HomeMy WebLinkAbout378919 APS HEALTHCARE NORTHWEST - PURCHASE ORDER - 9950214Date: 1 /812009
Fort Collins
Page Number: 1
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Purchase Order Number: 9950214
Delivery Date: 1/7/2009 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
Blanket PO for 2009
Estimated Utilization Fees
for Employee Assistance Program (EAP) Services.
Rate: $2.30 per Employee per Month
Terms & Conditions per Services Agreement # P989
Replaces 2008 Blanket PO# 8800065
Total
This order is r1Qjhalid over $5000 unless signed by James B. O'Neill II, CPPO
City of Fort Collins Purchasing, PO Box 580, Fort Collins, CO 80522-0580
Phone: 970-221-6775 Fax: 970-221-6707 Email: purchasing@fcgov.coin
45,000.00
$45,000.00
City of Fort Collins
Accounting Department
PO Box 580
Fort Collins, CO 80522-0580