HomeMy WebLinkAboutInsurance Approval FR/SRDEPARTMENT OF RISK MANAGEMENT
INSURANCE/SAFETY APPROVAL FORM
Name
Erica Wright
Department
Law
Review
Status
General Liability:
Auto Liability:
Workers Comp:
Liquor Liability:
Builder Risk:
Professional Liability:
Garage Keepers Liability:
Excess Liability:
Crime Coverage
Pollution:
xx APPR
APPROVAL STATUS
QR,o'a D�
Frank Gomez
Insurance Coordinator
Patrice Nova!
Safety/ADA Coordinator
Description
NUI-Franchise Agreement Extension
Tracking #
Date:
3/8/2005
Financial
Ratings Strength REQUIREMENTS:
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
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:
Note: Negotiations for new agreement in progress. Insurance requirements for new contract
provided.
Risk 002 3/8/2005 12:11 PM
INSURANCE REQUIREMENTS- NUI UTILITIES, INC.,IDBA NUI CITY
GAS COMPANY OF FLORIDA
I. Commercial General Liability
A. Limits of Liability
Bodily Injury and Property Damage Liability
Each Occurrence $1,000,000
General Aggregate Limit $ 2,000,000
Personal and Adv. Injury $ 1,000,000
Products/Completed Operations $ 1,000,000
B. Endorsements Required
City of Miami included as an Additional Insured
Contractual Liability
Waiver of Subrogation
II. Business Automobile Liability
A. Limits of Liability
Bodily Injury and Property Damage Liability
Combined Single Limit
Any Auto
Including Hired, Borrowed or Non -Owned Autos
Any One Accident $ 1,000,000
B. Endorsements Required
City of Miami included as an Additional Insured
III. Worker's Compensation
Limits of Liability
Statutory -State of Florida
IV. Employer's Liability
A. Limits of Liability
$500,000 for bodily injury caused by an accident, each accident
$500,000 for bodily injury caused by disease, each employee
$500,000 for bodily injury caused by disease, policy limit
V. Umbrella Coverage
A. Limits of Liability
Bodily Injury and Property Damage Liability
Each Occurrence
Aggregate
Products/Completed Operations
Aggregate Limit
V. Pollution Liability
A. Limits of Liability
Each Pollution Incident
Aggregate loss Limit
$4,000,000
$4,000,000
$4,000,000
$ 5,000,000
$ 5,000,000
The above policies shall provide the City of Miami with mandatory written notice of
cancellation or material change from the insurer not less than (30) days prior to any
such cancellation or material change.
Companies authorized to do business in the State of Florida, with the following
qualifications, shall issue all insurance policies required above:
The company must be rated no less than "A" as to management, and no less
than "Class V" as to Financial Strength, by the latest edition of Best's Insurance
Guide, published by A.M. Best Company, Oldwick, New Jersey, or its
equivalent. All policies and /or certificates of insurance are subject to review and
verification by Risk Management prior to insurance approval.