HomeMy WebLinkAbout119514 ANTHEM LIFE INSURANCE - PURCHASE ORDER - 5500348Citv of Fort Collins
Page Number: 1
City of Fort Collins
Date: 01 /11 /05
BLANKET
Purchase Order Number:
5500348
Delivery Date: 01/11/05 Buyer: CAREY, D"ID
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 2005 180,000.00
ANTICIPATED EXPENSES
FOR VOLUNTARY GROUP LIFE AND AD&D PLANS
POLICY# 006518
TERMS & CONDITIONS PER CITY OF FORT COLLINS
AGREEMENT# P902
REPLACES 2004 BLANKET PO# 4400315
Total
$180,000.00
- -- - - - -- -a- - City of Fort Collins
This order is AQ1.4alid 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.fortcollins.co.us Fort Collins, CO 80522-0580