HomeMy WebLinkAbout378919 APS HEALTHCARE NORTHWEST - PURCHASE ORDER - 6600756I&
City of Fort Collins
Page Number: 1
City of Fort Collins
Date: 01131 /06
BLANKET
Purchase Order Number: 6600756
Delivery Date: 01/31/06 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 2006 60,000.00
ESTIMATED UTILIZATION FEES
FOR EMPLOYEE ASSISTANCE PROGRAM (EAP) SERVICES.
RATE: $2.235 PER EMPLOYEE PER MONTH
TERMS & CONDITIONS PER SERVICES AGREEMENT # P-989
City of port Cqff Iny Director of Purchasing and Risk Management
This order is rIQjhalid 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.fortcollins.co.us
Total $60,000.00
City of Fort Collins
Accounting Department
PO Box 580
Fort Collins, CO 80522-0580