HomeMy WebLinkAbout119514 ANTHEM LIFE - PURCHASE ORDER - 8800018r iSd4411mN'
City of Fort Collins
Page Number 1
Vendor 119514
City of Fort Collins
ANTHEM LIFE INSURANCE CO
DEPT L-8111
COLUMBUS OH 43268.8111
Date 01/03/08
Purchase Order Number 8800018
Ship To
HUMAN RESOI
CITY OF FORT
215 N MASON„
FORT COLLIN9
{OLLINS
ND FLOOR
CO 80524-4408
Delivery Date 01/03/08 Buyer CAREY, DAVID
Purchase Order number must appear on invoices, packing lists, labels, bills of lading, and all correspondence
Note THIS PURCHASE ORDER IS FOR THE PROCUREMENT OF GOOFS
AND/OR SERVICES, AS NEEDED, DURING THE CURRENT CALENDAR
YEAR DOLLAR AMOUNTS SPECIFIED ARE ESTIMATES AN
D/PI�OT A
PROMISE TO PURCHASE ANY MINIMUM AMOUNT OF SUCH GOODS
AND/OR SERVICES
Line Qty/Units / Description Extended Price
1 Blanket PO for 2008
for Voluntary Group Life Insurance and ADM
Per Policy # C0001-006518
Terms and Conditions per Agreemen �#� 902
Replaces 2007 Blanket PO# 7700) 96
Anticipated Expenses
Plans
Total
18b,000 00
$185,000 00
City of Fort C in Director of Purchasing and Risk Management City of Fort Collins
This order is alid over $2000 unless signed by James B O'Neill II, CPPO, FNIGP Accounting Department
City of Fort Collins Purchasing, PO Box 580, Fort Collins, CO 80522-0580 PO Box 580
Fort Collins, CO 80522-0580