HomeMy WebLinkAboutInsurance Safety Formr! - 05 oC3ciLI
DEPARTMENT OF RISK MANAGEMENT
INSURANCE/SAFETY APPROVAL FORM
Name
Gesette Guerra
Department
CD
Review
Status
General Liability:
Scottsdale Insurance Company
Auto Liability:
National Liability and Fire
Workers Comp:
Florida Retail Federation
Liquor Liability:
Builder Risk:
Professional Liability:
Garage Keepers Liability:
Excess Liability:
Crime Coverage
St. Paul Fire and Marine
Pollution:
Description
Allapatah Community Action, Inc.
Tracking #
Date:
7/14/2005
Financial
Ratings Strength REQUIREMENTS;
A+
XV
A++
XV
A
XV
xx
[xx
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
xx APPROVED /
Frank Gomez
insurance Coordinator
Patrice Nova!
Safety/ADA Coordinator
Not Approved
Coverage is insufficient
Not A Rated Company
1
A Type of Coverage is Missing
Other
The City NOT Named Additional Insured
Insurance/Safety Comments:
CDBG funding in the amount of $349,200 for the fiscal year ending 9/30/06.
Risk 002 7/14/2005 10:56 AM