HomeMy WebLinkAbout121892 HORIZON HEALTH - PURCHASE ORDER - 5500381( 0"
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City of Fort Collins
Page Number: 1
City of Fort Collins
Date: 01/12/05
BLANKET
Purchase Order Number: 5500381
""""'y wa`c. -.1 Buyer: CAREY, DAVID
Purchase Order number must appear on invoices, packing lists, labels, bills of lading, and all correspondence.
note: i his VUKL;HASE 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 66,000.00
ESTIMATED UTILIZATION FEES
FOR EMPLOYEE ASSISTANCE PROGRAM (EAP) SERVICES. RATE: $3.40 PER EMPLOYEE PER MONTH
REPLACES 2004 BLANKET PO# 4400324
TERMS & CONDITIONS PER CITY AGREEMENT# P740 AND
EAP SERVICES AGREEMENT DATED 1/1/02.
Total $66,000.00
City of Fort C11-irif Director of Purchasing and Risk Management
This order is rtqlhalid over $2000 unless signed by James B. O'Neill II, CPPO, FNIGP City of Fort Collins
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