HomeMy WebLinkAboutInsurance Approval Form05.0-NN-)0)
DEPARTMENT OF RISK MANAGEMENT
INSURANCE/SAFETY APPROVAL FORM
Name
Kirk Menendez
Department
LAW
Review
Status
Commercial General Liability
Auto Liability:
Description Disaster Relief Funding Agreement for Federal and
State Assistance for Hurricane Katrina FEMA-1602-DR
Tracking #
Date:
10/20/2005
Financial
Ratings Strength REQUIREMENTS:
Workers Comp:
Liquor Liability:
Builder Risk:
Professional Liability:
Garage Keepers Liability:
Excess Liability:
Crime Coverage
Pollution:
1
APPROVAL STATUS
xx APPROVED
Frank Gomez
Insurance Coordinator
Patrice Rey
Safety/ADA Coordinator
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
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:
Risk 002 10/20/2005
8:57 AM
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