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AI- 47418
Purchasing Department   15.I.2.
CC - REGULAR
Meeting Date:
11/18/2014
Submitted For:
S. Cruz, HC-Budget Officer
Submitted By:
Yvette Islas, PURCHASING DEPT.
Department:
PURCHASING DEPT.

Information

CAPTION

Approval for HC to exercise the first (1st) (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 2015 Coverage in the total amount of $188,143.00 effective January 01, 2015 through January 01, 2016 with authority for County Treasurer to issue payment(s)/check(s) after review, audit and processing procedures conducted by County Auditor with the authority for Valde Guerra, HC Executive Officer to sign any applicable documentation.

BACKGROUND


Fiscal Impact

FISCAL YEAR:
ACCT. #:
5-2202-419-50-115-066-0-524
FUNDS AVAILABLE Y/N?:
MATCHING FUNDS Y/N?:

BUDGETARY IMPACT:


Attachments

Form Review

Inbox Reviewed By Date
Purchasing / Internal msalazar 11/14/2014 02:02 PM
Budget and Management Veronica Ortiz 11/14/2014 02:08 PM
Auditor's Office Monica Salinas 11/14/2014 05:21 PM
Form Started By:
yislas
Started On:
11/14/2014 10:16 AM
Final Approval Date:
11/14/2014