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AI- 7178
13.C.
CC REGULAR
Meeting Date:
01/02/2008
Submitted For:
Roy Quintanilha
Submitted By:
Aida Alvarez, SAFETY DIVISION
Department:
SAFETY DIVISION

CAPTION

Safety Division:
1. Requesting approval to accept settlement check from Fred Loya Insurance Agency in the  amount of $2,724.88 for an auto accident with County vehicle. (Elections Dept.)

2. Requesting approval to accept settlement check from Allstate Insurance Agency in the amount of $288.50 for an auto accident with County vehicle. (Health Dept.)

BACKGROUND

Date of Accident 04/25/07 (Elections Dept.)
Date of Accident 10/15/07 (Health Dept.)

Acct #: 7-1100-360-00-000-005-0-000

Fiscal Impact

FISCAL YEAR:
2007
ACCT. #:
7-1100-360-00-000-005-0-000
FUNDS AVAILABLE Y/N?:
MATCHING FUNDS Y/N?:

BUDGETARY IMPACT:

Settlement in the amount of $2,724.88 & $288.50 respectively.

Attachments

No file(s) attached.

Form Review

Inbox Reviewed By Date
Budget and Management Dina Trevino 12/19/2007 10:07 AM
Auditor's Office lfong 12/26/2007 05:30 PM
Purchasing / Internal msalazar 12/26/2007 07:33 PM
Court Administrator Monica Salinas 12/27/2007 12:22 PM
Form Started By:
aalvarez
Started On:
12/19/2007 09:29 AM
Final Approval Date:
12/27/2007