HomeMy WebLinkAboutInsurance Safety Form 2DEPARTMENT OF RISK MANAGEMENT
INSURANCE/SAFETY APPROVAL FORM
Name
Gesette Guerra
Department
CD
Review
Status
General Liability:
Philadelphia Insurance Company
Any Auto
Philadelphia Insurance Company
Workers Comp:
Commerce & Industry
D&O Liability
Illinois National Insurance Company
Builder Risk:
Professional Liability:
Garage Keepers Liability:
Excess Liability:
Philadelphia Insurance Compan
Crime Coverage
Federal Insurance Compa
Pollution:
Description
James E. Scott Community Association
Tracking #
Date:
8/2/2005
Financial
Ratings Strength REQUIREMENTS:
A+
IX
A+
IX
A++
XV
A++
XV
A+
IX
A++
XV
xxl
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 STA US
xx APPROV D
Frank Gomez
Insurance Coordinator
Patrice Rey
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:
CDBG funding in the amount of $90,000 for the fiscal year ending 9/30/06.
Risk 002 8/2/2005 9:33 AM