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AI- 62559
Purchasing Department   15.B.2.
CC - REGULAR
Executive Office
Meeting Date:
11/21/2017
Submitted For:
Marty Salazar
Submitted By:
Yvette Salinas, PURCHASING DEPT.
Department:
PURCHASING DEPT.

Information

CAPTION

Requesting approval of extension [as provided under the original] to purchase the insurance coverage and/or services for Excess Workers Compensation Insurance in the amount of $205,199.00 as described in the renewal offer ubmitted by and through Montalvo Insurance Agency.

BACKGROUND


Fiscal Impact

CALENDAR YEAR:
ACCT. #:
8-2202-419-50-115-066-0-520
FUNDS AVAILABLE Y/N?:
MATCHING FUNDS Y/N?:

BUDGETARY IMPACT:

Attachments

Form Review

Inbox Reviewed By Date
Purchasing / Internal msalazar 11/16/2017 04:21 PM
Budget and Management Veronica Ortiz 11/16/2017 04:26 PM
Final Approval Monica Salinas 11/17/2017 02:51 PM
Form Started By:
yislas
Started On:
11/14/2017 10:24 AM
Final Approval Date:
11/17/2017