HomeMy WebLinkAboutFR/SR Ins. Approval FormDEPARTMENT OF RISK MANAGEMENT
INSURANCEISAFETY APPROVAL FORM
Name
Erica Wright
Department
Law
Review
Status
General Liability:
Auto Liability:
Workers Comp:
Liquor Liability:
Builder Risk:
1
Professional Liability:
Garage Keepers Liability:
Excess Liability:
Description
NUI-Franchise Agreement Extension
Tracking 0
Date:
3/8/2005
Financial
Ratings Strength REQUIREMENTS:
Crime Coverage
Pollution:
reinsurance 1�O Required
II ''City of Miami is Named Additional Insure,
fjThe City is providing insurance
nCity of Miami is Loss Payee
Heayfront Park Named Additional Insured
APPROVAL STATUS
APPRLO ' D
xx
Frank Gomez
Insurance Coordinator
Patrice Noval
Safety/ADA Coordinator
f
1
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:
Notes Negotiations for new agreement in progress. Insurance requirements for new contract
provided,
Risk 002 3/8/2005 12:11 PM