HomeMy WebLinkAbout172216 PINNACOL ASSURANCE - PURCHASE ORDER - 7701669Date: 03/09/07
City of Fort Collins
City of Fort Collins
Page Number: 1
Purchase Order Number: 7701669
"-^•-'y tsuyer: BONNETTE, ED
Purchase Order number must appear on invoices, packing lists, labels, bills of lading, and all correspondence.
Note:
Line Qty/Units Description Extended Price
1 1 lot 240,204.00
Workers' Compensation
PER POLICY #51045; PREMIUM FOR 1/1/07-1/1/08.
POLICY DEDUCTIBLE IS $1,000.00.
PER INVOICE #8381048, DATED 3/2/07.
Total $240,204.00
City of Fort C in Director of Purchasing and Risk Management
This order is alid over $2000 unless signed by James B. O'Neill II, CPPO, FNIGP City of Fort Collins
Accounting Department
City of Fort Collins Purchasing, PO Box 580, Fort Collins, CO 80522-0580 PO Box 580
Fort Collins, CO 80522-0580