AI- 59774
Purchasing Department 20.G.2.
CC - REGULAR
- Meeting Date:
- 05/16/2017
- Submitted For:
- Marty Salazar
- Submitted By:
- Marty Salazar, PURCHASING DEPT.
- Department:
- PURCHASING DEPT.
Information
CAPTION
Request by Hidalgo County Health & Human Services Dept. to complete a Provider Agreement /Product Participation and Signature Sheet with acceptance and approval by Commissioners Court with authority to have the document executed and subject to legal review and no obligation of compliance with form 1295.
BACKGROUND
Fiscal Impact
- CALENDAR YEAR:
- ACCT. #:
- FUNDS AVAILABLE Y/N?:
- MATCHING FUNDS Y/N?:
BUDGETARY IMPACT:
The fiscal impact of this Agreement is to have HCDHHS to get reimbursements on administering vaccines to eligible County participants.Attachments
Form Review
| Inbox | Reviewed By | Date |
|---|---|---|
| Purchasing / Internal | msalazar | 05/12/2017 02:56 PM |
| Budget and Management | Veronica Ortiz | 05/12/2017 02:59 PM |
| Final Approval | Monica Salinas | 05/12/2017 05:46 PM |
- Form Started By:
- msalazar
- Started On:
- 05/09/2017 05:17 PM
- Final Approval Date:
- 05/12/2017