HomeMy WebLinkAboutInsurance InformationINSURANCE INFORMATION
THE CITY OF MIAMI REQUIRES THAT ORGANIZERS OF SPECIAL EVENTS PROV DE
A CURRENT CERTIFICATE OF INSURANCE NAMING THE CITY OF MIAMI. S
ADDITIONAL INSURED AND COMPLYING WITH SPECIFIED INSURANC
COVERAGES AND LIMITS AS PRESCRIBED BY THE CITY SEVEN (7) WORKING DAYS
PRIOR TO THE CONDUCT OF ANY EVENT. THE INSURANCE COMPANY MUST BE
RATED "A" TO BE ACCEPTED. LIABILITY LIMITS: I MILLION DOLLARS FOR
GENERAL AND LIQR LIABILITY (IFi ,NEEDED).
R
I. Coverage: l.If.v7ti
II. Insurance Company: IC i l i J jYW J CI
III. Limits of Liability: Z, 00 0, 000
IV. Agent: J O f 12-epOSS
V. Agent's Phone Number: 1407- I p Li'
VI. Is the City named as an additional insured in this policy? I'f'S
NOTE: PLEASE ATTACH TO THIS APPLICATION A BUDGET SUMMARY TO
INCLUDE ANTICIPATED EXPENSES AND REVENUES ASSOCIATED WITH THE
EVENT.
IT IS UNDERSTOOD THAT THE ARPLW*jT IS FINANCIALLY, ADMINISTRATIVELY
AND PROGRAMMATIC LY RESPONSIBLI FOR ALL ASPECTS OF THE EVENT.
SIGNATURE:
TITLE: 'PEED 06-7q1 DATE: Alas.,- use- / wog-
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