HomeMy WebLinkAbout172216 PINNACOL ASSURANCE - PURCHASE ORDER - 5506107Citv of Fort Collins
Page Number: 1
City of Fort Collins
Date: 09/12/05
Purchase Order Number: 5506107
-- - , -- - •• nuyer: ISUNNETTE, ED
r-urcnase vraer numoer must appear on invoices, packing lists, labels, bills of lading, and all correspondence.
note
Line Qty/Units Description Extended Price
1 1 lot 133,824.00
Workers Comp Premium
PER INVOICE #7595647, DATED 9/2/05.
$66,907 + $5 = $66,912 X 2 = $133,824.00
THIS PO COVERS TWO INVOICES; THIS ONE AND ANOTHER THAT
WILL COME LATER THIS YEAR.
Total $133,824.00
City of Fort C9lfmjl Director of Purchasing and Risk Management City of Fort Collins
This order is alid over $2000 unless signed by James B. O'Neill 11, 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