HomeMy WebLinkAboutinsurance approval formDEPARTMENT OF RISK MANAGEMENT
INSURANCE/SAFETY APPROVAL FORM
Name
Ellyrosa Estevez
Department
Public Works
Review
Status
General Liability:
Assurance Company of America
Auto Liability:
Assurance Company of America
Workers Comp:
N/A
Liquor Liability:
Builder Risk:
Professional Liability:
Garage Keepers Liability:
Excess Liability:
D&O Covegage
United States Liability
Pollution:
Description
Miami River Fund
Tracking #
Date:
4/16/2004
Financial
Ratings Strength
REQUIREMENTS:
Insurance NOT Required
A
XV
A
XV
A++
IX
xx
City of Miami is Named Additional Insured
r]The City is providing insurance
City of Miami is Loss Payee
Bayfront Park Named Additional Insured
APPROVAL STATUS
xx
Frank Gomez
Insurance Coordinator
Patrice Noval
Safety/ADA Coordinator
Not Approved
Coverage is insufficient
Not A Rated Company
A Type of Coverage is Missing
Other
The City NOT Named Additional Insured
Insurance/Safety Comments;
Letter is In file from the Miami River Commission stating that presently only two employees are
employed by the firm.
Risk003 4/16/2004 10:10 AM