Travel Authorization & Expense Reporting Form
instructions: Prior to any travel, complete Part of this form to have travel and anticipated expenses approved. Submit a copy of this approved form with each payment expense submitted. Upon returning from travel, complete Part I/ of this form to confirm total expenses including any approved adjustments.
Submit form to Accounts Payable within 15 days of the travel end date. Always use the most up-to-date Travel Form located on the City's Intranet Employee Signature Immediate Supervisor Signature
Part | - Travel Authorization
Name: Edward Delgado Purpose of Trip: League of California Cities 2024 Annual Conference Out of State?
Job Title: Councilmember Destination: Long Beach, CA Long Beach Convention Cente Division: City Council Enter below the departing date and time then the retum date and time. Per diem travel days will automatically be calculated.
GL Org Set(s) % Split Departure Example:
1011512449:00 PM 1/2/18 7:30 AM
1010-10-01-10012 100% Split Total Equals Date & Time:
Return Example:
100% Date & Time: 1O/18/24 12:30 PM 1/2/185:30 PM
CAL-Card?
Expense Type Account # Description of Expenses Amount
if Yes
(620510) Cal Cities Registration Fee - Early Bird Г
Registration:
Lodging : (620510) Inn at 50
Mileage: (620510) Miles: 33.6 Rate: $0.67
Airfare: (620510)
*Per Diem: (620510) Long Beach, CA $86 Check box to decline Per Г Diem, whereby actua
Total Travel Days (Enter # of Days) >>> 4 receipts must be submitted *To receive per diem, travel must include an overnight stay Total Per Per diem on first and last day are to be calculated at 75% of daily per diem rate Diem: $268.75 Misc. Other: (620510) Г
Business Meals: (620510) Г
Division Manager Approval Date Total Anticipated Expenses: 81.694.76 x City Manager Approval (as required) Date
Department Head Approval Date
X
Part || - Expense Reporting (Please check the appropriate box below and provide details) No adjustments are necessary. Anticipated expenses match actual expenses incurred.
Advance payments exceeded the actual expenses incurred. Attached is my receipt as evidence of reimbursement to the City. (Explain below, use negative numbers O Actual expenses exceeded the anticipated original request. Additional funds are required as listed below.
Expense Details Expenditure Code CAL-Card?
VeL Org Set -1016-15-01-10012 T
I certify that this document is Employee Coal A Del
a true and accurate record of Signature:
Split Totals:
travel expenses for official
Date: ||/4
Division Manager Approval Date Final Total Expenses: $1,6447.76 × 11/5124 City Manager Approval (as required) Date
Depa artment Head Approval Date
× 11|5/24
Owner: Finance Version 4.0
712/2024
Per Diem Worksheet
Travel Destination: Long Beach, CA
(City, State)
Total Travel Days: 4
(# of Days)
Per Diem Rate: $86.00
(Daily M&IE Rate)
Breakdown
Travel Days Rate
First Day E Check if you began travel after 12:00PM (Noon) $32.25 Travel Days $172.00
Last Day • Check if you ended travel before $64.50
12:00PM (Noon)
Total Per Diem $268.75
Patrick Killion
From: [email protected]
Sent: Monday, June 24, 2024 2:29 PM
To: City Clerk; [email protected]
Subject: Booking confirmation for INN AT 50 LONG BEACH CONVENTION CENTER Jun 24, 2024 Follow Up Flag: Follow up
Flag Status: Flagged
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Confirmation Letter
Confirmation No # 0342ACN661
Phone 5624358369
LINN AT 50 LONG BEACH CONVENTION CENTER Email [email protected] 50 Atlantic Ave, Long Beach CA US - 90802 Website http://www.innat50.com Guest Details
Guest Name Ed Delgado Contact +19514133008
Stay Details
Check In Date Oct 16, 2024 Number Of Nights 2
Check Out Date Oct 18, 2024 Check In Time Oct 16, 2024
Guests 1
Room Type Details
Room Type 1 QUEEN BED NON SMOKING Max Occupancy 2
Description
Reservation Details
1 Estimated
Date Charge Nights Rate Estimated Estimated Estimated
Per Night
Range Type туре Rate Tax Total
Total
BEST
Oct 16, 2024 AVAILABLE $513.00 $83.52 $298.26 $596.52
- Oct 17, 2024 ROOM RENT 2
RATE
Reservation Summary
Type Amount
RR $596.52
other $0.00
Total $596.52
Min Amount To Collect $0.00
Cancellation Policy
You may cancel free of charge until 2 days before arrival. You will be charged the total price of the reservation if you cancel in the 2 days before arrival.
General Policy
Your reservation has been confirmed for the above-listed dates and is guaranteed for arrival by your CREDIT CARD. You may cancel free of charge until 2 days before arrival. You will be charged the total price of the reservation if you cancel in the 2 days before arrival.
In case of a no- show, By making a reservation with an accommodation provider, you accept and agree to the relevant cancellation and no-show policy of that accommodation provider, and to any additional (delivery) terms and conditions of the accommodation provider that may apply to your reservation or during your stay, including for services rendered and/or products offered by the accommodation provider (the delivery terms and conditions of an accommodation provider can be obtained with the relevant accommodation provider). The general cancellation and no-show policy of each accommodation provider is made available on our website on the accommodation information pages, during the reservation procedure and in the confirmation email. Late payment, wrong bank, debit or credit card details, invalid credit/debit cards or insufficient funds are for your own risk and account and you shall not be entitled to any refund of any (non-refundable) prepaid amount unless the accommodation agrees or allows otherwise 2 under its (pre)payment and cancellation policy. If you wish to review, adjust or cancel your reservation, please revert to the confirmation email and follow the instructions therein. Please note that you may be charged for your cancellation in accordance with the accommodation provider's cancellation, (pre)payment and no-show policy or not be entitled to any repayment of any (pre)paid amount. We recommend that you read the cancellation, (pre)payment and no-show policy of the accommodation provider carefully prior to making your reservation and remember to make further payments on time as may be required for the relevant reservation If you have any questions, please do not hesitate to call our hotel staff at (562)435-8369. Inn at 50, Long Beach Convention Center is Independently Owned.
3 Patrick Killion
From: no-reply <[email protected]>
Sent: Monday, June 24, 2024 2:21 PM
To: Patrick Killion
Cc: Edward A. Delgado - Council Member - District 2
Subject: Cal Cities Event Registration Confirmation
Follow Up Flag: Follow up
Flag Status: Flagged
Some people who received this message don't often get email from [email protected]. Learn why this is important Warning: External Email - Watch for Email Red Flags!
Thank you for registering for the League of California Cities 2024 Annual Conference and Expo, taking place October 16-18 at the Long Beach Convention Center, located at 300 E. Ocean Blvd., Long Beach, CA 90802.
All hotel blocks are currently sold out. Please join a waitlist and/or book a hotel on your own at the market We recommend frequently checking the portal as cancellations may open up rooms from time to time.
HOTEL RESERVATIONS PAGE
REFUND POLICY: Advance registrants unable to attend will receive a refund of the rate paid, minus a $75 processing charge, only when a written request is submitted to Megan Dunn, and received on or before Oct. 4. Refunds will not be available after this date. If you are unable to attend, you may substitute a colleague for your entire registration.
For help with existing hotel reservations: [email protected] OR (303) 481-8320 Name: Edward Delgado
Company: Moreno Valley
Title: Councilmember
Email: [email protected]
Registration: a) Early Bird Full Conference - Member City Officials & City Staff Session(s):
Amount Paid: $650.00
Long Beach Convention Center
1