|
Title:
|
Consideration of renewal of annual policy premiums for Commercial Property, Wind and Flood Policies from GIA Insurance submitted by Legal Services Manager
|
Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 9/10/2025
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Professional Services
5) Department Contact: Veronica Van Horn
6) Description: Insurance renewals for property, wind, and flood policies
7) PEID No:
8) Req No:
9) Orgkey: 6130-151431
10) Object Code: 5491000
11) Vendor: GIA
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: Self Insurance
14) Fund #: 6130
15) Current Year Budgeted: $2,725,000.00
16) Current Year Projected: $2,494,300.99
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 11/1/2025
23) Auto Renewal Contract: No
24) Bid No: B222021
25) Contract End Date: 11/1/2026
26) Contract # Issued by Purchasing Department: CM21601
NOTES: CM21601 - Approved CC Oct 17, 2022 Item 65 (MF) This is the fourth extension.