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AI- 5902
17.E.
CC REGULAR
Meeting Date:
10/09/2007
Submitted For:
Roy Quintanilha
Submitted By:
Aida Alvarez, SAFETY/WORKERS' COMP. DIVISION
Department:
SAFETY DIVISION

Information

CAPTION

Safety Division:
1. Requesting  Approval for Valde Guerra  to sign the Policyholder Disclosure Notice of Terrorism Agreement Insurance Coverage form.
2.  Discussion and Approval to give Auditors the authority to process payment to Montalvo Insurance Agency for $1,273 for Property insurance for the Adult Probation Center at the new location.

BACKGROUND

A.  Form is needed for the insurance company records.

B.  Insurance Coverage is from May 9, 2007 - July 10, 2007 (acct. #7-1100-419-00-115-025-0-521)


Fiscal Impact

FISCAL YEAR:
2007
ACCT. #:
7-1100-419-00-115-025-0-521
FUNDS AVAILABLE Y/N?:
MATCHING FUNDS Y/N?:

BUDGETARY IMPACT:

Attachments

Form Review

Inbox Reviewed By Date
Budget and Management Dina Trevino 10/03/2007 05:29 PM
Purchasing / Internal msalazar 10/04/2007 12:49 PM
Auditor's Office 10/04/2007 04:32 PM
Form Started By:
aalvarez
Started On:
10/03/2007 02:59 PM
Final Approval Date:
10/04/2007