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AI- 4880
17.B.
CC REGULAR
Meeting Date:
08/07/2007
Submitted For:
Roy Quintanilha
Submitted By:
Aida Alvarez, SAFETY/WORKERS' COMP. DIVISION
Department:
SAFETY DIVISION

Information

CAPTION

Safety Division:
Requesting approval for Valde Guerra to sign the Storage Tank Liability Coverage Application form with authoritzation for County Auditor to issue payment in the amount of $3,135.76 to Montalvo Insurance Agency.

BACKGROUND

Coverage is from August 2007 thru August 2008.


Fiscal Impact

FISCAL YEAR:
ACCT. #:
7-1100-419-00-115-025-0-524
FUNDS AVAILABLE Y/N?:
Y
MATCHING FUNDS Y/N?:

BUDGETARY IMPACT:

Available balance is $50,421.38 as of 8/1/07.

Attachments

No file(s) attached.

Form Review

Inbox Reviewed By Date
Budget and Management Dina Trevino 08/01/2007 08:46 AM
Purchasing / Internal msalazar 08/01/2007 12:23 PM
Auditor's Office 08/03/2007 04:57 PM
Form Started By:
aalvarez
Started On:
07/31/2007 03:14 PM
Final Approval Date:
08/03/2007