RFP #22-070
Atta
chment “C”
ATTACHMENT “C”
REQUEST FOR PROPOSAL #22-070
Workers’ Compensation Claims Adjusting Services
CONFLICT D
ISCLOSURE FORM
None. None. None.
AdminSure Inc., Alithia Vargas-Flores
President
June 2, 2022
RFP #22-070
Atta
chment “C”
ATTACHMENT “C”
REQUEST FOR PROPOSAL #22-070
Workers’ Compensation Claims Adjusting Services
CONFLICT D
ISCLOSURE FORM
None. None. None.
AdminSure Inc., Alithia Vargas-Flores
President
June 2, 2022