HomeMy WebLinkAboutCertificate of Insurance07/28/2005 THU 14:46 FAX 305 860 4700CENTER FOR HEALTH PROMOT iJ004/008
IP; From; DRYDEN 2A!U1
7--2fi-05 11;05am p, 3 of 5
STELLA MARIS INSURANCE COMPANY, mom
P.O. Box 69, 2nd Floor, Buckingham Square
George Town, Grand Cayman, DWI
Telephone No. (345) 945.2888 Facsimile Nu. (345) 945.2889
CERTIFICATE OF INSURANCE
fin is fa cartiry that the tdttowing insurance poky is presently in force o lows:
rally No.: 0019 Certifitgie JKo.I 1311E Policv Perlodt 711/05 12:01^14 to 12/1/05 12:01"
QED IN VRED ADDRESS
1. CAtbolio health East I4 Campus Boulevard, Suite 300
Newtown Square, PA 19073
2. MorcY 1 ospltal, Inc.
3663 S. Miami AvW►te
i4liaroi, i�, 33133
COVjER AGES unwrri Off' LIABILITY
Combined Single Injury, Personal Injury and
Property Damage
/ X / Profbssional Liability
$ 9,000,000
$ 1,000,000
Per Medical Incident
In Excves of
Per Medical Incident
Self Insured Retention
/ 1 Comprehensive General $ Per Occurrence
Liability Including Broad Form S Aggregate
COL Coverage
opigumnoynsioNst
Evidence of Insurance re: RFP#03-04-081 Swom Police Annual Physical Exam Services. City of Miami is an additional
insured as its interests may appear as respects R P#Q3.04-061.
NAME AND ADDRESS OF SATE i3OLDBRi
City of Miami, Department of Purchasing, 444 SW 2" Avenue, 66 Floor, Miami, FL 33130, Attn: Stephanie Jones
Should the abover.desorlbcd 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 mai web notice shall impose no obligation or
liability of any kind upon the Company, its agent or representative,
Date; July26, 2005
WILLIAM AGNEW
For Aan Tnaurance Managers (Cayman), Ltd.
As Managers