HomeMy WebLinkAboutExhibit 6•
DEPARTMENT OF RISK MANAGEMENT
INSURANCE/SAFETY APPROVAL FORM
Name
Maria Perez
Department
Parks & Recreation
Review
Status
Commercial General Liability
Auto Liability:
Workers Comp:
Liquor Liability:
Builder Risk:
Professional Liability:
Garage Keepers Liability:
Excess Liability:
Crime Coverage
Pollution:
Tracking # Date:
11/7/2005
Description
Medicaid Waiver Services Agreement
1
Financial
Ratings Strength REQUIREMENTS:
insurance NOT Required
City of Miami Is Named Additional Insured
APPROVAL STA US
xx
APPROVE
Frank Gomez
Insurance Coordinator
Patrice Rey
Safety/ADA Coordinator
,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 Missingy:
. wr !..f
14
Other
The City NOT Named Additional Insured
Insurance/Safety Comments:
State Contract. 768.28 applies.
Risk 002 11/7/2005
9:39 AM