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Department of Financial Services
Division of Risk Management
State Risk Management Trust Fund
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Coverage Request Forms (DI4-850)

EForm ID Agency Name Certificate No Signed Date Emailed
6044   DOE - UNIVERSITY OF FLORIDA/IFAS  1-491-05  1/17/2019 1:03:11 PM  True 
6043   DEPARTMENT OF EDUCATION  1-487-01  1/17/2019 10:19:42 AM  True 
6042   DEPARTMENT OF EDUCATION  1-490-12  1/16/2019 2:17:16 PM  True 
6041   DEPARTMENT OF EDUCATION  1-481-01  1/16/2019 2:13:06 PM  True 
6040   DEPARTMENT OF EDUCATION  1-487-01  1/16/2019 9:23:42 AM  True 
6039   DEPARTMENT OF EDUCATION  1-487-01  1/16/2019 9:14:27 AM  True 
6038   DEPARTMENT OF EDUCATION  1-487-01  1/16/2019 9:08:45 AM  True 
6037   DEPARTMENT OF EDUCATION  1-487-01  1/16/2019 9:07:30 AM  True 
6036   DEPARTMENT OF EDUCATION  1-487-01  1/16/2019 8:50:00 AM  True 
6035   DOC-HOLMES CI  1-700-40  1/8/2019 3:51:47 PM  True 
6034   DEP  1-370-06  1/8/2019 9:18:39 AM  True 
6033   Department of Environmental Protection  1-370-06  1/8/2019 8:58:10 AM  True 
6032   Department of Transportation  2-550-01  1/4/2019 8:06:26 AM  True 
6031   Florida Department of Transportation  2-550-01  12/28/2018 3:09:48 PM  True 
6030   Florida Department of Transportation  2-550-01  12/28/2018 3:00:18 PM  True 
6029   Florida Department of Transportation  2-550-01  12/28/2018 2:55:36 PM  True 
6028   Florida Department of Transportation  2-550-01  12/28/2018 2:52:29 PM  True 
6027   Florida Department of Transportation  2-550-01  12/28/2018 2:47:42 PM  True 
6026   Florida Department of Transportation  2-550-01  12/28/2018 2:44:03 PM  True 
6025   Florida Department of Transportation  2-550-01  12/28/2018 2:38:49 PM  True 
6024   Florida Department of Transportation  2-550-01  12/28/2018 2:35:31 PM  True 
6023   Florida Department of Transportation  2-550-01  12/28/2018 2:28:37 PM  True 
6022   Florida Department of Transportation  2-550-01  12/28/2018 2:24:12 PM  True 
6021   Florida Department of Transportation  2-550-01  12/28/2018 2:20:10 PM  True 
6020   Florida Department of Transportation  2-550-01  12/28/2018 2:16:12 PM  True 
6019   Florida Department of Transportation  2-550-01  12/27/2018 2:19:54 PM  True 
6018   Florida Department of Transportation  2-550-01  12/27/2018 2:16:56 PM  True 
6017   Florida Department of Transportation  2-550-01  12/27/2018 2:12:59 PM  True 
6016   Florida Department of Transportation  2-550-01  12/27/2018 2:09:34 PM  True 
6015   Florida Department of Transportation  2-550-01  12/27/2018 2:05:31 PM  True 
6014   Florida Department of Transportation  2-550-01  12/27/2018 2:00:15 PM  True 
6013   Florida Department of Transportation  2-550-01  12/27/2018 1:55:45 PM  True 
6012   Florida Department of Transportation  2-550-01  12/27/2018 1:51:36 PM  True 
6011   Florida Department of Transportation  2-550-01  12/27/2018 12:54:34 PM  True 
6010   DOC-SOUTH FLORIDA RECEPTION CENTER  1-700-10  12/27/2018 8:09:15 AM  True 
6009   Department of Enviornmental Protection  1-379-02  12/18/2018 3:11:17 PM  True 
6008   Department of Environmental Protection  1-379-02  12/18/2018 2:54:47 PM  True 
6007   DOE - UNIVERSITY OF FLORIDA/IFAS  1-491-05  12/17/2018 1:41:11 PM  True 
6006   DOE - UNIVERSITY OF FLORIDA/IFAS  1-491-05  12/17/2018 1:35:29 PM  True 
6005   DOE - UNIVERSITY OF FLORIDA/IFAS  1-491-05  12/17/2018 11:56:02 AM  True 
6004   DOE - UNIVERSITY OF FLORIDA/IFAS  1-491-05  12/17/2018 11:35:47 AM  True 
6003   Department of Transportation  2-550-01  12/13/2018 2:13:55 PM  True 
6002   Department of Transporation  2-550-01  12/12/2018 4:34:32 PM  True 
6001   Department of Health  1-140-01  12/11/2018 2:12:30 PM  True 
6000   DOE - UNIVERSITY OF FLORIDA/IFAS  1-491-05  12/11/2018 1:03:14 PM  True 
5999   State Attorney's Office 11th Judicial Circuit  1-215-11  12/11/2018 9:04:26 AM  True 
5998   DOC - HOMESTEAD CORRECTIONAL INSTITUTION  1-700-66  12/10/2018 9:29:01 AM  True 
5997   Division of Administrative Hearings  2-728-01  12/7/2018 1:59:45 PM  True 
5996   New College of Florida  1-501-01  12/6/2018 2:58:07 PM  True 
5995   DEPARTMENT OF TRANSPORTATION  2-550-01  11/19/2018 4:20:14 PM  True 
5994   DEPARTMENT OF TRANSPORTATION  2-550-01  11/19/2018 4:11:55 PM  True 
5993   Department of Transportation  2-550-01  11/19/2018 4:01:58 PM  True 
5992   DOC-Tomoka CI  1-700-31  11/19/2018 1:23:25 PM  True 
5991   Florida Department of Transportation  2-550-01  11/19/2018 12:54:42 PM  True 
5990   University of Florida  1-491-01  11/16/2018 10:03:44 AM  True 
5989   University of Florida  1-491-01  11/16/2018 10:01:19 AM  True 
5988   University of Florida  1-491-01  11/16/2018 9:58:20 AM  True 
5987   University of Florida  1-491-01  11/16/2018 9:54:45 AM  True 
5986   University of Florida  1-491-01  11/16/2018 9:52:32 AM  True 
5985   University of Florida  1-491-01  11/16/2018 9:48:56 AM  True 
5984   Florida Department of Transportation  2-550-01  11/14/2018 4:03:41 PM  True 
5983   Florida Department of Transportation  2-550-01  11/14/2018 3:53:35 PM  True 
5982   DOC-NW FLORIDA RECEPTION CENTER  1-700-57  11/14/2018 9:49:05 AM  True 
5981   DOC-NW FLORIDA RECEPTION CENTER  1-700-57  11/14/2018 9:39:40 AM  True 
5980   DOC-NW FLORIDA RECEPTION CENTER  1-700-57  11/14/2018 9:35:12 AM  True 
5979   DOC- Northwest Florida Reception Center  1-700-57  11/14/2018 9:26:43 AM  True 
5978   Florida Department of Transportation  2-550-01  11/2/2018 11:04:53 AM  True 
5977   Division of Administrative Hearings  2-728-01  10/31/2018 3:41:19 PM  True 
5976   DOE - UNIVERSITY OF FLORIDA/IFAS  1-491-05  10/31/2018 3:08:53 PM  True 
5975   Florida Department of Transportation  2-550-01  10/31/2018 1:00:16 PM  True 
5974   Florida Department of Transportation  2-550-01  10/31/2018 12:56:32 PM  True 
5973   Department of Transportation  2-550-01  10/31/2018 11:48:30 AM  True 
5972   Department of Transportation  2-550-01  10/31/2018 11:44:08 AM  True 
5971   Department of Transportation  2-550-01  10/31/2018 11:39:02 AM  True 
5970   Department of Transportation  2-550-01  10/31/2018 11:34:42 AM  True 
5969   Department of Transportation  2-550-01  10/31/2018 11:29:57 AM  True 
5968   Department of Transportation  2-550-01  10/30/2018 10:55:51 AM  True 
5967   Department of Highway Safey and Motor Vehicles  1-760-01  10/30/2018 10:34:47 AM  True 
5966   Department of Highway Safety and Motor Vehicles  1-760-01  10/30/2018 10:21:52 AM  True 
5965   Department of Highway Safety and Motor Vehicles  1-760-01  10/30/2018 10:06:14 AM  True 
5964   Florida Dept of Agriculture and Consumer Services  1-425-01  10/29/2018 11:31:05 AM  True 
5963   Florida StaterUniversity  1-492-08  10/29/2018 11:17:33 AM  True 
5962   Florida Department of Transportation  2-550-01  10/26/2018 10:53:23 AM  True 
5961   Florida Department of Transportation  2-550-01  10/26/2018 10:42:58 AM  True 
5960   Florida Department of Transportation  2-550-01  10/26/2018 9:49:11 AM  True 
5959   Florida Department of Transportation  2-550-01  10/26/2018 9:35:28 AM  True 
5958   Florida Department of Transportation  2-550-01  10/26/2018 9:29:02 AM  True 
5957   Florida Department of Transportation  2-550-01  10/26/2018 9:10:45 AM  True 
5956   Florida Department of Transportation  2-550-01  10/26/2018 8:42:35 AM  True 
5955   Florida Dept of Agriculture and Consumer Services  1-420-02  10/25/2018 2:08:50 PM  True 
5954   Florida Department of Transportation  2-550-01  10/24/2018 4:08:54 PM  True 
5953   Florida Department of Juvenile Justice  1-715-01  10/23/2018 3:57:18 PM  True 
5952   Florida Department of Juvenile Justice  1-715-01  10/23/2018 3:54:35 PM  True 
5951   Florida Department of Juvenile Justice  1-715-01  10/23/2018 3:51:24 PM  True 
5950   Florida Department of Juvenile Justice  1-715-01  10/23/2018 2:59:39 PM  True 
5949   Department of Juvenile Justice  1-715-01  10/23/2018 2:56:15 PM  True 
5948   Florida Department of Juvenile Justice  1-715-01  10/23/2018 2:53:22 PM  True 
5947   Department of Juvenile Justice  1-715-01  10/23/2018 2:48:08 PM  True 
5946   Department of Transportation  2-550-01  10/23/2018 10:39:06 AM  True 
5945   PRIDE Enterprises  2-700-24  10/22/2018 11:10:41 AM  True 
5944   Florida Dept of Agriculture and Consumer Services  1-434-01  10/22/2018 8:44:36 AM  True 
5943   Department of Highway Safety and Motor Vehicles  1-760-01  10/18/2018 2:00:41 PM  True 
5942   Florida A&M University  1-493-01  10/18/2018 10:35:36 AM  True 
5941   Department of Highway Safety and Motor Vehicles  1-760-01  10/17/2018 12:24:35 PM  True 
5940   Department of Highway Safety and Motor Vehicles  1-760-01  10/17/2018 9:13:59 AM  True 
5939   DOC-CALHOUN CI  1-700-39  10/17/2018 8:19:14 AM  True 
5938   DOC-CALHOUN  1-700-39  10/17/2018 8:15:08 AM  True 
5937   University of West Florida  1-497-01  10/16/2018 12:28:37 PM  True 
5936   University of West Florida  1-497-01  10/16/2018 12:18:19 PM  True 
5935   University of West Florida  1-497-01  10/16/2018 12:03:18 PM  True 
5934   Florida Department of Juvenile Justice  1-715-01  10/15/2018 3:41:42 PM  True 
5933   Department of Health  1-140-01  10/15/2018 9:45:54 AM  True 
5932   Florida Department of Veterans' Affairs  2-511-01  10/12/2018 9:52:35 AM  True 
5931   Florida Department of Veterans' Affairs  2-511-01  10/12/2018 9:35:39 AM  True 
5930   Florida Department of Transportation  2-550-01  10/8/2018 11:40:57 AM  True 
5929   Florida Department of Transportation  2-550-01  10/8/2018 10:43:12 AM  True 
5928   Department Of Transportation  2-550-01  10/8/2018 10:36:08 AM  True 
5927   Florida Department of Transportation  2-550-01  10/8/2018 10:34:38 AM  True 
5926   Florida Dept of Agriculture and Consumer Services  1-434-01  10/2/2018 9:34:10 AM  True 
5925   DEPARTMENT OF EDUCATION  1-481-01  9/27/2018 9:03:15 AM  True 
5924   Department of Health  1-140-01  9/26/2018 4:18:17 PM  True 
5923   Department of Health  1-140-01  9/26/2018 3:44:22 PM  True 
5922   Department of Transportation  2-550-01  9/25/2018 8:25:55 AM  True 
5921   Department of Highway Safety and Motor Vehicles  1-760-01  9/20/2018 11:19:53 AM  True 
5920   Department of Highway Safety and Motor Vehicles  1-760-01  9/20/2018 11:15:32 AM  True 
5919   DEPARTMENT OF EDUCATION  1-487-01  9/18/2018 2:22:11 PM  True 
5918   Florida State University  1-492-01  9/18/2018 7:11:34 AM  True 
5917   Florida Department of Transportation  2-550-01  9/17/2018 2:46:34 PM  True 
5916   Florida Department of Transportation  2-550-01  9/17/2018 2:41:37 PM  True 
5915   University of Florida  1-491-01  9/17/2018 10:57:42 AM  True 
5914   Florida Department of Transportation  2-550-01  9/13/2018 11:23:11 AM  True 
5913   Florida Department of Transportation  2-550-01  9/13/2018 11:16:39 AM  True 
5912   Florida Department of Transportation  2-550-01  9/13/2018 11:11:56 AM  True 
5911   Florida Department of Transportation  2-550-01  9/13/2018 11:04:12 AM  True 
5910   Florida Department of Transportation  2-550-01  9/13/2018 10:05:08 AM  True 
5909   DEPARTMENT OF CORRECTIONS-UNION CI  1-700-13  9/12/2018 3:07:42 PM  True 
5908   Florida Department of Transportation  2-550-01  9/12/2018 11:01:59 AM  True 
5907   DEPARTMENT OF CORRECTIONS-NEW RIVER CI  1-700-38  9/7/2018 4:25:43 PM  True 
5906   DEPARTMENT OF CORRECTIONS-NEW RIVER CI  1-700-38  9/7/2018 4:15:19 PM  True 
5905   DEPARTMENT OF CORRECTION-BAKER CI  1-700-29  9/7/2018 4:10:16 PM  True 
5904   Department of Health  1-140-01  9/6/2018 1:55:46 PM  True 
5903   Agency for Persons with Disabilities  1-830-04  9/5/2018 10:00:39 AM  True 
5902   DEPARTMENT OF EDUCATION  1-487-01  8/31/2018 11:45:55 AM  True 
5901   DEPARTMENT OF EDUCATION  1-490-12  8/31/2018 11:34:22 AM  True 
5900   Agency for Persons with Disabilities  1-830-04  8/29/2018 2:01:08 PM  True 
5899   Agency for Persons with Disabilities  1-830-04  8/29/2018 1:27:11 PM  True 
5898   Florida Department of Transportation  2-550-01  8/29/2018 11:18:22 AM  True 
5897   University of Central Florida  1-494-01  8/24/2018 5:06:19 PM  True