HomeMy WebLinkAbout282969 GREAT WEST LIFE ANNUITY - PURCHASE ORDER - 4400379i I" V : kk
City of Fort Collins
Page Number: 1
City of Fort Collins
Date: 01/12/04
BLANKET
Purchase Order Number:
4400379
Delivery Date: IusvU4 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 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
1 BLANKET PO FOR 2004 550,000.00
EST. EXPENSES-ASO FEES
for both POS/PPO Medical Insurance Benefit Plans.
Terms & Conditions per Agreement # P-832.
Replaces 2003 Blanket PO# 3300698.
Total $550,000.00
City of Fort CqrInj Director of Purchasing and Risk Management City of Fort Collins
This order is rtQthalid 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
Phone: 970-221.6775 Fax: 970-221-6707 Email: info@ci.fort-collins.co.us Fort Collins, CO 80522-0580