HomeMy WebLinkAboutInsurance Approval FormDEPARTMENT OF R1SK,MANAGEMENT
INSURANCE/SAFETY APPROVAL FORM
Name
Julia Martin
Department
Fire
Review
Status
General Liability:
Automobile
Workers Comp:
Liquor Liability:
Builder Risk:
Professional Liability:
Garage Keepers Liability:
Excess Liability:
'
///
Fidelity Bond
.
(
,f
f
l
Pollution:
i
l
f�r
Description
American Heart Association Basic Life Support Training Site
Contract #
Date:
7/16/2004
Financial
Ratings Strength REQUIREMENTS:
xx
1
J
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
APPROVAL STATUS
f )
AP UWED
L
Frank Gomez
Insurance Coordinator
Patrice Nova!
Safety!ADA Coordinator
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:
City of Miami Fire Rescue (Training Site) acting as satellite -training for American Heart Assoc.
Per agreement Satellite Training Site (CITY) responsible for proving insurance to CRME (Center for Research
in Medical Education.
Risk 001 7/16/2004 8:52 AM