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DEPARTMENT OF RISK MANAGEMENT
INSURANCE/SAFETY APPROVAL FORM
Name
Jose Matas
Department
Parks & Recreation
Review
Status
Commercial General Liability
Auto Liability:
Workers Comp:
Liquor Liability:
Builder Risk:
Professional Liability:
Garage Keepers Liability:
Excess Liability:
1
Crime Coverage
Pollution:
APPROVAL STAT
xx APPROVED
Frank Gomez
Insurance Coordinator
Patrice Rey
Safety/ADA Coordinator
Description
Summer Food Service Program Agreement
Tracking #
Date:
3/27/2006
Financial
Ratings Strength REQUIREMENTS:
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
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:
Indemnification in accordance and subject to section 768.28 FS.
Risk 002 3/27/2006 2:27 PM