HomeMy WebLinkAboutsafety approval formDEPARTMENT OF RISK MANAGEMENT
INSURANCE/SAFETY APPROVAL FORM
Name
Jose GO
Department
Bayfront Park Management Trust
Review
Status
General Liability:
Automobile
Workers Comp:
Liquor Liability:
Builder Risk:
Professional Liability:
Garage Keepers Liability:
Excess Liability:
/
Fidelity Bond
Pollution:
/
r
Description
Raceworks
Project #
Date:
8/6/2004
Financial
Ratings Strength REQUIREMENTS:
xx
Insurance NOT Required
City of Miami is Named Additional Insured
The City is providing insurance
City of Miami is Loss Payee
Bayfront Park Named Additional Insured
APPROVAL STATUS
APPROVED
VED
Frank Gomez
Insurance Coordinator
Patrice Nova!
Safety/ADA Coordinator
1
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:
Settlement Agreement
Risk 001 8/5/2004 8:46 AM