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AI- 67694
Purchasing Department   25.B.1.
CC - REGULAR
Executive Office
Meeting Date:
11/20/2018
Submitted For:
Marty Salazar
Submitted By:
Darlene Betancourt, PURCHASING DEPT.
Department:
PURCHASING DEPT.

Information

CAPTION

Requesting approval of an extension to purchase the insurance coverage and/or services for Excess Workers Compensation Insurance in the amount of $216,655.00 as described in the renewal offer through Montalvo Insurance Agency.

BACKGROUND


Fiscal Impact

CALENDAR YEAR:
2019
ACCT. #:
9-2202-419-50-115-066-0-520
FUNDS AVAILABLE Y/N?:
Y
MATCHING FUNDS Y/N?:
Y

BUDGETARY IMPACT:

9-2202-419-50-115-066-0-520

Attachments

Form Review

Inbox Reviewed By Date
Purchasing / Internal msalazar 11/16/2018 04:28 PM
Budget and Management Veronica Ortiz 11/16/2018 04:31 PM
Final Approval Monica Salinas 11/16/2018 05:18 PM
Form Started By:
dbetancourt
Started On:
11/15/2018 02:45 PM
Final Approval Date:
11/16/2018