HomeMy WebLinkAboutInsurance Safety Approval FormDEPARTMENT OF RISK MANAGEMENT
INSURANCE/SAFETY APPROVAL FORM
Name
Gesette Guerra
Department
CD
Review
Status
Commercial General Liability
Colony Ins. Co.
Hired and Non Owned Autos
Colony Ins. Co.
Workers Comp:
Aequicap
OCP
Essex Ins.
Builder Risk:
Zurich
Professional Liability:
Garage Keepers Liability:
Excess Liability:
Crime Coverage
Pollution:
Description
Allapattah Business Development Authority, Inc.
Tracking #
Date:
9/29/2006
Financial
Ratings Strength REQUIREMENTS:
A
VIII
A
VIII
B+
A
XII
A
XV
X)(
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
P&C Coordinator
Patrice Rey
Safety Manager
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:
Homeownership New Construction loan in the amount of $500,000. Certificate of Insurance
from General Contractor in file. Certificates provide coverage for CGL, Any Auto, Excess, WC. Payment
and Performance Bond also in file including City as an obligee.
No exposure for schedule or owned vehicles by agency.
Risk 002 9/29/2006 3:07 PM