HomeMy WebLinkAboutbudgetary impact analysisBudgetary Impact Analysis
1. Department Risk Management Division
2. Agenda Item # (if available)
3. Title and brief description of legislation or attach ordinance/resolution:
Resolution authorizing the City Manager to execute a professional services agreement in the amount of
$20,000 with HRM to provide a claims audit of Cigna.
4. Is this item related to revenue? NO: X YES (If yes, skip to item # 7.)
5. Are there sufficient funds in Line Item?
YES: x Index Code 623301 Minor Obj. Code 657 Amount $20,000
NO: Complete the following questions:
6 . Source of funds: Amount budgeted in the Line Item $_1,810,836
Balance in Line Item $ 1,810,836
Amount needed in the Line Item $ 20,000
Sufficient funds will be transferred from the following line items:
ACTION
ACCOUNT NUMBER
ACCOUNT NAME
TOTAL
Index/Minor Object/Project No.
From
$
From
$
From
$
To
$
7, Any additional comments?
These dollars will be refunded to the City upon successful dollar recoupment by means of the Cigna
claims audit.
8. Approved by:
Department Director/Designee
9-1/ to
Date
FOR DEPARTMENT OF MANAGEMENT, ND BUDGET USE ONLY
Ve ' 4 by
I i
Verifi No+ /
pa M-
Transfer done by:
:�
a - . F .of �ri'T gel
+irecto r P esr ee
Date 2..9 a1
ent and Budget
B .:et Analyst Pe°`(
r.x,ask,
Date Z,/id/
Budget Analyst
Date
0