AI- 1587
17.B.
CC REGULAR
- Meeting Date:
- 12/19/2006
- Submitted By:
- Flora Vazquez, SAFETY/WORKERS' COMP. DIVISION
- Department:
- SAFETY DIVISION
Information
CAPTION
Safety Division:
1. Approval to accept Subrogation Check in the amount of $14,560.88 from Cambridge Integrated Services Group, Inc. for Workers' Comp. Claim #4119602.
2. Approval to accept Subrogation Check in the amount of $746.60 from Farmers/Mid-Century Ins. Company of TX for Workers' Comp. Claim #4115825.
1. Approval to accept Subrogation Check in the amount of $14,560.88 from Cambridge Integrated Services Group, Inc. for Workers' Comp. Claim #4119602.
2. Approval to accept Subrogation Check in the amount of $746.60 from Farmers/Mid-Century Ins. Company of TX for Workers' Comp. Claim #4115825.
BACKGROUND
Fiscal Impact
- FISCAL YEAR:
- ACCT. #:
- 6-2202-360-00-000-000-0-000
- FUNDS AVAILABLE Y/N?:
- MATCHING FUNDS Y/N?:
BUDGETARY IMPACT:
Revenue for Workers' Comp- FISCAL YEAR:
- ACCT. #:
- 6-2202-360-00-000-000-0-000
- FUNDS AVAILABLE Y/N?:
- MATCHING FUNDS Y/N?:
BUDGETARY IMPACT:
Revenue for Workers' CompAttachments
Form Review
| Inbox | Reviewed By | Date |
|---|---|---|
| Budget and Management | Dina Trevino | 12/12/2006 01:10 PM |
| Purchasing / Internal | msalazar | 12/12/2006 02:52 PM |
| Auditor's Office | lfong | 12/15/2006 01:23 PM |
| Court Administrator | Monica Salinas | 12/22/2006 04:17 PM |
- Form Started By:
- fvazquez
- Started On:
- 12/12/2006 10:30 AM
- Final Approval Date:
- 12/22/2006