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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