HomeMy WebLinkAbout378919 APS HEALTHCARE NORTHWEST - PURCHASE ORDER - 8800065�IIII I III Illfl 01' �
Ctty of Fort Collins
Page Number 1
Vendor 378919
City of Fort Collins
APS HEALTHCARE NORTHWEST
PO BOX 890901
CHARLOTTE NC 28,289.0901
Date 01/03/08
BLANKET
Purchase Order Number
Ship To
HUMAN RESOURCES
CITY OF FORT COLLINS
215 N MASON, 2ND`FLOOR
FORT COLLINS,CO 80524-4408
Delivery Date 01/03/OB Byer CAREY, DAVID
Purchase Order number must appear on invoices, packing lists, labels„ 6111s of lading, and all correspondence
Note //
Line Qty/Units / Description Extended Price
1 Blanket PO for 2008 40,000 00
Estimated utilization fees
THIS PURCHASE ORDER IS FOR THFz PROCUREMENT OF GOODS AND/OR
SERVICES, AS NEEDED DURING T,H/E CURRENT CALENDAR YEAR
DOLLAR AMOUNTSSPECIFIED ARE ESTIMATES AND NOT A PROMISE TO
PURCHASE ANY MINIMUM AMOUNT OF SUCH GOODS AND/OR SERVICES
for Employee Assistance Prm (EAP) Services
Rate $2 30 per Emplc/reez'Kerrmllonth
Terms & Conditions pervices Agreement # P989
Replaces 2007 Blanket PO# 7700294
Total $40,000 00
tarty of Fort (;crinl Director of Purchasing and Risk Management City of Fort Collins
This order is r alid over $2000 unless signed by James B O'Neill II, CPPO, FNIGP Accounting Department
City of Fort Collins Purchasing, PCI Box 580, Fort Collins, CO 80522-0580 PO Box 580
Fort Collins, CO 80522-0580