HomeMy WebLinkAbout113272 VISION SERVICE PLAN - PURCHASE ORDER - 5500380(=A61k
City of Fort Collins
Page Number: 1
City of Fort Collins
Date: 01 /12/05
BLANKET
Purchase Order Number: 5500380
uellvery uaze: u 11 141u;j 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 Oty/Units Description Extended Price
1 BLANKET PO FOR 2005 20,000.00
ESTIMATED ADMINISTRATIVE FEES
FOR GROUP VISION CARE PLAN
PLAN#12063997
FEE: $1.64 PER ELIGIBLE ENROLLEE PER MONTH
TERMS & CONDITIONS PER AGREEMENT# P902.
REPLACES 2004 BLANKET PO# 4400340.
City of Fort CgWinf Director of Purchasing and Risk Management
This order is ftjAialid 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: 970-221-6775 Fax: 970-221-6707 Email: info@ci.fort-collins.co.us
Total $20,000.00
City of Fort Collins
Accounting Department
PO Box 580
Fort Collins, CO 80522-0580