HomeMy WebLinkAbout374454 ARTHUR J GALLAGHER RISK MGT SERVICES - PURCHASE ORDER - 9952729 (5)Fort Collins
Page Number: 1
Date: 5/5/2009
Purchase Order Number: 9952729
Delivery Date: 5/4/2009 Buyer: O AIEILL,JAMES
Purchase Order number must appear on invoices, packing lists, labels, bills of I iing, and all correspondence.
Note:
Line
Qty/Units
Description
//
Extended Price
1
Insurance
/
14,997.00
PO)iEyy #1031153 5/1/09-12
Crime
2
Insurance
�/
77,540.00
Policy #EWC005901 5/1/09-10
Midwest Employers Casualty
1
Workers Compensation
i f
3
Insurance
i
13,448.00
Policy #9259262 5/1/09-10
Zurich Insruance Cc
Boiler & Machinery
4
Insurance
6,495.00
Policy #105235351 5/1/09-10
Travelerslnsurance"Co
Executive - Fiduciary Liability
5
Insurance
1,951.00
Policy #REN ERFA1114749
Date: 5/5/2009
Fort Collins
Page Number: 2
Purchase Order Number: 9952729
Delivery Date: 5/4/2009 Buyer: O'NEILL,JAMES
Purchase Order number must appear on invoices, packing lists, labels, bills of lading, and all correspondence.
Note:
Line Qty/Units Description Extended Price
AXA Art Insurance Corp
Inland Marine
Total
This order is r1olhalid over $5000 unless signed by James B. O'Neill 11, 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.com
$114,431.00
City of Fort Collins
Accounting Department
PO Box 580
Fort Collins, CO 80522-0580