360 ! 6/1/2010
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CHANGE Contract Transactions
Contract Number 2830
=l=vendor Name
=l=Subject
=l=Department
=l=Status Code
=1=
:'=
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Comments
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NAVY,
JET -
ADMIN
HIS
DEPT OF (NAT'L MUSEUM OF NAVAL AVIATION)
F-8 CRUSADER (NAD PARK)
SVCS
Insurance
Type Amount
Amount
Begin Date
End Date
Review Date
03/08/1982
06/01/2010
04/15/2010
Insurance Total
Insurance Review Date
REQUEST FOR PROPERTY CONDITION UPDATE SENT BY NAVY
NEW CONTRACT 6/05
=1=
=1=
=1=
=1=
DEPARTMENT OF THE NAVY
NATIONAL MUSEUM OF NAVAL AVIATION
1750 RADFORD BLVD
SUITE C
PENSACOLA FLORIDA 32508-5402
4002 3
N43/Ser 05- 60
~
STANDARD LOAN AGREEMENT
By this agreement, made as of 24 May 2005 between the United
States of America, hereinafter called "the Government,"
represented by the Director, National Museum of Naval Aviation
(NMNA), hereinafter called "the Lender," and the City of
Bremerton, 345 6th Street, Suite 600, Bremerton, WA 98337,
hereinafter called "the Borrower," incorporated and operating
under the laws of the State of Washington and located at
Bremerton, WA.
Pursuant to (Public Law 80-421 (10 U.S.C. 2572)), the Lender
hereby loans to the Borrower the following United States
Government property which is permanently assigned to the Lender:
AIRCRAFT
BUREAU NUMBER
NMNA
ACCESSION NUMBER
VALUE
F-8H CRUSADER
147909
2005.083.001
$100,000
The Lender agrees to place the above listed property on
subcustody to the Borrower for a period of five years commencing
24 May 2005 and ending 1 June 2010, with an option for renewal,
subject to the stipulations as set forth below.
The Borrower has applied for the loan of
and hereby agrees to accept it on an "as is,
be responsible for all arrangements and to
costs, charges, and expenses incident to
property.
the above property,
where is" basis, to
assume and pay all
the loan of this
The Borrower agrees to repair or replace, at the discretion
of the Lender, the borrowed item for any and all loss or damages
that may be inflicted on the item while the life of the loan is
in effect and/or until the loaned material is returned to the
physical custody of the Lender. The Borrower agrees to be
responsible to maintain corrosion control and routine
maintenance. If the material borrowed is irreplaceable, the
borrower may be required to make monetary restitution to the
Lender up to and including the full amount of value of the item.
The Borrower shall obtain no interest in the loaned property
by reason of this agreement and title shall remain in the Lender
at all times.
The Borrower agrees to use the loaned property in a careful
and prudent manner, not without prior written permission of the
Lender to modify, restore, or mount on pylons or any structure
above ground in any way, which would alter the original form,
design, or the historical significance of said property, to
perform routine maintenance so as not to reflect discredit on the
Lender and to display and protect it in accordance with the
instructions set forth in Attachment One, incorporated herewith
and made part of this Loan Agreement.
The Borrower agrees to accept physical custody of the
property wi thin 60 days, after execution of this agreement, to
receipt to the Lender for said property on assuming custody of
it, to place it on exhibit within 120 days, and to report
annually to the Lender on the condition and location of the
property. The Borrower agrees to display prominently a placard
with the property at all times which contains the following
credit line: "THIS AIRCRAFT IS ON LOAN FROM THE NATIONAL MUSEUM
OF NAVAL AVIATION AT PENSACOLA, FLORIDA." Additionally, articles
published or submitted for publication or websites that refer to
the loaned aircraft must credit the National Museum of Naval
Aviation as owner of the artifact with, at a minimum, the words:
"THE AIRCRAFT IS ON LOAN FROM THE NATIONAL MUSEUM OF NAVAL
AVIATION, PENSACOLA, FLORIDA."
The Borrower agrees to provide the Lender with 4 x 6 color
prints on the loaned property within (90) days of the initial
execution of this agreement and upon submission of the annual
certification statement. The photographs shall depict one full
length photograph and one individual photograph clearly
identifying the Bureau Number/Serial Number, if applicable.
Photographs shall include general views of the display/storage
areas with enough detail to identify each aircraft and/or
artifact.
The Borrower agrees not to use the loaned property as
security for any loan, not to sell, lease, rent, lend, or
exchange the property for monetary gain or otherwise under any
circumstances without the prior written approval of the Lender.
The Borrower agrees to
Defense representatives access
facilities to assure accuracy
Borrower and compliance with the
allow authorized Department
to the Borrower's records
of information provided by
terms of this Loan Agreement.
of
and
the
Page 2 of 4
The Borrower agrees to indemnify, save harmless, and defend
the Lender from and against all claims, demands, actions,
liabilities, judgements, costs, and attorney's fees, arising out
of, claimed on account of, or in any manner predicated upon
personal injury, death, or property damage caused by or resulting
from possession and/or use of the loaned property.
The Borrower agrees to return said property to the Lender on
termination of this Loan Agreement, or earlier, if it is
determined that the property is no longer required, at no expense
to the Lender.
The failure of the Borrower to observe any of the conditions
set forth in this Loan Agreement shall be sufficient cause for
the Lender to repossess the loaned property. Repossession of all
or any part of the loaned property by the Lender shall be made at
no cost or expense to the Lender; the Borrower shall defray all
maintenance, freight, storage, crating, handling, transportation,
and other charges attributable to such repossession.
The Borrower has read, understands and acknowledges that
concealing a material fact and/or making a fraudulent statement
in dealings with the federal government may constitute a
violation of 18 USC 1001 (Attachment Two) .
Page 3 of 4
Executed on behalf of the Lender this ~ day of Af/.f~
2005, at Pensacola, Florida. ~ 0
United States of America
By: ~~
H. R. CURRY
Aircraft Collections Manager
National Museum of Naval Aviation
1750 Radford Boulevard, Suite C
Pensacola, FL 32508-5402
ACCEPTANCE
The Borrower, through its authorized representative hereby
accepts delivery of the loaned property subject to the terms and
conditions contained in the Loan Agreement set forth above.
Executed on behalf of the Borrower this /Jt:J...; day of (l,.....- n
2005, at~~,lt~ftn1,.) ~
CITY OF BREMER TON
Signature: ~
Print Name:
~nY:J BDZ~man
Title:
/'14. 'j 0 "..
t3LfS S/t. fJ, Of SuiktlJo
Byeh1 f>r1oh LtJA3.nJ7~ /r73
Address:
/)
Telephone:
(..~ ~D ~ J./7..1~ S"c3dl3
(J,o.. 1./73- .5~OD
PM/a. JOhn61on
C-J~fy ~/er k
) FAX:
l E-mail:
p(J(1IIl.\.loj,n6/t;h@l'-/:hn:,M~fol1.wtt. U5
Page 4 of 4
ATTACHMENT ONE
SUPPLEMENTAL REQUIREMENTS FOR AIRCRAFT
1. The Borrower agrees to use the loaned aircraft for
display or educational purposes only and to protect the aircraft
from vandalism by displaying it behind fences, or by other
suitable means to deter easy access. The Borrower further agrees
to place the aircraft on display within 120 days following
physical acceptance of the aircraft and to provide the Lender
with a 4 x 6 photograph depicting how the aircraft is displayed.
In addition, the Borrower agrees to furnish the Lender a
notarized statement within 15 calendar days following the last
day of each calendar year, certifying that the aircraft is still
in the possession of the Borrower and being displayed in the same
manner and condition as indicated by the original photograph or
provide an updated photograph and details regarding changes.
2. The Borrower agrees that the loaned aircraft shall not
be restored to flying condition, nor shall the aircraft be flown
or operated, including engine and systems operations, under any
circumstances.
3 . The Borrower agrees to maintain the loaned aircraft in
good material condition including corrosion control, painting,
preservation, etc. and not to cannibalize, exchange, or remove
parts of the aircraft or to modify the aircraft without written
permission by the Lender.
4. If, at any time, the loaned aircraft is no longer used
for display or educational purposes, or if the Borrower no longer
wishes to keep the loaned aircraft, written notice shall be given
to the Lender and the Lender shall be entitled to immediate
repossession of the aircraft. The Lender will exercise its
option within 60 days after receipt of written notice from the
Borrower and will:
a. Advise the Borrower that the Lender has another
requirement for the loaned aircraft and will make appropriate
arrangements for repositioning.
b. Advise the Borrower that
repossess the loaned aircraft and will
disposition at the present location.
the Lender desires to
arrange for appropriate
A-I
c. Advise that the Lender has no further requirement for
the loaned aircraft and that the Borrower, at the Borrower's
expense, is authorized, based on the Borrower's preference, to
dispose of the loaned aircraft by one of the following methods:
(1) Demilitarize/destroy the property to the extent
required by current Department of Defense policy as set forth by
detailed guidance to be provided by the Lender. The Borrower
will be required to certify in writing to the Lender that all
requirements have been met and will provide the Lender with
photographs depicting the specific demilitarization and/or
destruction accomplished.
(2) Transport the loaned aircraft to the nearest
mili tary acti vi ty, providing the installation commander of that
acti vi ty is agreeable to accepting the aircraft. The Borrower
will be responsible for any disassembly necessary and all
arrangements to accomplish the movement and will be required to
obtain a receipt from the military installation to be provided to
the Lender for record purposes.
A-2
, .
ATTACHMENT TWO
TITLE 18 - CRIMES AND CRIMINAL PROCEDURE
PART I - CRIMES
CHAPTER 47 - FRAUD AND FALSE STATEMENTS
Sec. 1001. Statements or entries generally
(a) Except as otherwise provided in this section, whoever,.
in any matter within the jurisdiction of the executive,
legislative, or judicial branch of the Government of the United
States, knowingly and willfully-
(1) falsifies, conceals, or covers up by any trick,
scheme, or device a material fact;
(2) makes any materially false, fictitious, or
fraudulent statement or representation; or
(3) makes or uses any false writing or document
knowing the same to contain any materially false fictitious, or
fraudulent statement or entry;
shall be fined under this title or imprisoned not more than 5
years, or both.
A2-1
SHIPPING CONTAINER TALLY
. < 1 2 3 4 5 6 7 8 9 1011 12131415161718192021222324252627282930313233343536 37 38 39 40 41424344454647484950
Form Approved
OMB No. 0704-0246
Expires Jan 31, 2003
Th~ public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
r~vlewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services,
Directorate for Information Operations and Reports (0704-0246), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shali be subject to any
penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR FORM TO THIS ADDRESS. RETURN COMPLETED FORM TO THF ADDRFSS IN ITEM 2
. I SHEET I NO. OF 15:-REQUISI'I'iOilt u < < [6. REQUISIlION NUMB~R
NO. SHEETS DATE
Director, National Museum of Naval Aviation 1 1 Mav 24 2005 N0432A-05-360
1750 Radford Boulevard, Suite C I 7. DATE MATERIAL REQUIRED <iYYYYMMDD) /8. PRIORITY
Pensacola, FL 32508-5402
REQUISITION AND INVOICE/SHIPPING DOCUMENT
1. FROM: (InclUde LII' Code)
2. TO: (Include ZIP Code)
9. AUTHORITY OR PURPOSE
NMNA Ltr 4002 N43/Ser 05-360 of 24 May 2005
10?mYJy direct;ion 1 11a. VOUCHER NUMBER & DATE (YYYYMMDD)
~1t'~ L-056-05 050524
112. DAlE S1'IIPPED (YYYYMM'(!J I b.
113. MODE OF SHIPMENT 114. BILL OF LADING NUMBER
115. AIR MOVEMENT DESIGNATOR OR PORT REFERENCE NO.
City of Bremerton
345 6th Street, Suite 600
Bremerton, W A 98337
3. SHIP TO - MARK FOR
The Honorable Cary Bozeman
Mayor of the City of Bremerton
4. APPROPRIATIONS DATA
AMOUNT
ITEM I
NO.
(a)
(b)
UNIT I QUANTITY I SUPPLY I TYPE I CON-
OF REQUESTED ACTION CON- TAINER 1 UNIT PRICE 1 TOTAL COST
ISSUE TAINER NOS.
(e) (d) (e) (f) (g) (h) (i)
EA I 11 I I I 1 $0.00
FEDERAL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND/OR SERVICES
1
F-8H CRUSADER Aircraft, Bureau Number 147909, NMNA Accession Number
2005.083.001
NO EXCHANGE OF FUNDS
I ~ Re~~ove U'Wd U.s. Gov"nmcnt Pro::.
~~/ /~OS
City of Bremerton Date
16. TRANSPORTATION VIA MATS OR MSTS CHARGEABLE TO
18. I ISSUED BY I TOTAL I TYPE
R CON- CON-
E 0 TAINERS TAINER
C F
A
~ ~ r CHECKED BY
T I
U P
l M
~ ~ I PACKED BY
I T
o
N
DD FORM 1149, APR 2000
/17. SPECIAL HANDLING
I TOTAL I TOTAL 119.
WEIGHT CUBE
I I ~
I I C I QUANTITIES I OAIT I BY
E RECEIVED (YYYYMMDD)
I I I EXCEPT AS
I I ~ 1 NOTED I DATE I BY 120. RECEIVER'S
(YYYYMMDD) VOUCHER NO.
I POSTED
>1
51 52535455565758596061 62636465666768697071 72 73 74 75 76 77 78 79 8081 82838485868788899091 9293949596979899100
PREVIOUS EDITION MAY BE USED.
DESCRIPTION
CONTAINERS
RECEIVED
EXCEPT AS
NOTED
DATE
(YYYYMMDD)
BY
SHEET TOTAL
I GRAND TOTAL
TOTAL
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NAVY, DEPT OF
JET - F-8
ADMIN SVCS
HIS
(NAD PARK)
+
+
+
+
+
+
03/08/1982 +
Insurance
Type Amount
Amount
Begin Date
End Date
Review Date
+
06/15/2006 +
+
+
+
$0.00 +
+
+
+
Insurance Total
Insurance Review Date
Comments
REQUEST FOR PROPERTY CONDITION UPDATE SENT BY NAVY
REVIEW DATE FOR TRACKING PURPOSES ONLY
+
+
+
+
+--------------------------------------------------------------------------+
Item: F-3H
CERTIFICATION OF LOANED GOVERNMENT PROPERTY
Bureau/Serial Number: 147909
Under the tenns of Public Law Title 10 USC 2572, I certify that the Government Property listed
above is:
X still required, displayed, and maintained in a clean and ~fe condition, so that its
appearance reflects favorably on the Military Services. Current photograph(s) are attached.
in poor condition. Restoration plan to upgrade the appearance of the loaned property will
be submitted to Naval Inventory Control Point, Philadelphia for approval before any work is
started. Current photograph( s) are attached.
has been relocated and/or restored. Current photograph(s) are attached.
is no longer required. Please send disposition instructions.
Organization:
Signature:
Name:
Title:
Addrell8:
Telephone:
Fax:
Remarks:
I)J-])D~
City of Bremerton
James S ncer
Parks and Recrea - Director
Bremerton Parks & Recreation
680 Lebo Blvd.
Bremerton. WA 98310-3308
360-478-5305
360-478-5882
During 200 I a Inter,pretive Sil!n and Floria! area was installed
to enhance the Area of the F-8H which is the centeroiece of
upper NAD Park.
BE IT KNOWN, that on this ~ ,'T', personally appeared before
me, and acknowledged this 'RTIFICA TON OF LOANED GOVERNMENT PROPERTY to
be a true and accurate state ent.
IN TESTIMONY WHEREOF, I have hereunto set my hand and seal this
Ol~~ dayof..:::J;.cJlUI.-ey , A.D. ~~
SEAL
,,1\\11"""1',
.,\' !\
'F I "r\
" '"..j
. ('-'
-~ I,,~ __~ -:.
-........ ''': ~
,. .,.. ,,~ ::~
<0#..34...\'-'" :-.';o-.~
\'"^ ;;:. :.:. ~.~~:~:;~~y
"1. "j'J.llc:..I.\\ \\\\
"""':iUJj9If\\I'.,\
Notary:
My Comm'
A>.
,
"
STANDARD LOAN AGREEMENT
By this agreement, made as of 09 October 1997 between the United States of America,
hereinafter called "the Government," represented by the Commander, Naval Inventory Control
Point-Philadelphia (NAVICP), hereinafter called "the Lender," and City ofBremerton, Washington
hereinafter called "the Borrower", and,
Pursuant to (Public Law 80-421 (I0 U.S.C. 2572)), the Lender hereby loans to the Borrower
the following United States Government property which is permanently assigned to the Lender:
Aircraft Bureau Number
F-8H 147909
The Lender agrees to place the above listed property on sub-custody to the Borrower for a
period of five years commencing 09 October 1997 and ending 09 October 2002, with an option for
renewal, subject to the stipulations as set forth below.
The Borrower has the above property and hereby agrees to accept it on "as is, where is" basis,
to be responsible for all arrangements and to assume and pay all costs, charges and expenses incident
to the loan of this property, including the cost of preparation for transportation, of disassembly,
packing, crating, handling, transporting and other actions incidental to the movement of the loaned
property to the Borrower's location and,
The Borrower shall obtain no interest in the loaned property by reason of this agreement and
- title shall remain in the Lender at all times; and,
The Borrower agrees to use the loaned property in a careful and prudent manner, not, without
prior permission of the Lender to modify it in any way which would alter the original form, design, or
the historical significance of said property, to perform routine maintenance so as not to reflect
discredit on the Lender and to display and protect it in accordance with the instructions set forth in
attachment one, incorporated herewith and made part of this Loan Agreement; and,
The Borrower agrees to accept physical custody of the property within 150 days, after
execution of this agreement, to receipt to the Lender for said property on assuming custody of it, to
place it on exhibit within 210 days and to report annually to the Lender on the condition and location
of the property. The Borrower agrees to display prominently a placard with the property at all times
which contains the following credit line: "TltlS AIRCRAFT IS ON LOAN FROM TltE NAVAL
INVENTORY CONTROL POINT AT PHILADELPHIA, PA".
The Borrower agrees not to use the loaned property as security for any loan, not to sell, lease,
rent, lend, or exchange the property for monetary gain or otherwise under any circumstances without
the prior written approval of the Lender; and,
The Borrower agrees to allow authorized Department of Defense representatives access to the
Borrower's records and facilities to assure accuracy of information provided by the Borrower and
compliance with the terms of this Loan Agreement; and,
The Borrower agrees to indemnify, save harmless and defend the Lender from and against all
claims, demands, actions, liabilities, judgements, costs and attorney's fees, arising out of, claimed on
account of, or in any manner predicated upon personal injury, death or property damage caused by or
resulting from possession and/or use of the loaned property; and,
The Borrower agrees to return said property to Lender on termination of this Loan
Agreement, or earlier, if it is determined that the property is no longer required, at no expense to the
Lender.
The failure of the Borrower to observe any of the conditions set forth in this Loan Agreement
and the attachment(s) thereto shall be sufficient cause for the Lender to repossess the
loaned property. Repossession of all or any part of the loaned property by the Lender shall be made
at no cost or expense to the Government; the Borrower shall defray all maintenance, freight, storage,
crating, handling, transportation and other charges attributable to such repossession.
Page 2 of 3
Executed on behalf of the Lender this 12th day of November, 1997 at Philadelphia, PA
United States of America
By:
ANTHONY A. MAZZONE
Stricken Aircraft Manager
Naval Inventory Control Point, Phila.
ACCEPTANCE
The Borrower, through its authorized representative hereby accepts delivery of the loaned
property subject to the terms and conditions contained in the Loan Agreement set forth above.
Executed on behalf of the Borrower this o~aS~O_ day of [~2v~/~),/qqT, City ofBremerton,
Washington
Title:
Address:
City of Bremerton
Parks Facilities Supervisor
680 Lebo Blvd.
Bremerton, Washington 98310
Page 3 of 3
A TTA CHMENT 1
SUPPLEMENTAL REQUIREMENTS FOR AIRCRAFT
1. The Borrower agrees to use the loaned aircraft for display or educational purposes only
and to protect the aircraft from vandalism by displaying it behind fences, on high pedestals, or by
other suitable means to deter easy access by mischievous youngsters or unscrupulous individuals.
The Borrower further agrees to place the aircraft on display within 210 days following physical
acceptance of the aircraft and to provide the Lender with a 5 x 7 photograph depicting how the
aircraft is displayed. In addition, the Borrower agrees to furnish the Lender a notarized statement
within 15 calendar days following the last day of each calendar year, certifying that the aircraft is still
in the possession of the Borrower and being displayed in the same manner and condition as indicated
by the original photograph or provide an updated photograph and details regarding changes.
2. The Borrower agrees that the loaned aircraft shall not be restored to flying condition, nor
shall the aircraft be flown under any circumstance.
3. The Borrower agrees to maintain the loaned aircraft in good material condition including
corrosion control, painting, preservation, etc. and not to cannibalize, exchange or remove parts of the
aircraft or to modify the aircraft without permission of the Lender.
4. If, at any time, the loaned aircraft is no longer used for display or educational purposes, or
if the Borrower no longer wishes to keep the loaned aircraft, written notice shall be given to the
Lender and the Lender shall be entitled to immediate repossession of the aircraft. The Lender will
exercise its option within 60 days after receipt of written notice from the Borrower and will:
a. Advise the Borrower that the Lender has another requirement for the loaned
aircraft and will make appropriate arrangements for repositioning
b. Advise the Borrower that the Lender desires to repossess the loaned aircraft and
will arrange for appropriate disposition at the present location.
A-1
c. Advise that the Lender has no further requirement for the loaned aircraft and that
the Borrower, at the Borrower's expense, is authorized, based on the Borrower's preference, to
dispose of the loaned aircraft by one of the following methods:
(1) Demilitarize/destroy the property to the extent required by current
Department of Defense policy as set forth by detailed guidance to be provided by the Lender. The
Borrower will be required to certify in writing to the Lender that all requirements have been met and
will provide the Lender with photographs depicting the specific demilitarization and/or destruction
accomplished.
(2) Transport the loaned aircraft to the nearest military activity, providing the
installation commander of that activity is agreeable to accepting the aircraft. The Borrower will be
responsible for any disassembly necessary and all arrangement to accomplish the movement and will
be required to obtain a receipt from the military installation to be provided to the Lender for record
purposes.