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DEPARTMENT OF RISK MANAGEMENT
INSURANCE/SAFETY APPROVAL FORM
Name
Julia Martin
Department
Fire
Review
Status
General Liability:
National Grange Mututa!
Auto Liability:
•
Workers Comp:
National Grange Mutual
Liquor Liability:
Builder Risk:
Professional Liability: -
Houston Casualty
Garage Keepers Liability:
Excess Liability:
Crime Coverage
Pollution:
APPROVAL STATUS
Frank Gomez
Insurance Coordinator
Patrice Nova!
Safety/ADA Coordinator
Insurance/Safety Comments:
letter In file ref. Auto coverage.
Description
Davis Logic dba All Hands Consulting
Tracking #
Date:
6118/2004
Financial
Ratings Strength REQUIREMENTS:
A
IX
A
IX
A+
vIns rance NOT Required
City of Miami is Named Additional Insured
II ++The City is providing insurance
City of Miami is Loss Payee
Bayfront Park Named Additional Insured
1
Not Approved
Coverage is Insufficient
Not A Rated Company
A Type of Coverage is Missing
Other
The City NOT Named Additional insured
Risk 001 6/18/2004 9:01 AM