HomeMy WebLinkAbout459015 STATES SELF INSURERS RISK RETENTION - PURCHASE ORDER - 9953047Fort Collins
Page Number: 1
Date: 5/18/2009
Purchase Order Number: 9953047
Delivery Date: 5/15/2009 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
1 Liability Insurance 65,815.00
Policy SEL 3017500 OIL
2 Liability Insurance 9,261.00
Policy SEL 3017500 Police Liab
3 Liability Insurance 14,386.00
Policy SEL 3017500 Pub Off
4 Liability Insurance 75,902.00
Policy SEL 3017500 Auto
Total $165,364.00
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City of Fort C m Director of Purchasing and Risk Management City of Fort Collins
This order is n alid over $5000 unless signed by James B. O'Neill II, 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