HomeMy WebLinkAboutRisk Management Insurance Safety Approval FormDEPARTMENT OF RISK MANAGEMENT
INSURANCE/SAFETY APPROVAL FORM
Name
Roland Galdos
Department
Law
Review
Status
General Liability:
St, Paul Fire & Marine
Automobile
St, Paul Fire & Casualty Ins. Co.
Workers Comp:
Zurich American
Liquor Liability:
Builder Risk:
Professional Liability:
Garage Keepers Liability:
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Excess Liability:
Fidelity Bons!
7
Pollution:
/
APPROVAL STATUS
APPROVED
APFRO
Frank Gomez
Insurance Coordinator
Patrice Noval
Safety/ADA Coordinator
Description
Per Se Technologies
Project #
Date:
11/4/2004
Financial
Ratings Strength REQUIREMENTS:
A
XV
A
XV
A
XV
xx
Insurance NOT Required
City of Miami 1s Named Additional Insured
The City is providing insurance
City of Miami is Loss Payee
Bayfront Park Named Additional insured
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:
Billing & Collection services.
Risk 001 11/4/2004 9:32 AM