Loading...
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