HomeMy WebLinkAboutSITE SUPPLEMENTU. SCANNED
BY
Lessee Site Narne: Crown Beths Song St. Lude CoUntY LessorSlteNatne: BctWaSong
Loss;ee Site No.: 68987 JDE Business Unit: 5800427
SITE SUPPLEMENT
MTh . Si S pPlement ("Supplement") is made and entered into as of this _21 day of
427 , 2W by and between Verizon Wireless Personal Commu-nications LP, a
Delaware limited partnershiji'd/b/a VERIZON WIRELESS, with its principal offices at One Verizon
Way, Mail Stop 4AW100, Basking Ridge, New Jersey 07920 C'LESSEE"), and Tower Development
a Maryland corporation ("LFSSOR1% c/o its property manager, Crown Castle USA
Inc. C'Nlanagej�% pursuant and subject to that certain "Master Lease Agreement!' entered into by
and between Tower Development Corporation and Cellco Partnership and various of its affiliated
entities dated as of November 18, 2009, as amended (the "Agreement"). All capitalized terms have
the meanings ascribed to them in the Agreement. The terms and provisions of the Agreement are
incorporated herein by reference.
1. Facilities, Site, Mom2rajidum The Facilities shall consist of a portion of that certain
parcel of property which comprises the Site, which Site is located in the City of Fort Pierce, the
County of St. Lucie, and the State of Florida more particularly described as a parcel
containing approximately Five Thousand Nine Hundred Fifty (5,950) square feet
situated as more fully described in the legal description attached hereto as EXHIBIT "I".
The Facilities shall also include the non-exclusive appurtenant rights for ingress and egress, seven
(7) days a week twenty-four (24) hours a day, on foot or motor vehicle, including trucks, and
for the installation and maintenance of utility wires, poles, cables, conduits, and pipes over, under,
or along an existing right of way extending from the nearest public right of way, commonly known
as Russakis Road, to the Site, said nort-exclusive right-of-way for access being
substantially as described herein in EXHIBIT "2". Either party shall have the right
to request that a Memo * randurn in the form attached to the Agreement be executed and
recorded in order to evidence certain matters set forth in the Agreement and this Supplement. The
requesting party shall be responsible for the payment of all recording fees.
2. Lease or Sublease, Equipment. The lease or sublease described in the next sentence is
subject to (I) the terms and provisions of this Agreement, including, without limitation, the
Special Conditions, Site Rules and Regulations, and Access and Security Procedures for
Users attached thereto, (ii) the terms and provisions of the Prime Lease, and (Iii) the approved Site
Engineering Application attached hereto as EXHIBIT 1131'. Subject to the matters set out
herein, LESSOR grants a lease or sublease to LESSEE of certain space comprising the
Facilities, exclusively for the purpose of installing, operating and maintaining the communications
equipment described below ("Equipment") in the locations described in this Supplement, consistent
with the specifications set forth in EXHIBITS "311 and "il".
3. Location of Equipment. The Equipment shall be contained within the Facilities, with
antenna(s) and other tower -mounted equipment located an the tower as described in the Site
Engineering Application and Tower Level Drawing attached hereto as EXHIBIT 113", and with
ground -based equipment; which may include an equipment shelter or cabinet and/or
generator, located on the ground or within an existing building as described in the Site Plan attached
hereto as EXHIBIT '14".
Prepared by: S. Taylor
Pmpsredow August 25,2014
Revisedon: ar25/20144:09PM
Master Least Agrmmeut 533302; Celloo Partnership (wfMC) 11118109
TernplafeVersion: 1118/13
CCROVM
CCASTLE
L&ssee Site Nanat: Crown Botbs Song
Lessee Site No.: 68887
Imsor Site Narne: BetWs Song
JDE Business Unit 5800427
4. Basic Annual Payment Commencement Date. The first (I') Basic Annual Payment due and
payable by LESSEE to LESSOR shall beANNEW - �ollars
(11111111111111M) payable in equal monthly installments of MMMMWM1MWWW
dollars in accordance with the Agreement. LESSEE acknowledges that the Basic
Annual Payment is subject to increase as provided and calculated in the Agreement. The Initial Tenn
shall commence on the earlier of Q) the first day of the month immediately following LESSOR's
issuance of written notice to proceed with the installation of LESSEE's Equipment at the Site, or (H)
January 1, 201 S.
5. Prime Lease. LESSEE acknowledges that LESSOR's rights in the Site and the
Facilities derive from a certain lease(s), sublease(s) or other prior agreentent(s) or instrument(s) (e.g.,
deed) fi-om which LESSOR derives its rights in the Site and/or which contain(s) restrictions on use
of the Site (collectively, the "Prime Lease"), a copy of which is attached hereto as ENIMIT
6. Additional Provisions: Not Applicable.
[Ile remainder of this page intentionally left blank)
Prepared by: S. Taylor CROWN
Preparedon: Augot25,2014 CICCASTLE
Revised on: 8/25/2014 4:09 PM
L,essec Site Name; Ctown Beths Song
Lessee Site No.; 68887
1,essor Site Name; Beth's Song
IDE Business Unit: 5800427
IN WITNESS WHEREOF, the parties hereto have set their hands and affixed their respective
seals the day and year first above written. * , - .
LESSOR:
Tower Development Corporation,
a Maryland corporation
By: . Crown Castle Tj.SA Inc.,
Its:
By:
Prii1tName; Brian Glivic
Title: Manager, Tower Development
Implementation
Execution Date: -/0 - oo
LESSEE:
VerizonWirelcss Personal Communications LP
d/b/a Verizon Wireless
By: az==:1
PrintName: AparnaKhuijaar
Title: ' Area Vice President Network
Execution Date: 01NIN
Prepared by: S. Taylor
Prepamdon: August25,2014
Revised on: 8/25AO144;09PM
vam, SS:
By:
Prin
By:
PrintName:
WITNESS:
W L W7292
E
T)A� - f -Kf...n XK k All , 74
By:
Print Name:
CCROWN
CASTLE
LesseeSiteName: CrownBetbsSong
Lessee Site No.; 68887
EXHIBIT "I" TO SITE SUPPLEMENT
LEGAL DESCRIPTION OF SITE
See Attached
Lessor Site Name: Beth's Song
JDE Business Unit 5800427
LN
Prepared by; S. Taylor
Proparedon: August25,2014 "elcROWN
Revised on: 8t25/2014 4:09 PM %,/� CASTLE
TOWERPARCEL
A PORTION OF THE NORTH 1/2 OF THE SOUTH 112 OF THE SOUTH 1/2 OF THE SOUTHEAST V4 OF
THE NORTHWEST 114. SECTION 3, TOWNSHIP 34 SOUTI-L RANGE 39 EAST, ST. LUCIE COUNTY,
FLORIDA, BEING MORE PARTICULARLY DMCRI13ED AS FOLLOWS:
COhMENCE AT THE NORTHWEST CORNER OF THE NORTH 112 OF THE SOUTH 1/2 OF THE
SOUM 1/2 OF THE SOUTHEAST 114 OF THE NORTHWEST 114. SAID SECTION 3i THENCE NORTH
.. ................. ... . . . . . .......... SVM31VEAS�.AL� THENORTH,11NE OF SAID NORTH 1P2. A DISTANCE OF 1256.93 FEET TO
TTIB+Wi� LINE OF AN EXISTING 70- CANAL RIGHT OF WAY; IIIENCE DEPARTING SAID NORTH
LIM, SOUM OU-18'30 EAST. ALONG SAID WEST LINE, A DISTANCE OF 93.00 FEET, THENCE
DEPARTING SAM WEST RIGHT OF WAY LINE SOUTH 8r,30'34" WEST, A DISTANCE OF 34.79
FEET TO THE POINT OF BEORRMG-, THENCE SOUM 00-29245- FAST. A DISTANCE OF 12.00
FHFI� THENCE SOU71I 89-30'34- WEST, A DISTANCE OF 85.00 FEET: THENCE NORTH 00-29'26"
WEST, A DISTANCE OF 70.00 FEET; THENCE NORTH SP3013411 EAST. ADISTANCE OF 65.00 FEET:
THENCE SOUTH 00�2926� EAST. A DISTANCE OF 58.00 FEET TO THE POINT' OF BEGINNING.
CONTAINING 0. 1365 ACRES OR 5950 SQUARE FEET, MORE OR LESS.
CCROWN
CCASTLE
Less�SiteName: Cmm;nBethsSong
Lcs= Site, No.: 68887
EXHIBIT "2"TO SITE SUPPLEMENT
LmorSiteNanne: BeffiSong
JD5 Business Unit 5800427
ACCESS RIGHT-OF-WAY LEGAL DESCRIPTION
See Attached
Pmpmd by: S. Taylor CROWN
Prepared on: August 25,2014 CCCASTLE
Revised on! 8/292014 4:09 PM
. . ................. .
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Loa;sau Site Name; Crown Baths Song Lessor Site Name: Beth's Song
LesseeSiteNo.: 68897 JDE Business Unit: 5800427
EXHIBIT 1" TO SITE SUPPLEMENT
APPROVED SITE ENGINEERING APPLICATION
AND TOWER LEVEL DRAWING
See Attached
LESSEE is identified in the attached Site Engineering Application and Tower Level Drawing as
'Verizon Wireless'
Pmparedby: S. Taylor
Prepared on: August 25,2014
CROWN
CASTLE
Revised on: U25/20144:09PM
CC(sites'1`001 : Crown Castle Online Application
C& N
E
Page 1 of 4
Customer Approved. Aug 19 2014
Application 10: 246590 Revision # 0
Submitted By: Ellabeth Lamb
Original Submit Date: May 05 Desired Install Data: Sao 012014
Reason forApplicatlam Flmttlme antenna Installation JDE Job Number 288903
at this site
Applications are subject to applicable Crowin Castle engineering, regulatory, zimbin/planning, and priority
property-owmer approval. Approval conditions may result In alternative requirements for type andf or
placement of equipmenL Approval conditions may also lead to additional or revised engineering analysis
at Crown Caistle discretion and upon consent of the customer.
Company Information
MLAi
Calico Partnership (w/TDC)
11118/2009
Company.
Verizon Wheless
Address:
180 WASHINGTON VALLEY ROAD
CltV/Tom,
BEDMINSTER
State:
NJ Postal Code: 07921
Custamer3ob NIA
Number.
Customer
NIA
Payment
Reference:
Customer
Site Name-
Crown Beths Song
Customer
Site Number
. 68887
Site Information
Crown Castle Beth's Song
Site Name:
Crown Castle 5800427
Site 10;
Crown Castle Pkrid,
Districts
Address: 6425 Russalds Road
City/Town: Fort Pierce
State: FL Postal Codes 34951
County:
St. Lucie
Latitudes
27-33'4.45' Longitude: -80-25'23.92"
structure
MONOPOLE Structure 129 It
Type:
RelghV.
Legal Entity Information
Operating Legal Entity: Verizon Wheless Personal Communications LP
Primary Contact:
Louis Puma
Phone: 561-226-9513
E-malh
Ipuma@sbaslte.com
Fax: N/A
Address:
5900 Broken Sound Parkway NW
CWV/ToWn;
Boca Raton
State: Fl. Postal Code; 33467
RIF Contact.
Pavitre Jalshal
Phones 561-995-5533
E-malk
Favitra.Jal�al@Veri=nW(reless.com
Project management vendor
Project Management Vendor. None
Service.3informiation
Frequencies
Transmit
Receive
Svc Technology
EIRP (WATTS) Still Frequency
start stop
start Stop
I COMA
3280.0 PCs B-Band
1950.0 1965.0
1870.0 1885.0
2 LTE
2000.0
746.D 757.0
776.0 787.0
X CROWN
CASTLE
http:lAvww.coisites.comlengappliclAppTr]cEngPrint.do?command=View&priatMode--tme... 8/25/2014
CClsitesTm : Crown Castle Online Application
3 LTE 3280.0
Page 2 of 4
2120.0 2130.0 1720.0 1730.0
Antenna Information
Cost Mount
Class/ C Line Mount
Mfg.
TransmitTransmItRecelveRecelve
PCs. CAD Mount Elev Level Azimuth Model Svc Start
Stop Start Stop Lisa Orient Status
A T.-Arm Mount 116 116.0 FrO
Css 1
1950.0
1965.0 1870.0 1885.0 TX/RXMId- Pmposed
X7CAP-
Mount
T-Arm Mount
665
[TA 602-11
C T-Arm Mount 116 116.0 FrO
T-Arm Mount
ETA 602-11
D T-Arm Mount 116 116.0 Fr85
T-Arm Mount
ETA 602-11
F T-Aan Mount 116 116.OFr8S
T-Arm Mount
ETA 602-11
G T-Arm Mount 116 116.0 Fr240
T-Arm Mount
ETA 602-13
I T-Arm Mount 116 116.0 Fr240
T-Arm Mount
[TA 602-11
Feadline Information
Pos.Customer Qty Mfg.
Mount
Class
74 ;0
57.0
776.0 787.0 RX
3
2120.0
2130.0
1720.0 1730.0 TX/RX
Css 1
1950.0
1965.0
1870.0 1885.0 TXIRXM[d- Proposed
X7CAP-
Mount
665
2 746.0 757.0 776.0 787.0 TXJRX
3 2120.0 2130.0 1720.0 1730.0 TX1RX
CSS 1 1950.0 1965.0 1870,0 1885.0 TXfRXM[d- Proposed
X7CAP- Mount
665
2 746.0 757.0 776.0 787.0 T)(/RX
3 2120.0 2130.0 1720.0 1730.0 TX/RX
CSS 1 1950.0 1965.0 187D.0 1885.0 7)(/RXMid- Proposed
X7CAP- mount
665
2 746.0 757.0 776.0 787.0 TX/RX
3 2120.0 2130.0 1720.0 1730.0 TX/RX
Css 1 1950�O 1965.0 11170.0 1885.0 TXIRXMId- Proposed
X7CAP- Mount
655
2 746.0 757.0 776.0 787.0 TX1RX
3 2120.0 2130.0 1720.0 1730,0 TX/RX
Css 1 1950.0 1965.0 1870.0 iass.o Tx/RXM[d- Proposed
X7CAP- Mount
665
A T-Arm Mount
3
Primary: ANDREW
secondary, N/A
C T-Am Mount
3
Primary: ANDREW
Secondary: NIA
D T-Ann Mount
3
Primary: ANDREW
Secondary: MIA
F T-Arm Mount
3
Primary: ANDREW
secondary: N/A
G T-Ann Mount
3
Primary: ANDREW
Secondary: N/A
I T-Arm Mount
3
Primary: ANDREW
Secondary: NfA
2 746.0 757.0 776.0 7137.0 TX1RX
3 2120.0 2130.0 1720.0 1730.0 TX1RX
model Length Location Ladder Type status
AVA7-50
166.0
iNTQ1
None
Proposed
AVA7-50
:166.0
TNTQ1
None
Proposed
AVA7-50
166.0
XNTQ1
None
Proposed
AVA7-50
166.0
lNTQ1
None
Proposed
AVA7-50
166.0
1KTQ1
None
Proposed
AVA7-50
166.0
1"1
None
Pmposed
CCROWN
C CASTLE
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CCIsitegm: Crown Castle Online Application
Page 3 of 4
Optional Component Information
Tower Mounted Equipment
Pos.Customer Qly-
Mfg.
Model
Type
elevation
Status
Mount
Class
A T-Arm Mount N/A
T41A
N/A
NIA
N/A
NIA
C T-Arm Mount N/A
N/A
N/A
N/A
N/A
WA
D T-Arm Mount N/A
WA
NIA
N/A
WA
N/A
....... .... ....T-1.vm Mount NIA
N/A
N/A
N/A
N/A
N/A
G T-Arnn Mount NIA
N/A
WA
N/A
N/A
N/A
I T-Arm Mount N/A
WA
MIA
N/A
NIA
NIA
Power Requirements
VAC Need Crown Power
Phase
Amps
120/240 No
Single Phase
200
Leasef Pad, and Building Requirements
Building
Building Id 0:
N/A
Building Type:
BLDG
Length
Width
SQ. Footage
Irregular
Status
SQ. Footage
Lease
12fit Oln
30ft Uln
360.0
WA
PRPSD
Pad
11ft 61n
25ft 6[n
293.25
NIA
PRPSD
Building
11ft On
251t: 6[n
293.25
NJA
PRPSD
Other Pad Requirements
No cabinets, dishes or other pads exist for this application
Number of Existing Cabinets:
0
Number of Proposed Cabinets:
0
Generator Requirements
Diesel Generator
Generator Locationt Manufacturer; Modeh Generator Size TankSlze
Crown or Customer
Status:
(KW);
(GAL);
Generator:
PRPSD INSHUR GENERAC
SDOSO 50
300
CLISTOMER,
Length
Width
SQ. Footage.
Status
Lease
N/A N/A
N/A NIA
NIA
N/A
Pad
N/A N/A
NIA N/A
WA
N/A
Battery Requirements
Is Battery Backup Required? Yes
Type Qty-
Mfg.
Model
INSTILLD 0
N/A
NIA
PRPSD 32
Deka
12AVR-ISOEr
Scope of Work/Additional Information
Scope of Work:
Application to add (6) antennas and (18) max lines. Add J.T X 30'lease area for equipment shelter. (3) GPS antennas
to be Installed on Inca bridge or shelter. Ground requtrement to Include 3-foot non-exclusIve easement for ground ring
and AC units around shelter, a 3 foot non-exduslve easement for Ice bridge, and two 4' x 4' non-exclus[ve easements
for the shelter door stoops,
**1ndIcates where Cut Sheet data has been entered.
NOTICE: Structural Analysis shall be performed In accordance with the current revision of the
TKA/EIA 222 standard and applicable local building permit codes and standards. EME analysts shall
be consistent with current revision of FCC/OSHA standard OEM 65. AM datuning, when required, will
be performed to 47 CFR22.371. The customer Is responsible for all analysip expenses. All
C� CROWN
X CASTLE
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CCIsitegm : Crown Castle Online Application
Page 4 of 4
tower attachments and compound Installations. Installation of equipment not conforming to
approved drawings may violate the terms of the ocwpancV agreement and will be corrected at the
cusbomer's expense. Crown Castle requires drawings for pre -construction approval and as built
drawings for physical configuration validation to be submitted as unlocked AutoCAD files (Version
20001 preferred).
Appendix A - Antenna, Feedline, TME Specifications
Antenna Specifications
Manpf#qurer Model 7 pi�. t![�ight Whith Depth Weight , Flat.Pkate.Area
6 CSS X7CAP-665 PANEL 72.0 IN 12.5 IN 7.0 IN 37.0 LBS 3.6 F2
feedline Specifications
quantity Manufacturer Model Nominal Size Nominal O.D.
18 ANDREW AVA7-50 1-5/8 2.01 IN
%'CCROWN
CASTLE
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1.&� nl�27 M.
Le.'EL DRAWNG
A
116 FT FRQ�� �
I Al-X
CROWN
,J,CASTLP
Lessee Site Name: Crown Beths Song Lessor Site Nme: Bettes Song
Lessee SlteNo.: 68887 JDH Business Unit: 5800427
13XHIBIT "4" TO SITE SUPPLEMENT
SITE PLAN; LOCATION AND DIMENSIONS (LENGTH, WIDTH, HEIGHT)
OF EQUIPMENT BUILDING/FLOOR SPACE
AND ANY OTHER INSTALLATION AT THE SITE
See Attached
..... ........... .... . �. LESSEE -is identified in the attached Site Plan as Werizon Wireless'
Prepared by: S. Taylor I CROWN
Prepared on: August25,2014 OCCASTLE
Revised on; 912512014 4:09 PM
Ellsev
NMOZM
Lr
cu/mm,s
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