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FEB-18-2003 08 ~ 30 "''?1I SK MGMT . 41 J Jb..S 4bb~F r . e, i ~ e~ i <br />COUNTY OF SAN MA7E0 <br />HEALTH SERVICES ADMINISTRATION <br />,~;,~ORANDUM <br />TD: Priscilla Morse, Risk Management, San Mateo County <br />PONY# EPS163 Fax: 363-486~G <br />DATE: <br />FROM: Toby Douglas, Management Analyst, Health Services Administration <br />PONY # HLT312 Fax: 573-2116 <br />SUBJECT: Contract Insurance Approval <br />CONTRACTOR:- City of Redwood City, Redwood City 2020 Program <br />DOES THE CONTRACTQR__T__RAVEL AS A PART OF THE CONTRA~Z' SERVICES: No <br />PERCENT OF THE TIME: -0- <br />tit trnRER OF EMPLOYEES: <br />DUTIES (SpECIFICI :Contractor Is a program run by the city of Redwood City that <br />will provide health insurance outreach, enrollment and retention activities to reach <br />San Matev County children and families who are eligible for but not enrolled in health <br />coverage. <br />COVERAGE: <br />Comprehensive General Liability: <br />Motor Vehicle Liability: <br />Professional Liability: <br />Worker's Compensation: <br />APPROVE ~ WAIVE <br />.REMARKS/COMMENTS: <br />~ Vl~w;l.C~ <br />$ ~- <br />J <br />Q; ~~7L i <br />MODIFY <br />GNATURE <br />TOTAL P.01 <br />FEB 18 2003 08 52 415 363 4864 PAGE.01 <br />