HomeMy WebLinkAboutSafety Approval FormDEPARTMENT OF RISK MANAGEMENT
INSURANCE/SAFETY APPROVAL FORM
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Julia Martin
]epartment
:ire
Review
status
General Liability:
Auto Liability:
Norkers Comp:
Liquor Liability:
Builder Risk:
Professional Liability:
Garage Keepers Liability:
.
t
Excess Liability:
Crime Coverage
%
.
Pollution:
!
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i
I
APPROVAL STATUS
Frank Gomez
Insurance Coordinator
Patrice Nova!
Safety/ADA Coordinator
Description
Agreement with Viilage of Key Biscaybe for Ancillary Fire Services
Tracking # Date:
4/20/2004
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:
City of Key Biscayne is self insured in accordance to FS 768.28. Indemnification clause in place.
Risk003 4/20/2004
3:48 PM