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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