Certificates of Insurance Client#: 1628014 SUMMICON18
DATE(MM/DD/YYYY)
ACORDTM CERTIFICATE OF LIABILITY INSURANCE 103/02/2023
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 any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT Lisa Keelor
NAME:
USI Insurance Services, LLC PHONE g04 351-7450 FAx
A/C,No,Ext: A/C,No):
4600 Touchton Rd Ste 275 E-MAIL ADDRESS: lisa.keelor@usi.com
Jacksonville, FL 32246
INSURER(S)AFFORDING COVERAGE NAIC#
904 450-4700 INSURER A:National Fire Insurance Co.of Hartford 20478
INSURED INSURER B:Continental Insurance Company 35289
Summit Construction Management Group
INSURER c:Berkley Assurance Company 39462
421 South Summerlin Ave
INSURER D:
Orlando, FL 32801
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 ADDLSUBR POLICY EFF POLICY EXP LIMITS
LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY
A X COMMERCIAL GENERAL LIABILITY X X 7012202681 2/24/2023 02/24/2024 EACH OCCURRENCE $1,000,000
CLAIMS-MADE 4 OCCUR PREMISES(Ea oNcur ence $100,000
X PD Ded:$1,000 MED EXP(Any one person) $15,000
PERSONAL&ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
PRO-
POLICY X JECT LOG PRODUCTS-COMP/OPAGG $2,000,000
OTHER: $
B AUTOMOBILE LIABILITY X X 7012202695 2/24/2023 02/24/202 COMBINED SINGLE LIMIT
Ea accidentS1,000,000
X ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
HIRED NON-OWNED PeOra c TYDAMAGE
AUTOS ONLY AUTOS ONLY
B X UMBRELLA LIAB X OCCUR X X 7012202700 2/24/2023 02/24/2024 EACH OCCURRENCE $1 O 000 000
EXCESS LIAB CLAIMS-MADE AGGREGATE $1 O 000 000
DED I X RETENTION$$1 O OOO $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/N TATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? ❑ N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
C Professional PCAB50214730223 2/24/2023 02/24/202 $1 m Ea Claim/$2m Agg
A Equip-Rent/Leased 7012202681 2/24/2023 02/24/202 $35,000 per Item/ACV
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Monroe County Board of County Commissioners is Additional Insured under the terms and conditions of the
General Liability policy when required by written contract.30 days Notice of Cancellation to certificate
holder. APPROVED BY RISK MANAGEMENT
BY
DATE 3/6/Z023
WAIVER N/A YES
CERTIFICATE HOLDER CANCELLATION
Monroe Count Board of Count SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
y y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Commissioners ACCORDANCE WITH THE POLICY PROVISIONS.
1100 Simonton Street
Key West, FL 33040 AUTHORIZED REPRESENTATIVE
@ 1988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S39269905/M39269857 LXKEQ
CI ient#: 1865436 FORTRSEC
DATE(MM/DDNYYY)
ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 2/10/2023
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 any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT Lisa Keelor
NAME:
USI Insurance Services, LLC PHONE g04 351-7450 FAx
A/C,No,Ext: A/C,No):
4600 Touchton Rd Ste 275 E-MAIL ADDRESS: lisa.keelor@usi.com
Jacksonville, FL 32246
INSURER(S)AFFORDING COVERAGE NAIC#
904 450-4700 INSURER A:Houston Specialty Insurance Company 12936
INSURED INSURER B:
Fortress Secured, LLC
INSURER C
3603 Beachwood Court
INSURER D:
Jacksonville, FL 32224
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 ADDLSUBR POLICY EFF POLICY EXP LIMITS
LTR INSR WVD POLICY NUMBER MM/DDNYYY MM/DDNYYY
A X COMMERCIAL GENERAL LIABILITY X X ESBHSG000090200 1/29/2023 01/29/2024 EACH OCCURRENCE $1,000,000
CLAIMS-MADE 4 OCCUR PREMISESOEa oNcur ence $100,000
X BI/PD Ded:$1,000 MED EXP(Any one person) $5,000
PERSONAL&ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
X POLICY JECOT LOG PRODUCTS-COMP/OP AGO $included
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea accident
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
r—PR
HIRED NON-OWNED PeOra E TYDAMAGE $
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB HCLAIMS-MADE AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/N TATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? ❑ N/A
(Mandatory in NH) 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,may be attached if more space is required)
Certificate Holder is shown as an Additional Insured under the terms and conditions of the General
Liability policywhen required by written contract. A Waiver of Subrogation applies. Coverage is Primary
and Non-Contributory. APPROVED BY RISK MANAGEMENT
r✓
BY
DATE 3/6/2623
WAIVER N/A YES
CERTIFICATE HOLDER CANCELLATION
Monroe Count BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS.
Key West, FL 33040
AUTHORIZED REPRESENTATIVE
@ 1988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S39011578/M38952682 MYUZP
From: Kate Stangle
To: Bradley Brian; DiNova Joseph
Cc: Shillinger-Bob;Wilson-Kevin; Fred Springer
Subject: RE: COI for Fortress Secured/Summit Relative to Access Agreement
Date: Wednesday,September 21, 2022 2:30:36 PM
Attachments: COI for Workers ComD.Ddf
Summit COI"s.Ddf
CAUTION
Brian,
Attached is the Col for Workers Comp for Summit. I have confirmed that Fortress does not carry
WC.This is due to the fact that work is coordinated by the Summit entity on behalf of Fortress.
Similarly, Summit carries the Auto coverage. The coverage limits are noted in Section B of the
Summit Col.
Please let us know if there are any questions or concerns, and thank you for your help with this.
L �
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390 NoIP rIli ORANGE AVIE NUIE I suiirlE 11400
OIPIL.ANDO„ IF IL. 328011
o° 407.669 430 �= 407.426.8377
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From: Bradley-Brian <Bradley-Brian@MonroeCounty-FL.Gov>
Sent: Friday, September 16, 2022 2:35 PM
To: Kate Stangle <Kate.Stangle@nelsonmullins.com>; DiNovo-Joseph <DiNovo-
Joseph@MonroeCounty-FL.Gov>
Cc: Shillinger-Bob <Shillinger-Bob@ Mon roeCounty-FL.Gov>; Wilson-Kevin <Wilson-
Kevin@MonroeCounty-FL.Gov>; Fred Springer<fspringer@bmolaw.com>
Subject: RE: Col for Fortress Secured/Summit Relative to Access Agreement
I need to see workers comp for the two entities.
Also, does fortress have Automotive liability?
Brian Bradley ARM, RMLO, FCRM