HomeMy WebLinkAboutRFP - 7049 EMPLOYEE ASSISTANCE PROGRAMF6rt Collins
ADDENDUM No. 1
SPECIFICATIONS AND CONTRACT DOCUMENTS
Description of RFP: 7049 Employee Assistance Program
OPENING DATE: 2:00 P.M. (Our Clock) July 31, 2009
Financial Services
Purchasing Division
216 N. Mason St. 2nd Floor
PO Box 580
Fort Collins, CO 80522
970.221.6775
970.221.6707
fcgov. com/purchasing
To all prospective bidders under the specifications and contract documents described
above, the following changes are hereby made.
Questions and Answers:
1. Why are you going out to bid?
City is looking into different provider options with intent of awarding to highest
rated firm based on the RFP process.
City is required to re -bid agreements after a maximum of five years or in some
cases, but will exercise its option to go through the process sooner.
Major issues with current provider are with account representative and level of
customer service.
2. Who is the City's current EAP provider and how long have they been providing
services?
APS Healthcare since January 1, 2006.
3. Please indicate if the scope of the proposed EAP services is the same as
the current EAP service contract?
Same.
4. Please indicate what additional or lesser services are included in the
current solicitation?
Question #15 in the RFP document would be the only difference — no elder or
child care referral.
CITY OF FORT COLLINS
Participant/Case Status
Reactivated : Reactivated Cases are cases in which a client is served again for the same problem.
Reopened : Reopened Cases are cases in which a previously served client receives service for a new problem.
30.4%
Current Quarter
32.0%
YTD
68.0%
69.6%
New Re Open
Relationship to Employee
a
O
00
h
New Re Open
Child Dependent Employee Spouse/Significant Other
■
Current Quarter YTD
MAYS HEALTHCARE EAP Utilization Report 01/01/2008 to 06/30/2008
Healthy Together
CITY OF FORT COLLINS
Gender
Current Quarter
62.5%
Female Female
a 111
Male Male
0 ❑
Unconfirmed Unconfirmed
Information Source
Information Source: Describes how the client knew/learned about services.
0
F
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n Cl)
0
0
o rn
o r.
O
61
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c c m a E
J !n W
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■ Current Quarter M YTD
acs
59.2%
4 t § HEALTHCARE EAP Utilization Report 01/01/2008 to 06/30/2008
Healthy Together
CITY OF FORT COLLINS
Referral Sources
Referral Sources: Describes how the client was guided/directed to services.
Family Initiated Medical Department Other Self
M Current Quarter (] YTD
Addictions Detail
Alcohol Drug/Prescription
0
fM
0170PS HEALTHCARE EAP Utilization Report 01/01/2008 to 06/30/2008
Healthy Together
CITY OF FORT COLLINS
Relationship Detail
Family Marital Parent/Child Relationship
Occupational Detail
Work Load
APS HEALTHCARE EAP Utilization Report 01/01/2008 to 06/30/2008
Healthy Together
CITY OF FORT COLLINS
Emotional Wellbeing Detail
Adjustment Anger Management Grief/Loss Mental Health Stress
Concern
Work Life Detail
io
Financial Legal
e AYS HEALTHCARE EAP Utilization Report 01/01/2008 to 06/30/2008
Healthy Together
CITY OF FORT COLLINS
Legal and Financial Program Activity
Legal and Financial Program Activity: Includes consultation and referral for financial and non -employer related legal
concerns.
1st Qtr
2nd:Qtr
3rd Qtr
4th Qtr
YTD
Financial
0
2
2
Budget Help
0
1
1
Credit Counseling
0
1
1
Legal
10
14
24
Bankruptcy
1
2
3
Criminal Law - Arrests
0
1
1
Criminal Law - Traffic Law
1
0
1
Elder Law - Probate & Estates
0
2
2
Elder Law - Trusts
0
1
1
Family Law - Child Support
1
0
1
Family Law - Divorce/Separation
1
2
3
General Legal
2
3
5
Real Estate
2
3
5
Wills/Trusts
2
0
2
Years of Service
This category is employee specific.
< 01 Year 01 - 04 Years 05 - 14 Years 15 - 24 Years 25+ Years
® Current Quarter 0 YTD I
MAYS HEALTHCARE EAP Utilization Report 01/01/2008 to 06/30/2008
Healthy Togerher
CITY OF FORT COLLINS
Employment Status
This category is employee specific.
Full Time Part Time Seasonal Unconfirmed
Job Classification
This category is employee specific.
® Current Quarter ® YTD
0
o
o
M `OM
o e o
M e Co
°O ri co Co
N
0
0
Np.
°D o v
0NOMORMON
c
a'\o Co 0�\0
N N N
>
a m
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7/
U
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>
N
N
W
U
H
0
n
O
O
y
o
a
U
aZi
® Current Quarter
® YTD
U
U
H
0
N
co
e AYSHEALTHCARE EAP Utilization Report 01/01/2008 to 06/30/2008
Healthy Together
CITY OF FORT COLLINS
Impact on Job Performance
Impact on Job: This category is employee specific. Refers to employee's perception of the degree of impact the
presenting issue has on overall job performance.
Significant -no job jeopardy Moderate Minimal None
® Current Quarter ® YTD
Additional Resources
During this reporting period, the following resources for additional assistance were recommended to our clients. It is important
to note that an individual may receive one or more resources.
Category
Count;
YTD .
1st Qtr
2nd Qt�
3rd'Qtr
4th Qtr
Community Resource
1
0
1
Disposition of Cases
The Disposition of Cases represents the number of closed cases during the reporting period.
Category
Nu' mbet of Cases
YTD "/o of Cases
Qtr 1
Q64
Qtr 3
Qtr 4
EAP
27
9
81.8%
OP
7
1
18.2%
Utilization by State
Category .
Count
Y.D w
Qtr 1
Qtr:2
Qtr.3
Qtr'4
Colorado
47
56
103
MAYS HEALTHCARE EAP Utilization Report 01/01/2008 to 06/30/2008
Healthy Together
CITY OF FORT COLLINS
Union Affiliation
This category is employee specific.
1
0
Declined Member Non -Member
® Current Quarter IN YTD I
APSHEALTHCARE EAP Utilization Report 01/01/2008 to 06/30/2008
Healthy Together
EAP Utilization Report — 2nd Quarter 2007
5. How many supervisor or employee EAP training sessions were provided last
year?
None.
6. How many crisis intervention debriefing sessions occurred in the past two
years?
Did not receive year end report from current provider.
Information is as of June 2008:
(1) Worksite critical incident
(3) Management Consultations
7. What is the EAP employee utilization rate currently and the rate for the
past two years?
Current is unknown — last report received was June 2008
June 2008 = individual program utilization = 14.8%
June 2007 = individual program utilization = 12.6%
8. What is the current Per Employee per Month rate for the City's EAP benefit?
Has there been a rate guarantee? If yes, for how long and indicate any rate
increases throughout the contract term.
Rate guaranteed for first two years then 4% increase or CPI, whichever is less.
2006 & 2007: $2.235 PEPM
2008: $2.30 PEPM
2009: $2.39 PEPM
9. Are you self insured? If so, does it make sense for us to issue a supplemental
bid for our Managed Mental/Behavioral Health Care Services for self insured
organizations?
City is self -insured
No, other Managed Mental/Behavioral Health Care Services are provided
through medical insurance provider.
10. Can you provide statistics on Mental Behavioral / Substance Abuse claims that
went beyond the EAP?
Not available.
11. Have you been satisfied with the current providers plan and pricing?
Yes
12. If not, what specifically would you like to see improved?
See response to question #1.
CITY OF FORT COLLINS
Individual Utilization Percentage
The Individual Utilization Percentage includes individuals presenting for an initial face-to-face or telephonic
counseling session during the reporting period. There were 47 cases recorded in this period. This number
of cases is divided by the number of employees enrolled in the EAP. For quarterly reports, the result is
multiplied by four to produce an annualized rate. The year-to-date utilization rate is calculated by
averaging the quarterly rates. The annualized utilization rate for your organization is based on 1393
employees.
1 st Quarter
2nd Quarter
3rd Quarter '
4th Quarter
2007 YTD
Employee Count:
1393
1393
0
0
1393
Number of Cases
41
47
0
0
88
Individual Utilization
11.8%
13.5%
0.0%
0.0%
12.6%
Overall Program Utilization
The Overall Program Utilization percentage includes the total number of people served during the reporting
period. Refer to Overall Program Utilization Detail Table for description of services.
1st Quarter
2nd Quarter
3rd Quarter
4th Quarter
'2007 YTD
Employee Count
1393
1393
0
0
1393
Total :;.
251
228
0
0
479
Overall Utilization
72.1 %
65.5%
0.0%
0.0%
68.8%
Overall Program Utilization Detail
This chart indicates the total number of
services or contacts provided during this
reporting period. Please note that a person
may be receiving multiple services. Also,
whenever applicable, the service number is
used in the calculation of Benefit/Wellness
Fairs.
Category
Service
People
Served
Face -to -Face Sessions
174
210
Legal Services
14
14
Telephonic Sessions
4
4
192
228
4AX S EAP Utilization Report , 04/01/2007 to 06/30/2007 KYLE AGRE
Eirlilurc
CITY OF FORT COLLINS
Participant/Case Status
Reactivated : Reactivated Cases are cases in which a client is seen again for the same problem.
Reopened : Reopened Cases are cases in which a client seen previously receives service for a new problem.
Current Quarter
68.2%
70.2%
Relationship to Employee
YTD
Current Quarter YTD
77.3%
83.0%
8.5%
4.3% 4.3%L� 0.0%
91 Child ® Dependent ❑ Employee
El Other ❑ Spouse/Significant
Other
9.1%
10.2%
3.4%L-1
0.0%
IN
Child ® Dependent
❑ Employee
❑
Other ❑ Spouse/Significant
Other
F1nrWiEAP Utilization Report . 04/01/2007 to 06/30/2007 KYLE AGRE
ure
CITY OF FORT COLLINS
Gender
53.2%
Current Quarter
46.8%
0.0%
® Female lM Male ❑ Unconfirmed
Referral Source
Current Quarter
95.7%
4.3%
0.0% 0.0% 0.0% 0.0% 0 0.0% 0.0% 0.0%
® DOT Mandatory 99 Employer Formal ❑ Employer Informal
❑ Employer ❑ Family Initiated ❑ Human Resources
Mandatory
Medical Department ❑ Other ■ Self
54.5%
YTD
45.5%
0.0%
Igill Female 3 Male ❑ Unconfirmed
YTD
90.9%
9.1 %
0.0% 0.0% 0.0% 0.0% =0.0% 0.0% 0.0% 1
DOT Mandatory ® Employer Formal ❑ Employer Informal
Cl Employer ❑ Family Initiated ❑ Human Resources
Mandatory
p Medical Department ❑ Other ■ Self
EPS ie;'EAP Utilization Report , 04/01/2007 to 06/30/2007
lihurc
KYLE AGRE
CITY OF FORT COLLINS
Primary Assessed Problem at Intake
_..
Category
Count
YTD
1st Qrtr
2nd Qrtr
3rd Qrtr
4th.Qrt
Academic Concerns
0
0
0
0
0
Adjustment
1
4
0
0
5
Adu,lt/Elder Abuse
0
0
0
0
0
Adult/Elder Care
0
0
0
0
0
Alcohol
1
0
0
0
1
Anger Management
0
1
0
0
1
Anxiety
4
3
0
0
7
Career Development/Planning
0
1
0
0
1 1
Child Abuse
0
0
0
0
0
Childcare
0
0
0
0
0
Compulsive Disorder
0
0
0
0
0
Conflict with Co-worker
1
0
0
0
1
Conflict with Supervisor
0
0
0
0
0
Daily Living/Convenience
0
0
0
0
1 0
Depression
1
5
0
0
6
Disability/Physical
0
0
0
0
0
Domestic Violence
0
1
0
0
1
Drug/Illegal
0
0
0
0
0
Drug/Prescription
0
0
0
0
0
Eating Disorder
0
0
0
0
0
Family
2
5
0
0
7
Financial
1
0
0
0
1
Gambling
0
0
0
0
0
General Work Issues
1
0
0
0
1
Grief/Loss
1
1
0
0
2
Hyperactivity
0
0
0
0
0
Legal
10
14
0
0
24
Management Concern
1
0
0
0
1
Marital
4
2
0
0
6
Mental Health Concern
3
0
0
0
3
Natural Disaster
0
0
0
0
0
Nicotine
0
0
0
0
0
Parent/Child
3
1
0
0
4
Physical Environment
0
0
0
0
0
Physical Health
0
0
0
0
0
Poly -Drug Abuse
0
0
0
0
0
Program Inquiry
0
0
0
0
0
Relationship
3
7
0
0
10
Sexual Harassment
0
0
0
0
0
Stress
3
2
0
0
5
Suicide
1
0
0 1
0
1
Violence/Other
0
0
0
0
0
Violence/Workplace
0
0
0
0
0
Work Load
0
0
0
0
0
0S EAP Utilization Report . 04/01/2007 to 06/30/2007 KYLE AGRE
Eleuh6- rc
CITY OF FORT COLLINS
Years of Service
This category is employee specific.
Current Quarter
36.4% 36.4%
18.2%
9.1
0.0% 0.0%
® ® ❑ ❑
< 01 Year 01 - 04 Years 05 - 14 Years 15 - 24
❑ ® Years
25+ Years Undisclosed
Employment Status
This category is employee specific.
Current Quarter
71.4%
10.7%
0.0%
am
35.3%
29.4%
17.6% 17.6%
0.0% 0.0%
< 01 Year 01 - 04 Years 05 - 14 Years 15 - 24
❑ 0 Years
25+ Years Undisclosed
10.7% 0 8.3%
7.1 /o
0.0% E M0.0% 0.0% 0.0%
72.9%
10.4% 8.3%
0.0% E ❑ 0.0% 0.0%
®
Contract ® Declined
❑ Full Time
® Contract
® Declined ❑ Full Time
Laid Off ❑ Not Applicable
0 Part Time
❑ Laid Off
❑ Not Applicable ® Part Time
®
Retiree ® Seasonal
® Retiree
® Seasonal
EAP Utilization Report
. 04/01 /2007 to 06/30/2007
KYLE AGRE
Fkaddiuie
Union Affiliation
This category is employee specific.
41.0%
CITY OF FORT COLLINS
Current Quarter
59.0%
0.0%
0.0%
® Declined IN Member ❑ Non -Member
❑ Undisclosed
Job Classification
This category is employee specific.
Current Quarter
37.0%
25.9%
7.4%
7.4%
3.7%3.7%3.7%
3.7%3.7%3.7%
0.0%
171 ❑ , f,
0.0%
® Executive ® Faculty/Academician ❑ Labor
❑ Mid -Manager ❑ Office Clerical 10 Operatives
® Professional Sales Service Workers
0 Skilled Labor ® Technical Unconfirmed
YTD
41.2%
57.4%
1.5% I 0.0%
® Declined ® Member ❑ Non -Member
❑ Undisclosed
YTD
38.3%
8.5%
6.4% 6.4%6.4%6.4%
2 1 % 2.1 % U 2.1
0.0% E E a M 0.0%
® Executive ® Faculty/Academician ❑ Labor
Ej Mid -Manager ❑ Office Clerical 0 Operatives
Professional Sales Service Workers
❑ Skilled Labor ® Technical Unconfirmed
21.3%
EAP Utilization Report . 04/01/2007 to 06/30/2007 KYLE AGRE
l�Fl�„
CITY OF FORT COLLINS
Impact on Job Performance
This category is employee specific.
Current Quarter
50.0%
21.4%
0.0% 0.0%
F-MS
Deolin•d ® Minim•1 ❑ M.... ❑ None ❑ NotAppli bla
ipnifiunt-job M, Sgnlf nt-m job
i••p.tdv jaop•by
QED
47.9%
16.7%
10.4%
8.3%
16.7%
0.0% 0.0%
® D•Gin•d m Minimal ❑ MW.— ❑ None ❑ Not Applicable
O Sgnif nt-job ® Sipnfunt-rro job
jmpatdv i•op•rdy
APFk,hhS EAP Utilization Report . 04/01/2007 to 06/30/2007 KYLE AGRE
uc
CITY OF FORT COLLINS
Management Consultation
This category is employee specific.
°
Category �
a r Count a a t h
1st Qrtr 2nd:Qrtr Ird `Qrtr Qrtr
r p
YTD
Abnormal Behavior
0
0
0
0
0
Absenteeism
0
0
0
0
0
Alcohol and Drug DOT
0
0
0
0
0
Alcohol and Drug Non -DC
0
0
0
0
0
Behavioral Concern
0
0
0
0
0
Co-worker Relationship
0
0
0
0
0
Conflict of Interest
0
0
0
0
0
Disability/Medical Leave
0
0
0
0
0
DOT
0
0
0
0
0
Ethical Issues
0
0
0
0
0
Fitness for Duty
0
0
0
0
0
General Work Issues
0
0
0
0
0
Interpersonal
0
0
0
0
0
Misconduct
0
0
0
0
0
Others
0
0
0
0
0
Performance
0
0
0
0
0
Performance Issues
0
0
0
0
0
Positive Drug Screen
0
0
0
0
0
Productivity Issues
0
0
0
0
0
Professional Conduct
0
0
0
0
0
Safety Issues
0
0
0
0
0
Supervisor Relationship
0
0
0
0
0
Tardiness
0
0
0
0
0
Threat of Violence
0
0
0
0
0
Undisclosed
0
0
0
0
0
Unpaid Leave
0
0
0
0
0
Unresolved
0
0
0
0
0
Workplace Safety
0
0
0
0
0
jjj ►7 EAP Utilization Report . 04/01/2007 to 06/30/2007 KYLE AGRE
urc
CITY OF FORT COLLINS
Additional Resources
Our additional services are designed to provide your employee and their family members with access to
information that will assist with daily living concerns. It is important to note that one individual can receive one
or more than one service. During this quarter we were also able to recommend the following resources for
additional assistance to our customers.
Category„z :"
Count
YTD
1 st Qrtr
2nd Qrtr,
3rd Qrtr
4th, Qrtr
Adult/Eldercare
0
0
0
0
0
Behavioral Health Insurance
0
0
0
0
0
Child/Family
0
0
0
0
0
Community Resource
0
0
0
0
0
Concierge (Full Service)
0
0
0
0
0
Convenience/Daily Living
0
0
0
0
0
Crisis Response
0
0
0
0
0
Education
0
0
0
0
0
Employer Services
0
0
0
0
0
Financial
0
0
0
0
0
Health/Wellness
0
0
0
0
0
Helplink
0
0
0
0
0
Legal
0
0
0
0
0
Medical
0
0
0
0
0
SAP
0
0
0
0
0
Self -pay Referral
0
0
0
0
0
WebAssist
0
0
0
0
0
A�S EAP Utilization Report . 04/01/2007 to 06/30/2007 KYLE AGRE
EktiJihurc
CITY OF FORT COLLINS
Disposition of Cases
The Disposition of Case represents the number of closed cases during the reporting period.
Category
Number of Cases
YTD % of Cases .
1'st Qrtr
2nd Qrtr ., ,
3rd Qrtr
4th Qrtr
EAP
20
2
0
0
62.86%
IOP
0
0
0
0
0.00%
I P
0
0
0
0
0.00%
Medical/PCP
1
0
0
0
2.86%
OP
0
0
0
0
0.00%
Other
0
0
0
0
0.00%
Outpatient Mental Health 1
11
1
0
1 0
34.29%
Utilization by State
n ,
,Number of{Ca`ses'
'
State
MA/6 of Case
1 st Qrtr
2nd Qrtr
3rd Qrtr
4th Qrtr
UNKNOWN
41
47
0
0
100.00%
XC`i EAP Utilization Report . 04/01/2007 to 06/30/2007 KYLE AGRE
13. What is the primary reason the EAP is out to bid?
Major issues.are with account representative and level of customer service.
14. What are the 3 most important points in your decision making criteria? (i.e.
pricing, network, access, etc..)
Evaluation criteria per RFP document.
15. How many responses are you expecting?
Do not know.
16. The section regarding references says "top ranked firm" Does this mean
you'll be asking for references from finalists only?
No. Means City will only check references of firm selected before proceeding with
award.
17. How many finalists do you anticipate selected?
Depends on total scores per written proposal evaluations.
18. Please provide copies of the City's utilization reports for 2007 and 2008.
Did not receive year end report from current provider.
See attached file for 2008 Utilization Report (thru 06/30/08).
See attached file for 2007 Utilization Report (thru 06/30/07).
19. Who is the City's health insurance provider?
Great-West/C I G NA.
20. Does the City's current EAP contract include onsite training services (wellness
seminars, orientation, supervisor training, drug & alcohol training, health fair
participation)? If yes, how many hours are included?
PEPM rate includes 1-8 sessions per incident model, internet access, 12
wellness and education seminars, and web -based and enhanced child and
eldercare services.
See current provider services agreement available at City website:
http://citvdocs.fcgov.com/?scope=doctvpe&dn=Purchasinq&dt=CONTRACT&vid
=10&a=P989&cmd=search
21. How many Critical Incident Stress Debriefings/onsite crisis counseling
services are included in the City's current contract?
May be used as part of the 12 hours of wellness and education seminars
included in PEPM rate or at fee of $200 per hour per staff person.
CITY OF FORT COLLINS
Information Source
Information source describes how the client became aware of our services.
Category
Number of Cases
YTD % of
Cases
1st Qrtr
2nd Qrtr
3rd Qrtr
4th Qrtr
Agent/Broker
0
0
0
0
0.00%
APS HelpLink to Provider
0
0
0
0
0.00%
APSHelpLink to APS (800 line)
0
0
0
0
0.00%
CISD
0
0
0
0
0.00%
Disability Vendor
0
0
0
0
0.00%
EAP/Contract Provider
4
1
0
0
5.68%
Family/Friend
9
6
0
0
17.05%
Human Resources
6
5
0
0
12.50%
Insurance Carrier
0
0
0
0
0.00%
Internal EAP
0
0
0
0
0.00%
Internet
0
0
0
0
0.00%
Intranet
0
0
0
0
0.00%
Literature
12
26
0
0
43.18%
Manager/Supervisor
0
1
0
0
1.14%
Medical
0
0
0
0
0.00%
Occupational Health
0
0
0
0
0.00%
Orientation Session Training
0
0
0
0
0.00%
Other Employee
0
1
0
0
1.14%
Poster
0
0
0
0
0.00%
Previously Seen
10
7
0
0
19.32%
Undisclosed
0
0
0
0
0.00%
Union Representative
0
0
0
0
0.00%
Wellness/Benefit Fair
0
0
1 0
1 0
0.00%
Wellness/Topical Training
0
0
0
0
0.00%
Work/Life Vendor
0
0
0
0
0.00%
S EAP Utilization Report . 04/01/2007 to 06/30/2007 KYLE AGRE
E4euh6cue
EAP Census 07/02/09
EE#
Postal Code_.,
Sex
Birth Date
Emp Age,
Benefit Group
_Pay St Date Started
Medical Plan
. Service Area
Department
1
80526
M
12/5/1958
50
SD
0
3/4/1994
MED-A-EEF
Internal Services
Management Information Service
2
80524
M
6/30/1976
33
TP
0
4/1/2008
Waived
Community Services
Parks
3
80526
M
5/5/1959
50
CL
0
1/4/1999
MED-B-EE
Community Services
Transfort / Dial -a -Ride
4
80525
F
6/6/1945
64
LDP
0
2/27/1990
MED-APT-EE
Library District
Library District
5
80538
M
7/23/1952
56
CL
0
6/19/1989
MED-B-EES
Community Services
Neighborhood & Building
6
80525
M
2/13/1954
55
CL
0
11/17/1986
MED-B-EEF
Community Services
Recreation
7
80526
M
8/31/1968
40
PS
0
1/11/1999
MED-B-EEF
Police Services
Patrol
8
80535
M
3/13/1953
56
CL
0
8/19/1985
MED-B-EES
Community Services
Parks
9
80525
M
12/10/1949
59
CL
0
12/27/1971
Waived
Utility Services
Ut Standards Engineering Div
10
80524
M
2/24/1951
58
CL
0
10/4/1993
MED-B-EE
Utility Services
Electric Field Services
11
80521
M
11/17/1952
56
UM
0
4/6/1987
MED-B-EE
Utility Services
Ut Wtr Reclama & Biosolids Div
12
80527
M
9/1/1946
62
CL
0
2/18/2002
MED-A-EE
Community Services
Transfort / Dial -a -Ride
13
80524
F
9/24/1947
61
CL
0
4/13/1987
MED-B-EES
Utility Services
Utility Finance & Budget
14
80526
M
7/24/1968
40
PF
0
.3/2/1998
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
15
80526
M
1/27/1956
53
CL
0
10/10/1983
MED-B-EES
Community Services
Parks
16
80521
M
8/26/1953
55
CL
0
5/22/1978
MED-B-EE
Community Services
Parks
17
80512
F
5/12/1956
53
CL
0
9/12/1979
MED-B-EEC
Community Services
Neighborhood & Building
18
80521
M
7/21/1958
50
CL
0
1/13/1986
MED-B-EE
Community Services
Parks
19
80526
M
3/20/1948
61
CL
0
2/9/1976
MED-B-EE
Community Services
Advance Planning
20
80526
M
3/9/1954
55
UM
0
11/3/1986
MED-B-EE
Utility Services
Ut Elec System Design & IT Div
21
80650
M
9/27/1961
47
PS
0
3/23/1987
MED-A-EEC
Police Services
Patrol
22
80528
M
2/26/1961
48
PS
0
3/6/1989
MED-B-EEF
Police Services
Patrol
23
80512
M
1/15/1942
67
PS
0
2/5/1982
MED-B-EE
Police Services
Investigations
24
80525
F
6/26/1945
64
CL
0
8/14/1995
MED-B-EE
internal Services
Operations Services
25
80550
M
12/26/1956
52
CL
0
9/21/1987
MED-A-EES
Utility Services
Ut Wtr Reclama & Biosolids Div
26
80525
M
3/15/1947
62
CL
0
6/1/1998
MED-B-EE
Utility Services
Ut Elec System Design & IT Div
27
80524
M
5/1/1952
57
CL
0
12/16/1977
MED-A-EES
Utility Services
Ut Elec System Design & IT Div
28
80524
M
9/17/1957
. 51
PF
0
2/5/1986
MED-A-EES
Poudre Fire Authority
Poudre Fire Authority
29
80550
F
10/5/1968
40
CL
0
9/11/1995
MED-B-EEF
Community Services
Neighborhood & Building
30
80525
F
7/11/1959
50
PF
0
9/18/1989
MED-A-EES
Poudre Fire Authority
Poudre Fire Authority
31
80526
M
6/10/1955
54
PS
0
2/1/1978
MED-B-EEF
Police Services
Patrol
32
80538
M
12/23/1960
48
CL
0
7/6/1992
MED-B-EEF
Community Services
Transfort / Dial -a -Ride
33
80528
F,
4/25/1962
47
CL
0
3/18/1996
Waived
ELJS
City Attorney
34
80521
M
8/16/1950
58
SD
0
2/8/1999
MED-A-EES
Utility Services
Utilities Management
35
80526
F
12/31/1957
51
CL
0
12/5/1994
MED-A-EEF
ELJS
City Attorney
36
80549
M
6/14/1974
35
CL
0
7/28/1997
MED-B-EE
Community Services
Parks
37
80537
M
4/26/1969
40
PS
0
1/11/1999
MED-A-EEF
Police Services
Patrol
38
80525
F
1/25/1957
52
EXC
0
7/11/1983
MED-A-EEC
ELJS
Municipal Court
39
80521
M
12/18/1952
56
CL
0
1/16/1984
MED-A-EEF
Utility Services
Utility Cust. & Emp. Relations
40
80524
F
3/30/1958
51
CL
0
3/19/2001
MED-B-EE
Community Services
Parks
41
80521
M
5/26/1974
35
MPO
Z
3/13/2006
MED-A-EES
Metropolitan Planning Org
Metropolitan Planning Org
42
80528
F
9/18/1959
49
LD
0
6/1/1993
MED-A-EES
Library District
Library District
43
80521
M
11/2/1944
64
CL
0
7/6/1992
MED-A-EES
Community Services
Transfort / Dial -a -Ride
44
80535
M
11/12/1951
57
CL
0
4/21/1997
MED-A-EE
Utility Services
Ut Wtr Reclama & Biosolids Div
E #
• Postal Code
Sex
Birth Date,
:,Emp°Age - Benefit Grou P St Date Started
. Medical Plan
Service Area-
;Department
45
80524
M
10/4/1949
59
CL
0
5/18/1998
MED-A-EES
Utility Services
Ut Environmental Services Div
46
80537
M
6/10/1955
54
CL
0
6/24/1985
MED-B-EE
Utility Services
Ut Wtr Reclama & Biosolids Div
47
80526
M
3/13/1951
58
PS
0
2/25/1980
MED-B-EEF
Police Services
Investigations
48
80525
M
2/19/1966
43
CL
0
5/20/1996
MED-A-EE
Utility Services
Ut Standards Engineering Div,
49
80526
F
11/8/1953
55
PS
0
2/10/1986
MED-B-EE
Police Services
Patrol
50
80524
F
5/21/1943
66
CL
0
6/1/1987
MED-B-EE
Utility Services
Ut Environmental Services Div
51
80524
F
2/15/1954
55
CL
0
4/3/2000
MED-A-EEF
Utility Services
Ut Water Resources Div
52
80525
F
1/3/1962
47
CL
0
1/22/1991
MED-B-EE
Utility Services
Ut Environmental Services Div
53
80526
F
9/7/1951
57
LD
0
3/18/2002
MED-A-EES
Library District
Library District
54
80538
F
9/24/1955
53
CL
0
10/14/1994
MED-B-EEC
Community Services
Advance Planning
55
80520
F
8/29/1946
62
LD
0
6/30/1987
MED-B-EES
Library District
Library District
56
80526
F
1/17/1967
42
CL
0
1/24/2000
MED-A-EEC
Community Services
Cultural Services
57
80535
M
6/7/1957
52
CL
0
9/18/2000
MED-B-EEF
Community Services
Transfort / Dial -a -Ride
58
80549
M
9/28/1965
43
PF
0
3/2/1998
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
59
80549
M
8/6/1944
64
CSO
0
5/2/1988
MED-B-EES
Police Services
Patrol
60
80537
F
11/9/1957
51
CL
0
7/27/1998
MED-B-EES
Community Services
Natural Resources
61
80521
M
6/22/1956
53
CL
0
2/8/1999
MED-B-EEF
Utility Services
Ut Water Systems Engr Div
62
80512
M
4/10/1945
64
CL
0
4/22/1996
MED-B-EES
Community Services
Transfort / Dial -a -Ride
63
80521
M
4/20/1974
35
CN
0
5/21/2007
MED-B-EE
Internal Services
Operations Services
64
80550
M
9/11/1960
48
PF
0
3/26/1990
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
65
80525
M
6/21/1951
58
CL
0
7/24/1978
MED-B-EE
Utility Services
Ut Wtr Reclama & Biosolids Div
66
80521
M
9/12/1959
49
CL
0
11/30/1987
MED-B-EEF
Utility Services
Ut Wtr Reclama & Biosolids Div
67
80525
M
8/20/1962
46
PS
0
1/23/1995
Waived
Police Services
Investigations
68
80521
M
10/8/1968
40
CL
0
2/21/2000
MED-A-EEF
Utility Services
Ut Water Resources Div
69
80526
M
10/8/1947
61
PT
0
3/24/1986
MED-BPT-EEC
Community Services
Natural Resources
70
80526
M
8/14/1951
57
PS
9
10/16/1989
MED-B-EE
Police Services
Office of the Chief
71
80521
M
6/9/1967
42
CL
0
1/1/2000
MED-B-EEF
Utility Services
Ut Standards Engineering Div
72
80401
M
9/2/1972
36
PF
0
5/26/1998
MED-A-EEF
Poudre Fire Authority
Poudre Fire Authority
73
80524
F
10/22/1969
39
PS
0
8/4/1997
MED-A-EEC
Police Services
Police Information Services
74
80526
M
4/19/1957
52
PS
0
1/12/2009
MED-A-EES
Police Services
Police Information Services
75
80528
F
3/11/1958
51
CL
0
1/13/1988
MED-B-EE
Police Services
Police Information Services
76
80524
M
2/14/1959
50
CL
0
11/2/1998
MED-A-EEC
Community Services
Traffic
77
80528
M
3/11/1973
36
PS
0
8/17/1998
MED-B-EEF
Police Services
Patrol
78
80525
F
12/29/1946
62
CL
0
7/8/1998
MED-B-EE
Community Services
Parking
79
80526
M
2/13/1961
48
CL
0
5/9/1994
MED-B-EEF
Utility Services
Ut Water Systems Engr Div
80
80525
M
10/8/1943
65
PF
0
1/16/1978
MED-B-EES
Poudre Fire Authority
Poudre Fire Authority
81
80524
F
10/7/1958
50
CL
0
2/5/1990
MED-B-EES
Utility Services
Utility Finance & Budget
82
80521
F
5/8/1952
57
LD
0
3/5/1990
MED-B-EES
Library District
Library District
83
80524
M
12/24/1941
67
CL
0
3/9/1998
MED-B-EES
Police Services
Office of the Chief
84
80537
M
2/21/1946
63
CL
0
2/3/1982
MED-A-EEF
Utility Services
Ut Elec System Design & IT Div
85
80525
M
2/13/1958
51
CL
0
5/28/1990
MED-B-EES
Utility Services
Ut Water Production Div
86
80524
F
11/7/1956
52
LDP
0
12/1/1997
MED-BPT-EE
Library District
Library District
87
80524
M
1/20/1952
57
CL
0
3/20/1978
MED-B-EE
Utility Services
Ut Mr Reclama & Biosolids Div
88
80525
M
5/23/1953
56
PS
0
1/11/1988
MED-B-EES
Police Services
Patrol
EEt Postal Code
Sex •
.Birth Date .
Emp,Age .
_Benefit Group
Pay St Date Started
Medical Plan
Service Area
Department
89
80547
F
6/13/1958
51
CL
0
5/24/1990
MED-B-EEF
Community Services
Cultural Services
90
80526
F
8/14/1955
53
UM
0
3/16/1983
MED-B-EE
ELJS
City Manager
91
34942
F
9/8/1964
44
CL
9
5/3/1993
MED-A-EES
Police Services
Investigations
92
80526
M
8/16/1961
47
CL
0
1/14/1985
MED-B-EEF
Community Services
Parks
93
80524
M
11/3/1944
64
CL
0
3/26/1990
MED-A-EES
Community Services
Current Planning
94
80521
F
7/19/1960
48
CL
0
8/4/2003
MED-B-EE
Community Services
Natural Resources
95
80526
F
3/25/1940
69
LDP
0
3/9/1998
MED-BPT-EE
Library District
Library District
96
80525
M
6/4/1954
55
CL
0
3/15/1993
MED-B-EES
Utility Services
Ut Collection System Div
97
80525
M
6/3/1954
55
PS
0
3/26/1979
MED-B-EEF
Police Services
Patrol
98
80526
F
9/13/1967
41
CL
0
7/1/1996
MED-B-EEF
Community Services
Natural Resources
99
80528
F
11/14/1972
36
CL
0
11/17/2008
MED-B-EEF
Community Services
Cultural Services
100
80534
M
9/11/1947
61
PT
0
1/16/1990
MED-BPT-EE
Utility Services
Utility Finance & Budget
101
80526
M
9/23/1947
61
CL
0
5/28/2001
MED-B-EES
Community Services
Streets
102
80537
F
5/15/1957
52
CL
0
1/7/1991
MED-B-EE
Community Services
Transfort / Dial -a -Ride
103
80526
F
9/1/1954
54
TP
0
10/26/2005
Waived
Internal Services
Operations Services
104
80526
F
9/4/1955
53
CL
0
7/22/1991
MED-A-EEC
Utility Services
Utility Cust. & Emp. Relations
105
80521
F
6/20/1964
45
LDP
0
6/27/1994
Waived
Library District
Library District
106
80615
F
2/18/1960
49
PF
0
4/10/1989
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
107
80526
F
10/18/1955
53
CL
0
1/7/1991
MED-A-EEF
Community Services
Transfort / Dial -a -Ride
108
80526
F
10/21/1969
39
PT
0
3/24/1997
MED-APT-EEF
Utility Services
Ut Mstr Plan & Fldpl Admin Div
109
80521
M
11/30/1948
60
CL
0
5/27/1980
MED-A-EE
Utility Services
Ut Environmental Services Div
110
80526
M
5/19/1948
61
CL
0
6/2/1975
MED-A-EES
Utility Services
Ut Water Systems Engr Div
111
80526
F
12/9/1951
57
LD
0
4/12/1982
MED-A-EE
Library District
Library District
112
80526
M
6/23/1973
36
PF
0
11/25/1996
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
113
80512
F
5/9/1950
59
CL
0
4/4/1983
MED-A-EES
Financial Services
Finance
114
80524
M
7/8/1965
44
CL
0
5/13/1991
MED-B-EEF
Community Services
Parks
115
80524
M
5/31/1946
63
UM
0
3/1/1977
MED-B-EES
Utility Services
Ut Environmental Services Div
116
80526
M
7/19/1950
58
UM
0
3/1/1977
MED-A-EES
Utility Services
Electric Field Services
117
80526
F
3/7/1951
58
CL
0
5/16/1983
MED-B-EES
Utility Services
Utility Finance & Budget
118
80526
F
2/12/1955
54
CL
0
8/7/1979
MED-A-EES
Community Services
Parks
119
80524
M
10/25/1953
55
CL
0
2/5/1990
MED-B-EES
Utility Services
Ut Process & Supervis Cntr Div
120
80526
F
3/21/1952
57
CL
0
3/30/1992
MED-A-EES
Community Services
Natural Resources
121
80526
M
4/21/1951
58
CL
0
6/5/1978
MED-B-EE
Utility Services
Ut Drainage System Div
122
80540
F
7/16/1970
38
CL
0
10/6/1997
MED-B-EEF
Community Services
Natural Resources
123
80521
M
7/3/1953
56
CL
0
12/1/1986
MED-A-EES
Community Services
Current Planning
124
80528
M
3/10/1974
35
CL
0
2/16/1999
MED-B-EEF
Community Services
Engineering
125
80524
M
11/25/1949
59
CL
0
11/18/1971
MED-A-EE
Utility Services
Ut Distribution System Div
126
80526
M
12/29/1949
59
UM
0
10/16/1978
MED-B-EES
Community Services
Advance Planning
127
80524
M
12/4/1950
58
CL
0
10/4/1976
MED-B-EES
Community Services
Traffic
128
80525
F
4/23/1958
51
PT
0
2/18/2002
MED-APT-EEC
Community Services
Transfort / Dial -a -Ride
129
80550
M
2/26/1972
37
PS
0
1/11/1999
MED-B-EES
Police Services
Investigations
130
80615
M
3/10/1950
59
PS
0
9/12/1972
MED-B-EES
Police Services
Patrol
131
80524
M
9/28/1950
58
PF
0
2/2/1981
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
132
80525
M
11728/1951
57
CL
0
3/5/2001
MED-B-EEF
Utility Services
Ut Standards Engineering Div
EE#y l=P,ostal;Gode,
_ S z
Date' ;
Emp Age BenefR,Group
Pay„St Date Started Medical Plant'
Service Area `k
De' artment"
,
, , _Birth
_
-
_
cam`
133
80525
M
5/14/1949
60
PF
0
6/19/1978
MED-A-EES
Poudre Fire Authorityg
Poudre Fire Authority
134
80526
F
6/23/1959
50
CL
0
8/11/1986
MED-B-EEC
Utility Services
Ut Distribution System Div
135
80524
F
3/20/1958
51
CL
0
4/29/1991
MED-B-EEF
Utility Services
Ut Water Production Div
136
80537
M
11/22/1972
36
CL
0
2/21/2000
MED-B-EEF
Utility Services
Ut Mstr Plan & Fldpl Admin Div
137
80524
F
2/10/1957
52
LID
0
6/30/1997
MED-B-EE
Library District
Library District
138
80528
F
12/9/1957
51
CL
0
10/7/1996
MED-B-EEF
Utility Services
Utility Cust. & Emp. Relations
139
80546
M
7/23/1964
44
PS
0
1/23/1984
MED-B-EE
Police Services
Office of the Chief
140
80535
M
3/2/1958
51
CL
0
7/31/1995
MED-B-EES
Community Services
Streets
141
80538
M
9/23/1946
62
CL
0
12/11/1989
MED-B-EES
Community Services
Engineering
142
80525
M
5/24/1959
50
PS
0
8/20/1990
MED-A-EEF
Police Services
Patrol
143
80538
F
9/11/1963
45
UM
0
11/30/1998
MED-B-EE
ELJS
City Attorney
144
80480
M
9/25/1958
50
PF
0
9/12/1994
MED-B-EES
Poudre Fire Authority
Poudre Fire Authority
145
80538
M
10/30/1954
54
PF
0
1/4/1996
MED-B-EEC
Poudre Fire Authority
Poudre Fire Authority
146
80524
M
3/21/1964
45
PF
0
4/10/1989
MED-B-EEC
Poudre Fire Authority
Poudre Fire Authority
147
80525
M
4/4/1956
53
PS
0
8/16/1977
MED-B-EEF
Police Services
Patrol
148
80526
F
6/25/1951
58
UM
0
11/1/1973
MED-B-EE
Utility Services
Utility Finance & Budget
149
80524
F
9/11/1932
76
TP
0
9/12/1983
Waived
Community Services
Recreation
150
80525
M
8/13/1944
64
CL
0
7/6/1992
MED-B-EES
Community Services
Transfort / Dial -a -Ride
151
80525
F
10/17/1957
51
CL
0
1/29/2007
MED-A-EEC
Community Services
Recreation
152
80525
M
12/21/1966
42
CL
0
1/3/1994
MED-B-EEC
Community Services
Parks
153
80526
M
12/20/1956
52
SD
0
3/19/1991
MED-B-EE
Community Services
CPRE Administration
154
80521
F
4/20/1959
50
CL
0
2/22/1999
MED-A-EES
Utility Services
Ut Water Systems Engr Div
155
80521
F
10/13/1958
50
TP
0
9/15/2008
Waived
Community Services
Parks
156
80526
M
11/30/1943
65
CL
0
8/22/1972
MED-B-EEC
Utility Services
Ut Wtr Reclama & Biosolids Div
157
80550
M
12/14/1959
49
CL
0
6/29/1987
MED-A-EEF
Utility Services
Ut Water Production Div
158
80526
M
11/26/1974
34
CL
0
9/25/2000
MED-A-EEF
Utility Services
Ut Standards Engineering Div
159
80526
M
4/17/1965
44
TP
0
4/23/2009
Waived
Utility Services
Electric Field Services
160
80525
F.
12/31/1959
49
TP
0
3/2/2009
Waived
Community Services
Streets
161
80501
M
10/3/1963
45
PT
0
9/22/1997
MED-APT-EE
Community Services
Transfort / Dial -a -Ride
162
80525
F
1/9/1951
58
CL
0
12/22/1980
MED-B-EE
Utility Services
Utility Finance & Budget
163
80524
M
8/30/1951
57
PF
0
4/18/1977
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
164
80536
M
3/29/1957
52
CL
0
10/3/1994
MED-B-EE
Community Services
Recreation
165
80550
F
8/16/1963
45
PF
0
1/4/1996
MED-A-EE
Poudre Fire Authority
Poudre Fire Authority
166
80526
F
4/25/1969
40
CL
0
8/17/1992
MED-B-EEF
Police Services
Patrol
167
80526
F
2/27/1955
54
CL
0
7/12/1999
MED-A-EEC
Community Services
Engineering
168
80525
M
8/26/1963
45
CL
0
3/24/1997
MED-B-EES
Community Services
Streets
169
80524
F
1/21/1963
46
CL
0
8/21/1989
MED-A-EE
Community Services
Recreation
170
80524
M
3/6/1950
59
UM
0
7/1/1977
Waived
Utility Services
Ut Mstr Plan & Fidpl Admin Div
171
80549
M
10/17/1944
64
CSO
0
4/22/1996
IVIED-B-EES
Police Services
Patrol
172
80526
F
11/6/1961
47
CL
0
9/23/1996
MED-B-EEF
Community Services
City Clerk
173
80521
F
10/13/1959
49
CL
0
7/14/1986
MED-B-EEF
Community Services
Cultural Services
174
80525
M
11/15/1956
52
CL
0
11/14/1986
MED-A-EE
Community Services
Recreation
175
80521
F
3/27/1954
55
CL
0
8/15/1994
IVIED-B-EES
Community Services
Transfort / Dial -a -Ride
176
80545
M
7/6/1951
58
CL
0
3/11/1980
MED-A-EE
Utility Services
Ut Electric Systems Eng Div
EE# ; ';
-- - - - - - -
Postal„Code, ;. Sex Binh Date` ' °Emp Age,
,Benefit Group Pay St Date Started;; -
"Medical Plan - Service Area'
Depprtme`nt
177
80538
M
7/31/1951
57
PS
0
11/11/1996
MED-B-EEC
Police Services
Police Information Services
178
80526
M
6/7/1958
51
PS
0
1/19/1981
MED-B-EE
Police Services
Investigations
179
80525
M
3/27/1946
63
CL
0
11/1/1996
MED-B-EES
Community Services
Recreation
180
80538
M
8/1/1961
47
CL
0
1/10/1994
MED-B-EEF
Internal Services
Comm. & Public Involvement
181
80528
F
2/26/1959
50
CL
0
2/9/1998
MED-B-EE
Community Services
Neighborhood & Building
182
80550
M
12/29/1971
37
PS
0
7/12/1999
MED-A-EEF
Police Services
Office of the Chief
183
80521
M
12/24/1972
36
CL
0
2/22/1999
MED-B-EE
Utility Services
Ut Water Systems Engr Div
184
80512
M
11/2/1950
58
CL
0
12/24/1979
MED-B-EEF
Utility Services
Ut Standards Engineering Div
185
80524
F
8/26/1944
64
CL
0
7/12/1999
MED-A-EE
Community Services
Transfort / Dial -a -Ride
186
80537
F
8/17/1944
64
CL
0
8/7/1989
MED-B-EES
Community Services
Transfort / Dial -a -Ride
187
80526
M
3/20/1949
60
CL
0
5/9/1994
MED-B-EEF
Internal Services
Operations Services
188
80535
M
4/1/1969
40
CL
0
5/4/1998
MED-B-EES
Community Services
Park Planning & Development
189
80525
M
7/29/1959
49
PF
0
9/12/1994
MED-A-EEF
Poudre Fire Authority
Poudre Fire Authority
190
80526
M
7/29/1959
49
PF
0
4/10/1989 .
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
191
80526
F
2/8/1950
59
CL
0
1/29/1996
MED-A-EE
Utility Services
Utility Tech. & Cust. Service
192
80521
M
2/14/1968
41
CL
0
8/9/1993
MED-A-EEC
Community Services
Recreation
193
80525
M
11/22/1952
56
CL
0
8/12/1986
MED-B-EE
Community Services
Streets
194
80521
M
2/26/1953
56
CL
0
1/19/1981
MED-A-EES
Internal Services
Management Information Service
195
80538
F
10/2/1953
55
CL
0
1/8/1996
MED-A-EES
Internal Services
Management Information Service
196
80526
M
2/25/1955
54
PC
0
11/12/1990
MED-A-EEF
Poudre Fire Authority
Poudre Fire Authority
197
80550
F
11/17/1973
35
PS
0
5/18/1998
MED-B-EE
Police Services
Investigations
198
80525
M
5/23/1976
33
CL
0
5/8/2000
MED-B-EEF
Community Services
Parks
199
80526
F
10/29/1954
54
CL
0
1/7/1991
MED-B-EE
Utility Services
Utility Cust. & Emp. Relations
200
80228
M
4/25/1972
37
PF
0
5/26/1998
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
201
80522
M
11/5/1948
60
UM
0
10/8/1979
MED-B-EE
Financial Services
Finance
202
80526
M
2/5/1951
58
PF
0
11/3/1980
MED-B-EEC
Poudre Fire Authority
Poudre Fire Authority
203
80525
M
2/6/1956
53
PF
0
3/2/1998
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
204
80535
F
5/24/1949
60
LD
0
3/5/1990
MED-A-EE
Library District
Library District
205
80526
M
3/31/1951
58
CL
0
7/28/1980
MED-B-EE
Community Services
Neighborhood & Building
206
80525
M
3/31/1954
55
CL
0
9/28/1987
MED-B-EES
Utility Services
Ut Wtr Reclama & Biosolids Div
207
80524-1745
M
2/27/1947
62
CL
0
4/1/1971
Waived
Utility Services
Utility Tech. & Cust. Service
208
80526
M
11/16/1942
66
CL
0
8/13/2007
MED-B-EES
Community Services
Streets
209
80538
M
2/12/1953
56
CL
0
4/16/1990
MED-B-EEF
Utility Services
Ut Water Production Div
210
80525
M
9/3/1966
42
UM
0
3/10/1999
MED-A-EEF
Financial Services
Finance
211
80526
M
10/6/1958
50
PF
0
3/26/1990
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
212
80525
M
8/2/1954
54
CL
0
3/28/2005
MED-B-EE
Community Services
Parks
213
80526
M
5/3/1948
61
CL
0
11/13/1978
MED-B-EEC
Utility Services
Electric Field Services
214
80526
M
12/7/1975
33
CL
0
3/7/1996
MED-B-EEC
Utility Services
Ut Drainage System Div "
215
80521
F
12/16/1949
59
CL
0
8/14/1978
MED-B-EES
Internal Services
Operations Services
216
80525
F
9/24/1958
50
CL
0
6/9/1980
MED-B-EE
Utility Services
Utility Cust. & Emp. Relations
217
80524
F
4/27/1961
48
UM
0
12/1/1987
MED-B-EEF
ELJS
City Manager
218
80550
M
9/27/1966
42
CL
0
4/24/1995
MED-B-EEF
Utility Services
Ut Process & Supervis Cntr Div
219
80525
M
9/30/1946
62
CL
0
11/14/1975
MED-B-EEF
Utility Services
Ut Electric Systems Eng Div
220
80526
F
7/10/1970
39
LD
0
5/12/1998
MED-A-EEF
Library District
Library District
EE#
: :Postal Code_
,,'. Sex
. Birth Date .
Emp Age.
_Benefit Group
:Pay St Date Started
Medical Plan._ . Service Area. _
_ ;._ „Department;_
221
80536
F
1/30/1972
37
CL
0
8/25/1997
MED-B-EEF
Utility Services
Ut Reg & Govt Affairs Div
222
80525
M
12/15/1947
61
UM
0
11/14/1988
IVIED-B-EE
Utility Services
Ut Mstr Plan & Fldpl Admin Div
223
80526
M
9/1/1957
51
CL
0
4/16/1984
IVIED-B-EEF
Internal Services
Operations Services
224
80549
M
1/15/1965
44
PS
0
5/8/1995
IVIED-B-EEF
Police Services
Investigations
225
80524
M
11/17/1957
51
CL
0
5/13/1991
IVIED-A-EEF
Utility Services
Ut Water Production Div
226
80524
M
1/22/1950
59
PS
0
1/8/1990
IVIED-B-EE
Police Services
Patrol
227
80549
M
10/23/1969
39
CL
0
8/17/1992
MED-B-EES
Utility Services
Electric Field Services
228
80521
M
3/24/1948
61
CL
0
2/19/1980
IVIED-B-EEC
Utility Services
Ut Water Systems Engr Div
229
80512
F
5/27/1951
58
PF
0
1/23/1995
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
230
80526
M
7/5/1951
58
CL
0
12/27/1976
MED-B-EES
Community Services
Streets
231
80525
M
2/3/1950
59
CL
0
10/29/1973
IVIED-B-EEF
Community Services
Recreation
232
80526
F
10/7/1960
48
PF
0
9/12/1994
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
233
80524
F
12/15/1948
60
CL
0
3/24/2008
IVIED-B-EES
Internal Services
Operations Services
234
80526
M
4/28/1954
55
CL
0
6/21/2004
IVIED-B-EES
Community Services
Parks
235
80537
F
3/9/1956
53
PS
0
10/27/1997
IVIED-B-EES
Police Services
Police Information Services
236
80535
F
11/24/1957
51
CL
0
2/10/1997
MED-B-EE
Police Services
Police Information Services
237
80524
F
11/12/1959
49
CL
0
2/25/1987
IVIED-B-EEF
Utility Services
Ut Mstr Plan & Fldpl Admin Div
238
80525
F
5/26/1955
54
CL
0
4/29/1985
IVIED-A-EE
Utility Services
Ut Water Systems Engr Div
239
80521
F
4/30/1960
49
UM
0
7/10/1995
IVIED-A-EES
ELJS
City Attorney
240
80528
M
10/7/1956
52
PS
0
1/11/1988
IVIED-B-EEF
Police Services
Patrol
241
80538
M
4/18/1952
57
UM
0
1/2/1997
IVIED-B-EEF
ELJS
City Attorney
242
80524
M
8/20/1945
63
EXC
0
3/18/1985
IVIED-B-EES
ELJS
City Attorney
243
80525
M
10/26/1929
79
TP
0
4/17/2006
Waived
Community Services
Parks
244
80536
M
4/4/1957
52
PF
0
2/10/1986
IVIED-A-EEF
Poudre Fire Authority
Poudre Fire Authority
245
80526
F
7/13/1961
48
CL
0
1/12/1989
MED-B-EEC
Utility Services
Ut Reg & Govt Affairs Div
246
80521
F
6/4/1953
56
CL
0
6/30/1980
IVIED-B-EE
Utility Services
Ut Process & Supervis Cntr Div
247
80525
M
7/6/1959
50
CSO
0
1/6/1992
IVIED-A-EE
Police Services
Patrol
248
80538
M
2/12/1959
50
PF
0
5/20/1985
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
249
80526
M
3/20/1949
60
CL
0
5/7/1984
IVIED-B-EES
Utility Services
Utility Tech. & Cust. Service
250
80526
F
11/1/1960
48
CSO
0
9/7/1987
IVIED-B-EE
Police Services
Patrol
251
80521
M
7/6/1971
38
CN
0
3/20/2006
IVIED-A-EEF
Community Services
Planning & Special Projects
252
80521
F
6/11/1953
56
LD
0
6/1/1983
MED-B-EES
Library District
Library District
253
80550
M
6/24/1977
32
CL
0
7/24/2000
IVIED-B-EEF
Utility Services
Electric Field Services
254
80526
M
5/28/1949
60
CL
0
3/1/1972
IVIED-B-EE
Utility Services
Utility Finance & Budget
255
80525
M
8/28/1952
56
CL
0
7/21/1981
IVIED-B-EEC
Utility Services
Ut Drainage System Div
256
80526
M
12/22/1964
44
CL
0
6/25/1990
MED-B-EEF
Utility Services
Electric Field Services
257
80525
M
9/28/1966
42
CL
0
2/6/1989
IVIED-A-EE
Utility Services
Ut Water Production Div
258
80526
M
7/3/1977
32
CL
0
8/19/2002
IVIED-B-EEF
Utility Services
Electric Field Services
259
80524
M
12/25/1958
50
PF
0
9/18/1989
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
260
80528
F
9/6/1959
49
CL
0
5/12/1993
IVIED-B-EE
Financial Services
Finance
261
80526
F
3/18/1947
62
LD
0
7/22/2002
IVIED-B-EEF
Library District
Library District
262
80524
F
1/7/1947
62
CL
0
1/1/1996
MED-B-EES
Community Services
Advance Planning
263
80620
M
7/13/1945
64
CL
0
4/6/1998
IVIED-B-EE
Internal Services
Operations Services
264
80550
F
10/30/1954
54
UM
0
11/30/1998
IVIED-B-EE
Community Services
Transfort/ Dial -a -Ride
EE#
Postal Code
Sex
Birth bate .
,Emp Age
uay
Benefit Grop
;P St Date Started
Medica[Plan
Service Area
Department--�-�-�
265
80526
F
7/22/1953
55
CL
0
10/22/2007
MED-A-EEC
Internal Services
Operations Services
266
80525
M
7/4/1973
36
TP
0
12/22/2003
Waived
Community Services
Recreation
267
80525
F
11/30/1952
56
CL
0
7/10/1979
MED-B-EES
Community Services
Planning & Special Projects
268
80521
M
5/23/1948
61
UM
0
4/1/1986
MED-B-EES
Community Services
Park Planning & Development
269
80526
M
6/26/1967
42
PS
0
1/11/1999
MED-B-EEF
Police Services
Investigations
270
80524
M
3/19/1960
49
CL
0
12/20/1993
MED-B-EE
Utility Services
Electric Field Services
271
80528
F
1/8/1966
43
PS
0
11/28/1994
MED-B-EE
Police Services
Police Information Services
272
80524
F
9/4/1941
67
UM
0
1/2/1975
MED-A-EES
Community Services
City Clerk
273
80524
M
5/1/1953
56
CL
0
12/13/1999
MED-B-EEF
Community Services
Streets
274
80526
M
11/14/1951
57
CL
0
1/28/1980
MED-A-EES
Utility Services
Ut Water Meters Div
275
80525
M
9/26/1951
57
CL
0
9/10/1984
MED-B-EEF
Community Services
Engineering
276
80526
F
2/12/1967
42
CL
0
6/5/1995
MED-A-EES
Community Services
Engineering
277
80648
M
8/18/1966
42
PS
0
3/30/1992
MED-B-EEF
Police Services
Investigations
278
80526
M
12/10/1954
54
PS
0
1/2/1979
MED-B-EE
Police Services
Patrol
279
80521
M
4/27/1955
54
CL
0
5/28/1990
MED-B-EE
Community Services
Parks
280
80525
F
6/1/1963
46
CL
0
5/4/1987
MED-B-EE
Utility Services
Utility Finance & Budget
281
80537
M
2/21/1959
50
CL
0
7/16/1984
MED-B-EEF
Utility Services
Ut Collection System Div
282
80521
M
6/28/1963
46
CL
0
11/4/1996
MED-B-EEF
Community Services
Transfort / Dial -a -Ride
283
80538
M
4/25/1969
40
CL
0
10/20/1997
MED-A-EEF
Community Services
Engineering
284
80525
F
3/10/1971
38
UM
0
6/30/1997
MED-A-EEC
Internal Services
Comm. & Public Involvement
285
80538
M
9/13/1949
59
CL
0
3/10/1987
MED-B-EES
Utility Services
Ut Mstr Plan & Fldpi Admin Div
286
80526
M
2/20/1949
60
CL
0
5/24/1993
MED-A-EEF
Community Services
Neighborhood & Building
287
80526
M
6/26/1951
58
CL
0
7/23/1979
MED-B-EEF
Utility Services
Ut Collection System Div
288
80525
M
3/15/1951
58
CL
0
8/8/1994
MED-B-EE
Community Services
Transfort / Dial -a -Ride
289
80521
F
12/16/1951
57
CL
0
6/24/1996
MED-A-EEC
Utility Services
Utility Cust. & Emp. Relations
290
80521
M
5/12/1962
47
CL
0
4/27/1998
MED-A-EEC
Utility Services
Ut Water Production Div
291
80524
F
10/12/1973
35
CL
0
5/14/2001
MED-A-EE
Community Services
Engineering
292
80528
M
7/9/1964
45
PS
0
1/11/1988
MED-B-EEC
Police Services
Investigations
293
80526
M
12/8/1944
64
TP
0
5/29/2000
Waived
Community Services
Parks
294
80524
M
8/10/1947
61
CL
0
6/8/1992
MED-B-EES
Utility Services
Ut Water Meters Div
295
80521
M
8/31/1953
55
CL
0
11/15/1993
MED-B-EES
Community Services
Parks
296
80512
F
9/3/1958
50
CL
0
8/24/1998
MED-A-EES
Community Services
Engineering
297
80522
M
11/11/1968
40
CL
0
12/28/1998
MED-B-EEF
Community Services
Park Planning & Development
298
80550
F
8/11/1970
38
PS
0
1/12/1998
MED-B-EE
Police Services
Investigations
299
80524
M
12/12/1936
72
RT
0
10/1/1996 MED-B-RTMEEE Financial Services
Non Departmental
300
80525
M
8/30/1945
63
CL
0
3/6/1978
MED-B-EE
Police Services
Police Information Services
301
80525
M
12/27/1950
58
PS
0
3/21/1983
MED-B-EE
Police Services
Patrol
302
80535
M
12/23/1951
57
CL
0
7/24/1989
MED-A-EES
Community Services
Engineering
303
80526
M
11/23/1959
49
CL
0
10/17/1988
MED-A-EEC
Internal Services
Management Information Service
304
80525
M
7/29/1969
39
CL
0
5/13/1991
MED-B-EEF
Internal Services
Operations Services
305
80524
M
8/10/1943
65
CL
0
11/22/1967
MED-B-EE
Utility Services
Ut Distribution System Div
306
80549
F
6/15/1956
53
CL
0
4/3/1989
MED-B-EES
Utility Services
Ut Electric Systems Eng Div
307
80525
M
7/26/1960
48
CL
0
12/15/1997
MED-B-EEF
Utility Services
Ut Electric Systems Eng Div
308
80521
M
9/13/1954
54
CL
0
3/18/1991
MED-B-EE
Utility Services
Ut Wtr Reclama & Biosolids Div
EE# : _<"Postal Code
." `,Sex
Birth Date
Emp Age_
,Benefit Group.
,Pay St ' Date Started
Medical Plan Service Area '
Department
.
309
80550
M
6/16/1955
54
CL
0
1/30/1995
MED-A-EEF
Utility Services
Utility Finance & Budget
310
80615
M
2/2/1948
61
CL
0
9/22/1997
MED-B-EES
Community Services
Transfort / Dial -a -Ride
311
80525
M
10/5/1952
56
CL
0
4/27/1992
MED-B-EES
Community Services
Parks
312
80526
M
9/18/1952
56
CL
0
5/5/1980
MED-A-EEF
Utility Services
Ut Water Systems Engr Div
313
80526
F
8/14/1952
56
LID
0
9/5/1988
MED-B-EE
Library District
Library District
314
80524
M
11/3/1945
63
UM
0
5/1/1980
MED-B-EES
Community Services
Neighborhood & Building
315
80525
F
10/23/1945
63
CL
0
7/27/1981
MED-B-EE
Utility Services
Utility Tech. & Cust. Service
316
80526
M
11/12/1956
52
TP
0
1/20/2009
Waived
Community Services
Streets
317
80550
F
9/17/1952
56
CL
0
5/2/1983
MED-B-EES
Police Services
Office of the Chief
318
80536
M
1/18/1955
54
PF
0
11/9/1979
MED-B-EES
Poudre Fire Authority
Poudre Fire Authority
319
80526
M
4/26/1948
61
PC
0
1/4/1993
MED-A-EEF
Poudre Fire Authority
Poudre Fire Authority
320
80526
M
4/16/1948
61
CL
0
10/27/1986
MED-B-EES
Internal Services
Operations Services
321
80524
F
7/17/1956
52
LID
0
3/9/1987
MED-B-EEC
Library District
Library District
322
80550
M
11/5/1957
51
PF
0
2/5/1986
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
323
80524
M
4/29/1963
46
PF
0
1/10/1994
MED-A-EEF
Poudre Fire Authority
Poudre Fire Authority
324
80501
M
4/18/1975
34
CL
0
7/20/1998
MED-A-EES
Utility Services
Ut Environmental Services Div
325
80525
M
9/14/1967
41
CL
0
3/30/1998
MED-B-EES
Internal Services
Management Information Service
326
80525
M
3/30/1953
56
PS
0
4/30/1990
MED-B-EEF
Police Services
Police Information Services
327
80525
M
5/27/1956
53
CL
0
7/6/1992
MED-B-EEF
Community Services
Parks
328
80550
M
11/7/1957
51
PF
0
5/2/1988
MED-B-EES
Poudre Fire Authority
Poudre Fire Authority
329
80525
M
12/18/1961
47
CL
0
12/30/1996
MED-B-EEF
Internal Services
Operations Services
330
80525
F
12/12/1957
51
CL
0
5/22/1995
MED-B-EEF
Community Services
Advance Planning
331
80524
F
6/11/1957
52
CL
0
3/17/1980
MED-B-EEF
Utility Services
Utility Cust. & Emp. Relations
332
80525
M
2/27/1947
62
CL
0
5/21/1984
MED-A-EEC
Internal Services
Operations Services
333
80526
F
5/25/1956
53
CL
0
4/12/1999
MED-B-EEC
Community Services
Transfort / Dial -a -Ride
334
80550
M
8/3/1965
43
PS
0
7/12/1999
MED-B-EE
Police Services
Patrol
335
80525
F
2/27/1978
31
LID
0
6/18/2007
MED-B-EE
Library District
Library District
336
80526
F
11/30/1941
67
CL
0
8/31/1992
MED-B-EE
Community Services
Transfort / Dial -a -Ride
337
80535
M
3/20/1945
64
CL
0
8/1/1975
MED-B-EEF
Community Services
Parks
338
80525
M
2/29/1944
65
CL
0
12/5/1994
MED-B-EES
Community Services
Recreation
339
80526
M
1/13/1945
64
UM
0
6/1/1978
MED-A-EES
Utility Services
Ut Water Resources Div
340
80528
M
5/8/1949
60
CL
0
8/13/1973
MED-B-EES
Utility Services
Ut Collection System Div
341
80525
M
10/3/1951
57
CL
0
2/9/1998
MED-A-EES
Utility Services
Electric Field Services
342
80535
F
3/2/1953
56
CL
0
10/3/1994
MED-B-EE
Community Services
Recreation
343
80524
F
9/20/1955
53
CL
0
5/10/1982
Waived
Utility Services
Ut Water Production Div
344
80524
F
12/26/1955
53
CL
0
10/8/1984
MED-B-EEF
Utility Services
Utility Finance & Budget
345
80549
F
4/14/1952
57
CL
0
12/19/1994
MED-A-EE
Police Services
Police Information Services
346
80524
M
5/29/1958
51
PF
0
2/24/1986
MED-A-EEF
Poudre Fire Authority
Poudre Fire Authority
347
80526
M
7/23/1968
40
CL
0
1/19/1993
MED-B-EEF
Utility Services
Electric Field Services
348
80526
M
8/20/1962
46
CL
0
5/19/1986
MED-B-EEF
Utility Services
Ut Wtr Reclama & Biosolids Div
349
80549
M
6/27/1967
42
PS
0
1/20/1997
MED-B-EEF
Police Services
Investigations
350
80535
F
4/29/1959
50
CL
0
4/16/1990
MED-A-EEF
Community Services
Traffic
351
80525
F
7/4/1960
49
CL
0
1/4/1988
MED-A-EE
Community Services
CPRE Administration
352
80525
M
2/7/1959
50
PF
0
5/2/1988
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
22. How many hours should be expected during attendance at the City's
annual City Employee Health Fair?
8 hours
23. Is it possible to receive a copy of the City's current contract for EAP services?
Available at City website:
http://citydocs.fcgov.com/?scope=doctvpe&dn=Purchasinq&dt=CONTRACT&vid
=10&q=P989&cmd=search
24. Are there any services that the City is not currently receiving that it would be
interested in (NurseLine, Fitness for Duty Evals, Gatekeeper)?
Only those services currently outlined in the RFP.
26. Are police and fire personnel included within this EAP contract?
Yes.
26. Current EAP plan design. Are trainings, Dependent Care, Legal & Financial
priced separate from base plan?
See current provider services agreement in Exhibit A available at City website:
http://citvdocs.fcgov.com/?scope=doctvpe&dn=Purchasinq&dt=CONTRACT&vid
=10&q=P989&cmd=search
27. Current census.
See attached file
28. Does the current provider charge for promotional materials? If so, what
materials and at what cost?
Yes. See current provider services agreement P989 available at City website:
http://citydocs.fcgov.com/?scope=doctvpe&dn=Purchasinq&dt=CONTRACT&vid
=10&q=P989&cmd=search
29. What does the current provider charge for additional services, if any (i.e.,
trainings, CISD's)?
See current provider services agreement P989 under Optional Services.
Available at City website:
http://citvdocs.fcgov.com/?scope=doctvpe&dn=Purchasinq&dt=CONTRACT&vid
=10&q=P989&cmd=search
EE#_
Postal Code.;,
Sex
Birth Date ,
Emp Age
Benefit Group
Pay St, Date Started
Medical Plan,
Service Area
_ Department
353
80528
M
12/19/1963
45
PF
0
1/10/1994
IVIED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
354
80525
M
2/9/1964
45
PS
0
3/27/1989
IVIED-A-EEF
Police Services
Patrol
355
80526
M
8/14/1961
47
PF
0
3/22/1982
MED-B-EEC
Poudre Fire Authority
Poudre Fire Authority
356
80525
F
1/6/1973
36
CL
0
11/21/1994
IVIED-B-EE
Utility Services
Utility Finance & Budget
357
80524
M
3/2/1958
51
PF
0
5/21/1979
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
358
80538
M
8/13/1958
50
PF
0
11/18/1985
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
359
80521
F
3/29/1955
54
CL
0
4/21/1980
IVIED-B-EES
Police Services
Police Information Services
360
80526
M
10/22/1971
37
TP
0
12/1/2008
IVIED-ATP-EEF
Utility Services
Electric Field Services
361
80525
M
11/12/1964
44
PF
0
3/26/1990
IVIED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
362
80526
M
1/6/1970
39
CL
0
4/22/1996
IVIED -A -EEC
Utility Services
Utility Tech. & Cust. Service
363
80525
F
9/5/1960
48
CL
0
9/30/1996
MED-B-EE
Police Services
Investigations
364
80538
M
1/18/1972
37
CL
0
3/29/1999
Waived
Community Services
Recreation
365
80526
F
4/10/1964
45
CL
0
4/23/1990
IVIED-B-EE
Community Services
Neighborhood & Building
366
80535
M
10/31/1960
48
CL
0
6/4/1984
IVIED-B-EES
Utility Services
Electric Field Services
367
80526
M
2/14/1963
46
PT
0
10/16/1997
MED-APT-EEF
Community Services
Transfort / Dial -a -Ride
368
80526
F
9/7/1961
47
CL
0
1/7/1986
MED-B-EEC
Community Services
Streets
369
80538
M
5/29/1963
46
CL
0
1/2/1995
IVIED-B-EE
Community Services
Engineering
370
80524
M
10/3/1961
47
PF
0
2/5/1986
IVIED -A -EEC
Poudre Fire Authority
Poudre Fire Authority
371
80521
F
12/18/1978
30
CL
0
7/10/2006
Waived
Community Services
Cultural Services
372
80524
M
6/11/1962
47
CL
0
6/12/1991
IVIED-A-EEF
Community Services
Traffic
373
80524
F
5/21/1965
44
PS
0
2/5/1990
IVIED -A -EEC
Police Services
Investigations
374
80550
M
5/10/1965
44
PF
0
3/31/1997
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
375
80526
M
10/7/1970
38
CL
0
8/7/1995
IVIED-B-EEF
Community Services
Recreation
376
80526
F
11/23/1965
43
CL
0
2/5/1990
IVIED-B-EE
Community Services
Current Planning
377
80550
F
6/29/1967
42
PS
0
5/2/1988
IVIED-B-EE
Police Services
Patrol
378
80549
F
12/28/1967
41
PT
0
6/10/1991
MED-BPT-EEF
Utility Services
Utility Finance & Budget
379
80549
M
2/25/1972
37
PF
0
11/25/1996
IVIED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
380
80524
F
6/2/1977
32
TP
0
4/6/2009
Waived
Community Services
Recreation
381
80525
F
9/3/1967
41
CL
0
8/3/1998
IVIED-A-EES
Financial Services
Finance
382
80521
F
11/30/1967
41
UM
0
8/12/1996
IVIED-B-EEF
Community Services
Cultural Services
383
80526
M
8/20/1969
39
CL
0
12/20/1993
MED-B-EEF
Utility Services
Ut Electric Systems Eng Div
384
80550
M
6/25/1970
39
PS
0
5/19/1997
IVIED-B-EEF
Police Services
Investigations
385
80524
F
8/2/1971
37
CL
0
1/9/1995
MED-A-EES
Community Services
Recreation
386
80528
M
10/4/1971
37
PF
0
3/2/1998
MED-B-EEC
Poudre Fire Authority
Poudre Fire Authority
387
80521
M
9/9/1939
69
TP
0
3/23/2009
Waived
Utility Services
Ut Distribution System Div
388
80526
M
11/4/1944
64
RPC
T
6/11/1968
MED-A-RTNM+1
Police Services
Patrol
389
80525
M
4/25/1979
30
CL
0
10/3/2002
IVIED-B-EE
Utility Services
Ut Collection System Div
390
80521
M
9/22/1975
33
CN
0
11/6/2006
IVIED-A-EEF
Utility Services
Electric Field Services
391
80526
M
1/28/1947
62
CL
0
11/21/1983
IVIED-B-EES
Utility Services
Ut Distribution System Div
392
80528
F
7/25/1947
61
CL
0
8/30/1994
IVIED-B-EEF
Utility Services
Ut Water Production Div
393
80525
M
7/26/1971
37
PF
0
1/23/1995
Waived
Poudre Fire Authority
Poudre Fire Authority
394
80541
M
3/4/1946
63
CL
0
10/14/1991
MED-B-EE
Internal Services
Operations Services
395
80526
M
3/19/1948
61
CL
0
9/5/1978
IVIED-B-EES
Utility Services
Electric Field Services
396
80550
F
1/18/1947
62
CL
0
9/1/1977
IVIED-B-EES
Community Services
Recreation
.Postal Code
_Sex
.Birth Date
' .Emp Age
' Benefit Group
Pay St Date Started ;
Medical Plan.
.Se`vicb Area
_Department
397
80535
M
5/16/1946
63
CL
0
8/31/1981
MED-B-EES
Utility Services
Ut Water Production Div
398
80535
F
5/5/1948
61
CL
0
8/31/1981
MED-B-EE
Utility Services
Ut Standards Engineering Div
399
80549
M
12/14/1972
36
CL
0
3/25/1996
MED-B-EEC
Community Services
Traffic
400
80526
F
4/15/1949
60
CL
0
5/15/1989
MED-A-EES
Community Services
City Clerk
401
80524
F
8/18/1948
60
LD
0
12/1/2008
MED-B-EE
Library District
Library District
402
80525
F
4/4/1948
61
CL
0
4/1/1977
MED-B-EE
Financial Services
Finance
403
80525
F
1/11/1947
62
CL
0
2/5/1976
MED-B-EE
Utility Services
Utility Cust. & Emp. Relations
404
80521
F
4/3/1949
60
CL
0
1/3/1972
MED-B-EE
Community Services
Cultural Services
405
80521
M
7/29/1948
60
CL
0
4/16/1976
MED-B-EE
Internal Services
Operations Services
406
80525
M
8/14/1951
57
PF
0
9/1/1973
MED-B-EES
Poudre Fire Authority
Poudre Fire Authority
407
80521
M
7/31/1950
58
CL
0
5/5/1986
MED-A-EE
Utility Services
Ut Water Production Div
408
80524
M
5/19/1950
59
PF
0
9/18/1989
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
409
80521
M
1/30/1949
60
PF
0
1/1/1979
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
410
80524
M
3/4/1962
47
PS
0
3/6/1989
MED-B-EEF
Police Services
Patrol
411
80526
M
4/29/1958
51
PF
0
1/2/1979
MED-A-EEF
Poudre Fire Authority
Poudre Fire Authority
412
80521
F
11/14/1983
25
LDP
0
7/30/2007
MED-APT-EE
Library District
Library District
413
80526
M
11/9/1948
60
CL
0
10/17/1988
MED-B-EE
Internal Services
Management Information Service
414
80525
F
8/14/1950
58
CL
0
1/15/1980
MED-B-EE
Utility Services
Utility Finance & Budget
415
80526
F
6/2/1950
59
CL
0
8/12/1991
MED-B-EES
Utility Services
Utility Cust. & Emp. Relations
416
80524
M
10/7/1947
61
RPC
T
2/1/1973
MED-B-RTNMEE
Police Services
Patrol
417
80526
M
1/4/1951
58
PS
0
3/3/1980
MED-B-EE
Police Services
Investigations
418
80525
M
1/8/1971
38
CL
0
12/30/1996
MED-B-EEF
Utility Services
Electric Field Services
419
80535
M
5/9/1949
60
CL
0
11/5/1979
MED-B-EEF
Utility Services
Ut Water Production Div
420
80550
M
4/28/1965
44
CL
0
7/1/1996
MED-B-EEF
Internal Services
Operations Services
421
80525
M
9/29/1952
56
CL
0
1/23/1989
MED-B-EE
Utility Services
Ut Electric Systems Eng Div
422
80524
F
7/11/1952
57
LD
0
5/21/2007
MED-BPT-EES
Library District
Library District
423
80524
M
3/26/1950
59
PC
0
7/27/1981
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
424
80525
M
3/19/1950
59
CL
0
2/19/1990
MED-A-EES
Utility Services
Ut Wtr Reclama & Biosolids Div
425
80528
F
12/24/1953
55
CL
0
10/11/1993
MED-B-EE
Police Services
Police Information Services
426
80521
M
8/21/1951
57
PS
0
2/15/1977
MED-B-EEF
Police Services
Patrol
427
80526
M
9/8/1956
52
CL
0
2/5/1990
MED-B-EES
Community Services
Parks
428
80526
M
7/29/1953
55
PS
0
7/12/1999
MED-B-EE
Police Services
Patrol
429
80538
F
9/16/1953
55
LD
0
7/3/1995
MED-B-EE
Library District
Library District
430
80534
M
9/8/1951
57
PC
0
3/31/1986
MED-B-EES
Poudre Fire Authority
Poudre Fire Authority
431
80524
M
7/21/1952
56
PF
0
5/1/1978
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
432
80521
M
2/9/1954
55
PF
0
5/20/1985
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
433
80524
M
3/25/1953
56
CL
0
11/1/1971
MED-B-EES
Internal Services
Operations Services
434
80634
M
8/18/1953
55
CL
0
5/4/1992
MED-B-EE
Utility Services
Ut Water Meters Div
435
80524
M
2/14/1959
50
CL
0
12/16/1977
MED-B-EES
Utility Services
Electric Field Services
436
80538
M
7/5/1953
56
CL
0
10/20/1986
MED-B-EES
Internal Services
Operations Services
437
80525
F
9/24/1952
56
CL
0
12/16/1985
MED-B-EE,
Internal Services
Human Resources
438
80538
M
10/5/1953
55
CL
0
1/31/1994
MED-B-EE
Utility Services
Ut Distribution System Div
439
80526
M
11/27/1958
50
CL
0
3/15/1979
MED-B-EEF
Utility Services
Ut Distribution System Div
440
80526
M
9/30/1954
54
CL
0
4/12/1993
MED-B-EES
Community Services
Engineering
EE#t
Postal,Code :
.Sex
, Birth Date
Emp Age
Benefit Group
Pay St Date Started
Medical Plan
, Service Area
Department
441
80526
F
3/21/1954
55
CL
0
2/16/1973
MED-B-EEC
Police Services
Investigations
442
80549
F
4/9/1956
53
CL
0
1/4/1999
MED-B-EES
Community Services
Neighborhood & Building
443
80524
F
1/9/1955
54
LDP
0
12/15/1997
MED-BPT-EEF
Library District
Library District
444
80526
M
10/19/1954
54
PS
0
12/1/1974
MED-B-EE
Police Services
Investigations
445
80526
M
1/30/1959
50
PS
0
7/12/1999
MED-B-EEC
Police Services
Patrol
446
80525
M
8/13/1955
53
PF
0
1/24/1977
MED-B-EEC
Poudre Fire Authority
Poudre Fire Authority
447
80535
M
12/15/1954
54
CL
0
6/5/1978
MED-B-EEF
Community Services
Engineering
448
80524
M
6/27/1970
39
CL
0
4/20/1998
MED-B-EEF
Community Services
Cultural Services
449
80526
M
6/7/1957
52
SD
0
5/24/1982
MED-B-EEF
Utility Services
Ut Water Production Div
450
80522
F
4/29/1963
46
CL
0
10/26/1992
MED-B-EE
Utility Services
Utility Finance & Budget
451
80525
F
4/20/1961
48
CL
0
10/11/1993
MED-B-EE
Police Services
Police Information Services
452
80526
M
3/3/1964
45
PS
0
4/12/1993
MED-B-EEF
Police Services
Investigations
453
80524
M
8/29/1957
51
CL
0
5/28/1996
MED-B-EEF
Utility Services
Electric Field Services
454
80526
F
12/10/1963
45
TP
0
2/23/2009
Waived
Community Services
Natural Resources
455
80528
F
4/6/1972
37
PF
0
9/28/1998
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
456
80524
M
8/16/1958
50
CL
0
6/25/1990
MED-B-EES
Utility Services
Electric Field Services
457
80525
M
2/15/1960
49
CL
0
9/1/1980
MED-B-EE
Utility Services
Electric Field Services
458
80528
F
6/22/1957
52
CL
0
1/11/1988
MED-A-EE
Utility Services
Ut Environmental Services Div
459
80524
F
10/10/1967
41
CL
0
3/30/1998
MED-B-EEC
Financial Services
Finance
460
80526
F
10/29/1959
49
CL
0
3/6/1991
MED-B-EE
Police Services
Office of the Chief
461
80524
F
3/15/1964
45
CL
0
6/29/1987
Waived
Utility Services
Ut Environmental Services Div
462
80526
F
6/9/1958
51
PS
0
4/16/1979
MED-B-EES
Police Services
Investigations
463
80221
M
1/3/1972
37
CL
0
8/11/2008
MED-A-EE
Community Services
Cultural Services
464
80524
F
6/23/1965
44
CL
0
1/28/2008
MED-B-EE
Community Services
Recreation
465
80528
F
2/13/1959
50
CL
0
4/3/1989
MED-B-EEF
Utility Services
Utility Finance & Budget
466
80525
M
12/6/1965
43
PS
0
2/5/1990
MED-B-EEF
Police Services
Patrol
467
80526
F
12/28/1961
47
LD
0
2/21/2000
MED-A-EES
Library District
Library District
468
80528
M
9/12/1971
37
PS
0
7/12/1999
MED-B-EEF
Police Services
Investigations
469
80526
M
7/17/1959
49
PF
0
3/2/1998
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
470
80549
M
6/27/1964
45
CL
0
4/1/1992
MED-A-EE
Utility Services
Ut Distribution System Div
471
80612
F
3/23/1967
42
CL
0
5/3/1999
MED-B-EE
Utility Services
Ut Wtr Reclama & Biosolids Div
472
80526
F
8/29/1967
41
CL
0
6/1/1999
MED-B-EEC
Police Services
Police Information Services
473
80525
M
3/18/1974
35
CL
0
5/30/1995
MED-B-EE
Internal Services
Operations Services
474
80538
F
5/13/1962
47
CL
0
3/24/1997
MED-B-EEC
Internal Services
Management Information Service
475
80524
M
3/5/1961
48
CN
0
10/10/2005
MED-B-EE
Utility Services
Electric Field Services
476
80524
M
4/29/1970
39
CL
0
5/22/1995
MED-B-EEF
Community Services
Recreation
477
80526
F
9/13/1970
38
CL
0
12/6/1993
MED-B-EES
Utility Services
Utility Cust. & Emp. Relations
478
80538
F
5/7/1962
47
CL
0
8/25/1997
MED-B-EES
Community Services
Neighborhood & Building
479
80549
M
11/21/1960
48
CL
0
7/31/1995
MED-B-EEC
Community Services
Streets
480
80528
M
3/5/1965
44
CL
0
4/14/1986
MED-B-EEC
Internal Services
Management Information Service
481
80524
M
7/31/1964
44
PS
0
1/6/1992
MED-B-EEF
Police Services
Investigations
482
80525
F
4/22/1965
44
CL
0
1/7/1997
MED-B-EE
Police Services
Police Information Services
483
80549
F
7/27/1963
45
PS
0
4/22/1996
MED-B-EEF
Police Services
Investigations
484
80521-80525
M
12/5/1965
43
CL
0
4/21/2008
MED-A-EEF
Utility Services
Ut Standards Engineering Div
EE# _ Postal Code
Sex
Birth Date
_
-�-.-
Emp Age.;
� __. - _�__________Y__
Benefit Group Pay: St Date Started
Medical Plan'
`;Service Area
_
Department
485
80549
M
11/10/1964
44
PS
0
1/12/1998
MED-B-EEF
Police Services
Patrol
486
80549
M
4/30/1970
39
PS
0
7/12/1999
MED-A-EEF
Police Services
Patrol
487
80522
M
9/23/1970
38
PS
0
1/23/1995
MED-B-EEF
Police Services
Patrol
488
80526
M
1/30/1980
29
TP
0
3/10/2008
Waived
Community Services
Parks
489
80304
F
8/2/1968
40
PF
0
1/23/1995
Waived
Poudre Fire Authority
Poudre Fire Authority
490
80651
M
4/14/1969
40
PF
0
3/2/1998
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
491
80525
M
12/1/1961
47
CL
0
2/13/1995
MED-B-EEC
Utility Services
Ut Mstr Plan & Fldpl Admin Div
492
80526
M
1/21/1969
40
PS
0
12/18/1995
MED-B-EEF
Police Services
Investigations
493
80550
F
8/15/1970
38
CL
0
10/19/1998
MED-A-EES
Community Services
Engineering
494
80525
M
5/28/1979
30
CL
0
3/5/2001
MED-B-EES
Utility Services
Electric Field Services
495
80538
M
4/27/1971
38
PF
0
1/23/1995
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
496
80549
M
1/13/1977
32
CN
0
6/30/2008
MED-A-EEF
Community Services
Streets
497
80524
M
10/20/1972
36
CL
0
2/22/1999
MED-B-EE
Utility Services
Electric Field Services
498
80521
M
9/28/1946
62
CL
0
4/12/2004
MED-B-EE
Utility Services
Ut Distribution System Div
499
80538
M
11/28/1950
58
CL
0
6/1/1973
MED-B-EES
Community Services
Current Planning
500
80504
F
11/17/1950
58
CL
0
2/22/1999
MED-B-EES
Internal Services
Human Resources
501
80521
M
11/20/1948
60
CL
0
8/1/1972
MED-A-EE
Utility Services
Ut Collection System Div
502
80648
F
8/25/1975
33
PS
0
1/11/1999
MED-B-EEF
Police Services
Police Information Services
503
80525
M
6/24/1949
60
PF
0
10/1/1980
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
504
80525
M
2/27/1950
59
CL
0
3/15/1975
MED-B-EE
Utility Services
L&P Operations Service Unit
505
80534
M
7/14/1953
56
CL
0
10/24/1994
MED-B-EES
Utility Services
Ut Wtr Reclama & Biosolids Div
506
80525
M
6/18/1949
60
CL
0
7/1/1969
MED-B-EES
Utility Services
Ut Electric Systems Eng Div
507
80512
M
6/22/1951
58
CL
0
8/2/1993
MED-B-EEF
Financial Services
Finance
508
80538
F
12/12/1947
61
PC
0
8/12/1991
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
509
80521
F
2/19/1949
60
CL
0
1/1/1991
MED-B-EE
Community Services
Recreation
510
80521
F
9/5/1949
59
PT
0
10/15/1986
MED-APT-EEF
Utility Services
Ut Standards Engineering Div
511
80521
F
10/9/1951
57
LD
0
12/27/1994
MED-B-EES
Library District
Library District
512
80524
M
2/15/1961
48
LD
0
2/19/1990
MED-B-EE
Library District
Library District
513
80550
F
11/27/1949
59
CL
0
7/6/1988
MED-B-EES
Utility Services
Utility Cust. & Emp. Relations
514
80526
M
11/7/1950
58
CL
0
1/6/1969
MED-A-EES
Utility Services
Ut Distribution System Div
515
80526
F
6/3/1951
58
CL
0
6/16/1977
MED-B-EES
Financial Services
Finance
516
80526
M
6/4/1952
57
PS
0
8/9/1982
MED-B-EES
Police Services
Patrol
517
80525
M
7/11/1950
59
CL
0
6/16/2008
MED-A-EES
Community Services
Streets
518
80521
F
6/15/1951
58
LD
0
1/1/1974
MED-B-EE
Library District
Library District
519
80631
M
8/16/1947
61
CL
0
3/6/1995
MED-B-EE
Internal Services
Operations Services
520
80525
M
2/16/1950
59
CL
0
3/1/1977
MED-B-EES
Utility Services
Electric Field Services
521
80524
F
6/1/1951
58
CL
0
6/16/1975
MED-A-EE
Utility Services
Utility Cust. & Emp. Relations
522
80501
M
3/2/1965
44
CL
0
5/22/2006
MED-B-EE
Utility Services
Utility Finance & Budget
623
80524
M
5/5/1953
56
CL
0
8/24/1999
MED-B-EES
Community Services
Recreation
524
80528
F
3/15/1949
60
CL
0
8/23/1983
MED-B-EES
Utility Services
Utility Cust. & Emp. Relations
525
80521
M
8/22/1950
58
CL
0
3/31/1980
MED-B-EEF
Community Services
Parks
526
80524
F
1/13/1952
57
CL
0
4/1/1975
MED-B-EES
Community Services
Recreation
527
80549
M
1/17/1957
52
CL
0
4/17/1989
MED-A-EEC
Utility Services
Ut Water Production Div
528
80524
F
10/25/1952
56
CL
0
11/23/1992
MED-B-EES
Internal Services
Human Resources
EE#
Postal Code
Sex
Birth Date '
Emp Age
Benefit Group
Pay St Date Started
Medical Plan
Service Area
Department
529
80526
M
8/15/1951
57
CL
0
11/1/1972
MED-B-EES
Utility Services
Electric Field Services
530
80526
M
4/30/1954
55
CL
0
10/1/1997
MED-B-EE
Community Services
Transfort / Dial -a -Ride
531
80521
M
5/24/1956
53
CL
0
10/16/1977
MED-B-EEF
Internal Services
Operations Services
532
80521
F
8/5/1954
54
CL
0
8/15/1983
MED-B-EES
Internal Services
Management Information Service
533
80524
F
2/8/1954
55
CL
0.
6/25/1979
MED-B-EE
Community Services
Recreation
534
80526
M
2/15/1954
55
CL
0
9/25/1995
MED-B-EES
Utility Services
Ut Water Meters Div
535
80525,
M
11/27/1951
57
CL
0
12/16/1976
MED-A-EES
Community Services
Parks
536
80527
M
2/17/1952
57
TP
0
3/16/2009
Waived
Utility Services
Ut Collection System Div
537
80549
F
5/16/1962
47
CL
0
1/29/1996
MED-B-EES
Police Services
Police Information Services
538
80521
M
2/8/1954
55
CL
0
2/27/1995
MED-B-EEF
Utility Services
Ut Distribution System Div
539
80526
M
1/29/1953
56
UM
0
11/23/1976
MED-B-EES
Community Services
Parks
540
80526
M
4/22/1955
54
CL
0
11/3/1997
MED-B-EE
Utility Services
Ut Water Meters Div
541
80524
M
7/31/1953
55
TP
0
4/7/2008
Waived
Community Services
Parks
542
80521
M
4/27/1954
55
CL
0
1/25/1988
MED-B-EES
Community Services
Parks
543
80526
M
7/12/1955
54
CL
0
10/21/1996
MED-B-EE
Community Services
Streets
544
80521
M
6/13/1955
54
CL
0
3/1/1974
MED-B-EEF
Utility Services
Ut Process & Supervis Cntr Div
545
80535
F
8/21/1959
49
CL
0
1/25/1999
MED-A-EES
Financial Services
Finance
546
80524
F
10/6/1963
45
CL
0
3/1/1999
MED-B-EE
Community Services
Parks
547
80526
M
1/29/1956
53
CL
0
3/2/1992
MED-B-EE
Community Services
Parks
548
80512
M
1/18/1957
52
CL
0
7/6/1999
MED-B-EE
Community Services
Neighborhood & Building
549
80538
M
4/30/1956
53
CL
0
2/3/1975
MED-B-EES
Community Services
Parks
550
80525
M
2/8/1957
52
CL
0
11/29/1999
MED-B-EEF
Community Services
Transfort / Dial -a -Ride
551
80526
M
12/17/1956
52
CL
0
3/7/1988
MED-A-EEF
Internal Services
Human Resources
552
80526
F
6/22/1958
51
CL
0
5/16/1994
MED-B-EEF
Utility Services
Utility Finance & Budget
553
80528
F
8/29/1957
51
PT
0
8/30/1993
MED-BPT-EE
Community Services
Cultural Services
554
80528
M
8/19/1956
52
CL
0
6/6/1983
MED-A-EEF
Community Services
Parks
555
80525
M
3/11/1958
51
CL
0
9/16/1996
MED-B-EEF
Utility Services
Utility Finance & Budget
556
80526
M
5/9/1956
53
PF
0
7/1/1979
MED-B-EES
Poudre Fire Authority
Poudre Fire Authority
557
80526
M
5/11/1958
51
PF
0
9/23/1991
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
558
80521
M
7/25/1955
53
CL
0
6/9/1980
MED-B-EES
Utility Services
Ut Drainage System Div
559
80521
F
11/11/1965
43
PC
0
6/1/1989
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
560
80528
M
1/29/1957
52
PS
0
9/1/1981
MED-A-EEF
Police Services
Patrol
561
80512
M
5/9/1954
55
UM
0
10/1/1979
MED-B-EES
Utility Services
Ut Water Systems Engr Div
562
80525
M
12/31/1956
52
CL
0
2/19/1985
MED-B-EES
Community Services
Traffic
563
80528
M
7/9/1956
53
CL
0
9/5/1986
MED-B-EE
Community Services
Recreation
564
80524
M
12/8/1956
52
CL
0
9/2/1991
MED-B-EEC
Utility Services
Electric Field Services
565
80521
F
8/24/1959
49
PF
0
2/19/1991
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
566
80524
M
12/7/1963
45
CL
0
3/11/1985
MED-B-EES
Utility Services
Electric Field Services
567
80524
M
5/12/1958
51
CL
0
10/23/1989
MED-A-EEF
Community Services
Advance Planning
568
80521
F
11/14/1969
39
CL
0
8/28/2006
MED-A-EEF
Utility Services
Ut Reg & Govt Affairs Div
569
80550
M
11/9/1962
46
CL
0
1/10/2000
MED-B-EEF
Utility Services
Ut Drainage System Div
570
80549
F
4/18/1971
38
CL
0
8/20/1990
MED-B-EEF
Utility Services
Utility Finance & Budget
571
80524
M
4/4/1957
52
CL
0
12/29/1986
MED-B-EEF
Utility Services
Ut Collection System Div
572
80524
M
11/8/1960
48
CL
0
3/1/1999
MED-B-EEF
Utility Services
Ut Elec System Design & IT Div
EES 'Postal Code-'- Sex
Birth_ Date
Emp Age
Benefit Group
-
Pay - St__ -Da-te St_arted ;
Medical Plan _Service Area _ _ �,.. �
-Department
573
80538
M
1/25/1958
51
CL
0
8/12/1985
MED-A-EEC
Utility Services
Ut Environmental Services Div
574
80525
F
5/20/1960
49
CL
0
7/25/1978
MED-B-EES
Community Services
City Clerk
575
80525
F
10/19/1959
49
CL
0
1/12/1987
Waived
Community Services
Recreation
576
80521
M
7/25/1960
48
CL
0
2/20/1990
MED-B-EE
Utility Services
Ut Collection System Div
577
80521
M
12/8/1961
47
CL
0
6/13/1988
MED-B-EES
Internal Services
Operations Services
578
80524
M
4/30/1970
39
PS
0
5/25/1992
MED-B-EEC
Police Services
Investigations
579
80521
M
7/14/1960
49
CL
0
6/25/1990
Waived
Utility Services
Ut Standards Engineering Div
580
80526
M
7/9/1959
50
CL
0
1/9/1989
MED-B-EEF
Community Services
Parks
581
80525
M
7/15/1960
48
CL
0
3/1/1985
MED-A-EEC
Utility Services
Utility Tech. & Cust. Service
582
80537
M
8/16/1960
48
PF
0
2/5/1986
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
583
80526
F
4/23/1962
47
CL
0
6/16/1980
MED-B-EE
Utility Services
Ut Standards Engineering Div
584
80525
F
8/7/1968
40
PS
0
12/18/1995
MED-B-EEF
Police Services
Patrol
585
82009
M
12/1/1960
48
CL
0
3/21/1988
MED-A-EEF
Community Services
Parks
586
80549
M
8/23/1963
45
CL
0
12/20/1993
MED-B-EE
Utility Services
Electric Field Services
587
80524
M
4/9/1962
47
PS
0
2/21/1994
MED-A-EE
Police Services
Patrol
588
80526
M
3/24/1961
48
PF
0
9/18/1989
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
589
80522
M
12/24/1968
40
PS
0
12/18/1995
MED-B-EEC
Police Services
Patrol
590
80526
M
1/21/1962
47
CL
0
3/19/2001
MED-A-EE
Internal Services
Comm. & Public Involvement
591
80550
F
12/22/1960
48
CL
0
3/16/1984
MED-B-EE
ELJS
Municipal Court
592
80525
M
1/17/1963
46
PF
0
12/17/1984
MED-A-EEF
Poudre Fire Authority
Poudre Fire Authority
593
80526
M
1/18/1965
44
PS
0
1/12/1998
MED-B-EEF
Police Services
Patrol
594
80524
F
8/16/1964
44
LD
0
9/18/1990
MED-B-EES
Library District
Library District
595
80550
M
4/21/1965
44
PS
0
5/8/1995
MED-B-EEF
Police Services
Investigations
596
80550
M
6/13/1965
44
PS
0
3/5/1990
MED-A-EEF
Police Services
Investigations
597
80549
M
6/11/1965
44
PF
0
1/4/1996
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
598
80549
F
1/9/1966
43
CL
0
4/27/1998
MED-A-EE
Utility Services
Utility Cust. & Emp. Relations
599
80521
M
9/1/1970
38
PF
0
3/31/1997
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
600
80528
M
3/31/1971
38
CL
0
7/1/1996
MED-B-EEC
Community Services
Parks
601
80526
M
12/11/1973
35
CL
0
6/16/1997
MED-B-EE
Utility Services
Ut Standards Engineering Div
602
80549
M
6/10/1967
42
CL
0
3/9/1998
MED-A-EEF
Internal Services
Operations Services
603
80528
M
4/8/1966
43
CL
0
5/22/1995
MED-B-EEF
Community Services
Streets
604
80525
F
8/6/1971
37
CL
0
7/22/1998
MED-B-EE
Utility Services
Utility Cust. & Emp. Relations
605
80526
F
9/1/1974
34
TP
0
1/24/2000
Waived
Community Services
Recreation
606
80538
M
10/25/1970
38
PS
0
5/18/1998
MED-B-EEC
Police Services
Investigations
607
80526
M
2/17/1970
39
CL
0
4/29/1991
Waived
Utility Services
Ut Water Meters Div
608
80537
F
8/16/1972
36
CL
0
12/1/1997
MED-B-EE
Community Services
Natural Resources
609
80512
M
1/9/1943
66
RPC
T
1/1/1963 MED-A-RTMMEE Utility Services
Ut Reg & Govt Affairs Div
610
80524
M
7/29/1975
33
PS
0
7/12/1999
MED-A-EE
Police Services
Investigations
611
80525
M
2/8/1976
33
CL
0
7/24/2000
MED-B-EEF
Utility Services
Electric Field Services
612
80526
M
7/17/1944
65
TP
0
2/20/2006
Waived
Community Services
Parks
613
80526
M
2/6/1945
64
CL
0
2/5/1979
MED-B-EES
Community Services
Engineering
614
80525
M
4/7/1947
62
CL
0
4/12/1977
MED-A-EES
Internal Services
. Management Information Service
615
80517-6304
M
7/21/1947
61
CN
0
1/15/2007
MED-B-EES
Poudre Fire Authority
Poudre Fire Authority
616
80525
F
4/6/1952
57
LDP
0
6/15/1998
Waived
Library District
Library District
EE#
Postal Code;
Sex,'Birth
Date.
Emp Age
Benefit Group
Pay St- Date Started
Medical Plan
Service Area,,
Department
617
80524
F
2/13/1949
60
CL
0
5/1/1977
MED-B-EES
Internal Services
Operations Services
618
80615
M
4/8/1954
55
CL
0
3/28/1977
MED-A-EES
Community Services
Parks
619
80512
F
9/26/1949
59
TP
0
4/13/2009
Waived
Community Services
Parks
620
80524
M
2/25/1952
57
PF
0
9/14/1981
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
621
80526
M
4/19/1954
55
CL
0
1/25/1988
MED-B-EE
Community Services
Parks
622
80526
M
3/1/1957
52
PS
0
5/21/1979
MED-B-EEF
Police Services
Patrol
623
80525
M
12/18/1951
57
CL
0
3/11/1985
MED-A-EES
Utility Services
Electric Field Services
624
80549
F
6/15/1951
58
CL
0
4/8/1998
MED-B-EE
ELJS
Municipal Court
625
80521
F
4/17/1947
62
CL
0
1/5/1966
MED-A-EES
Utility Services
Utility Finance & Budget
626
80521
M
10/9/1980
28
TP
0
2/9/2009
Waived
Community Services
Natural Resources
627
80528
M
10/28/1958
50
PF
0
3/2/1998
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
628
80524
F
9/18/1950
58
PT
0
10/15/1979
Waived
Utility Services
Ut Environmental Services Div
629
80526
M
4/5/1950
59
CL
0
4/10/2000
MED-B-EES
Community Services
Streets
630
80526
F
9/21/1959
49
CL
0
1/28/1985
MED-B-EE
Utility Services
Ut Wtr Reclama & Biosolids Div
631
80524
M
4/22/1954
55
CL
0
6/1/1973
MED-B-EE
Utility Services
Electric Field Services
632
80524
M
7/4/1955
54
PF
0
1/1/1975
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
633
80524
M
1/30/1952
57
UM
0
7/28/1980
MED-B-EEF
Community Services
Streets
634
80524
M
10/14/1951
57
CL
0
3/1/1977
MED-B-EES
Utility Services
Electric Field Services
635
80524
M
7/7/1951
58
PF
0
1/1/1975
MED-B-EES
Poudre Fire Authority
Poudre Fire Authority
636
80512
M
7/21/1953
55
PS
0
5/2/1977
MED-B-EEF
Police Services
Investigations
637
80521
M
9/20/1953
55
CL
0
12/16/1977
MED-A-EES
Utility Services
Electric Field Services
638
80526
M
10/3/1954
54
CL
0
8/20/1979
MED-B-EEF
Utility Services
Electric Field Services
639
80549
M
6/4/1953
56
PS
0
1/6/1997
MED-B-EES
Police Services
Office of the Chief
640
80550
M
4/18/1955
54
PS
0
8/7/1979
MED-B-EE
Police Services
Patrol
641
80526
M
1/28/1955
54
PF
0
2/1/1979
MED-B-EEC
Poudre Fire Authority
Poudre Fire Authority
642
80526
F
7/13/1956
53
CL
0
10/17/1994
MED-B-EE
Police Services
Police Information Services
643
80538
M
11/5/1954
54
PF
0
9/18/1989
MED-B-EES
Poudre Fire Authority
Poudre Fire Authority
644
80524
M
4/4/1954
55
CL
0
3/15/1993
MED-B-EES
Utility Services
Ut Distribution System Div
645
80524
F
8/24/1956
52
CL
0
4/2/1979
MED-B-EE
Community Services
Recreation
646
80525
M
7/15/1955
54
CL
0
2/16/1994
MED-B-EEC
Internal Services
Operations Services
647
80521
M
3/1/1957
52
PF
0
5/2/1988
MED-B-EES
Poudre Fire Authority
Poudre Fire Authority
648
80526
M
11/25/1955
53
CL
0
6/30/1980
MED-A-EES
Community Services
Natural Resources
649
80524
M
8/17/1956
52
PS
0
6/13/1988
MED-B-EE
Police Services
Patrol
650
80521
M
11/25/1956
52
PF
0
4/3/1978
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
651
80528
M
3/6/1957
52
PS
0
10/29/1979
MED-A-EEC
Police Services
Patrol
652
80537
M
2/27/1955
54
CL
0
1/30/1995
MED-B-EES
Community Services
Current Planning
653
80550
M
8/20/1958
50
CL
0
2/7/2000
MED-B-EEF
Community Services
Streets
654
80550
F
6/13/1963
46
PS
0
1/8/1990
MED-B-EES
Police Services
Investigations
655
80524
M
6/10/1963
46
PF
0
5/9/1988
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
656
80550
M
5/28/1968
41
PS
0
1/23/1995
MED-B-EE
Police Services
Investigations
657
80525
M
6/27/1964
45
PF
0
2/19/1991
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
658
80549
F
9/5/1957,
51
CL
0
12/22/1980
MED-A-EEC
Community Services
Parks
659
80526
M
8/22/1957
51
CL
0
7/28/1980
MED-A-EEF
Utility Services
Utility Finance & Budget
660
80538
M
11/10/1958
50
PS
0
1/12/1998
MED-B-EEF
Police Services
Patrol
EE# PostaLCode
�. Sext
Birth Date r
Em A e
Benefit Grou
Pa St. Date Started =
,
_
661
80524
M
12/6/1966
42
PS
0
5/16/1988•
MED-B-EEF
Police Services
Patrol
662
80526
M
4/12/1964
45
CL
0
7/5/1999
MED-A-EEC
Police Services
Patrol
663
80525
M
6/16/1961
48
CL
0
4/15/1991
MED-B-EEC
Utility Services
Ut Distribution System Div
664
80524
M
9/3/1974
34
CL
0
12/14/1998
Waived
Community Services
Parks
665
80528
M
2/23/1974
35
CL
0
3/28/1994
MED-A-EE
Utility Services
Ut Standards Engineering Div
666
80549
F
12/19/1960
48
LD
0
7/28/1997
MED-B-EES
Library District
Library District
667
80525
M
4/19/1959
50
PS
0
7/12/1982
MED-B-EEF
Police Services
Investigations
668
80526
M
1/7/1960
49
CL
0
1/2/1995
MED-B-EEF
Community Services
Recreation
669
80526
F
7/11/1970
39
PS
0
2/21/1994
MED-B-EE
Police Services
Patrol
670
80521
F
1/26/1965
44
CL
0
9/14/1998
MED-B-EEF
Community Services
Cultural Services
671
80538
M
7/16/1976
32
PS
0
7/12/1999
MED-A-EEF
Police Services
Patrol
672
80525
M
12/21/1963
45
CL
0
4/15/1991
MED-B-EEC
Utility Services
Ut Water Production Div
673
80524
M
7/18/1961
47
CL
0
9/11/1989
MED-B-EES
Community Services
Traffic
674
80525
M
7/11/1963
46
PS
0
1/11/1988
MED-B-EEC
Police Services
Patrol
675
80526
M
7/8/1962
47
CL
0
12/31/1984
MED-B-EEC
Internal Services
Management Information Service
676
80526
F
5/15/1962
47
CL
0
6/21/1993
MED-B-EEC
Utility Services
Utility Cust. & Emp. Relations
677
80528
M
5/21/1967
42
PF
0
9/28/1998
MED-B-EES
Poudre Fire Authority
Poudre Fire Authority
678
80549
M
12/4/1970
38
CL
0
4/27/1998
MED-B-EEC
Utility Services
Ut Water Production Div
679
80525
M
3/22/1971
38
PF
0
1/23/1995
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
680
80528
M
7/25/1965
43
PF
0
3/26/1990
MED-B-EEC
Poudre Fire Authority
Poudre Fire Authority
681
80525
M
3/16/1970
39
PF
0
3/2/1998
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
682
80538
M
6/8/1964
45
CL
0
10/25/1993
MED-B-EEC
Community Services
Parks
683
80550
F
4/22/1966
43
PS
0
1/5/1998
MED-B-EE
Police Services
Police Information Services
684
80550
M
5/29/1974
35
PF
0
9/28/1998
MED-A-EEF
Poudre Fire Authority
Poudre Fire Authority
685
80501
M
6/1/1964
45
CL
0
7/9/2001
MED-B-EEC
Utility Services
Ut Wtr Reclama & Biosolids Div
686
80547
M
9/17/1965
43
PF
0
3/26/1990
MED-A-EEF
Poudre Fire Authority
Poudre Fire Authority
687
80525
F
5/27/1970
39
PF
0
3/31/1997
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
688
80521
F
3/30/1970
39
LD
0
12/10/1990
MED-B-EEC
Library District
Library District
689
80525
F
11/16/1967
41
PS
0
12/18/1995
MED-B-EEC
Police Services
Patrol
690
80521
M
5/16/1971
38
CL
0
3/6/1995
MED-A-EE
Internal Services
Operations Services
691
80650
F
8/18/1968
40
PS
0
5/15/2000
MED-A-EE
Police Services
Police Information Services
692
80549
M
2/18/1968
41
CL
0
2/18/1991
MED-A-EEC
Utility Services
Ut Water Production Div
693
80524
F
6/28/1972
37
CL
0
2/22/1999
MED-B-EE
Community Services
Recreation
694
80741
F
7/11/1967
42
PF
0
1/23/1995
Waived
Poudre Fire Authority
Poudre Fire Authority
695
80537
F
9/19/1982
26
LDP
0
1/26/2009
MED-BPT-EE
Library District
Library District
696
80521
M
8/1/1964
44
PS
0
1/17/1994
MED-B-EEF
Police Services
Patrol
697
80528
M
9/21/1944
64
TP
0
3/1/2009
Waived
Community Services
Parks
698
80526
M
7/13/1942
67
TP
0
3/10/2008
Waived
Utility Services
Ut Drainage System Div
699
80537
M
3/5/1944
65
CL
0
7/16/1979
MED-B-EES
Utility Services
Ut Water Production Div
700
80526
M
8/15/1946
62
RPC
T
9/15/1964 MED-B-RTNMEE Utility Services
L&P Operations Service Unit
701
80521
M
5/14/1979
30
CL
0
1/10/2000
MED-B-EEF
Utility Services
Ut Distribution System Div
702
80526
M
3/19/1947
62
CL
0
6/6/1967
MED-B-EES
Utility Services
Electric Field Services
703
80547
M
3/20/1970
39
PS
0
1/16/1995
MED-B-EEF
Police Services
Patrol
704
80525
M
12/27/1948
60
UM
0
8/11/1980
MED-B-EE
ELJS
City Attorney
_-�-
EE# , - _ PostalGCode
-� -.._
Sex Birth Date;
� Emp,Age
- - T --- --
..Benefit Grou P
�-�- -_ - -----
Pa * Date Started ,
Y
_ _
Medical. Plan
Service Area
��
De artmer t
P71
705
80525
M
1/18/1953
56
CL
0
9/8/1998
MED-A-EEF
Utility Services
Ut Elec System Design & IT Div
706
80526
M
6/9/1954
55
CL
0
4/15/1985
MED-B-EEC
Utility Services
Ut Mstr Plan & Fldpl Admin Div
707
80550
M
2/17/1948
61
CL
0
5/23/1988
MED-B-EES
Utility Services
Ut Wtr Reclama & Biosolids Div
708
80526
M
8/6/1950
58
CL
0
4/22/1974
MED-B-EES
Utility Services
Ut Water Production Div
709
80524-1745
M
3/27/1948
61
CL
0
1/2/1975
MED-B-EE
Internal Services
Operations Services
710
80524
F
11/17/1947
61
CL
0
11/5/1973
MED-B-EE
Utility Services
Utility Finance & Budget
711
80550
F
4/23/1974
35
CL
0
9/5/1995
MED-B-EEC
Community Services
Recreation
712
80521
F
3/8/1951
58
CL
0
5/22/1985
MED-B-EE
Community Services
Parks
713
80512
M
11/24/1949
59
CL
0
10/16/1976
MED-B-EEF
Utility Services
Ut Wtr Reclama & Biosolids Div
714
80526
M
2/11/1951
58
CL
0
1/11/1988
MED-B-EE
Utility Services
Ut Wtr Reclama & Biosolids Div
715
80524
F
7/1/1949
60
PS
0
1/8/1979
MED-B-EE
Police Services
Patrol
716
80526
M
10/31/1951
57
CL
0
9/18/1989
MED-B-EES
Utility Services
Ut Standards Engineering Div
717
80537
F
10/10/1954
54
CL
0
6/17/1977
MED-B-EES
Internal Services
Human Resources
718
80525
M
6/17/1948
61
CL
0
12/28/1987
MED-A-EE
Utility Services
Ut Wtr Reclama & Biosolids Div
719
80525
M
6/19/1952
57
CL
0
5/21/1973
MED-B-EES
Utility Services
Ut Collection System Div
720
80610
M
3/6/1952
57
CL
0
10/4/1993
MED-B-EE
Utility Services
Electric Field Services
721
80526
M
10/22/1952
56
PF
0
6/9/1975
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
722
80526
M
10/14/1951
57
CL
0
3/17/1980
MED-A-EES
Utility Services
Electric Field Services
723
80526
M
6/7/1958
51
PS
0
1/11/1988
MED-B-EEC
Police Services
Investigations
724
80615
M
10/4/1955
53
PF
0
2/1/1979
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
725
80525
M
10/30/1959
49
PS
0
7/2/2007
MED-B-EES
Police Services
Patrol
726
80525
F
7/23/1954
54
LDP
0
5/21/2007
MED-APT-EES
Library District
Library District
727
80521
F
9/18/1953
55
CL
0
12/29/1997
MED-A-EE
Community Services
Natural Resources
728
80522
F
10/26/1953
55
MPO
Z
1/21/1997
MED-A-EES
Metropolitan Planning Org
Metropolitan Planning Org
729
82007
M
6/13/1967
42
PS
0
1/13/1997
MED-A-EES
Police Services
Patrol
730
80526
M
10/24/1953
55
PS
0
7/10/2000
MED-B-EES
Police Services
Police Information Services
731
80525
M
12/31/1953
55
CL
0
5/26/2003
MED-B-EES
Utility Services
Electric Field Services
732
80526
M
7/10/1955
54
PS
0
2/15/1977
MED-B-EEF
Police Services
Patrol
733
80525
M
11/7/1956
52
CL
0
3/16/1992
MED-B-EES
Utility Services
Ut Wtr Reclama & Biosolids Div
734
80537
M
3/10/1954
55
CL
0
10/29/1990
MED-B-EE
Utility Services
Ut Wtr Reclama & Biosolids Div
735
80521
F
3/25/1954
55
CL
0
1/4/1982
MED-B-EE
Police Services
Police Information Services
736
80550
M
5/7/1955
54
PS
0
4/9/1979
MED-A-EEC
Police Services
Patrol
737
80526
F
12/20/1958
50
CL
0
3/8/1999
MED-B-EEF
Police Services
Police Information Services
738
80528
M
12/23/1955
53
PF
0
4/10/1989
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
739
80549-82009
F
10/31/1956
52
LD
0
11/19/2007
Waived
Library District
Library District
740
80521
M
2/25/1957
52
CL
0
2/9/1998
MED-B-EEF
Utility Services
Electric Field Services
741
80525
M
10/23/1954
54
CL
0
4/2/1973
MED-B-EES
Utility Services
Ut Collection System Div
742
80521
F
4/7/1959
50
CL
0
4/6/1998
MED-A-EEF
Community Services
Recreation
743
80538
M
9/28/1960
48
UM
0
2/7/2000
MED-B-EE
Community Services
Transportation Group
744
80526
F
4/8/1961
48
PT
0
12/2/1991
Waived
Utility Services
Ut Water Resources Div
745
80549
M
8/18/1961
47
PF
0
3/2/1998
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
746
80549
M
1/18/1963
46
CL
0
1/10/2000
MED-B-EEF
Utility Services
Ut Reg & Govt Affairs Div
747
80525
M
8/19/1959
49
CL
0
7/6/1992
MED-B-EEF
Community Services
Transfort / Dial -a -Ride
748
80525
M
10/20/1969
39
PS
0
5/9/1994
MED-A-EEF
Police Services
Patrol
FEE#
Pos 1 Cta ode :Sex •:Birth Date r Em_ p Age " Benefit
Group , P,aySt Date Started Medical Plans Service Area, -`
Departmentk
749
80525
M
5/3/1970
39
CL
0
7/19/1999
MED-A-EEF
Community Services
Engineering
750
80525
F
3/27/1965
44
CL
0
8/14/2008
Waived
Community Services
Cultural Services
751
80538
F
5/27/1973
36
CL
0
5/4/1998
MED-B-EEC
Police Services
Office of the Chief
752
80521
M
4/22/1953
56
CL
0
5/25/1981
MED-A-EES
Utility Services
Ut Process & Supervis Cntr Div
753
82009
M
2/14/1966
43
CL
0
3/16/1992
MED-A-EEF
Utility Services
Ut Wtr Reclama & Biosolids Div
754
80528
M
5/11/1954
55
SD
0
1/1/1997
MED-B-EES
Police Services
Office of the Chief
755
80522
F
8/11/1959
49
MPO
Z
12/14/1998
MED-B-EE
Metropolitan Planning Org
Metropolitan Planning Org
756
80535
F
1/14/1961
48
PT
0
7/29/1985
Waived
Utility Services
Ut Environmental Services Div
757
80528
M
10/6/1959
49
PF
0
3/22/1982
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
758
80526
M
4/17/1949
60
CL
0
1/11/1982
MED-B-EES
Community Services
Traffic
759
80538
F
3/31/1962
47
CL
0
6/18/1996
MED-A-EES
Financial Services
Finance
760
80525
M
7/6/1952
57
CL
0
12/21/1981
MED-B-EEF
Utility Services
Ut Wtr Reclama & Biosolids Div
761
80536
M
4/4/1954
55
PF
0
3/26/1990
MED-A-EEF
Poudre Fire Authority
Poudre Fire Authority
762
80526
M
6/24/1949
60
CL
0
8/20/1979
MED-B-EE
Utility Services
Ut Standards Engineering Div
763
80524
F
8/2/1956
52
CL
0
3/30/1992
MED-A-EES
Community Services
Natural Resources
764
80522
F
8/2/1943
65
CL
0
4/17/1990
MED-B-EE
Internal Services
Operations Services
765
80526
M
2/28/1951
58
PF
0
1/26/1977
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
766
80525
F
5/28/1946
63
SD
0
3/15/1990
MED-B-EE
ELJS
City Manager
767
80521
M
6/4/1955
54
CL
0
7/1/1999
MED-A-EEF
Utility Services
Utility Cust. & Emp. Relations
768
80538
M
6/27/1969
40
CL
0
7/23/2001 _
MED-A-EEF
Utility Services
Electric Field Services
769
80524
M
5/19/1959
50
PS
0
9/7/1987
MED-B-EEC
Police Services
Patrol
770
80538
M
12/7/1957
51
CL
0
1/25/1988
MED-A-EEC
Community Services
Natural Resources
771
80549
M
1/19/1959
50
CL
0
1/25/1999
MED-A-EEF
Community Services
Engineering
772
80549
F
11/16/1952
56
CL
0
4/10/1995
MED-B-EE
Community Services
Transfort / Dial -a -Ride
773
80528
M
9/10/1967
41
PS
0
12/27/1995
MED-A-EEC
Police Services
Investigations
774
80524
M
11/12/1948
60
PF
0
5/14/1979
MED-B-EES
Poudre Fire Authority
Poudre Fire Authority
775
80521
M
9/16/1958
50
PF
0
1/23/1995
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
776
80521
F
12/30/1955
53
LD
0
6/21/2004
MED-B-EES
Library District
Library District
777
80526
M
5/9/1963
46
PT
0
10/1/1997
MED-APT-EEC
Community Services
Transfort / Dial -a -Ride
778
80526
M
9/24/1971
37
CL
0
4/7/1997
MED-A-EEF
Internal Services
Operations Services
779
80526
M
7/5/1963
46
PF
0
9/12/1994
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
780
80525
F
8/13/1947
61
LD
0
12/29/1997
MED-B-EE
Library District
Library District
781
80634
F
11/10/1954
54
CL
0
6/21/1993
MED-B-EES
Utility Services
Ut Mstr Plan & Fldpl Admin Div
782
80524
F
5/20/1957
52
CL
0
5/13/2002
Waived
Utility Services
Utility Cust. & Emp. Relations
783
80906
M
9/6/1956
52
PF
0
3/30/1981
MED-A-EES
Poudre Fire Authority
Poudre Fire Authority
784
80524
M
6/21/1956
53
CL
0
11/2/1998
MED-A-EES
Community Services
Neighborhood & Building
785
80524
F
8/27/1956
52
CL
0
10/6/1980
MED-B-EE
Financial Services
Finance
786
80512
M
9/15/1960
48
CL
0
3/30/1998
MED-B-EE
Utility Services
Ut Standards Engineering Div
787
80549
F
5/23/1942
67
PT
0
2/17/1998
MED-BPT-EE
Community Services
Parking
788
80535
F
1/22/1950
59
CL
0
5/6/1991
MED-B-EE
Police Services
Police Information Services
789
80524
M
12/8/1947
61
UM
0
5/27/1997
Waived
Community Services
Parking
790
80528
F
7/24/1964
44
UM
0
11/14/1994
MED-B-EEF
Community Services
Planning & Special Projects
791
80547
F
10/12/1955
53
CL
0
2/3/1992
MED-B-EEF
Utility Services
Ut Environmental Services Div
792
80528
F
6/27/1973
36
CL
0
5/10/1999
MED-B-EE
Community Services
Recreation
31. Does the RFP differ from the current provider's scope of work (i.e., are fewer
trainings being requested, more EAP sessions requested, etc.)?
No.
33. Is the City's health care plan self -insured? Yes. Experience rated? N/A.
34. Does City request that an annual brochure be mailed to each employee's
home? If so, will the postage for this mailing be incurred by the provider or by
the City?
No.
35. How -is the City's current EAP provider's utilization calculated? Are web hits,
training attendance, etc., included in the rate?
See Utilization Reports.
36. Regarding question #6 of the RFP: listed below, are you asking for details that
would....
1) Set a time frame for how long after an employee or family member has
utilized the EAP services will we, as the vendor, continue to follow-up with
them?.....or
2) State how long it will take us to follow-up with an employee or dependent
after they have utilized the EAP services?
Answer: State how long it will take you to follow-up with an employee or
dependent after they have utilized the EAP services.
Please contact David Carey, CPPB, Buyer, with any questions regarding this addendum
at (970) 416-2191 or email dcarey�fcgov.com .
RECEIPT OF THIS ADDENDUM MUST BE ACKNOWLEDGED BY A WRITTEN
STATEMENT ENCLOSED WITH THE BID/QUOTE STATING THAT THIS ADDENDUM
HAS BEEN RECEIVED.
where renewal is a way of life
EE# --PostalaCode,
_Sex_
Birth Date`.
" Emp Age
_Benefit Group .Pay St'Date Started_.
Medical Plan _Service .Area.- _ =7777777„
pepartrrment < •' -7-1
793
80525
M
4/28/1973
36
PF
0
9/28/1998
MED-B-EEC
Poudre Fire Authority
Poudre Fire Authority
794
80526
F
3/15/1951
58
PS
0
7/12/1993
MED-B-EE
Police Services
Police Information Services
795
80525-5696
M
12/2/1969
39
TP
0
3/1/2009
Waived
Community Services
Parks
796
80538
M
9/5/1973
35
CL
0
5/23/2005
MED-A-EEF
Community Services
Parks
797
80522
M
6/22/1952
57
UM
0
6/20/1977
MED-B-EES
Internal Services
Operations Services
798
80525
M
5/5/1965
44
EXC
0
5/20/1996
MED-B-EEF
ELJS
City Manager
799
80525
M
4/26/1947
62
CL
0
1/4/1993
MED-B-EES
Utility Services
Ut Wtr Reclama & Biosolids Div
800
80538
M
4/25/1946
63
CL
0
8/7/1978
MED-B-EE
Police Services
Police Information Services
801
80526
F
11/30/1970
38
CL
0
1/24/2000
MED-A-EEF
Community Services
Neighborhood & Building
802
80521
M
10/27/1954
54
CL
0
11/13/1978
MED-A-EES
Utility Services
Utility Tech. & Cust. Service
803
80525
F
8/3/1946
62
CL
0
5/21/1996
MED-B-EE
Utility Services
Utility Cust. & Emp. Relations
804
80526
M
12/5/1966
42
CL
0
4/29/1997
MED-A-EEF
Community Services
Advance Planning
805
80526
M
6/15/1957
52
CL
0
6/26/1995
MED-A-EEF
Community Services
Advance Planning
806
80512
M
11/20/1953
55
OF
0
2/1/1979
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
807
80550
M
7/18/1955
53
PS
0
2/21/1994
MED-B-EE
Police Services
Patrol
808
80550
M
2/2/1970
39
CL
0
12/16/1996
MED-A-EEC
Utility Services
Electric Field Services
809
80525
F
7/13/1957
52
CL
0
4/14/2003
MED-A-EEF
Utility Services
Ut Water Production Div
810
80521
F
12/20/1954
54
CL
0
5/21/1979
MED-B-EE
Utility Services
Ut Electric Systems Eng Div
811
80538
M
9/28/1965
43
CL
0
4/8/1996
MED-B-EES
Community Services
Parks
812
80526
M
10/6/1955
53
CL
0
12/13/1999
MED-B-EEF
Community Services
Streets
813
80526
M
3/13/1950
59
CL
0
3/7/1988
MED-B-EEF
Utility Services
Ut Wtr Reclama & Biosolids Div
814
80549
F
10/5/1957
51
PF
0
1/4/1984
MED-A-EEF
Poudre Fire Authority
Poudre Fire Authority
815
80521
F
2/26/1963
46
CL
0
12/7/1999
MED-B-EE
Community Services
Transfort / Dial -a -Ride
816
80525
F
9/5/1948
60
CN
0
11/19/2007
MED-B-EE
Police Services
Patrol
817
80524
M
12/13/1958
50
CL
0
9/21/1998
MED-A-EEF
Internal Services
Operations Services
818
80524
M
3/17/1973
36
CL
0
7/30/2007
MED-B-EEF
Community Services
Engineering
819
80521
F
12/11/1954
54
SD
0
12/31/1984
MED-B-EE
ELJS
City Manager
820
80549
M
12/25/1947
61
CL
0
3/1/1982
MED-B-EEF
Utility Services
Ut Environmental Services Div
821
80528
M
1/30/1950
59
CL
0
2/18/2002
MED-B-EE
Community Services
Transfort / Dial -a -Ride
822
80526
M
6/23/1959
50
CL
0
4/21/1980
MED-B-EE
Community Services
CPRE Administration
823
80521
F
1/21/1955
54
CL
0
7/3/1984
MED-A-EEF
Internal Services
Management Information Service
824
80526
F
9/17/1949
59
CL
0
7/9/1984
MED-B-EE
Community Services
Neighborhood & Building
825
80524
M
2/11/1951
58
CL
0
1/11/1978
MED-B-EE
Internal Services
Operations Services
826
80524
M
12/15/1949
59
PF
0
1/1/1977
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
827
80537
F
8/9/1959
49
CL
0
10/20/1986
MED-B-EES
Utility Services
Ut Standards Engineering Div
828
80526
F
6/21/1955
54
PS
0
8/7/1979
MED-B-EE
Police Services
Police Information Services
829
80526
F
5/20/1965
44
CL
0
2/22/1999
MED-B-EE
Community Services
Recreation
830
80525
M
3/30/1968
41
CL
0
11/5/2007
MED-B-EE
Community Services
Parks
831
80535
M
9/24/1969
39
CL
0
2/9/1998
MED-B-EEF
Utility Services
Electric Field Services
832
80550
M
7/31/1970
38
PS
0
1/6/1997
MED-B-EEF
Police Services
Patrol
833
80524
F
7/23/1960
48
CL
0
4/30/2001
MED-A-EEC
Community Services
Neighborhood & Building
834
80526
F
8/6/1977
31
CL
0
2/6/2006
MED-B-EEC
Internal Services
Human Resources
835
80615
M
9/23/1954
54
CL
0
2/18/2002
MED-B-EES
Community Services
Transfort / Dial -a -Ride
836
80525
F
12/10/1962
46
LDP
0
7/24/2000
MED-APT-EEF
Library District
Library District
[EE#.'
- Postal Code
Sex
Birth Date
Emp Age
Benefi�tGroup ,
Pay St Date Started
..Medical Plan.
Service Area : ry
-': Department, ,
837
80528
F
5/20/1961
48
CL
0
7/23/2001
MED-B-EEC
Community Services
Engineering
838
80521
M
10/12/1949
59
CL
0
10/27/1999
MED-A-EES
Community Services
Parking
839
80526
M
7/31/1947
61
CL
0
10/29/2001
MED-B-EEF
Community Services
Transfort / Dial -a -Ride
840
80525
M
6/23/1957
52
CL
0
4/30/2001
MED-A-EES
Community Services
Transfort / Dial -a -Ride
841
80550
F
9/10/1960
48
CL
0
8/21/2000
Waived
ELJS
Municipal Court
842 "
80526
M
4/7/1972
37
PS
0
1/3/2000
MED-B-EEC
Police Services
Patrol
843
80526
F
10/2/1959
49
CSO
0
1/3/2000
MED-B-EES
Police Services
Patrol
844
80528
M
4/3/1967
42
PS
0
1/3/2000
MED-B-EEF
Police Services
Patrol
845
80538
M
5/15/1968
41
PS
0
1/3/2000
MED-B-EE
Police Services
Investigations
846
80521
F
3/10/1954
55
CL
0
2/7/2000
MED-A-EE
Community Services
Transportation Group
847
80549
M
2/19/1961
48
CL
0
2/15/2000
MED-B-EES
Community Services
Traffic
848
80501
M
4/14/1971
38
CL
0
7/16/2007
MED-A-EES
Community Services
Transfort / Dial -a -Ride
849
80521
M
3/17/1970
39
CL
0
2/28/2000
MED-B-EEF
Community Services
Traffic
850
80513
M
5/23/1964
45
PF
0
2/28/2000
MED-B-EES
Poudre Fire Authority
Poudre Fire Authority
851
80525
M
5/6/1975
34
PF
0
2/28/2000
MED-B-EES
Poudre Fire Authority
Poudre Fire Authority
852
80525
M
1/21/1965
44
PF
0
2/28/2000
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
853
80215
M
5/31/1968
41
PF
0
2/28/2000
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
854
80524
F
8/22/1972
36
PF
0
2/28/2000
MED-B-EEC
Poudre Fire Authority
Poudre Fire Authority
855
80538
M
10/9/1967
41
PF
0
2/28/2000
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
856
80524
M
4/18/1967
42
PF
0
2/28/2000
MED-B-EES
Poudre Fire Authority
Poudre Fire Authority
857
80525
M
8/23/1976
32
CL
0
8/4/2003
MED-A-EE
Community Services
Natural Resources
858
80538
M
4/24/1969
40
CL
0
8/25/2003
MED-B-EES
Community Services
Traffic
859
80524
M
6/25/1960
49
CL
0
2/28/2000
MED-B-EEC
Internal Services
Management Information Service
860
80528
M
9/8/1974
34
CL
0
6/25/2001
MED-A-EEF
Internal Services
Management Information Service
861
80524
M
2/8/1942
67
TP
0
9/26/2005
Waived
Community Services
Recreation
862
80526
M
7/24/1952
56
CL
0
2/18/2002
Waived
Community Services
Transfort / Dial -a -Ride
863
80620
F
10/20/1977
31
CL
0
2/26/2007
Waived
Community Services
Recreation
864
80526
F
4/2/1974
35
CL
0
1/17/2005
MED-B-EE
Community Services
Natural Resources
865
80549
F
12/3/1959
49
CL
0
11/29/2004
MED-A-EE
Community Services
City Clerk
866
80526
F
4/15/1956
53
CL
0
2/5/2001
MED-B-EE
Community Services
Engineering
867
80521
M
1/11/1947
62
CL
0
4/3/2000
MED-A-EES
Community Services
Engineering
868
80549
F
7/3/1976
33
CL
0
1/29/2007
MED-B-EE
Community Services
Streets
869
80524
M
10/16/1945
63
CL
0
10/29/2001
MED-B-EE
Community Services
Streets
870
80528
M
11/30/1973
35
PS
0
4/28/2003
MED-B-EEF
Police Services
Patrol
871
80525
M
12/18/1963
45
PS
0
4/17/2000
MED-B-EEF
Police Services
Patrol
872
80525
M
12/18/1976
32
PS
0
4/17/2000
MED-B-EEF
Police Services
Patrol
873
80538
M
1/12/1973
36
PS
0
4/17/2000
MED-B-EE
Police Services
Investigations
874
80550
M
12/18/1970
38
PS
0
4/17/2000
MED-B-EEF
Police Services
Investigations
875
80528
M
6/30/1972
37
PS
0
4/17/2000
MED-B-EEF
Police Services
Patrol
876
80524
M
2/4/1961
48
CL
0
4/17/2000
MED-B-EE
Community Services
Engineering
877
80528
F
12/26/1944
64
CL
0
3/27/2006
MED-B-EE
Community Services
Neighborhood & Building
878
80521
M
10/11/1945
63
PT
0
2/18/2002
MED-BPT-EES
Community Services
Transfort / Dial -a -Ride
879
80535
M
3/29/1955
54
CL
0
4/24/2000
MED-B-EE
Community Services
Neighborhood & Building
880
80524
M
6/24/1972
37
CN
0
10/13/2008
MED-B-EEC
Utility Services
Ut Electric Systems Eng Div
EE#, Postal Code
Sex
Birth Date
Emp Age
Benefit.Group
Pay St. Date Started
Medical Plan
Service Area
Department
881
80525
M
5/16/1975
34
CL
0
5/7/2007
MED-B-EEF
Utility Services
Ut Standards Engineering Div
882
80524
F
12/5/1950
58
CL
0
5/8/2000
MED-B-EES
Utility Services
Utility Finance & Budget
883
80535
F
11/2/1965
43
CL
0
5/1/2000
MED-A-EES
Internal Services
Human Resources
884
80525
F
2/7/1985
24
CL
0
11/5/2007
MED-B-EEC
Community Services
Transfort / Dial -a -Ride
885
80526
M
10/25/1972
36
CL
0
8/4/2003
MED-B-EES
Community Services
Parks
886
80526
F
5/7/1966
43
CL
0
5/17/2000
MED-B-EE
Utility Services
Utility Finance & Budget
887
80634
M
4/10/1977
32
CL
0
9/12/2005
MED-A-EES
Community Services
Natural Resources
888
80549
M
9/2/1972
36
CL
0
5/19/2008
MED-B-EES
Community Services
Streets
889
80549
F
2/15/1979
30
CL
0
1/2/2006
MED-A-EE
Community Services
Traffic
890
80521
F
3/12/1960
49
CL
0
4/5/2004
MED-A-EEF
Community Services
Cultural Services
891
80526
F
9/22/1953
55
CL
0
6/5/2000
MED-B-EE
Financial Services
Finance
892
80538
F
6/26/1974
35
PS
0
6/5/2000
MED-B-EE
Police Services
Police Information Services
893
80525
F
12/7/1983
25
TP
0
4/14/2008
MED-ATP-EE
Community Services
Parks
894
80526-80521
M
3/5/1985
24
TP
0
3/30/2009
Waived
Community Services
Parks
895
80526
M
5/8/1984
25
TP
0
3/3/2009
Waived
Community Services
Natural Resources
896
80134
F
8/7/1962
46
CL
0
9/22/2008
MED-B-EE
Community Services
Natural Resources
897
80521
F
11/7/1956
52
TP
0
9/15/2008
Waived
Community Services
Parks
898
80526
M
2/1/1970
39
CL
0
7/12/2000
MED-A-EEC
Community Services
Natural Resources
899
80549
F
2/22/1976
33
CL
0
7/24/2000
MED-B-EEC
Community Services
Parks
900
80526
F
8/13/1956
52
CL
0
6/18/2007
MED-B-EE
Utility Services
Ut Water Meters Div
901
80525
M
3/6/1975
34
CL
0
9/22/2008
MED-B-EEF
Community Services
Engineering
902
80524
F
5/29/1956
53
CL
0
8/14/2000
MED-B-EEC
Utility Services
Ut Environmental Services Div
903
80521
F
4/6/1967
42
CL
0
9/3/2001
MED-B-EEF
Community Services
Transfort / Dial -a -Ride
904
80549
M
3/13/1966
43
CL
0
4/16/2001
MED-B-EES
Internal Services
Management Information Service
905
80521
M
2/1/1967
42
PF
0
8/28/2000
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
906
80526
M
6/30/1973
36
PF
0
8/28/2000
MED-B-EEC
Poudre Fire Authority
Poudre Fire Authority
907
80526
M
2/26/1959
50
PF
0
8/28/2000
Waived
Poudre Fire Authority
Poudre Fire Authority
908
80524
M
10/1/1977
31
PF
0
8/28/2000
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
909
80521
F
7/28/1966
42
CL
0
9/1/2000
MED-A-EE
Community Services
Neighborhood & Building
910
80524
M
1/11/1965
44
CL
0
9/1/2000
MED-B-EEF
Community Services
Traffic
911
80524
M
4/2/1961
48
CL
0
9/18/2000
MED-B-EEF
Internal Services
Operations Services
912
80549
M
7/6/1950
59
CL
0
9/18/2000
MED-B-EEF
Internal Services
Operations Services
913
80525
F
4/22/1965
44
CL
0
10/9/2000
MED-B-EEC
Community Services
Parking
914
80538
F
3/3/1946
63
CL
0
2/18/2002
MED-B-EES
Community Services
Transfort / Dial -a -Ride
915
80535
M
1/20/1977
32
CL
0
4/2/2001
MED-B-EEF
Community Services
Streets
916
80525
F
2/17/1958
51
TP
0
1/15/2007
MED-BTP-EEF
Police Services
Investigations
917
80525
F
5/27/1974
35
CL
0
2/18/2002
MED-B-EE
Community Services
Transfort / Dial -a -Ride
918
80521
F
8/18/1945
63
TP
0
11/6/2000
MED-BTP-EE
Community Services
Recreation
919
80538
M
2/12/1974
35
CL
0
11/25/2002
MED-B-EEF
Utility Services
Ut Collection System Div
920
80512
M
8/29/1946
62
CNP
0
3/12/2007
MED-APT-EES
ELJS
Municipal Court
921
80526
M
11/22/1977
31
CL
0
11/6/2000
MED-B-EEF
Community Services
Parks
922
80521
F
12/8/1964
44
CL
0
12/24/2001
MED-B-EE
Community Services
Advance Planning
923
80538
M
11/27/1961
47
CL
0
12/1/2000
MED-B-EE
Internal Services
Operations Services
924
80526
F
9/22/1966
42
CL
0
12/19/2005
MED-A-EEC
Internal Services
Management Information Service
EE# ..
,Postal Code -,
' Sex..
Birth Date.
-fmp Age
Benefit Group.
Pay St Date Started
Medical'Plan -
Service Area
Department
925
80521
F
6/11/1973
36
CL
0
1/2/2001
MED-B-EES
Community Services
Natural Resources
926
80549
F
8/27/1942
66
TP
0
2/4/2002
Waived
Community Services
Recreation
927
80615
M
10/21/1976
32
CL
0
8/4/2003
MED-B-EES
Community Services
Parks
928
80538
F
11/24/1969
39
PS
0
1/8/2001
MED-B-EE
Police Services
Office of the Chief
929
80526
M
9/16/1968
40
PS
0
1/8/2001
MED-B-EEC
Police Services
Patrol
930
80525
M
6/6/1970
39
PS
0
1/8/2001
MED-B-EEF
Police Services
Investigations
931
80538
M
4/21/1974
35
PS
0
1/8/2001
MED-B-EEF
Police Services
Investigations
932
80525
M
11/4/1963
45
PS
0
1/8/2001
MED-B-EEC
Police Services
Investigations
933
80524
M
4/4/1970
39
PS
0
1/8/2001
MED-B-EEF
Police Services
Patrol
934
80536
M
4/6/1948
61
CL
0
10/14/2002
MED-B-EE
Community Services
Transfort / Dial -a -Ride
935
80526
M
6/23/1960
49
PT
0
10/14/2002
Waived
Community Services
Transfort / Dial -a -Ride
936
80513
F
11/5/1943
65
CL
0
1/29/2001
Waived
Police Services
Police Information Services
937
80525
F
11/25/1946
62
UM
0
2/5/2001
MED-B-EE
Utility Services
Utility Cust. & Emp. Relations
938
80528
M
10/26/1947
61
CL
0
2/20/2001
MED-B-EES
Internal Services
Operations Services
939
80634
M
2/11/1960
49
PF
0
2/20/2001
MED-A-EEF
Poudre Fire Authority
Poudre Fire Authority
940
80524
M
3/29/1965
44
PF
0
2/20/2001
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
941
80526
M
12/10/1969
39
CL
0
2/26/2001
MED-B-EEF
Utility Services
Ut Mstr Plan & Fldpl Admin Div
942
80522
M
12/4/1952
56
CL
0
3/12/2001
MED-B-EES
Internal Services
Operations Services
943
80537
F
10/15/1980
28
CL
0
11/6/2006
MED-B-EEC
Community Services
Neighborhood & Building
944
80549
M
5/22/1936
73
RPC
T
3/1/2001
MED-A-RTMEEE
Financial Services
Non Departmental
945
80525
F
6/26/1986
23
CL
0
7/12/2004
MED-B-EE
Community Services
Parks
946
80525
M
7/19/1948
60
TP
0
4/5/2004
Waived
Community Services
Parks
947
80521
F
7/10/1942
67
CL
0
4/2/2001
MED-A-EE
Community Services
Cultural Services
948
80526
M
7/5/1985
24
TP
0
7/9/2007
Waived
Community Services
Recreation
949
80526
M
5/9/1953
56
TP
0
4/17/2001
Waived
Community Services
Parks
950
80526
M
2/11/1963
46
CL
0
3/26/2007
MED-B-EEF
Internal Services
Management Information Service
951
80524
F
1/23/1966
43
PC
0
4/17/2001
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
952
80525
F
12/16/1954
54
CL
0
11/6/2006
MED-A-EEF
Community Services
Transfort / Dial -a -Ride
953
80524
M
3/6/1963
46
CL
0
3/4/2002
MED-B-EE
Community Services
Traffic
954
80525
M
3/22/1963
46
PS
0
4/16/2001
MED-A-EEF
Police Services
Patrol
955
80528
F
12/23/1954
54
PC
0
4/23/2001
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
956
80526
M
11/16/1958
50
CL
0
4/18/2001
MED-B-EE
Community Services
Engineering
957
80512
F
4/15/1963
46
CL
0
4/30/2001
MED-A-EEC
Internal Services
Management Information Service
958
80524
F
8/7/1954
54
CL
0
5/7/2001
MED-B-EES
Police Services
Police Information Services
959
80525
M
10/2/1978
30
CL
0
5/23/2005
MED-B-EE
Utility Services
Ut Standards Engineering Div
960
80526
M
9/19/1951
57
CL
0
5/21/2001
MED-B-EEC
Community Services
Parking
961
80525
F
9/10/1978
30
CL
0
4/1/2002
MED-B-EE
Utility Services
Utility Finance & Budget
962
80525
M
1/14/1944
65
TP
0
4/13/2009
Waived
Community Services
Parks
963
80612
F
5/28/1963
46
CL
0
5/29/2001
MED-B-EEC
Utility Services
Utility Finance & Budget
964
80524
F
3/8/1983
26
CL
0
3/10/2008
MED-A-EE
Internal Services
Management Information Service
965
80535
M
6/26/1986
23
TP
0
5/14/2007
Waived
Community Services
Parks
966
80521
M
4/12/1973
36
CL
0
10/25/2004
MED-B-EEF
Utility Services
Electric Field Services
967
80525
M
9/5/1974
34
CL
0
6/11/2001
MED-B-EEF
Community Services
Natural Resources
968
80526
M
5/8/1986
23
TP
0
2/9/2009
Waived
Community Services
Parks
EE#.
Postal Code ,
; Sex
Birth Date , .
Emp Age
Benefit Group _
Pay St Date Started
Medical Plan
Service Area,
Department
969
80528
M
9/7/1973
35
CL
0
3/15/2004
MED-A-EEF
Utility Services
Ut Electric Systems Eng Div
970
80538
F
6/1/1983
26
LDP
0
1/26/2009
MED-BPT-EEF
Library District
Library District
971
80524
F
1/21/1971
38
CL
0
6/18/2001
MED-B-EE
Internal Services
Human Resources
972
80525
F
5/10/1981
28
TP
0
5/28/2003
Waived
Community Services
Traffic
973
80525
M
5/18/1979
30'
TP
0
4/1/2006
Waived
Community Services
Parks
974
80521
M
11/24/1986
22
TP
0
2/9/2009
Waived
Community Services
Recreation
975
80521
M
10/13/1948
60
CL
0
6/25/2001
MED-B-EEF
Police Services
Office of the Chief
976
87402
F
3/13/1957
52
CN
0
9/10/2007
MED-B-EES
Community Services
Cultural Services
977
80526
F
6/13/1967
42
UM
0
7/9/2001
Waived
ELJS
City Attorney
978
80526
M
9/12/1949
59
MPO
Z
7/2/2001
MED-A-EES
Metropolitan Planning Org
Metropolitan Planning Org
979
80521
M
11/23/1959
49
CL
0
7/30/2001
MED-B-EE
Community Services
Parks
980
80538
F
6/21/1963
46
CL
0
8/5/2002
MED-B-EEC
Financial Services
Finance
981
80526
M
7/4/1971
38
UM
0
8/13/2001
MED-A-EE
Utility Services
Ut Standards Engineering Div
982
80538
M
2/3/1978
31
PS
0
8/27/2001
MED-B-EEF
Police Services
Investigations
983
80538
M
11/17/1972
36
PS
0
8/27/2001
MED-A-EEF
Police Services
Office of the Chief
984
80524
F
3/30/1973
36
PS
0
8/27/2001
MED-B-EE
Police Services
Patrol
985
80525
F
6/1/1944
65
CL
0
9/12/2001
MED-B-EE
Utility Services
Utility Cust. & Emp. Relations
986
80526
F
12/20/1973
35
CL
0
7/31/2006
MED-B-EEF
Utility Services
Utility Cust. & Emp. Relations
987
80525
F
5/6/1975
34
TP
0
1/24/2008
Waived
Community Services
Recreation
988
80525
F
6/1/1949
60
CNP
0
5/5/2008
MED-APT-EE
Community Services
Cultural Services
989
80524
M
1/12/1980
29
CL
0
6/16/2008
MED-B-EEF
Community Services
Natural Resources
990
80538
M
3/4/1965
44
CL
0
4/15/2002
MED-B-EEC
Community Services
Streets
991
80526
F
3/29/1949
60
CL
0
10/1/2001
MED-B-EE
Police Services
Police Information Services
992
80525
M
10/18/1956
52
CL
0
10/10/2001
Waived
Financial Services
Finance
993
80547
M
10/30/1969
39
CL
0
10/8/2001
MED-A-EEF
Community Services
Neighborhood & Building
994
80521
M
8/24/1939
69
RT
0
10/1/2001
MED-A-RTMEEE
Financial Services
Non Departmental
995
80525
F
7/27/1977
31
CL
0
6/23/2003
MED-A-EES
ELJS
City Manager
996
80537
F
12/30/1967
41
CL
0
11/5/2001
Waived
Community Services
Transfort / Dial -a -Ride
997
80521
M
4/17/1983
26
CL
0
11/5/2007
MED-B-EE
Community Services
Recreation
998
80549
M
5/9/1978
31
CL
0
11/26/2001
MED-B-EEF
Police Services
Police Information Services
999
80524
F
5/25/1973
36
PS
0
11/26/2001
MED-B-EE
Police Services
Police Information Services
1000
80524
M
12/29/1955
53
CL
0
11/26/2001
MED-A-EE
Internal Services
Operations Services
1001
80534
F
4/21/1970
39
CL
0
12/12/2001
Waived
Internal Services
Human Resources
1002
80521
M
3/25/1942
67
TP
0
1/1/2007
Waived
Internal Services
Management Information Service
1003
80526
M
10/2/1973
35
PS
0
12/31/2001
MED-B-EES
Police Services
Patrol
1004
80524
M
6/19/1975
34
CL
0
1/30/2006
MED-B-EE
Community Services
Engineering
1005
80524
F
12/12/1965
43
CL
0
1/14/2002
MED-A-EE
Internal Services
Human Resources
1006
80526
F
4/3/1963
46
CL
0
8/25/2008
MED-B-EE
Internal Services
Comm. & Public Involvement
1007
80538
M
7/22/1964
44
CL
0
2/4/2002
MED-A-EEF
Utility Services
Ut Elec System Design & IT Div
1008
80538
M
1/12/1956
53
UM
0
2/4/2002
MED-A-EEC
Utility Services
Ut Electric Systems Eng Div
1009
80522
M
7/28/1981
27
CL
0
1/15/2007
MED-B-EE
Utility Services
Electric Field Services
1010
80526
F
7/1/1950
59
CL
0
3/6/2002
MED-B-EES
Community Services
Neighborhood & Building
1011
80524
F
5/20/1977
32
PF
0
3/11/2002
MED-A-EEF
Poudre Fire Authority
Poudre Fire Authority
1012
80536
M
3/25/1975
34
PF
0
3/11/2002
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
EE;4k� i "Postal=Code
Sex BirthrDate Em WA ek Benefit Grou Pa `St� Date Started '- Medical Plan' Service Area
"`�'Departm_ ent, �_ � � 4�`
1013
80241
M
12/4/1958
50
PF
0
3/11/2002
MED-B-EES
Poudre Fire Authority
,
Poudre Fire Authorityy
1014
80528
M
3/6/1978
31
PF
0
3/11/2002
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
1015
80528
M
10/29/1964
44
PF
0
3/11/2002
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
1016
80525
F
10/26/1951
57
CL
0
3/25/2002
MED-B-EE
Police Services
Office of the Chief
1017
80524
M
2/7/1965
44
CL
0
3/25/2002
MED-B-EEF
Community Services
Natural Resources
1018
80524
F
11/24/1952
56
LD
0
4/1/2002
MED-B-EE
Library District
Library District
1019
80526
F
12/30/1955
53
CL
0
6/18/2007
MED-B-EE
Community Services
Transfort / Dial -a -Ride
1020
80535
M
8/9/1982
26
CL
0
7/30/2007
MED-B-EEC
Utility Services
Ut Distribution System Div
1021
80521
M
1/25/1966
43
CN
0
11/6/2006
MED-B-EE
Utility Services
Electric Field Services
1022
80524
F
6/19/1982
27
TP
0
12/22/2003
Waived
Community Services
Recreation
1023
80648
F
10/5/1962
46
CL
0
4/29/2002
MED-A-EEF
Internal Services
Human Resources
1024
80550
F
5/26/1975
34
PS
0
5/6/2002
MED-B-EEC
Police Services
Investigations
1025
80526
M
10/11/1965
43
PS
0
5/6/2002
MED-B-EEF
Police Services
Patrol
1026
80538
F
10/1/1975
33
PS
0
5/6/2002
Waived
Police Services
Investigations
1027
80538
M
7/5/1968
41
PS
0
5/6/2002
MED-B-EEF
Police Services
Patrol
1028
80524
F
8/6/1957
51
TP
0
6/4/2007
Waived
Community Services
Parks
1029
80521
M
4/9/1984
25
CL
0
2/25/2008
MED-B-EE
Utility Services
Ut Water Production Div
1030
80537
F
12/20/1970
38
CL
0
5/28/2002
MED-B-EE
Community Services
Recreation
1031
80521
M
9/30/1951
57
TP
0
3/15/2009
Waived
Community Services
Parks
1032
80521
M
9/21/1962
46
CL
0
6/3/2002
MED-A-EEF
Utility Services
Utility Cust. & Emp. Relations
1033
80524-1745
F
3/22/1953
56
CL
0
6/5/2002
MED-A-EE
Utility Services
Utility Cust. & Emp. Relations
1034
80521
F
7/6/1964
45
PT
0
11/6/2006
MED-APT-EES
Community Services
Transfort / Dial -a -Ride
1035
80525
M
1/13/1988
21
TP
0
3/23/2009
Waived
Community Services
Parks
1036
80526
M
4/14/1972
37
MPO
Z
8/13/2007
MED-A-EE
Metropolitan Planning Org
Metropolitan Planning Org
1037
80525
F
4/12/1953
56
PT
0
1/14/2008
MED-BPT-EEF
Community Services
Transfort / Dial -a -Ride
1038
80525
F
12/18/1957
51
PC
0
7/11/2002
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
1039
80525
M
10/15/1952
56
PT
0
11/6/2006
MED-APT-EE
Community Services
Transfort / Dial -a -Ride
1040
80526
M
8/6/1971
37
CL
0
6/30/2008
MED-B-EE
Utility Services
Ut Electric Systems Eng Div
1041
80525
F
6/12/1937
72
RT
0
8/1/2002
MED-A-RTMEEE
Financial Services
Non Departmental
1042
80524
M
4/19/1954
55
CL
0
1/1/2007
MED-B-EE
Community Services
Parking
1043
80525
M
12/12/1973
35
CL
0
8/19/2002
MED-A-EEF
Community Services
Park Planning & Development
1044
80550
M
2/24/1970
39
PS
0
8/26/2002
MED-B-EE
Police Services
Patrol
1045
80525
M
7/31/1978
30
PS
0
8/26/2002
MED-B-EEF
Police Services
Patrol
1046
80549
M
9/13/1972
36
PS
0
8/26/2002
MED-B-EEC
Police Services
Patrol
1047
80528
F
1/30/1964
45
CL
0
8/19/2002
Waived
Police Services
Office of the Chief
1048
82009
M
11/23/1972
36
PF
0
8/26/2002
Waived
Poudre Fire Authority
Poudre Fire Authority
1049
80524
M
9/15/1969
39
PF
0
8/26/2002
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
1050
80525
M
8/17/1979
29
PF
0
8/26/2002
MED-B-EES
Poudre Fire Authority
Poudre Fire Authority
1051
80526
M
12/9/1968
40
PF
0
8/26/2002
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
1052
80521
M
10/27/1956
52
PF
0
8/26/2002
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
1053
80538
F
6/17/1950
59
TP
0
8/21/2002
MED-BTPEE
Community Services
Transfort / Dial -a -Ride
1054
80526
M
7/2/1964
45
LD
0
9/30/2002
Waived
Library District
Library District
1055
80525
M
11/5/1957
51
CL
0
10/28/2002
MED-B-EEF
Internal Services
Management Information Service
1056
80549
F
7/11/1950
59
MPO
Z
11/4/2002
MED-B-EE
Metropolitan Planning Org
Metropolitan Planning Org
K077--�—ostalCode—Sex
-R—h
-�#
-O-a�§t--Dat
—edcai —, -ii
1057
80538
M
1/6/1977
32
CL
0
11/4/2002
MED-B-EEF
Police Services
Police Information Services
1058
80525
M
2/28/1969
40
LD
0
11/11/2002
MED-B-EES
Library District
Library District
1059
80526
M
2/22/1960
49
CL
0
11/25/2002
MED-A-EEF
Utility Services
Ut Environmental Services Div
1060
80550
M
10/15/1980
28
CL
0
11/25/2002
MED-A-EE
Utility Services
Ut Drainage System Div
1061
80526
M
2/9/1944
65
CSO
0
12/9/2002
MED-B-EES
Police Services
Patrol
1062
80550
M
5/20/1976
33
PS
0
12/9/2002
MED-B-EE
Police Services
Patrol
1063
80526
M
1/18/1975
34
CL
0
6/5/2006
Waived
Utility Services
Ut Standards Engineering Div
1064
80550
M
10/28/1981
27
PF
0
2/7/2005
MED-A-EEF
Poudre Fire Authority
Poudre Fire Authority
1065
80538
F
9/30/1977
31
PS
0
12/23/2002
MED-B-EE
Police Services
Investigations
1066
80524-80524
M
12/9/1950
58
CN
0
111/3/2008
MED-B-EES
Community Services
Traffic
1067
80521
M
1/24/1962
47
CL
0
7/14/2008
MED-B-EE
Community Services
Streets
1068
80525
M
12/23/1949
59
TP
0
11/3/2008
Waived
Community Services
Transfort / Dial -a -Ride
1069
80525
F
4/3/1979
30
CL
0
1/2/2003
MED-B-EE
Utility Services
Ut Standards Engineering Div
1070
80538
M
4/25/1978
31
PC
0
4/21/2003
MED-A-EES
Poudre Fire Authority
Poudre Fire Authority
1071
80525
F
1/3/1956
53
LD
0
5/7/2007
MED-B-EE
Library District
Library District
1072
80524
M
2/17/1976
33
CL
0
3/28/2005
MED-A-EE
Community Services
Parks
1073
80528
M
9/9/1970
38
CL
0
7/17/2006
MED-B-EE
Police Services
Police Information Services
1074
80525
F
8/12/1973
35
CL
0
1/27/2003
Waived
Police Services
Police Information Services
1075
80524
M
8/19/1980
28
PS
0
1/27/2003
MED-B-EEF
Police Services
Patrol
1076
80528
F
3/17/1973
36
PS
0
1/27/2003
MED-A-EEC
Police Services
Patrol
1077
80526
M
7/10/1974
35
PS
0
1/27/2003
MED-B-EEF
Police Services
Patrol
1078
80527
M
2/21/1974
35
PS
0
1/27/2003
MED-B-EE
Police Services
Investigations
1079
80524-81610
M
11/19/1970
38
CL
0
7/9/2007
MED-A-EEC
Community Services
Parks
1080
80521
M
9/4/1971
37
CL
0
1/19/2004
MED-A-EEF
Community Services
Natural Resources
1081
80538
M
2/19/1964
45
CL
0
4/9/2003
MED-B-EE
Community Services
Natural Resources
1082
80526
M
8/31/1953
55
CL
0
2/10/2003
MED-B-EE
Financial Services
Finance
1083
80524
F
3/16/1974
35
CL
0
4/7/2003
MED-B-EEC
Financial Services
Finance
1084
80526
F
2/8/1962
47
CL
0
2/17/2003
MED-A-EES
Police Services
Investigations
1085
80526
M
5/8/1968
41
CL
0
2/24/2003
MED-B-EEF
Community Services
Parks
1086
80549
M
12/18/1970
38
CL
0
5/5/2003
MED-B-EEC
Utility Services
Ut Water Production Div
1087
80526
M
6/1/1973
36
CL
0
1/16/2007
MED-B-EEF
Utility Services
Ut Reg & Govt Affairs Div
1088
80521
M
6/4/1959
50
UM
0
5/12/2003
MED-B-EEC
Community Services
Natural Resources
1089
80525
F
8/7/1982
26
LD
0
11/8/2004
MED-B-EEC
Library District
Library District
1090
80550
F
3/14/1979
30
PS
0
1/26/2004
MED-B-EEC
Police Services
Investigations
1091
80525
F
2/1/1975
34
PS
0
8/25/2003
MED-B-EEF
Police Services
Patrol
1092
80528
M
3/21/1979
30
PS
0
7/7/2008
MED-A-EEF
Police Services
Patrol
1093
80549
M
8/20/1981
27
PS
0
6/1/2009
MED-A-EES
Police Services
Patrol
1094
80525
F
6/15/1979
30
PS
0
8/30/2004
MED-B-EE
Police Services
Patrol
1095
80525
M
3/21/1972
37
PS
0
12/8/2003
MED-B-EEC
Police Services
Patrol
1096
80535
F
7/26/1966
42
CL
0
5/27/2003
MED-A-EEC
Community Services
Park Planning & Development
1097
80526
M
6125/1981
28
CL
0
3/15/2004
MED-B-EE
Community Services
Parks
1098
80525
F
11/30/1969
39
PT
0
6/30/2003
Waived
Community Services
Natural Resources
1099
80525
F
11/29/1954
54
LD
0
3/17/2003
MED-A-EE
Library District
Library District
1100
80124
M
10/22/1959
49
CL
0
10/15/2007
MED-A-EEF
Internal Services
Management Information Service
EE# .
Postal Code --
Sex
Birth Date
Em A,g e Benefit Group.
p _ p
:. Pay St Date Started
MedicalPlan --Service Area �
_ ,Department _
1101
80538
F
1/21/1975
34
CL
0
9/2/2003
MED-B-EEF
Police Services
Police Information Services
1102
80524
F
11/25/1977
31
PS
0
1/12/2009
MED-A-EE
Police Services
Police Information Services
1103
80524
M
2/24/1955
54
CL
0
12/22/2003
MED-B-EE
Utility Services
Ut Standards Engineering Div
1104
80521
M
12/7/1974
34
CL
0
3/13/2006
MED-B-EEF
Community Services
Streets
1105
80620
M
11/20/1953
55
CL
0
1/2/2007
MED-B-EES
Community Services
Transfort / Dial -a -Ride
1106
80550
M
3/2/1982
27
CL
0
6/19/2006
MED-B-EE
Community Services
Streets
1107
80521
M
12/28/1983
25
CL
0
6/2/2008
MED-A-EE
Community Services
Parks
1108
80549
M
4/8/1971
38
CL
0
7/2/2003
MED-A-EEC
Community Services
Recreation
1109
80528
M
10/12/1959
49
CL
0
7/7/2003
MED-B-EE
Internal Services
Operations Services
1110
80521
M
3/28/1941
68
RPC
T
11/1/1972
MED-B-RTME+1
Internal Services
Human Resources
1111
80528
M
3/25/1947
62
RPC
T
2/1/1971
MED-B-RTNM+1
Internal Services
Human Resources
1112
80526
F
5/3/1940
69
RPC
T
9/16/1974
MED-A-RTMEEE
Internal Services
Human Resources
1113
80525
M
11/14/1939
69
RPC
T
6/8/1962
MED-B-RTMMEE
Internal Services
Human Resources
1114
80526
M
5/29/1935
74
RPC
T
12/1/1964
MED-A-RTMEEE
Internal Services
Human Resources
1115
80521
M
2/15/1933
76
RPC
T
8/16/1955
MED-A-RTMEEE
Internal Services
Human Resources
1116
80528
M
10/15/1982
26
PS
0
4/14/2003
MED-B-EE
Police Services
Police Information Services
1117
80525
F
5/10/1953
56
UM
0
12/1/2003
MED-B-EE
Utility Services
Utility Finance & Budget
1118
80521
M
5/6/1965
44
PS
0
11/6/2006
MED-B-EE
Police Services
Police Information Services
1119
80526
M
12/9/1963
45
LD
0
9/15/2003
MED-B-EEF
Library District
Library District
1120
80521
M
4/5/1985
24
TP
0
1/1/2007
Waived
Internal Services
Operations Services
1121
80521
M
6/13/1988
21
TP
0
5/11/2009
Waived
Community Services
Natural Resources
1122
80528
F
1/3/1979
30
CL
0
2/26/2007
MED-B-EES
Community Services
Cultural Services
1123
80525
M
6/30/1957
52
CL
0
3/1/2004
MED-A-EEF
Community Services
Natural Resources
1124
80549-80549
M
5/30/1977
32
CL
0
6/26/2006
MED-A-EE
Utility Services
Ut Drainage System Div
1125
80524
M
11/12/1971
37
PF
0
2/7/2005
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
1126
80524
F
10/2/1964
44
TP
0
6/9/2007
Waived
Community Services
Parks
1127
80525
F
11/14/1974
34
CL
0
7/14/2008
MED-B-EE
Internal Services
Management Information Service
1128
80540
M
1/17/1944
65
TP
0
7/18/2003
Waived
Internal Services
Operations Services
1129
80521
F
6/18/1982
27
CL
0
10/9/2006
MED-B-EE
Community Services
Recreation
1130
80549
M
4/18/1972
37
CL
0
4/17/2006
MED-B-EEF
Community Services
Parks
1131
80524
F
10/13/1980
28
CL
0
12/15/2003
MED-B-EEF
Community Services
Streets
1132
80525
F
5/13/1981
28
PS
0
1/5/2004
MED-B-EE
Police Services
Police Information Services
1133
80528
F
3/27/1974
35
CL
0
5/14/2007
MED-B-EEF
Community Services
Transfort / Dial -a -Ride
1134
80525
F
8/1/1976
32
TP
0
2/25/2008
Waived
Community Services
Streets
1135
80525
M
10/6/1976
32
CL
0
1/15/2007
MED-A-EE
Community Services
Transfort / Dial -a -Ride
1136
80550
F
11/5/1981
27
CL
0
4/7/2008
MED-A-EEC
Community Services
Neighborhood & Building
1137
80537
F
9/22/1970
38
CL
0
9/15/2008
MED-B-EE
Utility Services
Utility Cust. & Emp. Relations
1138
80525
M
8/7/1975
33
CL
0
12/1/2004
MED-B-EE
Community Services
Transfort / Dial -a -Ride
1139
80521
M
7/25/1944
64
TP
0
8/11/2003
Waived
Community Services
Transfort / Dial -a -Ride
1140
80547
F
11/25/1961
47
CL
0
8/27/2007
MED-B-EE
Internal Services
Human Resources
1141
80521
F
4/14/1952
57
CL
0
7/14/2008
MED-B-EE
Community Services
Transfort / Dial -a -Ride
1142
80525
F
10/12/1963
45
UM
0
12/1/2003
Waived
Internal Services
Human Resources
1143
80525
F
1/3/1948
61
CN
0
2/27/2006
MED-B-EE
Utility Services
Utility Tech. & Cust. Service
1144
80525
M
9/13/1958
50
CL
0
1/2/2004
MED-A-EES
Community Services
Parks
EE#
Postal Code
Sex
Birth Date
Emp Age,
Benefit Group
Pay St Date Started
Medical Plan
Service Area
Department
1145
80521
F
12/30/1961
47
CL
0
2/13/2006
Waived
Community Services
Cultural Services
1146
80525
F
6/21/1978
31
TP
0
7/14/2008
MED-ATP-EE
Community Services
Transfort / Dial -a -Ride
1147
80526
M
7/22/1965
43
CL
0
5/31/2005
Waived
Community Services
Natural Resources
1148
80524
M
12/9/1963
45
UM
0
2/5/2004
MED-B-EEC
ELJS
City Attorney
1149
80549
F
4/15/1981
28
CL
0
3/1/2004
MED-A-EEF
Utility Services
Utility Cust. & Emp. Relations
1150
80528
M
6/4/1967
42
CL
0
2/23/2004
MED-A-EEF
Community Services
Parking
1151
80521
M
9/10/1967
41
CL
0
1/14/2008
MED-B-EE
Community Services
Parking
1152
80526
M
7/10/1971
38
PF
0
8/30/2004
MED-A-EEF
Poudre Fire Authority
Poudre Fire Authority
1153
80521
M
3/19/1988
21
TP
0
11/17/2008
Waived
Community Services
Recreation
1154
80524
M
8/29/1972
36
DDA
0
2/27/2006
MED-B-EEF
Downtown Development Authority
Downtown Development Authority
1155
80526
M
12/27/1979
29
CL
0
12/31/2007
MED-B-EEF
Utility Services
Ut Electric Systems Eng Div
1156
80525
M
2/18/1977
32
CL
0
9/24/2007
MED-A-EE
Utility Services
Ut Wtr Reclama & Biosolids Div
1157
80528
M
12/17/1974
34
PS
0
8/30/2004
MED-B-EE
Police Services
Patrol
1158
80528
M
1/2/1963
46
CL
0
5/12/2004
MED-A-EEF
Community Services
Cultural Services
1159
80526
M
11/17/1956
52
PT
0
10/6/2008
MED-APT-EES
Community Services
Transfort / Dial -a -Ride
1160
80521
F
1/29/1956
53
LDP
0
1/26/2009
MED-BPT-EE
Library District
Library District
1161
80525
M
12/8/1974
34
PS
U
12/13/2004
Waived
Police Services
Patrol
1162
80538
M
6/30/1979
30
PS
0
1/2/2006
MED-B-EEF
Police Services
Patrol
1163
80525
M
11/8/1977
31
PS
0
8/22/2005
MED-B-EEF
Police Services
Patrol
1164
80521
M
1/25/1956
53
CL
0
3/15/2004
MED-A-EES
Utility Services
Ut Environmental Services Div
1165
80535
F
12/14/1960
48
CL
0
7/6/2004
Waived
Police Services
Police Information Services
1166
80536
F
3/22/1961
48
CL
0
10/10/2005
MED-B-EE
Community Services
Parks
1167
80538
M
7/2/1968
41
CL
0
7/28/2008
MED-B-EE
Internal Services
Operations Services
1168
80524
M
6/16/1986
23
TP
0
9/27/2004
Waived
Community Services
Parks
1169
80525
F
1/18/1970
39
LDP
0
10/8/2007
MED-APT-EEC
Library District
Library District
1170
80526
M
1/1/1955
54
CL
0
3/26/2007
MED-B-EES
Internal Services
Management Information Service
1171
80546
M
6/23/1975
34
CL
0
8/27/2007
MED-B-EES
Community Services
Streets
1172
80205
M
7/11/1981
27
PF
0
8/22/2005
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
1173
80526
F
8/5/1955
53
CL
0
1/3/2006
Waived
Community Services
City Clerk
1174
80538
F
2/18/1957
52
CL
0
5/8/2006
MED-B-EE
ELJS
City Manager
1175
80522
M
1/21/1960
49
CL
0
8/9/2004
MED-B-EE
Utility Services
Ut Mstr Plan & Fldpl Admin Div
1176
80521
F
7/14/1988
20
LDP
0
1/12/2009
MED-APT-EEC
Library District
Library District
1177
80525
F
3/27/1946
63
TP
0
8/6/2007
MED-BTP-EE
Community Services
Transfort / Dial -a -Ride
1178
80524
M
10/14/1980
28
TP
0
1/19/2009
Waived
Community Services
Recreation
1179
8521
M
9/18/1983
25
CL
0
1/26/2009
MED-A-EE
Utility Services
Electric Field Services
1180
80521
M
8/11/1973
35
TP
0
6/1/2004
Waived
Utility Services
Ut Standards Engineering Div
1181
80526
M
9/28/1985
23
TP
0
5/18/2009
Waived
Utility Services
Electric Field Services
1182
80525-7132
F
9/5/1959
49
CL
0
8/3/2004
MED-B-EEC
Community Services
Neighborhood & Building
1183
80525
F
2/7/1974
35
TP
0
8/18/2006
Waived
Community Services
Cultural Services
1184
80521
M
2/1/1968
41
LDP
0
1/28/2008
MED-BPT-EE
Library District
Library District
1185
80524
F
6/18/1954
55
LD
0
7/16/2007
MED-B-EE
Library District
Library District
1186
80550
M
7/2/1962
47
CL
0
8/23/2004
MED-B-EEF
Utility Services
Ut Distribution System Div
1187
80550
M
2/26/1966
43
CL
0
7/17/2006
MED-A-EEF
Community Services
Engineering
1188
80526-2707
M
7/8/1970
39
PS
0
11/29/2004
MED-B-EE
Police Services
Police Information Services
FEE# =Postal<Co_de
Sex Birth Date
rAge ,
Benefit Group, r Pay;St Date,,•Started.,=. ,;rvMedical:Plannn
Service Area ; _ , ,�` ` _,�; ,`� � _, D:ipartment_ � � v_,�, �. � s�
1189
80524
F
5/23/19773
32
PS
0
11/29/2004
MED-B-EEF
Police Services
Police Information Services.
1190
80528
M
12/27/1981
27
CL
0
10/9/2006
MED-A-EE
Internal Services
Operations Services
1191
80525-80525
F
1/30/1968
41
CL
0
9/11/2006
MED-B-EE
Financial Services
Finance
1192
80537
M
7/27/1959
49
CL
0
9/8/2004
MED-B-EEF
Financial Services
Finance
1193
80521
M
12/17/1939
69
TP
0
4/6/2009
Waived
Community Services
Streets
1194
80549
F
8/16/1972
36
CL
0
3/14/2005
MED-B-EEF
Police Services
Investigations
1195
80522
F
8/17/1960
48
CL
0
1/16/2006
MED-A-EEC
Community Services
Traffic
1196
80521
F
11/18/1966
42
UM
0
4/24/2006
MED-A-EEF
ELJS
City Attorney
1197
80525
M
7/17/1979
29
PS
0
1/3/2005
MED-B-EEF
Police Services
Patrol
1198
80550
M
2/12/1983
26
PS
0
1/2/2006
MED-B-EES
Police Services
Patrol
1199
80550
F
10/4/1978
30
PS
0
1/3/2005
MED-B-EEF
Police Services
Patrol
1200
80513
M
1/4/1980
29
PS
0
1/2/2006
MED-B-EE
Police Services
Patrol
1201
80521
F
11/24/1959
49
CL
0
4/25/2005
MED-B-EE
Internal Services
Human Resources
1202
80516
M
2/2/1976
33
PF
0
8/30/2004
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
1203
80525
M
6/29/1973
36
PF
0
8/30/2004
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
1204
80524
M
7/2/1977
32
CL
0
5/8/2006
MED-B-EES
Community Services
Cultural Services
1205
80528
M
12/14/1960
48
CL
0
12/19/2005
MED-B-EEF
Internal Services
Operations Services
1206
80526
M
3/31/1967
42
CL
0
11/1/2004
MED-A-EEF
Community Services
Natural Resources
1207
80526
F
2/12/1969
40
PT
0
2/14/2005
Waived
Utility Services
Utility Finance & Budget
1208
80526
F
5/11/1977
32
CL
0
2/16/2005
MED-A-EE
Utility Services
Utility Cust. & Emp. Relations
1209
80525
F
10/25/1962
46
CL
0
3/21/2005
MED-A-EEC
Internal Services
Human Resources
1210
80528
M
5/9/1966
43
CL
0
12/12/2005
Waived
Community Services
Transfort / Dial -a -Ride
1211
80634
M
1/16/1978
31
CL
0
2/13/2006
MED-A-EEF
Community Services
Parks
1212
80538
M
5/6/1981
28
CL
0
12/27/2004
MED-B-EE
Community Services
Traffic
1213
80526-80524
M
3/20/1950
59
CL
0
5/7/2007
MED-A-EEF
Utility Services
Ut Standards Engineering Div
1214
80525
M
5/21/1964
45
CL
0
4/1/2005
MED-B-EEF
Community Services
Natural Resources
1215
80512
M
12/9/1970
38
PF
0
8/21/2006
MED-B-EES
Poudre Fire Authority
Poudre Fire Authority
1216
80525
M
10/4/1962
46
PF
0
2/12/2007
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
1217
80528
M
10/25/1973
35
PS
0
9/14/2005
MED-A-EES
Police Services
Patrol
1218
80521
M
7/11/1981
27
PF
0
2/25/2008
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
1219
80526
M
11/12/1970
38
PF
0
8/21/2006
MED-A-EEF
Poudre Fire Authority
Poudre Fire Authority
1220
80525
M
1/21/1979
30
PF
0
2/7/2005
MED-B-EEC
Poudre Fire Authority
Poudre Fire Authority
1221
80525
M
4/25/1974
35
PF
0
8/22/2005
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
1222
80439
M
12/29/1969
39
PF
0
2/7/2005
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
1223
80615
M
4/9/1978
31
PF
0
2/7/2005
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
1224
80525
M
3/19/1976
33
PF
0
2/7/2005
MED-A-EE
Poudre Fire Authority
Poudre Fire Authority
1225
80550
M
8/31/1976
32
PF
0
2/7/2005
MED-B-EEC
Poudre Fire Authority
Poudre Fire Authority
1226
80521
M
4/19/1978
31
PF
0
2/7/2005
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
1227
80630
M
4/17/1976
33
PF
0
2/7/2005
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
1228
80549
M
4/11/1970
39
PF
0
2/7/2005
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
1229
80550
M
12/5/1979
29
PF
0
2/7/2005
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
1230
80525
M
3/6/19791
30
PF
0
8/22/2005
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
1231
80525
M
8/28/1975
33
PF
0
8/22/2005
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
1232
80524
M
10/23/1977
31
PF
0
2/12/2007
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
EAP Utilization Report — 2nd Quarter 2008
EE#:.:
;, Postal:,Code ,
'Sex, Birth Date
Emp Age;
_ l3enefit Group .'
Pay St Date,Started; '.
-Medical Plan,
Service Area:
Department, ,
1233
80537
M
2/11/1980
29
PF
0
8/20/2007
MED-A-EES
Poudre Fire Authority
Poudre Fire Authority
1234
80524
M
7/29/1980
28
PF
0
8/22/2005
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
1235
80615
M
2/27/1981
28
PF
0
8/21/2006
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
1236
80524
M
10/24/1979
29
PF
0
2/12/2007
MED-A-EE
Poudre Fire Authority
Poudre Fire Authority
1237
80521
M
1/25/1960
49
PF
0
2/12/2007
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
1238
80615
M
8/7/1972
36
PF
0
8/20/2007
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
1239
80205
F
5/29/1981
28
PF
0
2/25/2008
MED-A-EE
Poudre Fire Authority
Poudre Fire Authority
1240
80526
M
1/18/1976
33
PF
0
2/12/2007
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
1241
80524
M
7/31/1964
44
TP
0
1/3/2008
Waived
Community Services
Parks
1242
80525
F
4/26/1976
33
CL
0
10/6/2008
MED-A-EE
Community Services
CPRE Administration
1243
80525
M
11/21/1969
39
PS
0
8/22/2005
MED-B-EEF
Police Services
Patrol
1244
80535
M
2/14/1983
26
TP
0
3/2/2005
Waived
Community Services
Traffic
1245
80521
F
9/12/1962
46
CL
0
1/14/2008
MED-A-EEC
Community Services
Natural Resources
1246
80549
M
12/28/1974
34
PS
0
4/24/2006
MED-B-EEF
Police Services
Patrol
1247
80524
M
11/12/1981
27
CL
0
4/7/2008
MED-B-EE
Utility Services
Ut Distribution System Div
1248
80526
F
11/13/1978
30
PS
0
1/4/2007
MED-B-EEC
Police Services
Patrol
1249
80549
F
7/3/1975
34
PS
0
8/29/2005
MED-B-EEF
Police Services
Police Information Services
1250
80526
M
11/19/1985
23
TP
0
1/8/2009
Waived
Community Services
Streets
1251
80549
M
5/12/1979
30
CL
0
6/19/2006
MED-B-EE
Utility Services
Ut Distribution System Div
1252
80615
F
2/7/1977
32
CL
0
8/22/2005
MED-A-EEF
Internal Services
Operations Services
1253
80525
M
2/25/1988
21
TP
0
5/26/2009
Waived
Community Services
Parks
1254
80521
M
8/2/1963
45
TP
0
5/3/2005
Waived
Community Services
Parks
1255
80538
M
12/22/1954
54
PC
0
7/5/2005
Waived ,
Poudre Fire Authority
Poudre Fire Authority
1256
80524
M
9/21/1984
24
TP
0
5/19/2008
Waived
Community Services
Recreation
1257
80550
M
7/21/1968
40
CL
0
10/3/2005
MED-B-EE
Community Services
Parking
1258
80521
F
3/26/1990
19
TP
0
5/11/2009
Waived
Community Services
Parks
1259
80524
M
7/19/1962
46
CL
0
2/13/2006
MED-A-EE
Financial Services
Finance
1260
80525
F
4/22/1983
26
CL
0
1/14/2008
MED-A-EE
Internal Services
Comm. & Public Involvement
1261
80526
F
3/28/1986
23
TP
0
8/25/2008
Waived
Community Services
Recreation
1262
80526
M
1/10/1970
39
CL
0
6/29/2006
MED-B-EEC
Financial Services
Finance
1263
80525
F
12/18/1962
46
TP
0
7/26/2005
Waived
Community Services
Parks
1264
80525
M
3/10/1977
32
CL
0
3/27/2006
MED-B-EE
Internal Services
Management Information Service
1265
80524
F
5/26/1954
55
PC
0
10/24/2005
MED-B-EEC
Poudre Fire Authority
Poudre Fire Authority
1266
80526
F
5/23/1985
24
TP
0
9/11/2006
Waived
Community Services
Recreation
1267
80537
F
7/6/1955
54
PC
0
10/17/2005
MED-B-EES
Poudre Fire Authority
Poudre Fire Authority
1268
80524
M
5/20/1949
60
CL
0
10/10/2005
MED-A-EEF
Community Services
Neighborhood & Building
1269
80550
M
12/9/1957
51
CL
0
10/17/2005
MED-B-EE
Financial Services
Finance
1270
80526
M
12/2/1948
60
RPC
T
8/1/2005
MED-B-RTMEEE
Financial Services
Non Departmental
1271
80512
F
6/13/1957
52
TP
0
3/12/2007
Waived
Community Services
Parks
1272
80521
F
7/12/1971
38
TP
0
8/23/2005
Waived
Community Services
Parks
1273
80521
M
10/6/1949
59
TP
0
8/30/2005
MED-ATPEES
Community Services
Parks
1274
80521
F
5/21/1980
29
CL
0
1/1/2007
MED-B-EEF
Utility Services
Utility Cust. & Emp. Relations
1275
80525
M
3/14/1974
35
CL
0
4/11/2006
MED-B-EEC
Community Services
Traffic
1276
80549
F
6/15/1954
55
PT
0
10/24/2005
MED-BPT-EES
ELJS
City Attorney
EE#
Birth Date •
Emp Agee. Benefit Group
Pay St Date Started '
Medical Plan Service"Area; : ;
Department.
1277
80521-1940
M
12/28/1974
34
CL
0
11/14/2005
MED-B-EE
Internal Services
Comm. & Public Involvement
1278
80549
F
10/27/1952
56
CL
0
6/19/2006
MED-B-EE
Police Services
Police Information Services
1279
80525
F
7/30/1964
44
CL
0
5/4/2009
MED-A-EE
Financial Services
Finance
1280
80524
F
7/14/1962
47
CL
0
10/9/2006
MED-A-EEF
Financial Services
Finance
1281
80526
M
9/9/1956
52
UM
0
4/10/2006
Waived
ELJS
City Attorney
1282
80526
M
8/4/1956
52
CL
0
3/6/2006
MED-A-EES
Community Services
Transfort / Dial -a -Ride
1283
80525
F
5/6/1949
60
CL
0
6/23/2006
MED-A-EE
Community Services
Natural Resources
1284
80525
M
10/12/1971
37
CL
0
2/20/2007
MED-B-EEF
Community Services
Recreation
1285
80525
F
7/12/1984
24
CL
0
9/10/2007
MED-B-EE
Internal Services
Operations Services
1286
80550
F
8/7/1973
35
CL
0
3/12/2007
Waived
Internal Services
Human Resources
1287
80521-95616
F
3/19/1972
37
CL
0
11/6/2006
MED-B-EE
Internal Services
Management Information Service
1288
80550
M
9/6/1972
36
CL
0
10/23/2006
MED-B-EEF
Utility Services
Ut Water Production Div
1289
80524
M
3/22/1982
27
CL
0
4/3/2006
MED-A-EE
Financial Services
Finance
1290
80634
F
6/29/1955
54
CL
9
3/6/2006
MED-B-EE
Community Services
Transfort / Dial -a -Ride
1291
80526
M
8/21/1970
38
CL
0
5/1/2006
MED-A-EEF
Community Services
Engineering
1292
80538
F
3/18/1951
58
CL
0
3/27/2006
MED-B-EE
ELJS
City Manager
1293
80526
F
6/10/1954
55
TP
0
12/15/2008
Waived
Community Services
Streets
1294
80525
F
3/31/1983
26
CL
0
12/17/2007
MED-A-EE
Community Services
Advance Planning
1295
80528
F
11/24/1965
43
CL
0
7/31/2006
MED-B-EE
Financial Services
Finance
1296
80538
F
5/31/1949
60
CL
0
7/10/2006
MED-B-EES
Financial Services
Finance
1297
80524
M
4/26/1980
29
CL
0
9/25/2006
MED-B-EEF
Utility Services
Ut Elec System Design & IT Div
1298
80525
F
2/4/1962
47
TP
0
2/1/2006
Waived
Community Services
Traffic
1299
80526
F
1/18/1977
32
CL
0
8/13/2007
MED-B-EE
Community Services
Parks
1300
80645
F
11/26/1979
29
PS
0
10/2/2006
MED-B-EE
Police Services
Police Information Services
1301
80521
M
7/6/1943
66
TP
0
2/13/2006
Waived
Community Services
Transfort / Dial -a -Ride
1302
80524
M
1/5/1950
59
CN
0
7/28/2008
MED-B-EE
Community Services
Streets
1303
80549
F
4/30/1974
35
PT
0
6/18/2007
MED-APT-EEF
Community Services
Transfort / Dial -a -Ride
1304
80538
M
1/12/1956
53
CL
0
4/17/2006
MED-B-EEF
Internal Services
Management Information Service
1305
80521
M
8/11/1967
41
CL
0
8/13/2007
MED-B-EES
Community Services
Engineering
1306
80537
M
10/1/1971
37
CL
0
6/12/2006
MED-B-EEF
Internal Services
Operations Services
1307
80525
M
2/2/1981
28
CL
0
9/25/2006
MED-A-EES
Utility Services
Electric Field Services
1308
80477
M
11/25/1951
57
CL
0
6/12/2006
MED-B-EES
Utility Services
Utility Cust. & Emp. Relations
1309
80537
M
10/26/1977
31
PS
0
1/7/2008
MED-B-EE
Police Services
Patrol
1310
80550
M
12/2/1977
31
CL
0
7/24/2006
MED-B-EE
Utility Services
Ut Elec System Design & IT Div
1311
80525
M
8/5/1981
27
PS
0
1/4/2007
MED-A-EES
Police Services
Patrol
1312
80521
M
10/21/1981
27
CL
0
2/11/2008
MED-A-EEF
Utility Services
Ut Wtr Reclama & Biosolids Div
1313
80524
M
4/21/1986
23
CL
0
7/30/2007
MED-B-EE
Utility Services
Ut Distribution System Div
1314
80525
M
8/1/1971
37
PS
0
1/4/2007
MED-B-EE
Police Services
Patrol
1315
80525
M
12/24/1966
42
PS
0
1/4/2007
MED-A-EEF
Police Services
Patrol
1316
80526
F
3/26/1979
30
CL
0
5/7/2007
MED-A-EE
Community Services
Recreation
1317
80538
F
5/26/1949
60
CL
0
6/19/2006
MED-B-EES
Police Services
Police Information Services
1318
80535
F
3/13/1979
30
CL
0
7/28/2008
MED-B-EEC
Internal Services
Management Information Service
1319
80521
M
1/22/1978
31
CL
0
6/16/2008
MED-A-EEF
Internal Services
Management Information Service
1320
80525
M
9/11/1978
30
TP
0
5/4/2009
Waived
Community Services
Parks
EE#
Postal Code
I Sex
Birth Date '
Emp Age
Benefit Group:.
Pay St Date Started
Medical.Plan .
Service Area , _
Department
1321
80525
F
4/30/1963
46
CL
0
8/21/2006
MED-B-EEC
Community Services
Cultural Services
1322
80524
M
7/5/1966
43
SD
0
3/24/2006
MED-B-EEC
Financial Services
Economic Development
1323
80537
F
4/10/1973
36
CL
0
5/30/2006
MED-A-EEC
Internal Services
Human Resources
1324
80526-80207
M
8/24/1966
42
CL
0
7/10/2006
Waived
Utility Services
Ut Collection System Div
1325
80526
F
2/25/1976
33
CL
0
6/12/2006
MED-B-EEF
Internal Services
Comm. & Public Involvement
1326
80550
M
11/13/1981
27
CL
0
6/20/2006
MED-B-EEF
Utility Services
Ut Collection System Div
1327
80521
M
1/5/1982
27
CL
0
3/26/2007
MED-B-EES
Community Services
Parks
1328
80525
M
2/22/1959
50
TP
0
4/6/2009
Waived
Community Services
Parks
1329
80538
M
7/24/1974
34
CL
0
11/3/2008
MED-B-EEF
Utility Services
Ut Electric Systems Eng Div
1330
80503
M
9/4/1954
54
CL
0
6/28/2006
MED-B-EEF
Financial Services
Finance
1331
80525
M
4/13/1973
36
CL
0
7/10/2006
MED-B-EEF
Utility Services
Ut Drainage System Div
1332
80526
M
4/14/1963
46
CL
0
1/15/2007
MED-B-EEF
Utility Services
Electric Field Services
1333
80524
M
7/23/1982
26
TP
0
3/26/2009
Waived
Community Services
Parks
1334
80528
M
12/16/1968
40
CN
0
6/16/2008
MED-B-EE
Community Services
Streets
1335
80526
M
1/23/1987
22
TP
0
4/6/2009
Waived
Community Services
Parks
1336
80526
M
6/7/1970
39
TP
0
4/20/2009
Waived
Community Services
Parks
1337
80543
F
8/7/1977
31
CL
0
10/30/2006
MED-B-EEF
Financial Services
Finance
1338
80537
F
12/14/1966
42
TP
0
2/2/2009
Waived
Community Services
Natural Resources
1339
80525
M
8/5/1984
24
CL
0
11/17/2008
MED-B-EE
Utility Services
Ut Drainage System Div
1340
80525
F
1/11/1986
23
TP
0
5/14/2007
Waived
Community Services
Parks
1341
80521
M
4/6/1985
24
TP
0
5/8/2006
Waived
Utility Services
Ut Drainage System Div
1342
80524
M
4/8/1951
58
CL
0
12/17/2007
MED-B-EEC
Community Services
Parks
1343
80526
F
3/18/1988
21
TP
0
5/18/2009
Waived
Community Services
Parks
1344
80521
M
4/4/1984
25
TP
0
4/9/2007
Waived
Community Services
Parks
1345
80521
M
3/3/1976
33
TP
0
2/9/2009
Waived
Community Services
Natural Resources
1346
80524
F
7/18/1985
23
TP
0
5/31/2006
Waived
Community Services
Parks
1347
80634
F
11/30/1966
42
CL
0
8/28/2006
MED-A-EEF
Utility Services
Ut Reg & Govt Affairs Div
1348
80521
F
11/22/1975
33
CL
0
7/9/2007
MED-B-EEC
Utility Services
Ut Water Production Div
1349
80513
F
6/20/1955
54
CL
0
5/1/2007
MED-B-EE
Community Services
Transfort / Dial -a -Ride
1350
80526
M
1/13/1950
59
TP
0
6/26/2006
Waived
Poudre Fire Authority
Poudre Fire Authority
1351
80526
M
7/8/1985
24
TP
0
4/1/2009
Waived
Community Services
Parks
1352
80524
F
3/3/1966
43
CL
0
11/6/2006
MED-A-EEF
Police Services
Police Information Services
1353
80528
M
9/7/1982
26
PS
0
8/22/2007
MED-A-EE
Police Services
Police Information Services
1354
80525
F
8/15/1973
35
CN
0
10/6/2008
MED-B-EE
Utility Services
Utilities Management
1355
80521
F
10/4/1960
48
CNP
0
9/22/2008
MED-BPT-EE
Community Services
Cultural Services
1356
80521
M
11/22/1979
29
TP
0
2/2/2009
Waived
Community Services
Natural Resources
1357
80525
M
4/2/1986
23
TP
0
5/14/2007
Waived
Community Services
Parks
1358
80549
M
12/27/1962
46
CL
0
9/5/2006
Waived
Internal Services
Operations Services
1359
80521
M
1/16/1982
27
CL
0
10/30/2006
MED-B-EEF
Internal Services
Operations Services
1360
80535
M
1/26/1961
48
CL
0
2/12/2007
MED-B-EES
Community Services
Traffic
1361
80525
F
8/18/1980
28
CL
0
3/26/2007
MED-B-EE
ELJS
City Manager
1362
80526
M
4/21/1981
28
CL
0
9/25/2006
MED-A-EE
Utility Services
Ut Water Production Div
1363
80528
F
9/19/1958
50
CL
0
10/9/2006
Waived
Community Services
Advance Planning
1364
80513
F
6/20/1971
38
CL
0
4/2/2007
Waived
Financial Services
Finance
fE
r Postal Code _ .Sex Birth Date .
Emp Age
Benefit Group
_Pay, St' Date Staited
Medical Flan,- ;Service Aires - -
Department.`
1365
80526-80525
F
7/8/1976
33
CL
0
8/4/2008
MED-B-EE
Utility Services
Utility Cust. & Emp. Relations
1366
80526-80526
M
10/8/1973
35
CL
0
5/7/2007
MED-A-EE
Utility Services
Utility Finance & Budget
1367
80513
M
12/8/1983
25
PT
0
3/24/2008
MED-APT-EE
Community Services
Transfort / Dial -a -Ride
1368
80521
M
12/9/1981
27
TP
0
8/23/2006
Waived
Community Services
Streets
1369
80521
M
7/14/1950
59
PT
0
6/18/2007
MED-APT-EE
Community Services
Transfort / Dial -a -Ride
1370
80537
M
11/11/1948
60
TP
0
9/11/2006
MED-BTP-EES
Police Services
Patrol
1371
80526
F
9/25/1967
41
LDP
0
1/12/2009
Waived
Library District
Library District
1372
80521
M
7/25/1983
25
PF
0
8/25/2008
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
1373
80524
M
5/30/1983
26
PF
0
2/25/2008
MED-B-EE
Poudre Fire Authority
Poudre Fire Authority
1374
80521
F
3/14/1973
36
CL
0
4/30/2007
MED-A-EEF
Community Services
Natural Resources
1375
80547
F
4/27/1979
30
CL
0
3/10/2008
MED-B-EE
Community Services
Recreation
1376
80525
F
7/16/1964
44
TP
0
10/2/2006
Waived
Community Services
Transfort / Dial -a -Ride
1377
80525
F
4/30/1980
29
CL
0
12/12/2007
MED-A-EE
Internal Services
Human Resources
1378
80525-80522
F
6/17/1964
45
CL
0
11/29/2006
Waived
Community Services
Current Planning
1379
80526
M
2/2/1947
62
TP
0
10/23/2006
Waived
Community Services
Transfort / Dial -a -Ride
1380
80526
M
3/22/1949
60
PC
0
12/31/2007
Waived
Poudre Fire Authority
Poudre Fire Authority
1381
80522
M
9/26/1954
54
PT
0
12/20/2006
MED-BPT-EE
Community Services
Current Planning
1382
80549
M
1/28/1972
37
CN
0
3/26/2007
MED-A-EEF
Community Services
Streets
1383
80535-0436
M
8/4/1954
54
CL
0
2/5/2007
Waived
Community Services
Natural Resources
1384
80535-80521-
F
8/13/1951
57
PT
0
9/28/2007
Waived
ELJS
Municipal Court
1385
80525
F
5/6/1977
32
TP
0
4/20/2009
Waived
Community Services
Parks
1386
80526
M
5/1/1974
35
PS
0
6/18/2007
MED-B-EES
Police Services
Patrol
1387
80538
F
7/10/1983
25
PS
0
6/18/2007
MED-B-EE
Police Services
Patrol
1388
80525
M
2/26/1985
24
PS
0
7/9/2007
MED-A-EES
Police Services
Patrol
1389
80543
M
7/23/1973
35
PS
0
12/3/2007
MED-B-EE
Police Services
Patrol
1390
80525
M
6/11/1980
29
PS
0
7/9/2007
MED-A-EE
Police Services
Patrol
1391
80524
F
6/14/1981
28
PS
0
1/7/2008
MED-A-EES
Police Services
Patrol
1392
80525
M
12/8/1983
25
PS
0
6/18/2007
MED-A-EEF
Police Services
Patrol
1393
80528
M
10/9/1981
27
CL
0
6/16/2008
MED-A-EE
Internal Services
Management Information Service
1394
80537
F
2/28/1976
33
LDP
0
1/28/2008
MED-APT-EEC
Library District
Library District
1395
80512
M
1/28/1951
58
CN
0
6/16/2008
MED-B-EES
Community Services
Streets
1396
80513
M
1/21/1978
31
PS
0
6/18/2007
MED-B-EES
Police Services
Patrol
1397
80538
M
10/19/1982
26
CL
0
4/21/2008
MED-B-EEF
Internal Services
Operations Services
1398
80521
M
4/13/1954
55
CL
0
3/5/2007
MED-A-EES
Community Services
Neighborhood & Building
1399
80525
F
10/14/1951
57
DDA
0
1/22/2007
MED-B-EES
Downtown Development Authority
Downtown Development Authority
1400
80526
F
7/26/1961
47
CL
0
1/14/2008
MED-B-EE
ELJS
City Manager
1401
80538-80538
F
3/14/1969
40
CL
0
12/3/2007
Waived
Financial Services
Finance
1402
80526
F
12/15/1952
56
DDA
0
1/29/2007
MED-B-EE
Downtown Development Authority
Downtown Development Authority
1403
80526-80528
M
8/28/1976
32
CL
0
3/12/2007
MED-B-EES
Utility Services
Ut Environmental Services Div
1404
80524
F
7/6/1979
30
CL
0
7/2/2007
Waived
Community Services
Advance Planning
1405
80525
M
5/23/1974
35
CN
0
4/16/2007
Waived
Community Services
Streets
1406
80524
F
5/19/1965
44
CN
0
1/14/2008
MED-A-EEF
Financial Services
Economic Development
1407
80512
F
5/8/1984
25
PT
0
6/16/2008
MED-APT-EES
Community Services
Parking
1408
80528-80526
M
11/27/1976
32
CL
0
5/21/2007
MED-A-EEF
Internal Services
Management Information Service
EE# Postal Code
: Sex
.Birth Date
' Emp Age
Benefit Group
Pay St. Date Started -
Medical Plan. Service Area
Department
1409
80526
M
2/22/1984
25
PT
0
6/30/2008
MED-APT-EES
Community Services
Transfort / Dial -a -Ride
1410
80525
M
9/3/1982
26
PT
0
1/14/2008
MED-APT-EE
Community Services
Transfort / Dial -a -Ride
1411
80526
F
12/3/1954
54
PT
0
10/6/2008
MED-BPT-EE
Community Services
Transfort / Dial -a -Ride
1412
80525
M
11/22/1965
43
TP
0
3/5/2007
Waived
Community Services
Cultural Services
1413
80543-80543
M
6/2/1947
62
UM
0
4/30/2007
MED-B-EES
Community Services
Parks
1414
80524
M
9/14/1956
52
TP
0
3/13/2007
MED-BTP-EEF
Police Services
Patrol
1415
80524
M
11/12/1984
24
TP
0
3/12/2007
Waived
Community Services
Streets
1416
80648-80521
F
8/8/1967
41
CL
0
4/30/2007
MED-A-EEF
Financial Services
Finance
1417
80524-4027
M
6/5/1984
25
TP
0
2/25/2008
Waived
Community Services
Traffic
1418
80521
M
2/12/1980
29
CL
0
7/16/2007
MED-B-EEF
Internal Services
Operations Services
1419
80505
F
6/6/1944
65
CL
0
8/6/2007
MED-A-EES
Community Services
Natural Resources
1420
80526-83716
F
3/30/1972
37
CL
0
6/25/2007
MED-A-EEF
Financial Services
Finance
1421
80537
M
9/16/1967
41
TP
0
3/26/2007
Waived
Community Services
Traffic
1422
80521
F
4/3/1978
31
TP
0
3/9/2009
Waived
Community Services
Streets
1423
80526
M
2/17/1987
22
TP
0
3/16/2009
Waived
Community Services
Parks
1424
80526
M
2/17/1970
39
CL
0
12/22/2008
MED-A-EEC
Internal Services
Management Information Service
1425
80526-80523
F
8/27/1977
31
CL
0
9/4/2007
Waived
Community Services
Engineering
1426
80526
M
10/4/1982
26
CL
0
5/14/2007
MED-B-EE
Community Services
Engineering
1427
80521
F
7/31/1982
26
CL
0
5/14/2007
MED-B-EES
Community Services
Transfort / Dial -a -Ride
1428
80537-80537
F
5/8/1972
37
CN
0
1/14/2008
MED-B-EE
Community Services
Cultural Services
1429
80521
F
5/5/1982
27
CL
0
11/13/2007
MED-B-EE
Utility Services
Utility Finance & Budget
1430
80526
F
5/12/1960
49
TP
0
4/16/2007
Waived
Community Services
Parks
1431
80528
M
5/2/1976
33
TP
0
2/9/2009
Waived
Community Services
Natural Resources
1432
80526
M
10/25/1956
52
TP
0
4/16/2007
Waived
Community Services
Traffic
1433
80526
F
10/26/1987
21
TP
0
5/18/2009
Waived
Community Services
Parks
1434
80522
M
9/9/1973
35
TP
0
4/16/2007
Waived
Community Services
Parks
1435
80526
M
10/19/1984
24
TP
0
4/23/2007
Waived
Community Services
Parks
1436
80526
M
1/19/1989
20
TP
0
5/12/2008
Waived
Community Services
Parks
1437
80521
M
7/31/1983
25
TP
0
5/1/2007
Waived
Community Services
Parks
1438
80543
M
6/28/1970
39
CL
0
12/15/2008
MED-B-EEF
Internal Services
Management Information Service
1439
80524-80524
F
2/13/1972
37
LDP
0
10/22/2007
Waived
Library District
Library District
1440
80521
F
11/7/1952
56
LD
0
8/27/2007
Waived
Library District
Library District
1441
80512-80523
F
10/20/1980
28
CL
0
7/11/2007
MED-B-EES
Community Services
Natural Resources
1442
80538
M
6/5/1981
28
TP
0
5/6/2009
Waived
Community Services
Streets
1443
80525
M
8/10/1987
21
TP
0
4/1/2009
Waived
Community Services
Parks
1444
80549
F
9/10/1974
34
LDP
0
1/12/2009
MED-BPT-EE
Library District
Library District
1445
80528
M
3/2/1982
27
CL
0
4/21/2008
MED-A-EES
Community Services
Recreation
1446
80528
F
9/1/1965
43
PC
0
5/7/2007
MED-B-EEF
Poudre Fire Authority
Poudre Fire Authority
1447
80534
M
5/30/1968
41
CN
0
5/8/2007
MED-A-EEF
Community Services
Streets
1448
80524
M
5/24/1979
30
CL
0
7/9/2007
MED-A-EE
Community Services
Parks
1449
80534
M
12/10/1984
24
TP
0
5/17/2007
Waived
Community Services
Parks
1450
80538
F
10/3/1969
39
CL
0
8/27/2007
MED-B-EEF
Police Services
Police Information Services
1451
80525
M
6/6/1989
20
TP
0
12/17/2007
Waived
Utility Services
Electric Field Services
1452
80523
M
9/7/1985
23
CL
0
3/10/2008
MED-A-EE
Utility Services
Electric Field Services
EEC, . ;.
Postal`Code `'„Sex
.Birth Date `
Emp Age
„Benefit Group ,
Pay St Data Started
:. Meifical Plan` Service Area
Department
1453
80525
M
2/20/1984
25
TP
0
2/9/2009
Waived
Community Services
Natural Resources
1454
80524
M
2/23/1989
20
TP
0
5/18/2009
Waived
Community Services
Natural Resources
1455
80521
M
3/9/1954
55
TP
0
5/29/2007
Waived
Internal Services
Operations Services
1456
80526
M
2/2/1973
36
CN
0
6/16/2008
Waived
Community Services
Streets
1457
80524
F
1/16/1978
31
LDP
0
5/4/2009
Waived
Library District
Library District
1458
80525-57718
M
2/22/1969
40
CL
0
10/22/2007
MED-A-EEF
Utility Services
Ut Mstr Plan & Fldpl Admin Div
1459
80525
M
7/26/1989
19
TP
0
6/11/2007
Waived
Community Services
Parks
1460
80521
M
9/13/1950
58
TP
0
6/4/2007
Waived
Community Services
Parks
1461
80525
M
11/10/1986
22
CL
0
3/24/2008
MED-A-EE
Utility Services
Electric Field Services
1462
80525
M
11/9/1984
24
CN
0
4/6/2009
MED-A-EE
Utility Services
Electric Field Services
1463
80550
M
4/28/1963
46
CL
0
6/30/2008
Waived
Internal Services
Operations Services
1464
80231
M
4/21/1985
24
TP
0
3/1/2009
Waived
Community Services
Natural Resources
1465
80525
M
6/24/1984
25
CL
0
12/24/2007
MED-B-EE
Internal Services
Management Information Service
1466
80538
F
2/27/1982
27
LDP
0
2/11/2008
MED-APT-EES
Library District
Library District
1467
80524
F
5/30/1967
42
LDP
0
1/26/2009
Waived
Library District
Library District
1468
80634-6623
M
9/10/1953
55
MPO
Z
5/18/2009
MED-A-EEF
Metropolitan Planning Org
Metropolitan Planning Org
1469
80538
M
7/16/1963
45
CL
0
8/13/2007
MED-B-EEF
Utility Services
Ut Distribution System Div
1470
80538-80521
M
1/26/1954
55
LID
0
8/20/2007
MED-B-EE
Library District
Library District
1471
80521
M
7/8/1986
23
CN
0
6/16/2008
MED-A-EE
Utility Services
Electric Field Services
1472
80526
M
4/28/1955
54
TP
0
7/9/2007
Waived
Community Services
Parks
1473
80525
F
8/26/1958
50
UM
0
11/30/2007
MED-A-EEF
Community Services
Engineering
1474
80525-80524
F
2/24/1950
59
LID
0
10/8/2007
Waived
Library District
Library District
1475
80550-80526
F
7/26/1982
26
CL
0
5/19/2008
MED-B-EEF
Utility Services
Utility Finance & Budget
1476
80525
M
11/14/1982
26
TP
0
6/1/2009
Waived
Community Services
Parks
1477
80634
F
4/24/1957
52
MPO
Z
7/16/2007
Waived
Metropolitan Planning Org
Metropolitan Planning Org
1478
80521-81615
M
3/25/1977
32
CL
0
6/23/2008
MED-A-EE
Community Services
Parking
1479
80528
M
8/9/1982
26
PS
0
6/1/2009
MED-B-EEF
Police Services
Patrol
1480
80526
M
1/30/1959
50
PT
0
6/30/2008
MED-BPT-EE
Community Services
Transfort / Dial -a -Ride
1481
80526
M
11/28/1978
30
PT
0
10/6/2008
MED-BPT-EE
Community Services
Transfort / Dial -a -Ride
1482
80525
M
3/10/1955
54
PT
0
6/30/2008
MED-APT-EEF
Community Services
Transfort / Dial -a -Ride
1483
80521
M
11/20/1987
21
CN
0
6/16/2008
MED-A-EE
Utility Services
Electric Field Services
1484
80521
M
3/8/1987
22
TP
0
2/23/2009
Waived
Community Services
Parks
1485
80526-80521
F
5/25/1983
26
CN
0
7/28/2008
MED-B-EE
Community Services
Streets
1486
80537-80537
M
12/21/1972
36
CL
0
11/13/2007
MED-A-EEF
Utility Services
Ut Process & Supervis Cntr Div
1487
80521
M
10/16/1945
63
LID
0
11/5/2007
MED-A-EE
Library District
Library District
1488
80528
F
9/30/1976
32
LD
0
10/22/2007
MED-B-EE
Library District
Library District
1489
80521
M
5/23/1956
53
PT
0
10/6/2008
MED-APT-EEF
Community Services
Transfort / Dial -a -Ride
1490
80624
M
5/20/1986
23
PS
0
12/3/2007
MED-A-EE
Police Services
Police Information Services
1491
80521
M
2/27/1962
47
TP
0
8/9/2007
Waived
Community Services
Parks
1492
80526
F
2/25/1971
38
PS
0
12/3/2007
MED-B-EE
Police Services
Patrol
1493
80634
M
5/20/1983
26
TP
0
4/6/2009
Waived
Community Services
Streets
1494
80549
F
6/27/1939
70
RPC
Z
11/15/2001
MED-B-RTMEEE
Internal Services
Human Resources
1495
80526
M
11/14/1988
20
TP
0
8/27/2007
Waived
Community Services
Parks
1496
80525
M
12/24/1940
68
RT
0
9/1/2007
MED-B-RTMEEE
Financial Services
Non Departmental
EE# Postal Code;
, Sex
_ Birth Date
Emp Age,
Benefit Group
Pay St Date Started
Medical Plan,,
. Service Area
Department ---�
1497
80524
F
2/18/1959
50
PT
0
4/7/2008
MED-BPT-EE
ELJS
Municipal Court
1498
80524
M
8/16/1951
57
TP
0
9/10/2007
Waived
Community Services
Parks
1499
80524
F
5/28/1969
40
LD
0
12/17/2007
MED-B-EEF
Library District
Library District
1500
80528-80202
F
10/11/1972
36
CL
0
4/14/2008
MED-A-EES
Financial Services
Finance
1501
80526
F
12/22/1973
35
CL
0
11/5/2007
MED-B-EES
Community Services
Natural Resources
1502
80549
M
9/20/1969
39
CL
0
11/19/2007
MED-A-EEC
Community Services
Parks
1503
80525-85377
M
9/26/1970
38
CL
0
12/17/2007
MED-A-EES
Community Services
Parks
1504
80526
M
7/4/1949
60
CN
0
9/26/2007
MED-B-EES
Internal Services
Management Information Service
1505
80521
F
3/7/1955
54
LD
0
1/26/2009
MED-A-EE
Library District
Library District
1506
80525
M
11/25/1970
38
CL
0
2/25/2008
MED-A-EE
Internal Services
Management Information Service
1507
80526-80522
M
3/30/1960
49
CL
0
1/22/2008
Waived
Internal Services
Management Information Service
1508
80537
F
4/16/1964
45
CSO
0
6/2/2008
MED-B-EE
Police Services
Patrol
1509
80504-80301
F
8/27/1968
40
CN
0
4/14/2008
MED-B-EEC
Internal Services
Human Resources
1510
80615
F
4/30/1972
37
CSO
0
1/7/2008
MED-B-EEC
Police Services
Patrol
1511
80620
M
10/7/1951
57
MPO
Z
10/8/2007
MED-B-EE
Metropolitan Planning Org
Metropolitan Planning Org
1512
80524
F
5/11/1981
28
CL
0
1/7/2008
MED-B-EE
Police Services
Police Information Services
1513
80537
F
9/14/1952
56
CN
0
8/11/2008
Waived
Internal Services
Management Information Service
1514
80524
M
10/7/1959
49
CL
0
1/14/2008
Waived
Internal Services
Management Information Service
1515
80513-80520
F
11/4/1979
29
CL
0
3/3/2008
MED-A-EE
Community Services
Parking
1516
80549
M
9/22/1983
25
CL
0
2/25/2008
MED-A-EE
Internal Services
Operations Services
1517
80526-80634
M
10/29/1959
49
CL
1518
80631
F
1/26/1957
52
CL
1519
80550
M
4/4/1968
41
PS
1520
80526
F
3/26/1973
36
CL
1521
80524
F
2/18/1969
40
CL
1522
80537
M
7/11/1980
28
CL
1523
80525-80524
F
7/14/1956
53
CL
1524
80526
F
8/28/1965
43
TP
1525
80525-80525
M
12/6/1975
33
CL
1526
80304
F
1/26/1965
44
CL
1527
80524-80524
M
3/21/1979
30
CL
1528
80521
M
3/11/1955
54
TP
1529
80528
M
5/23/1949
60
PT
1530
80521
M
10/9/1937
71
TP
1531
80526
F
3/10/1955
54
TP
1532
80537
M
2/14/1978
31
PT
1533
80528
F
9/5/1965
43
CL
1534
80526
M
3/9/1967
42
CL
1535
80521-80528
F
11/10/1980
28
CN
1536
80528
M
5/28/1963
46
SD
1537
80528
F
10/31/1962
46
CL
1538
80525
F
7/29/1980
28
CL
1539
80524
F
1/30/1952
57
TP
1540
80528
M
2/24/1962
47
PT
0 2/19/2008
MED-A-EEF
Internal Services
Operations Services
0 12/17/2007
MED-B-EES
Internal Services
Human Resources
0 8/11/2008
MED-A-EEF
Police Services
Patrol
0 3/24/2008
MED-A-EEF
Utility Services
Utility Cust. & Emp. Relations
0 2/4/2008
Waived
Community Services
Parks
0 2/19/2008
MED-B-EE
Internal Services
Operations Services
0 3/10/2008
MED-B-EE
Utility Services
Utilities Management
0 2/23/2009
Waived
Community Services
Recreation
0 3/24/2008
MED-B-EE
Utility Services
Ut Mstr Plan & Fldpl Admin Div
0 3/10/2008
MED-B-EE
Community Services
Natural Resources
0 3/17/2008
MED-B-EE
Community Services
Parks
0 1/22/2008
Waived
Community Services
Transfort / Dial -a -Ride
0 10/6/2008
MED-BPT-EE
Community Services
Transfort / Dial -a -Ride
0 1/22/2008
Waived
Community Services
Transfort / Dial -a -Ride
0 1/22/2008
Waived
Community Services
Transfort / Dial -a -Ride
0 12/1/2008
MED-APT-EEC
Community Services
Transfort / Dial -a -Ride
0 3/31/2008
MED-B-EE
Financial Services
Finance
0 4/7/2008
MED-B-EE
Utility Services
Ut Elec System Design & IT Div
0 3/31/2008
MED-A-EES
Community Services
Recreation
0 1/28/2008
MED-A-EEC
Community Services
PDT Administration
0 7/7/2008
Waived
Financial Services
Finance
0 10/20/2008
Waived
Police Services
Police Information Services
0 5/4/2009
Waived
Utility Services
Utility Cust. & Emp. Relations
0 5/12/2008
MED-BPT-EEF
Police Services
Police Information Services
EE# Posti i Code ..
Sex
Birth Date .
Emp Age
Benefit Group
Pay St Date Started
Medical Plan
;Service Area
Department
1541
80526
M
9/2/1986
22
CL
0
5/19/2008
MED-B-EE
Police Services
Police Information Services
1542
80521
M
3/27/1988
21
TP
0
5/12/2009
Waived
Community Services
Parks
1543
80550
F
7/8/1969
40
CL
0
5/19/2008
MED-A-EEF
ELJS
City Manager
1544
80526
F
1/25/1971
38
TP
0
4/6/2009
Waived
Community Services
Recreation
1545
80524
M
6/24/1982
27
CL
0
11/17/2008
Waived
Utility Services
Ut Collection System Div
1546
86256
M
10/18/1962
46
SD
0
5/14/2008
MED-A-EEF
Utility Services
L&P Operations Service Unit
1547
80501
M
3/30/1964
45
UM
0
6/2/2008
MED-A-EEC
Community Services
Traffic
1548
80528-30016
M
10/29/1973
35
TP
0
11/3/2008
Waived
Community Services
Transfort / Dial -a -Ride
1549
80549
M
5/5/1954
55
CL
0
5/1/2008
MED-A-EES
Internal Services
Operations Services
1550
80526
M
3/6/1984
25
CL
0
5/19/2008
MED-B-EE
Community Services
Engineering
1551
80526-80524
M
6/6/1963
46
CN
0
4/28/2008
MED-A-EEC
Internal Services
Operations Services
1552
80526
M
2/2/1962
47
CL
0
5/27/2008
MED-A-EEF
Internal Services
Operations Services
1553
82009
F
7/2/1971
38
LD
0
5/19/2008
Waived
Library District
Library District
1554
80525-80537
M
6/21/1964
45
CL
0
4/28/2008
MED-A-EE
Utility Services
Utility Finance & Budget
1555
80521
M
8/11/1977
31
CL
0
6/30/2008
MED-A-EE
Utility Services
Ut Environmental Services Div
1556
80549
M
8/23/1973
35
CL
0
6/30/2008
MED-A-EEF
Community Services
Parking
1557
80521
M
12/1/1987
21
TP
0
3/25/2008
Waived
Community Services
Traffic
1558
80524
M
9/17/1985
23
TP
0
4/1/2008
Waived
Community Services
Parks
1559
80521
M
2/24/1973
36
TP
0
3/24/2008
Waived
Internal Services
Operations Services
1560
80526
F
2/22/1962
47
CL
0
6/23/2008
MED-A-EE
Community Services
Natural Resources
1561
80521
F
2/25/1985
24
CN
0
3/24/2008
MED-B-EES
Internal Services
Management Information Service
1562
80549
M
11/8/1966
42
TP
0
3/24/2008
Waived
Utility Services
Ut Distribution System Div
1563
80526
F
12/17/1976
32
MPO
Z
3/24/2008
MED-A-EES
Metropolitan Planning Org
Metropolitan Planning Org
1564
80525
M
11/19/1942
66
TP
0
3/1/2009
Waived
Community Services
Parks
1565
80525
F
8/4/1984
24
CL
0
7/28/2008
MED-A-EE
Community Services
Advance Planning
1566
80550
F
10/31/1956
52
CL
0
8/25/2008
MED-A-EES
ELJS
Municipal Court
1567
80525
M
2/6/1982
27
CL
0
7/21/2008
Waived
Internal Services
Operations Services
1568
80525
F
10/5/1982
26
CN
0
7/21/2008
MED-B-EE
Community Services
Cultural Services
1569
80759
M
8/12/1983
25
TP
0
4/7/2008
Waived
Utility Services
Ut Drainage System Div
1570
80526-80528
M
2/24/1955
54
CL
0
5/29/2008
MED-A-EEC
Community Services
Engineering
1571
80524
M
10/10/1958
50
TP
0
4/15/2008
Waived
Utility Services
Electric Field Services
1572
80525
M
2/6/1986
23
TP
0
4/1/2009
Waived
Community Services
Parks
1573
80526
M
10/31/1974
34
TP
0
2/23/2009
Waived
Community Services
Natural Resources
1574
80526
M
5/1/1987
22
TP
0
5/18/2009
Waived
Community Services
Parks
1575 .
80537
M
7/25/1986
22
TP
0
4/6/2009
Waived
Community Services
Parks
1576
80525
F
12/29/1955
53
TP
0
9/22/2008
Waived
Community Services
Parks
1577
80524
M
9/28/1972
36
TP
0
4/14/2008
Waived
Utility Services
Ut Distribution System Div
1578
80535
F
6/14/1979
30
CL
0
8/18/2008
MED-A-EEF
Internal Services
Management Information Service
1579
80521
M
1/4/1987
22
TP
0
5/18/2009
Waived
Community Services
Parks
1580.
80549
F
4/8/1960
49
CL
0
12/1/2008
MED-B-EES
Utility Services
Ut Water Production Div
1581
80550
M
2/2/1962
47
TP
0
4/23/2008
Waived
Community Services
Streets
1582
80526
M
12/16/1987
21
TP
0
3/24/2009
Waived
Community Services
Parks
1583
80526
M
5/26/1988
21
TP
0
3/30/2009
Waived
Community Services
Parks
1584
80503
F
6/5/1984
25
PS
0
1/5/2009
MED-B-EE
Police Services
Patrol
EE#
Postal Code
, Sex,
Birth Date
. Emp Age .
..Benefit Group
Pay St Date Started
Medical Plan_
,Service Area
Department
1585
80550-80524
M
9/6/1977
31
CN
0
7/21/2008
MED-B-EEF
Internal Services
Operations Services
1586
80528
M
1/15/1989
20
TP
0
3/30/2009
Waived
Community Services
Parks
1587
80521
F
1/10/1986
23
TP
0
3/23/2009
Waived
Community Services
Parks
1588
81501
M
7/23/1988
20
TP
0
4/20/2009
Waived
Community Services
Parks
1589
80538
M
9/24/1972
36
CL
0
7/7/2008
MED-B-EEF
Internal Services
Operations Services
1590
80525
M
1/29/1973
36
TP
0
4/6/2009
Waived
Community Services
Natural Resources
1591
80526
M
10/23/1987
21
TP
0
5/18/2009
Waived
Community Services
Parks
1592
80631
M
10/16/1984
24
TP
0
5/12/2008
Waived
Utility Services
Ut Drainage System Div
1593
81601
M
1/12/1988
21
TP
0
6/1/2009
Waived
Community Services
Parks
1594
80526
F
2/1/1983
26
TP
0
5/16/2008
Waived
Community Services
Parks
1595
80526
M
6/8/1973
36
TP
0
5/13/2008
MED-ATP-EE
Utility Services
Electric Field Services
1596
80526
M
5/18/1979
30
CN
0
4/6/2009
MED-A-EES
Utility Services
Electric Field Services
1597
80528
M
3/31/1990
19
TP
0
5/18/2009
Waived
Community Services
Parks
1598
80526
F
10/21/1988
20
TP
0
5/11/2009
Waived
Community Services
Natural Resources
1599
80526
M
3/23/1989
20
TP
0
5/18/2009
Waived
Community Services
Parks
1600
80525
M
10/8/1987
21
TP
0
5/20/2009
Waived
Utility Services
Ut Distribution System Div
1601
80521
M
7/15/1987
21
TP
0
5/20/2009
Waived
Utility Services
Ut Collection System Div
1602
80528
M
10/30/1986
22
TP
0
5/11/2009
Waived
Community Services
Parks
1603
20653
F
7/17/1983
25
DDA
9
9/11/2008
MED-A-EE
Downtown Development Authority
Downtown Development Authority
1604
80226
M
10/21/1959
49
CL
0
11/17/2008
MED-B-EEF
Internal Services
Operations Services
1605
80524
M
10/8/1980
28
CL
0
9/15/2008
MED-B-EE
Community Services
Planning & Special Projects
1606
80522
F
7/26/1972
36
CL
0
9/22/2008
MED-A-EE
Community Services
Planning & Special Projects
1607
60526
M
10/16/1991
17
TP
0
6/1/2008
Waived
Community Services
Parks
1608
80525
M
1/6/1990
19
TP
0
6/1/2008
Waived
Community Services
Parks
1609
80517
M
3/20/1987
22
TP
0
6/4/2008
MED-ATP-EE
Utility Services
Electric Field Services
1610
80526
M
9/1/1986
22
TP
0
9/10/2008
Waived
Community Services
Parks
1611
80526
M
12/27/1989
19
TP
0
5/19/2009
Waived
Community Services
Parks
1612
80524
M
12/16/1978
30
CL
0
1/26/2009
MED-A-EEF
Utility Services
Electric Field Services
1613
80525
M
6/14/1977
32
TP
0
2/23/2009
Waived
Community Services
Natural Resources
1614
80526
M
9/8/1983
25
TP
0
2/23/2009
Waived
Community Services
Natural Resources
1615
80526
M
12/31/1976
32
PS
0
1/5/2009
MED-B-EEF
Police Services
Patrol
1616
8051
M
4/13/1986
23
MPO
Z
6/16/2008
MED-A-EE
Metropolitan Planning Org
Metropolitan Planning Org
1617
80524
M
4/25/1985
24
TP
0
7/7/2008
Waived
Community Services
Parks
1618
80538
M
10/23/1989
19
TP
0
6/23/2008
Waived
Community Services
Parks
1619
80521
M
5/10/1990
19
TP
0
3/9/2009
Waived
Community Services
Streets
1620
80526
M
4/5/1973
36
TP
0
6/30/2008
Waived
Community Services
Transfort / Dial -a -Ride
1621
80535
M
1/8/1969
40
TP
0
6/30/2008
Waived
Community Services
Transfort / Dial -a -Ride
1622
80512
M
4/24/1948
61
TP
0
6/30/2008
MED-ATP-EES
Community Services
Transfort / Dial -a -Ride
1623
80501
M
11/24/1963
45
TP
0
6/30/2008
Waived
Community Services
Transfort / Dial -a -Ride
1624
80537
M
9/8/1966
42
PS
0
12/8/2008
MED-B-EE
Police Services
Patrol
1625
80537
M
7/1/1969
40
CL
0
10/20/2008
Waived
Internal Services
Operations Services
1626
80525-80003
F
4/15/1985
24
CL
0
12/15/2008
MED-A-EE
Utility Services
Ut Water Meters Div
1627
80525-80523
M
10/2/1976
32
CL
0
10/20/2008
MED-B-EEC
Utility Services
Ut Wtr Reclama & Biosolids Div
1628
80536
F
9/10/1957
51
CL
0
1/20/2009
MED-A-EES
Community Services
Advance Planning
EE#
'Postal Code
Sex
Birth Date '
Emp Age Benefit Group
Pay St Date Started
Medical Plan
Service Area "'. _.:
Department "- !
1629
80525
M
2/28/1988
21
TP
0
7/14/2008
Waived
Utility Services
Ut Water Meters Div
1630
80536
F
4/19/1965
44
CL
0
10/1/2008
MED-A-EE
Community Services
Parks
1631
80524
F
7/3/1960
49
PS
0
5/18/2009
MED-B-EE
Police Services
Police Information Services
1632
80631
F
1/31/1978
31
MPO
Z
7/7/2008
MED-B-EEF
Metropolitan Planning Org
Metropolitan Planning Org
1633
80526
M
1/27/1988
21
TP
0
4/27/2009
Waived
Community Services
Parks
1634
80524
M
7/14/1975
33
CL
0
12/1/2008
MED-B-EEF
Community Services
Cultural Services
1635
80525
F
1/12/1976
33
CL
0
1/12/2009
MED-A-EE
Utility Services
Ut Wtr Reclama & Biosolids Div
1636
80524
M
8/5/1984
24
TP
0
8/12/2008
Waived
Community Services
Parks
1637
80524
M
9/7/1969
39
UM
0
11/17/2008
MED-A-EEF
Community Services
Current Planning
1638
80524
M
7/31/1983
25
PS
0
6/1/2009
MED-B-EES
Police Services
Patrol
1639
80521
M
5/6/1985
24
TP
0
1/2/2009
Waived
Community Services
Parks
1640
80524
F
4/7/1980
29
TP
0
9/2/2008
Waived
Community Services
Parks
1641
80525
F
12/8/1975
33
DDA
0
9/11/2008
MED-A-EE
Downtown Development Authority
Downtown Development Authority
1642
80526
F
9/25/1944
64
TP
0
9/13/2008
MED-BTP-EE
Community Services
Parks
1643
80524-80523
F
10/26/1959
49
CN
0
1/20/2009
Waived
Community Services
Cultural Services
1644
80521
M
2/7/1983
26
TP
0
11/3/2008
Waived
Community Services
Transfort / Dial -a -Ride
1645
80524
M
8/16/1980
28
CL
0
5/26/2009
MED-A-EE
Utility Services
Ut Elec System Design & IT Div
1646
80487
F
1/24/1970
39
LD
0
1/26/2009
MED-A-EEF
Library District
Library District
1647
80526
M
7/28/1961
47
CL
0
3/23/2009
Waived
Police Services
Police Information Services
1648
80550
M
5/4/1964
45
CL
0
12/15/2008
MED-A-EEF
Utility Services
Utility Finance & Budget
1649
80526
F
2/15/1986
23
TP
0
10/20/2008
Waived
Police Services
Investigations
1650
80526
F
4/10/1980
29
CL
0
1/5/2009
MED-B-EES
Community Services
Parking
1651
80550
F
11/30/1961
47
LDP
0
1/26/2009
Waived
Library District
Library District
1652
80525
F
7/2/1983
26
CN
0
12/1/2008
MED-B-EE
Community Services
Recreation
1653
80521
F
3/13/1969
40
LDP
0
1/26/2009
Waived
Library District
Library District
1654
80525
F
4/11/1957
52
CL
0
2/2/2009
MED-A-EEF
Community Services
Advance Planning
1655
80537
M
9/18/1956
52
TP
0
11/3/2008
Waived
Community Services
Transfort / Dial -a -Ride
1656
80526
M
3/5/1957
52
TP
0
11/3/2008
MED-ATP-EEF
Community Services
Transfort / Dial -a -Ride
1657
80521
M
6/20/1951
58
TP
0
11/3/2008
Waived
Community Services
Transfort / Dial -a -Ride
1658
80526
F
7/11/1979
29
MPO
Z
11/12/2008
MED-A-EEF
Metropolitan Planning Org
Metropolitan Planning Org
1659
80528
M
12/5/1983
25
PS
0
6/1/2009
MED-B-EEF
Police Services
Patrol
1660
80538
F
9/8/1973
35
PS
0
5/18/2009
MED-A-EE
Police Services
Police Information Services
1661
80526
M
5/27/1969
40
TP
0
11/20/2008
Waived
Utility Services
Ut Standards Engineering Div
1662
80521
F
3/5/1970
39
LDP
0
1/26/2009
MED-BPT-EE
Library District
Library District
1663
80241
F
1/28/1965
44
PS
0
3/23/2009
MED-B-EE
Police Services
Police Information Services
1664
80537
M
3/11/1977
32
PS
0
12/8/2008
MED-A-EEF
Police Services
Patrol
1665
80521
M
2/25/1984
25
CN
0
2/9/2009
MED-A-EE
Utility Services
Utility Cust. & Emp. Relations
1666
80538
M
8/27/1955
53
CN
0
2/9/2009
MED-A-EEF
Utility Services
Utility Cust. & Emp. Relations
1667
80521
M
5/5/1972
37
CN
0
4/13/2009
MED-B-EE
Utility Services
Utility Cust. & Emp. Relations .
1668
80524
F
1/20/1960
49
TP
0
12/17/2008
Waived
Community Services
Traffic
1669
80528
M
9/7/1979
29
PS
0
6/1/2009
Waived
Police Services
Patrol
1670
80620
M
4/29/1981
28
TP
0
12/18/2008
Waived
Internal Services
Operations Services
1671
80020
M
8/29/1968
40
CL
0
3/30/2009
MED-A-EEF
Community Services
Planning & Special Projects
1672
80526
F
5/8/1969
40
DDA
0
1/5/2009
MED-B-EE
Downtown Development Authority
Downtown Development Authority
e'."'�VSS
HEALTHCARE
IHealtlll% 7o�';erher
August 14, 2008
Ms. Amy Sharkey
City of Fort Collins
P.O. box 580
Fort Collins. CO 80522
Dear Ms. Sharkey:
Enclosed is the Quarterly Employee Assistance Program (EAP) utilization report for City of Fort Collins.
Information in this report covers program activity for April 1 — June 30, 2008.
We are happy to report that the overall individual utilization rate is 16.1%. The industry standard is 3-5%.
Overall program utilization is 30.4%, which includes the total number of contacts provided during the
reporting year.
EAP Utilization Highlights for the Quarter April I — June 30, 2008:
• Of the 56 open cases, 30.4% were re -opened cases or cases for employees who had previously
used the EAP for another issue. This shows employees who used the program once had a positive
experience and turned to the EAP again.
• Employees accounted for 76.8% of program users; with some household members accessing
services this quarter.
• Almost all program users reported being referred to the EAP via a self -initiated referral.
• The primary problem assessed at intake was relationship concerns (16 cases), followed by
emotional well-being (15 cases) and xvork/life concerns (12 cases).
• The primary avenue by which employees heard of the program were from Literature (41.1 %).
APS appreciates the trust you have placed in us to continue serving your organization and its employees.
Please feel free to contact us with any questions you may have on this report or other EAP matters. Our
Customer Care Line at 1-866-269-7751 is available 24/7 to receive calls and staff members respond to all
inquiries within 24 hours.
Sincerely,
APS Healthcare
Enclosures
8403 Colcs.ille Road Suite 1600 • Silver Spring, MD'_0910 • 301.SG3 5613 • Fax: 301.563.7335 • eu«.apshealthcare.com
EE# . ' . Postal Code
Sex
Birth Date
Emp Age
,' Benefit Group
,Pay St Date Started
Medical Plan-8
Service Area
Department - --
1673
80521
M
11/11/1972
36
CL
0
2/25/2009
MED-B-EEF
Community Services
Engineering
1674
80238
M
7/6/1978
31
CN
0
3/16/2009
MED-B-EEF
Financial Services
Finance
1675
80549
M
11/24/1977
31
TP
0
1/12/2009
Waived
Community Services
Traffic
1676
80521
F
9/29/1952
56
CN
0
4/6/2009
MED-A-EES
Community Services
Recreation
1677
80524
M
7/9/1974
35
TP
0
2/17/2009
Waived
Community Services
Parks
1678
80535
M
1/10/1989
20
TP
0
2/9/2009
Waived
Community Services
Traffic
1679
82070
F
3/23/1958
51
CL
0
4/27/2009
Waived
Financial Services
Finance
1680
80923
M
11/11/1978
30
PF
0
2/23/2009
MED-A-EES
Poudre Fire Authority
Poudre Fire Authority
1681
80521
M
9/5/1936
72
RT
0
3/1/2009
MED-B-RTME+1
Financial Services
Non Departmental
1682
80634
M
11/9/1949
59
CL
0
5/1/2009
MED-B-EEF
Utility Services
Ut Electric Systems Eng Div
1683
80524
M
6/26/1943
66
RT
0
3/1/2009
MED-B-RTMMEE
Financial Services
Non Departmental
1684
80534
M
10/2/1986
22
TP
0
3/17/2009
Waived
Community Services
Parks
1685
80526
M
9/24/1987
21
TP
0
3/17/2009
Waived
Community Services
Parks
1686
80526
F
3/4/1985
24
TP
0
3/17/2009
Waived
Community Services
Parks
1687
80108
F
9/11/1962
46
CL
0
5/26/2009
MED-B-EEF
Community Services
Natural Resources
1688
80521
M
2/24/1988
21
TP
0
3/23/2009
Waived
Community Services
Parks
1689
80526
M
3/31/1984
25
TP
0
3/23/2009
Waived
Community Services
Parks
1690
80549
M
10/1/1990
18
TP
0
3/23/2009
Waived
Community Services
Parks
1691
80538
M
10/10/1987
21
TP
0
3/23/2009
Waived
Community Services
Parks
1692
80521
M
3/9/1988
21
TP
0
3/24/2009
Waived
Community Services
Parks
1693
80525
M
11/8/1990
18
TP
0
4/1/2009
Waived
Community Services
Parks
1694
80521
M
8/3/1979
29
TP
0
3/23/2009
Waived
Community Services
Natural Resources
1695
80521
M
1/26/1985
24
TP
0
3/23/2009
Waived
Community Services
Parks
1696
80524
F
6/23/1986
23
TP
0
3/24/2009
Waived
Community Services
Parks
1697
80621
M
6/15/1977
32
TP
0
3/23/2009
Waived
Community Services
Natural Resources
1698
80525
F
11/24/1981
27
TP
0
3/23/2009
Waived
Community Services
Natural Resources
1699
80521
M
9/24/1978
30
TP
0
3/23/2009
Waived
Community Services
Natural Resources
1700
80525
M
1/19/1972
37
TP
0
3/26/2009
Waived
Community Services
Traffic
1701
80538
M
2/4/1982
27
TP
0
3/26/2009
Waived
Community Services
Parks
1702
80526
M
12/10/1985
23
TP
0
3/30/2009
Waived
Community Services
Parks
1703
80526
M
6/3/1989
20
TP
0
3/25/2009
Waived
Community Services
Parks
1704
80525
F
6/18/1985
24
TP
0
3/30/2009
MED-ATP-EEF
Community Services
Transfort / Dial -a -Ride
1705
80631
M
5/28/1984
25
TP
0
3/23/2009
Waived
Utility Services
Ut Distribution System Div
1706
80526
M
2/19/1969
40
TP
0
4/7/2009
Waived
Community Services
Traffic
1707
80539
M
9/27/1979
29
CN
0
4/6/2009
MED-A-EES
Internal Services
Management Information Service
1708
80525
M
3/11/1990
19
TP
0
4/6/2009
Waived
Community Services
Parks
1709
80526
M
1/2/1985
24
TP
0
4/13/2009
Waived
Utility Services
Ut Distribution System Div
1710
80524
M
5/6/1972
37
TP
0
4/21/2009
Waived
Community Services
Parks
1711
80512
F
9/11/1990
18
TP
0
5/12/2009
Waived
Community Services
Parks
1712
80526
M
9/7/1989
19
TP
0
5/5/2009
Waived
Community Services
Parks
1713
80525
M
1/4/1990
19
TP
0
5/12/2009
Waived
Community Services
Parks
1714
80620
M
3/30/1987
22
TP
0
5/11/2009
Waived
Utility Services
Ut Drainage System Div
1715
80525
M
10/23/1946
62
TP
0
4/30/2009
Waived
Community Services
Parks
1716
80526
M
8/13/1990
18
TP
0
5/23/2009
Waived
Community Services
Parks
fE# mPostal,Code , ,Sex
Birth Date_ Emp `Age, hBenefit Group
, . PayrSt Date -Started - ,
Medlcal Plan.-., Service Area
1717
80526
M
8/13/1990
18
TP
0
5/23/2009
Waived
Community Services
Parks
1718
80525
F
4/6/1990
19
TP
0
5/6/2009
Waived
Community Services
Parks
1719
80615
M
3/12/1987
22
TP
0
5/18/2009
MED-ATP-EE
Utility Services
Electric Field Services
1720
80528
M
9/22/1988
20
TP
0
5/19/2009
Waived
Community Services
Parks
1721
80521
M
12/24/1987
21
TP
0
5/19/2009
Waived
Community Services
Parks
1722
80524
F
5/16/1990
19
TP
0
5/19/2009
Waived
Community Services
. Parks
1723
80525
M
7/14/1988
20
TP
0
5/19/2009
Waived
Community Services
Parks
1724
800521
M
3/15/1985
24
TP
0
5/18/2009
Waived
Community Services
Parks
1725
80521
M
5/23/1987
22
TP
0
5/19/2009
Waived
Community Services
Parks
1726
80550
M
6/22/1990
19
TP
0
5/20/2009
Waived
Utility Services
Ut Distribution System Div
1727
80526
F
3/14/1982
27
TP
0
5/27/2009
Waived
Community Services
Parks
1728
80525
M
4/30/1987
22
TP
0
6/1/2009
Waived
Utility Services
Electric Field Services
1729
80525
M
12/1/1982
26
TP
0
6/1/2009
Waived
Utility Services
Electric Field Services
1730
80526
F
11/10/1990
18
TP
0
6/1/2009
Waived
Community Services
Parks
1731
80521
F
8/28/1955
53
TP
0
6/1/2009
Waived
Community Services
Parks
1732
80524
M
9/10/1990
18
TP
0
6/1/2009
Waived
Community Services
Parks
1733
80525
M
4/8/1989
20
TP
0
6/2/2009
Waived
Community Services
Parks
1734
80525
M
5/9/1988
21
TP
0
5/28/2009
Waived
Community Services
Parks
1735
80526
M
11/20/1990
18
TP
0
6/8/2009
Waived
Community Services
Parks
1736
80526
F
5/16/1985
24
TP
0
5/28/2009
Waived
Community Services
Parks
1737
80123
M
8/11/1987
21
TP
0
6/16/2009
Waived
Community Services
Parks
1738
80526
F
3/27/1981
28
TP
0
6/16/2009
Waived
Community Services
Transfort / Dial -a -Ride
No Text
City of Financial Services
Purchasing Division
6rt
Collins 215 N. Mason St 2nd Floor
PO Box 580
Fort Collins, CO 80522
970.221.6775
Purchasing 970.221.6707
fcgov. com/purchasing
REQUEST FOR PROPOSAL
7049 Employee Assistance Program
City of Fort Collins is requesting proposals from qualified firms for an Employee Assistance
Program (EAP) to be offered to approximately 1,450. employees.
Written proposals, five (5) will be received at the City of Fort Collins' Purchasing Division, 215
North Mason St., 2nd floor, Fort Collins, Colorado 80524. Proposals will be received before
2:00 p.m. (our clock), July 31, 2009. If delivered, they are to be sent to 215 North Mason Street,
2nd Floor, Fort Collins, Colorado 80524. If mailed, the address is P.O. Box 580, Fort Collins,
80522-0580.
Questions concerning the scope of the project should be directed to Project Manager Amy
Sharkey, Human Resources Benefits Manager, (970) 416-2721, email asharkeyCcD-fcgov.com .
Questions regarding proposal submittal or process should be directed to David Carey, CPPB,
Buyer, (970) 416-2191, email dcarey(cD-fcgov.com .
A copy of the Proposal may be obtained as follows:
1. Download the Proposal/Bid from the BuySpeed Webpage,
www.fcqov.com/eprocurement
2. Come by Purchasing at 215 North Mason St., 2nd floor, Fort Collins, and request
a copy of the Bid.
The City of Fort Collins is subject to public information laws, which permit access to most
records and documents. Proprietary information in your response must be clearly identified and
will be protected to the extent legally permissible. Proposals may not be marked 'Proprietary' in
their entirety. Information considered proprietary is limited to material treated as confidential in
the normal conduct of business, trade secrets, discount information, and individual product or
service pricing. Summary price information may not be designated as proprietary as such
information may be carried forward into other public documents. All provisions of any contract
resulting from this request for proposal will be public information.
Sales Prohibited/Conflict of Interest: No officer, employee, or member of City Council, shall have
a financial interest in the sale to the City of any real or personal property, equipment, material,
supplies or services where such officer or employee exercises directly or indirectly any decision -
making authority concerning such sale or any supervisory authority over the services to be
rendered. This rule also applies to subcontracts with the City. Soliciting or accepting any gift,
gratuity favor, entertainment, kickback or any items of monetary value from any person who has
or is seeking to do business with the City of Fort Collins is prohibited.
Collusive or sham proposals: Any proposal deemed to be collusive or a sham proposal will be
rejected and reported to authorities as such. Your authorized signature of this proposal assures
that such proposal is genuine and is not a collusive or sham proposal.
The City of Fort Collins reserves the right to reject any and all proposals and to waive any
irregularities or informalities.
Sincerely,
James B. O'Neill II, CPPO, FNIGP
Director of Purchasing & Risk Management
where renewal is a way of life
To participate in the RFP process vendors need to sign and return this Business
Associate Agreement.
BUSINESS ASSOCIATE AGREEMENT - SECURITY STANDARDS
This agreement is entered into between
and the City of Fort Collins.
(Business Associate)
Business Associate agrees that it will implement policies and procedures to ensure that its
creation, receipt, maintenance, or transmission of electronic protected health information
("ePHI") on behalf of the City of Fort Collins complies with the applicable administrative,
physical, and technical safeguards required to protect the confidentiality and integrity of ePHI
under the Security Standards 45 CFR Part 164.
Business Associate agrees that it will ensure that agents or subcontractors agree to implement
the applicable administrative, physical, and technical safeguards required to protect the
confidentiality and integrity of ePHI under the Security Standards 45 CFR Part 164.
Business Associate agrees that it will report security incidents to the City of Fort Collins,
Security Manager.
0
PRINT NAME
TITLE
Please return to:
City of Fort Collins
Attn: Purchasing-RFP
P.O. Box 580
Ft. Collins, CO 80522-0580
Or fax back to: (970) 221-6707
Date:
SCOPE OF SERVICES
Introduction
The City of Fort Collins is requesting proposals from firms for an Employee Assistance Program
(EAP) to be offered to approximately 1,450 employees. This will include providing confidential
counseling, assessment and referral for individuals who may have substance -abuse,
psychological, marital, family, financial, legal or other personal problems.
It is the intent of the City to enter into an agreement with options to renew annually for five (5)
years.
Main Focus
The main focus of this bid is as follows:
1. Firm must have the ability to provide eight (8) 50-minute counseling sessions per
family member per problem per calendar year, to be provided in City's geographic
area.
2. City's Employee Assistance Program must have availability by phone twenty-four (24)
hours/day, seven (7) days/week. There must be a short response time to initial phone
call. The selected firm must have the resources to be able to schedule an
appointment for non -crisis situation within five (5) days. If it is an emergency situation,
the selected firm must have the resources to schedule an appointment within twenty-
four (24) hours.
3. Employees must have access to qualified therapists, alcohol/drug abuse programs,
financial and legal resources, support groups, etc. within City's geographic area.
4. Firm must have a system in place to provide effective follow-up with employees and
their dependents who have utilized the EAP to ensure that the services provided
were appropriate and effective.
II. Additional Requirements
1. City Employee Education
a. Provide wallet -sized cards for current and new employees, with EAP phone
number and process for using the services;
b. Provide EAP informational posters and brochures as needed;
c. Provide articles for employee newsletter as requested, usually monthly.
d. Possibly visit City worksites to become familiar with employees and City functions.
e. Attend annual City Employee Health Fair in September/October
1
2. Training: Act as a resource for training information and referrals.
3. Reports: Provide quarterly reports with usage, statistical and demographic
information.
4. Accessibility — Personal Representative for Human Resource to contact based
on needs.
5. Ability to contract outside of the network for special services/needs that can
not be supplied by providers within the current network.
6. Ability to add new counselors to the network per a defined process.
7. Be in full agreement and compliance with requirements of Exhibit A, HIPAA Health
Information Privacy & Security,
III. Supplemental Bid
Vendors should include an additional bid that includes providing additional training
support in the form of seminars or workshops. Each session would be approximately
one hour. A maximum of twelve (12) sessions per year will be made available to groups
ranging in size from 10 to 150 employees.
If this additional option is chosen, the topics, times, and locations would be established
between the firm's designated representative and the City representative. The schedule
and materials directly provided by the EAP firm will be determined jointly by the EAP firm
and the City representative.
IV. Timetable
The following is a proposed timetable developed for this project. Firms will be notified of
any significant changes which might occur:
ITEM:
DATE:
Appendices, if required, sent to
organizations that have returned
Business Associate Agreements
As agreements are returned to the City of
Fort Collins
Written questions due to the City
July 215, 2009
Proposals due to the City
July 31 s , 2009 by 2:00 p.m. (our clock)
Finalist vendors notified
August 17 n, 2009
Onsite evaluations of finalists (if
necessary)
August 26 1h, 2009
Finalist negotiations (completed)
September 30th, 2009
Plan effective date
January 1, 2010
E
Proposal Requirements
Proposals submitted should include the following:
1. Complete attached Business Associate Agreement to receive Appendices, if
required, Return to City per timetable below and include with proposal.
2. Explanation of firm's philosophy toward the role of EAP's.
3. Qualifications of firm.
4. Number of clinicians available and qualifications/areas of expertise of the
personnel proposed to perform the work. Provide a Geographical Report that
shows the percentage of employees that have access to one of firm's
providers within 5 miles/10miles/20 miles or over of zip code 80524.
5. Guaranteed maximum length of response time for call back to an employee.
6. What is the amount of time for follow-up with employees and their
dependents who have utilized the EAP?
7. Guaranteed maximum length of wait for appointment for emergency and non -
emergency situations. Within how many days will an appointment be
scheduled for a non -crisis situation?
8. Information provided in quarterly usage/utilization reports. Provide us with
examples of usage/utilization reports.
9. Experience with public entities.
10. Approach to customer service. (For example: Who receives the initial phone
call and how is it processed? If working with a supervisor, does the
supervisor call the EAP office or the therapist directly?)
11. Training programs available and general topics.
12. A minimum of three (3) references from other organizations you have
provided EAP services to during the past give five(5) years.
13. Cost per employee per month to cover the Scope of Services.
14. Cost per session for training programs — if the City elects this additional
option.
15. Referral services for child and elder care may not be needed. What is the
cost per employee per month without these services?
16. Five (5) copies of written proposal.
9
V. Review and Assessment
Professional firms will be evaluated on the following criteria. These criteria will be
the basis for review of the written proposals and interview session. The City may
at its option choose the highest ranked vendor based on the written proposals or
select up to three of the top rated vendors for oral interview.
The rating scale shall be from 1 to 5, with 1 being a poor rating, 3 being an
average rating, and 5 being an outstanding rating.
WEIGHTING
QUALIFICATION
STANDARD
FACTOR
2.0
Scope of Proposal
Does the proposal show an understanding of the
project objective, methodology to be used and results
that are desired from the project?
2.0
Assigned Personnel
Do the persons who will be working on the project
have the necessary skills? Are sufficient people of
the requisite skills assigned to the project?
1.0
Availability
Can the work be completed in the necessary time?
Can the target start and completion dates be met?
Are other qualified personnel available to assist in
meeting the project. schedule if required? Is the
project team available to attend meetings as required
by the Scope of Work?
1.0
Motivation
Is the firm interested and are they capable of doing
the work in the required time frame?
2.0
Cost and
Do the proposed cost and work hours compare
Work Hours
favorably with the project Manager's estimate? Are
the work hours presented reasonable for the effort
required in each project task or phase?
2.0
Firm Capability
Does the firm have the support capabilities the
assigned personnel require? Has the firm done
previous projects of this type and scope?
4
VII Reference Evaluation (Top Ranked Firm)
The Benefits Administrator will check references using the following criteria. The
evaluation rankings will be labeled Outstanding/Satisfactory/Unsatisfactory.
QUALIFICATION
STANDARD
Overall Performance
Would you hire this Professional again? Did they show the skills
required for this project? Did they show flexibility and willingness to
"go the extra mile" to ensure that the employees were given the
appropriate amount and level of service?
Timing
Did the vendor effectively manage the customer's time? Were
requests for information met in a timely manner?
Completeness
Was the Professional responsive to client needs; did the Professional
anticipate problems? Were problems solved quickly and effectively?
Budget
Was the original Scope of Work completed within the project budget?
Job Knowledge
Did the Professional possess the appropriate knowledge, skills and
abilities, and resources to effectively administer this program? Was
the contract operated smoothly?
Other
What problems (if any) did you encounter with this Professional?
CITY OF FORT COLLINS
Individual Program Utilization
Individual Utilization includes all individuals accessing services during this reporting period. This number of individuals is
divided by the number of eligible employees. For quarterly reports, the result is multiplied by four to produce an annualized
rate. The year-to-date utilization rate is calculated by dividing the total number of cases by the number of eligible employees.
IsMtr,
2nd`Qtr
3rd'Qtr
4th Qtr`
YTD ,
Employee Count
1393
1393
1393
Total New Cases
47
56
103
Individual Utilization
13.5%
16.1%
14.8%
Overall Program Utilization
The Overall Service Utilization includes each service accessed by individuals during this reporting period. An individual may
have received one or more services. The number of services is divided by the number of eligible employees. For quarterly
reports, the result is multiplied by four to produce an annualized rate. Year to Date utilization is calculated by dividing the total
number of services by the number of eligible employees.
9`s0dir
2nd�Qtr
3rdaQtr r
4thtQtr
YTD
Employee Count
1393
1393
1393
Total New Services
90
106
196
Overall Utilization
25.8%
30.4%
28.1%
EAP Worksite Services
EAP Worksite Services: Includes a variety of educational, health and wellness seminars as well as employee and
management trainings to promote EAP utilization. CISDs and wellness fairs are also represented.
1st Qtrr
2nd Qtr .. 3rd CIO
4th Qtr
YTD
Critical Incident Services
1 0
1
1
0IAYSHEALTHCARE EAP. Utilization Report 01/01/2008 to 06/30/2008
Heatrhy Together
EXHIBIT "A"
HIPAA HEALTH INFORMATION PRIVACY & SECURITY
A. Obligations and Activities of the Business Associate
1. Business Associate agrees to not use or disclose Protected Health Information other than
as permitted or required in the Administrative Services Agreement of which this Appendix is a part or as
required by law.
2. Business Associate agrees to use appropriate safeguards to prevent use or disclosure of
the Protected Health Information other than as provided for by this Appendix.
3. Business Associate agrees to mitigate, to the extent practicable, any harmful effect that is
known to Business Associate of a use or disclosure of Protected Health Information by Business
Associate in violation of the requirements of this Appendix.
4. Business Associate agrees to report to the Plan Sponsor (City of Fort Collins, Colorado)
any use or disclosure of the Protected Health Information not provided for by this Appendix of which it
becomes aware.
5. Business Associate agrees to ensure that any agent, including a subcontractor, to whom
it provides Protected Health Information received from, or created or received by Business Associate on
behalf of the Plan Sponsor agrees to the same restrictions and conditions that apply through this
Appendix to Business Associate with respect to such information.
6. Business Associate agrees to make internal practices, books, and records, including
policies and procedures and Protected Health Information, relating to the use and disclosure of Protected
Health Information received from, or created or received by Business Associate on behalf of, the Plan
Sponsor available to the Plan Sponsor, or to the Secretary, in a time and manner or designated by the
Secretary, for purposes of the Secretary determining the Plan Sponsor's compliance with the Privacy
Rule.
7. Business Associate agrees to document such disclosures of Protected Health Information
and information related to such disclosures as would be required for the Plan Sponsor to respond to a
request by an Individual for an accounting of disclosures of Protected Health Information in accordance
with 45 CFR § 164.528.
8. Business Associate agrees to provide to the Plan Sponsor or an Individual, in a
reasonable time and manner, information collected in accordance with Section A.7. of this Provision, to
permit Plan Sponsor to respond to a request by an Individual for an accounting of disclosures of
Protected Health Information in accordance with 45 CFR § 164.528.
B. Permitted Uses and Disclosures by Business Associate
1. Except as otherwise limited in this Appendix, Business Associate may use or disclose
Protected Health Information on behalf of, or to provide services to, the Plan Sponsor for the following
purposes, if such use or disclosure of Protected Health Information would not violate the Privacy Rule if
done by the Plan Sponsor or the minimum necessary policies and procedures of the Plan Sponsor:
performing plan administration functions, obtaining premium bids from insurance companies or other
health plans for providing insurance coverage under or on behalf of the group health plan, or modifying,
amending, or terminating the group health plan.
2. Except as otherwise limited in this Appendix, Business Associate may use Protected
Health Information to provide data aggregation services to the Plan Sponsor as permitted by 42 CFR §
164.504(e)(2)(i)(B).
3. Business Associate may use Protected Health Information to report violations of law to
appropriate Federal and State authorities, consistent with § 164.5020)(1).
SA rev07/08
C. Obligations of Plan Sponsor
1. Plan Sponsor shall notify Business Associate of any restriction to the use or disclosure of
Protected Health Information that the Plan Sponsor has agreed to in accordance with 45 CFR § 164.522,
to the extent that such restriction may affect Business Associate's use or disclosure of Protected Health
Information.
2. Plan Sponsor shall not request Business Associate to use or disclose Protected Health
Information in any manner that would not be permissible under the Privacy Rule if done by Plan Sponsor.
D. Termination
1. In addition to the termination provisions set forth in the Administrative Services
Agreement of which this Appendix is a part, the following termination provisions are applicable:
a. Upon the Plan Sponsor's knowledge of a material breach by Business Associate
of this Appendix, the Plan Sponsor shall either:
i. Provide an opportunity for Business Associate to cure the breach or end
the violation and terminate the Administrative Services Agreement of which this Appendix is a part if
Business Associate does not cure the breach or end the violation within the time specified by Plan
Sponsor; or
ii. Immediately terminate the Administrative Services Agreement of which
this Appendix is a part if Business Associate has breached a material term of this Appendix and cure is
not possible; or
iii. If neither termination nor cure are feasible, the Plan Sponsor shall report
the violation to the Secretary.
E. Effect of Termination
1. Except as provided in paragraph (2) of this section E, upon termination of the
Administrative Services Agreement of which this Appendix is a part, for any reason, Business Associate
shall return or destroy all Protected Health Information received from the Plan Sponsor, or created or
received by Business Associate on behalf of the Plan Sponsor. This provision shall apply to Protected
Health Information that is in the possession of subcontractors or agents of Business Associate. Business
Associate shall retain no copies of the Protected Health Information.
2. In the event that Business Associate determines that returning or destroying the
Protected Health Information is infeasible, Business Associate shall provide to the Plan Sponsor
notification of the conditions that make return or destruction infeasible. Upon the Plan Sponsor's
agreement that return or destruction of Protected Health Information is infeasible, Business Associate
shall extend the protections of this Appendix to such Protected Health Information and limit further uses
and disclosures of such Protected Health Information to those purposes that make the return or
destruction infeasible, for so long as Business Associate maintains such Protected Health Information.
F. Miscellaneous
1. The Parties agree to take such action as is necessary to amend this Appendix from time
to time as is necessary for Plan Sponsor to comply with the requirements of the Privacy Rule and the
Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191.
2. The respective rights and obligations of Business Associate under Section E of this
Provision shall survive the termination of the Administrative Services Agreement of which this Appendix is
a part.
3. Any ambiguity in this Appendix shall be resolved to permit the Plan Sponsor to comply
with HIPAA.
G. Security Standards
SA rev07/08
1. Business Associate agrees that it will implement policies and procedures to ensure that
its creation, receipt, maintenance, or transmission of electronic protected health information ("ePHI") on
behalf of Plan Sponsor complies with the applicable administrative, physical, and technical safeguards
required to protect the confidentiality and integrity of ePHI under the Security Standards 45 CFR Part 164.
2. Business Associate agrees that it will ensure that agents or subcontractors agree to
implement the applicable administrative, physical, and technical safeguards required to protect the
confidentiality and integrity of ePHI under the Security Standards 45 CFR Part 164.
Business Associate agrees that it will report security violations to the Plan Sponsor.
H. Definitions
1. "Protected Health Information" shall have the same meaning as the term "protected
health information" in 45 CFR § 164.501, limited to the information created or received by Business
Associate from or on behalf of the Plan Sponsor.
2. "Secretary" shall mean the Secretary of the Department of Health and Human Services
or his designee.
SA rev07/08
SERVICES AGREEMENT
THIS AGREEMENT made and entered into the day and year set forth below by and
between THE CITY OF FORT COLLINS, COLORADO, a Municipal Corporation, hereinafter
referred to as the "City" and , hereinafter referred to as "Service Provider".
WITNESSETH:
In consideration of the mutual covenants and obligations herein expressed, it is agreed
by and between the parties hereto as follows:
1. Scope of Services. The Service Provider agrees to provide services in
accordance with the scope of services attached hereto as Exhibit "A", consisting of
pages and incorporated herein by this reference.
2. Contract Period. This Agreement shall commence and shall continue in
full force and effect until unless sooner terminated as herein provided.
3. Delay. If either party is prevented in whole or in part from performing its
obligations by unforeseeable causes beyond its reasonable control and without its fault or
negligence, then the party so prevented shall be excused from whatever performance is
prevented by such cause. To the extent that the performance is actually prevented, the Service
Provider must provide written notice to the City of such condition within fifteen (15) days from
the onset of such condition.
4. Early Termination by City/Notice. Notwithstanding the time periods contained
herein, the City may terminate this Agreement at any time without cause by providing written
notice of termination, to the Service Provider. Such notice shall be delivered at least fifteen (15)
days prior to the termination date contained in said notice unless otherwise agreed in writing by
the parties. All notices provided under this Agreement shall be effective when mailed, postage
prepaid and sent to the following addresses:
City:
City of Fort Collins
Attn: Purchasing
PO Box 580
Service Provider:
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Fort Collins, CO 80522
In the event of early termination by the City, the Service Provider shall be paid for services
rendered to the date of termination, subject only to the satisfactory performance of the Service
Provider's obligations under this Agreement. Such payment shall be the Service Provider's sole
right and remedy for such termination.
5. Contract Sum. The City shall pay the Service provider for the performance of this
Contract, subject to additions and deletions provided herein, per the attached Exhibit "A",
consisting of pages, and incorporated herein by this reference.
6. City Representative. The City will designate, prior to commencement of the
work, its representative who shall make, within the scope of his or her authority, all necessary
and proper decisions with reference to the services provided under this agreement. All requests
concerning this agreement shall be directed to the City Representative.
7. Independent Service provider. The services to be performed by Service Provider
are those of an independent service provider and not of an employee of the City of Fort Collins.
The City shall not be responsible for withholding any portion of Service Provider's compensation
hereunder for the payment of FICA, Workmen's Compensation or other taxes or benefits or for
any other purpose.
8. Personal Services. It is understood that the City enters into the Agreement
based on the special abilities of the Service Provider and that this Agreement shall be
considered as an agreement for personal services. Accordingly, the Service Provider shall
neither assign any responsibilities nor delegate any duties arising under the Agreement without
the prior written consent of the City.
9. Acceptance Not Waiver. The City's approval or acceptance of, or payment for
any of the services shall not be construed to operate as a waiver of any rights or benefits
provided to the City under this Agreement or cause of action arising out of performance of this
Agreement.
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10. Warranty.
a. Service Provider warrants that all work performed hereunder shall be
performed with the highest degree of competence and care in accordance with accepted
standards for work of a similar nature.
b. Unless otherwise provided in the Agreement, all materials and equipment
incorporated into any work shall be new and, where not specified, of the most suitable grade of
their respective kinds for their intended use, and all workmanship shall be acceptable to City.
C. Service Provider warrants all equipment, materials, labor and other work,
provided under this Agreement, except City -furnished materials, equipment and labor, against
defects and nonconformances in design, materials and workmanship/workwomanship for a
period beginning with the start of the work and ending twelve (12) months from and after final
acceptance under the Agreement, regardless whether the same were furnished or performed by
Service Provider or by any of its subcontractors of any tier. Upon receipt of written notice from
City of any such defect or nonconformances, the affected item or part thereof shall be
redesigned, repaired or replaced by Service Provider in a manner and at a time acceptable to
City.
11. Default. Each and every term and condition hereof shall be deemed to be a
material element of this Agreement. In the event either party should fail or refuse to perform
according to the terms of this agreement, such party may be declared in default thereof.
12. Remedies. In the event a party has been declared in default, such defaulting
party shall be allowed a period of ten (10) days within which to cure said default. In the event
the default remains uncorrected, the party declaring default may elect to (a) terminate the
Agreement and seek damages; (b) treat the Agreement as continuing and require specific
performance; or (c) avail himself of any other remedy at law or equity. If the non -defaulting party
commences legal or equitable actions against the defaulting party, the defaulting party shall be
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liable to the non -defaulting party for the non -defaulting party's reasonable attorney fees and
costs incurred because of the default.
13. Binding Effect. This writing, together with the exhibits hereto, constitutes the
entire agreement between the parties and shall be binding upon said parties, their officers,
employees, agents and assigns and shall inure to the benefit of the respective survivors, heirs,
personal representatives, successors and assigns of said parties.
14. Indemnity/Insurance.
a. The Service Provider agrees to indemnify and save harmless the City, its
officers, agents and employees against and from any and all actions, suits, claims, demands or
liability of any character whatsoever brought or asserted for injuries to or death of any person or
persons, or damages to property arising out of, result from or occurring in connection with the
performance of any service hereunder.
b. The Service Provider shall take all necessary precautions in performing the
work hereunder to prevent injury to persons and property.
c. Without limiting any of the Service Provider's obligations hereunder, the
Service Provider shall provide and maintain insurance coverage naming the City as an
additional insured under this Agreement of the type and with the limits specified within Exhibit B,
consisting of one (1) page, attached hereto and incorporated herein by this reference. The
Service Provider before commencing services hereunder, shall deliver to the City's Director of
Purchasing and Risk Management, P. O. Box 580 Fort Collins, Colorado 80522 one copy of a
certificate evidencing the insurance coverage required from an insurance company acceptable
to the City.
15. Entire Agreement. This Agreement, along with all Exhibits and other documents
incorporated herein, shall constitute the entire Agreement of the parties. Covenants or
representations not contained in this Agreement shall not be binding on the parties.
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16. Law/Severability. The laws of the State of Colorado shall govern the construction
interpretation, execution and enforcement of this Agreement. In the event any provision of this
Agreement shall be held invalid or unenforceable by any court of competent jurisdiction, such
holding shall not invalidate or render unenforceable any other provision of this Agreement.
17. Prohibition Against Employing Illegal Aliens. Pursuant to Section 8-17.5-101,
C.R.S., et. seq., Service Provider represents and agrees that:
a. As of the date of this Agreement:
1. Service Provider does not knowingly employ or contract with an illegal
alien who will perform work under this Agreement; and
2. Service Provider will participate in either the e-Verify program created
in Public Law 208, 104th Congress, as amended, and expanded in Public Law
156, 108th Congress, as amended, administered by the United States
Department of Homeland Security (the "e-Verify Program") or the Department
Program (the "Department Program"), an employment verification program
established pursuant to Section 8-17.5-102(5)(c) C.R.S. in order to confirm the
employment eligibility of all newly hired employees to perform work under this
Agreement.
b. Service Provider shall not knowingly employ or contract with an illegal
alien to perform work under this Agreement or knowingly enter into a contract with a
subcontractor that knowingly employs or contracts with an illegal alien to perform work under
this Agreement.
C. Service Provider is prohibited from using the e-Verify Program or
Department Program procedures to undertake pre -employment screening of job applicants
while this Agreement is being performed.
d. If Service Provider obtains actual knowledge that a subcontractor
performing work under this Agreement knowingly employs or contracts with an illegal alien,
Service Provider shall:
1. Notify such subcontractor and the City within three days that Service
Provider has actual knowledge that the subcontractor is employing or contracting
with an illegal alien; and
2. Terminate the subcontract with the subcontractor if within three days of
receiving the notice required pursuant to this section the subcontractor does not
cease employing or contracting with the illegal alien; except that Service Provider
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shall not terminate the contract with the subcontractor if during such three days
the subcontractor provides information to establish that the subcontractor has not
knowingly employed or contracted with an illegal alien.
e. Service Provider shall comply with any reasonable request by the
Colorado Department of Labor and Employment (the "Department") made in the course of an
investigation that the Department undertakes or is undertaking pursuant to the authority
established in Subsection 8-17.5-102 (5), C.R.S.
f. If Service Provider violates any provision of this Agreement pertaining to
the duties imposed by Subsection 8-17.5-102, C.R.S. the City may terminate this Agreement. If
this Agreement is so terminated, Service Provider shall be liable for actual and consequential
damages to the City arising out of Service Provider's violation of Subsection 8-17.5-102, C.R.S.
g. The City will notify the Office of the Secretary of State if Service Provider
violates this provision of this Agreement and the City terminates the Agreement for such breach.
18. Special Provisions. [Optional] Special provisions or conditions relating to the
services to be performed pursuant to this Agreement are set forth in Exhibit " ", consisting
of ( ) pages, attached hereto and incorporated herein by this reference.
CITY OF FORT COLLINS, COLORADO
a municipal corporation
By:
James B. O'Neill II, CPPO, FNIGP
Director of Purchasing and Risk Management
Date:
ATTEST:
City Clerk
APPROVED AS TO FORM:
Assistant City Attorney
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PRINT NAME
CORPORATE PRESIDENT OR VICE PRESIDENT
Date:
ATTEST: (Corporate Seal)
CORPORATE SECRETARY
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CITY OF FORT COLLINS
Management Services
Management Consultation Type
Category
Qtr 1
Qtr
2
Qtr
3
Qtr 4
YTD
Service Inquiry
0
0%
1
33.3%
1
33.0%
Service Inquiry
0
0.0%
1
33.3%
1
33.3%
Workplace Trauma
0
0%
2
66.7%
2
67.0%
Other
0
1 0.0%
1 2
166.7%1
1
1
1
1 2
1 66.7%
Total
0
1 0.00 1
3
1100.0%1
1
1
1
1 3
1 100.0%
Management Services
Management Consultation Outcome
Category
Qtr 1
Qtr
2-,.
-Qtr
3 ..
Qtr
4
YTD
#
%
#
%.
#
%
#
%
#;
Consultation and Education Only
0
0.0%
1
33.3%
1
33.3%
Support Services
0
0.0%
2
66.7%
2
66.7%
Total
0
1 0.0% 1
3
100.0%
3 1
100.0%
Primary Assessed Problem at Intake
Category
Count'.
YTD
Qtr.1
Qtr
2
Qtr3
Qtr 4
#
%
# '•
. %
#
%
#'
%
# .
`
% .
Addictions
1
2.1%
2
3.8%
3
3.0%
Anxiety1
2.1 %
5
9.4%
6
6.0%
Depression
3
6.4%
2
3.8%
5
5.0%
Emotional Wellbeing
6
12.8%
15
28.3%1
21
21.0%
Occupational
1
2.1 %
1
1.9%
2
2.0%
Other
1
2.1 %
0
0.0%
1
1.0%
Relationships
24
51.1%
16
30.2%
40
40.0%
Work Life
10
21.3%
12
22.6%
1
22
22.0%
MAPS HEALTH CARE EAP Utilization Report 01/01/2008 to 06/30/2008
Healthy Together
EXHIBIT B
INSURANCE REQUIREMENTS
1. The Service Provider will provide, from insurance companies acceptable to the City, the
insurance coverage designated hereinafter and pay all costs. Before commencing work under
this bid, the Service Provider shall furnish the City with certificates of insurance showing the
type, amount, class of operations covered, effective dates and date of expiration of policies, and
containing substantially the following statement:
"The insurance evidenced by this Certificate will not be cancelled or materially altered,
except after ten (10) days written notice has been received by the City of Fort Collins."
In case of the breach of any provision of the Insurance Requirements, the City, at its option,
may take out and maintain, at the expense of the Service Provider, such insurance as the City
may deem proper and may deduct the cost of such insurance from any monies which may be
due or become due the Service Provider under this Agreement. The City, its officers, agents
and employees shall be named as additional insureds on the Service Provider's general liability
and automobile liability insurance policies for any claims arising out of work performed under
this Agreement.
2. Insurance coverages shall be as follows:
A. Workers' Compensation & Employer's Liability. The Service Provider shall
maintain during the life of this Agreement for all of the Service Provider's employees
engaged in work performed under this agreement:
Workers' Compensation insurance with statutory limits as required by
Colorado law.
2. Employer's Liability insurance with limits of $100,000 per accident,
$500,000 disease aggregate, and $100,000 disease each employee.
B. Commercial General & Vehicle Liability. The Service Provider shall maintain
during the life of this Agreement such commercial general liability and automobile liability
insurance as will provide coverage for damage claims of personal injury, including
accidental death, as well as for claims for property damage, which may arise directly or
indirectly from the performance of work under this Agreement. Coverage for property
damage shall be on a "broad form" basis. The amount of insurance for each coverage,
Commercial General and Vehicle, shall not be less than $500,000 combined single limits
for bodily injury and property damage.
In the event any work is performed by a subcontractor, the Service Provider shall be
responsible for any liability directly or indirectly arising out of the work performed under
this Agreement by a subcontractor, which liability is not covered by the subcontractor's
insurance.
EXHIBT " "
CONFIDENTIALITY
IN CONNECTION WITH SERVICES provided to the City of Fort Collins (the "City") pursuant to
this Agreement (the "Agreement"), the Contractor hereby acknowledges that it has been
informed that the City has established policies and procedures with regard to the handling of
confidential information and other sensitive materials.
In consideration of access to certain information, data and material (hereinafter individually and
collectively, regardless of nature, referred to as "information") that are the property of and/or
relate to the City or its employees, customers or suppliers, which access is related to the
performance of services that the Contractor has agreed to perform, the Contractor hereby
acknowledges and agrees as follows:
That information that has or will come into its possession or knowledge in connection with the
performance of services for the City may be confidential and/or proprietary. The Contractor
agrees to treat as confidential (a) all information that is owned by the City, or that relates to the
business of the City , or that is used by the City in carrying on business, and (b) all information
that is proprietary to a third party (including but not limited to customers and suppliers of the
City) . The Contractor shall not disclose any such information to any person not having a
legitimate need -to -know for purposes authorized by the City. Further, the Contractor shall not
use such information to obtain any economic or other benefit for itself, or any third party, except
as specifically authorized by the City.
The foregoing to the contrary notwithstanding, the Contractor understands that it shall have no
obligation under this Agreement with respect to information and material that (a) becomes
generally known to the public by publication or some means other than a breach of duty of this
Agreement, or (b) is required by law, regulation or court order to be disclosed, provided that the
request for such disclosure is proper and the disclosure does not exceed that which is required.
In the event of any disclosure under (b) above, the Contractor shall furnish a copy of this
Agreement to anyone to whom it is required to make such disclosure and shall promptly advise
the City in writing of each such disclosure.
In the event that the Contractor ceases to perform services for the City, or the City so requests
for any reason, the Contractor shall promptly return to the City any and all information described
hereinabove, including all copies, notes and/or summaries (handwritten or mechanically
produced) thereof, in its possession or control or as to which it otherwise has access.
The Contractor understands and agrees that the City's remedies at law for a breach of the
Contractor's obligations under this Confidentiality Agreement may be inadequate and that the
City shall, in the event of any such breach, be entitled to seek equitable relief (including without
limitation preliminary and permanent injunctive relief and specific performance) in addition to all
other remedies provided hereunder or available at law.