HomeMy WebLinkAbout172216 PINNACOL ASSURANCE - PURCHASE ORDER - 3300888 (2)d�
City of Fort Collins
Page Number: 1 of 1
City of Fort Collins
Date: 03/07/03
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Purchase Order Number:
3300888
Delivery Date: 02/06/03 Buyer: BONNETTE, ED
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 GOODS AND/OR
SERVICES, AS NEEDED DURING THE CURRENT CALENDAR YEAR.
DOLLAR AMOUNTS SPECIFIED ARE ESTIMATES AND NOT A PROMISE
TO PURCHASE ANY MINIMUM AMOUNT OF SUCH GOODS AND/OR SERVICES.
Line Qty/Units Description Extended Price
4 PO ADDENDUM AUDIT PREMIUM ADJUSTMENT 20,822.00
(REQ #16114)
5 PO ADDENDUM DEDUCTIBLE 1,120.22
(REQ #16114)
City of Fort Cqr1nf Director of Purchasing and Risk Management
This order is rtQtkalid over $2000 unless signed by James B. O'Neill II, CPPO, FNIGP
City of Fort Collins Purchasing, PO Box 580, Fort Collins, CO 80522-0580
Phone: 970-221-6776 Fax:970-221-6707 Email: info@ci.fort-collins.co.us
Total 21,942.22
City of Fort Collins
Accounting Department
PO Box 580
Fort Collins, CO 80522-0580