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AI- 52190
Purchasing Department   21.F.1.
CC - REGULAR
Meeting Date:
12/01/2015
Submitted By:
Yvette Islas, PURCHASING DEPT.
Department:
PURCHASING DEPT.

Information

CAPTION

Approval for HC to exercise the second (2nd) (of two (2) possible) one (1) year extensions as provided in RFP No. 2013-155-11-20-YSI Excess Workers Compensation Insurance with acceptance and approval of Premiums & Fee Schedule as submitted by and through Montalvo Insurance Agency as 2016 Coverage in the total amount of $194,640.00 effective January 01, 2016 through January 01, 2017 with authority for County Treasurer to issue payment(s)/check(s) after review, audit and processing procedures completed by County Auditor with the authority for Valde Guerra, HCCC’s Executive Officer to sign any applicable documentation.

BACKGROUND


Fiscal Impact

FISCAL YEAR:
ACCT. #:
6-2202-419-50-115-066-0-520
FUNDS AVAILABLE Y/N?:
MATCHING FUNDS Y/N?:

BUDGETARY IMPACT:


Attachments

Form Review

Inbox Reviewed By Date
Purchasing / Internal dbetancourt 11/20/2015 08:40 AM
Budget and Management Veronica Ortiz 11/20/2015 09:10 AM
Auditor's Office Monica Salinas 11/25/2015 03:08 PM
Form Started By:
yislas
Started On:
11/06/2015 02:42 PM
Final Approval Date:
11/25/2015