HomeMy WebLinkAboutCertificate of Ins 2STELLA MARIS INSURANCE COMPANY, LIMITED
P.O. Box 69, 2nd Floor, Buckingham Square
George Town, Grand Cayman, BWI
Telephone No. (345) 945-2888 Facsimile No. (345) 945-2889
CERTIFICATE OF INSURANCE
1'his is to certify That the following insurance policy is presently in force as follows:
Policy No.: 0019 Certificate No.: 1311 Policy Period: 7/1/04 12:01AM to 711/05 12:01AM
NAMED INSURED ADDRESS
I. Catholic Health East 14 Campus Boulevard, Suite 300
Newtown Square, PA 19073
2. Mercy Hospital, Inc.
3663 S. Miami Avenue
Miami, FL 33133
COVERAGES LIMITS OF LIABILITY
/ X / Professional Liability
APplLovsp
Combined Single Injury, Personal Injury and
Property Damage
$ 9,000,000 Per Medical Incident
In Excess of
$ 1,000,000 Per Medical Incident
Self Insured Retention
/ / Comprehensive General $ Per Occurrence
Liability Including Broad Form $ Aggregate
CGL Coverage
SPECIAL PROVISIONS:
Evidence of Insurance re: RFP#03-04-081 Sworn Police Annual Physical Exam Services. City of Miami is an
additional insured as its interests may appear as respects RFP#03-04-081.
NAME AND ADDRESS OF CERTIFICATE HOLDER:
0
City of Miami, Department of Purchasing, 444 SW 2' Avenue, 6`h Floor, Miami, FL 33130, Attn: Pamela Burns
Should the above -described policy be canceled before the expiration date thereof, the Company will endeavor to mail
30 days' written notice to the Certificate Holder named above, but failure to mail such notice shall impose no
obligation or liability of any kind upon the Company, its agent or representative.
Date: October 26, 2004
For Aon
IAM AGNEW
nce Managers (Cayman), Ltd.
As Managers