HomeMy WebLinkAbout131159 CONCENTRA MEDICAL CENTERS - PURCHASE ORDER - 8857273Date: 12/4/2008
Fort Collins
Page Number: 1
Purchase Order Number: 8857273
Delivery Date: 12/312008 Buyer: CAREY, DAVID
Purchase Order number must appear on invoices, packing lists, labels, bills of lading, and all correspondence.
Note
Line Qty/Units Description Extended Price
Reasonable Suspicion Training
Dates of training: January 21, 2009
Per Letter of Confirmation dated 12/02/08.
Total
1,200.00
$1,200.00
City of Fort G inDirector of Purchasing and Risk Management City of Fort Collins
This order is n alid over $5000 unless signed by James B. O'Neill ll, CPPO 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: purchasing@fcgov.com Fort Collins, CO 80522-0580
Concentra,
health solutions
Dear: Kara Smith/ City of Ft.Collins
This letter shall serve as confirmation that Concentra Health Services, Inc. ("Concentra") will
provide the services listed below at your specified work site on the specified date.
Services to be provided: Drug and Alcohol Awareness for Supervisor Training. Two sessions
scheduled at $600 per class. Kathleen McCarthy will be teaching each session.
*** Please note: The minimum compensation is 90% of the estimated number of employees,
plus the hourly on -site fee. You will receive a lump sum bill with a sign -in sheet attached for all
services rendered.
1. Compensation. Client shall pay Concentra in accordance with the fee schedule set forth
above. Concentra shall invoice Client and Client shall remit payment to Concentra within thirty
(30) days of receipt of invoice. Any payment that is not made by Client within thirty (30) days of
receipt of Concentra's invoice shall bear interest at the rate at one and one-half percent (1.5%)
per month, or, if lesser, the maximum rate permitted by applicable law.
2. Cancellation. 72-hour notice is required for cancellation of the Services. Failure to provide the
required cancellation notice will result in billing for the entire amount of the fee for services.
3. Videotaping Reproduction. Client may not photograph, videotape, or engage in any other
form of reproduction of the Services, without the prior written approval of Concentra.
Specified Client Worksite Location: 215 N. Mason 2rtl Floor Ft.Collins, CO 80521
Date and Time of Service: January 21 ",2009 9am-11:30
April 6,2009 9am-11:30am
Billing Address:
AGREED by the parties:
Client: City/¢f Ft.Collind /l Concentra Health Services, Inc.
Name
Date
Christina Mascarenas
At Work Administrator COWT
Date December 2,2008
Please review, fill in billing information, sign, and date at least 48 hours before the scheduled
service. If you have any questions, please contact me at (303)-524-2158. Please return the
completed confirmation letter to my attention via fax at (303)561-3722. Thank you for choosing
Concentra At Work for your onsite needs.
Insert C(DW Admininstrator address and phone here