HomeMy WebLinkAbout107087 COLORADO DEPT OF LABOR & EMPLOYMENT - PURCHASE ORDER - 9150519PO
PURCHASE ORDER 915051 Number Page
City of PURCHASE
50519 1042
Fort Collins/ hla number moat appear
/ Fort /1 ` VJ on all Invoices, pecking
sll s antl labels.
Date: 02/03/2015
Vendor: 107087 Ship To:
RISK MANAGEMENT DIVISION
COLORADO DEPT OF LABOR & EMPLOYMENT
CITY OF FORT COLLINS
DIVISION OF WORKERS COMPENSATION
215 N MASON, 2ND FLOOR
633 17TH ST SUITE 400
FORT COLLINS CO 80524-4408
1515 ARAPAHOE ST
DENVER CO 80202
Delivery Date: 01/21/2015 Bever: PAUL, GERRY
Note: THIS PURCHASE ORDER IS FOR THE PROCUREMENT OF GOODS AND/OR SERVICES, AS NEEDED
DURING THE CURRENT CALENDAR YEAR. DOLLAR AMOUNTS SPECIFIED ARE ESTIMATES AND NOT
A PROMISE TO PURCHASE ANY MINUMUM AMOUNT OF SUCH GOODS AND/OR SERVICES.
Line Description Quantity
UOM Unit Price Extended
r Self Insurance Permitting
City of Fort Collins Director of Purchasing and Risk Management
This order is not valid over $5000 unless signed by Gerry S. Paul
City of Fart Collins Purchasing, PO BOX 580, Fort Collins, CO 80522-0580
Phone:970-221-6775 Fax: 970-221-6707 Emall:pumhasIrg@fcgov,wm
1 LOT LS
Pay terms net 30 days
Invoice Address:
City of Fort Collins
Accounting Department
PO Box 580
Fort Collins, CO 80522-0580
Page 2 of 2
I. COIRM CIAL OYTAI15.
Tu mmprw.Oyalam4lM CiryrMFMCOIIimueremp lore elxeaM lmJ m®.On 6nmmpam Numbar'u
u.xoMNArvEa.
gS-01J03. Fell RaiO, TeI Evmplim Carl ofR Fbyy N 87 a rgimoe IMF qe Collmom of
ma oflM1e umm
FIBwv of bl, onno nim m'am upm.act art mMitiw mal.'I— m digs
t-,F-anno. River. ColamJo(aeCt'.oluWaXeruetl3M1Yum 19]J.CM1egnJ93fi. 1141eL
ev^cue r^Y eeM1a or mmWma PraviJeJ lwraiom by 6w. (inure Wpmmpll'on"IMeellmllobboYntofv
nmch d"vuepun¢ o f m mymem for room M1neuMe. ur eppmnl u11M1c Jnlgn..1 IM Mme qe toma of
GooJS'ami, GWOS It"FITIC.O, la mo- loom" Iti 'ore clew afire na lur me m.. of
MY-1 Am, rem tier m obriamm of qu Ptabo o. a 1.11 col h dorsal a waim of my FM of lM1e
Mona, tImwin May b mormi m an fa cMil ream col W M onfamJ am, upu bat of WmWmMIM—Wwn
mreotm —oil Otpon..... M., olio atim arrtmulil m W, lobb man. rtgoNRu
t in Rum lM Gq of Fen Collim.
MIMmr fiipTN, raeivca m aanno,. to MY pea ar m rammt lkfeull M1aeunM. I ... hall pry no.
rJ mWiRmrim m nomm.n of Ihi, pureness bal by IM Ful getu. u a amen, rrfay err qe Cmu
ancam,(OJB3um aubpe11. 1M Ci I.. CAlu¢inpoKa m aina.
Mml
FUW Alommme. R omn of Ile mntabor e, smcm or ammonal in reyame m Ihia are coo mon in
I ASSIGNMENT OF AWFTAGST CLAIMS.
monad pa —al un m ad of IM City at III Callliu. Ha now. it n N N urvbamd Ina ort
Seller n^J or, loahmor namme Jot on nomal mowim, ptxl—.1ba8ea nanybog rmm am.
ACCBPfANCEnrigenJent amroapkliooafallapplim"noOM lim)enan Potmt¢
viohliona mein(ml home ny Oe PYAYM,'ibuiaom"final rmnntl u rom4lemim fmna^ti^8 da
.I. aNa, too Sella hereby I.., to . Fu lant, my vM ^II cBime i1 nay a— M1rve a hangs
Fmi8h1 Tema. Shtpnam moot h 40.8. City al l'an Culling, ]W Wo^J SL.'.."Flo, CO an"'. unlm
no,nei comer RJernl I, -,I immml fir. for amn wmtMgm inaing W no, W.I. mars a a—o.
maraw'Maw uo qLL abor of emuamungiven to Way mn't W chore apably, Ja ariml faint
puannwd arnmuirtJ by l Purtbm punuu0o qi[ mmmie Met,.
hill rwY mmmpwlynar im. Addil cloPn far ploi all MbanplM.
13. PVRCHASFJISptlRFORMANCtl OF SELLDO OBIJGAT10N3.
olbabnl Oumrce. Wlme rrelm0emm[Mve dooman, pima m-- part of qe munM, abipmml is
it. PUIMFme In. qe SeHora cam nwmrm^ingor mfmiue emmnYu me m bugatl MO. by Oe
upend fmm tnc -Mal d..M b- pia to helioan, W aas fam, will to doll From l^min wain
pa,lonauM lM Sella. W Be Sella flomlleinl lY liability or urwilOMM W comply, the AWwv
.nipmum Ma nom lam Fmlm'mare
my more qe wnh 10 no peRMmm ny 1M1e mvl mpa4tiw moo rvtlnhle 1M a.ar ton SNM anon OF all
c ha .I. wire'urn woh.
m PniY. S.,a'non '. m .,I. We ant all _oy Imm_ ombrrom W not al fir nil
nalimhlelaw, rtgolmion4 mrirenmW m on 1.rem, m^ninobb,,moray, m miira.Whim abet
rot iellaa,mI—Ne pwcmnWlm®lmim o(ay ne fmm vF mon11b W Mlvim afnyluNn
On, ..vlWmmM. ar rtg lial M1t,on,m nor, mWryad prom Wait, hun,mirdmonair i.b.
nabimboa cpermormaofrmnwOh.
of ream,. Salle Mon, egret on bM im City of Fat form M1umlm for, W Manor OF robloy m11w
rcI. by gem M amn of on mama or mobtal mledm of greet lo, mationtq mdion ,mine
Ton elm M."... Yrem In lnI even of lnOil atnaeligeas of We W, nlum vivo nol alert on dm
Woorma o4.
I'mal,"ba"MamrWym oymch moo,
Abboru ar, All Pnin.III —Inv, Mil m rtpeammivm m,i. na, Wm bid, and pmrm bill W
ile Solve mMvtlol ohngmiam, bolubm moray. antll not m eaaM W be m myK in my wry, bauae
mmp6a umhalry ft MW and pariu
rem mr i, aafomaJ mtnam W be perbarad by be I -hair
LIMITATION Op Ti I. Momaa Ormr eaboal, M1mim'martlame W IM amn mJ mWliore fYW
hauli I..Wmyguppnmmmry on ebohnilarmaon' .1abtima Ial mW ornm FFaM. by
b. TOATEM3.
WFer . Anyaddiloml.rdiffoom on—a-minao pmmmd 1, aella—brinailduM homymjnor.
WMnMm Iw.1ho ialgI.. W ow my bairn. mmgm cool or Vro— morel by im,, pol Italian.
wpyngnl, At Iona omb laaemnify^M—hamlet mI wabma..m any, W al clam. ramllingmxnt
3.OLLIVERY,
by awn or. uu.(mar V.. amn, hvia, labina m pmaa'm comaam wit, Me aonoM, W
PLABE AOVrOt POFICaA51NO... non—Amilyifyw howl woke womom A,mol W mminm Your
'bill workman, de fuabar fornnyam, apno m doom, cob Iany W blinO W My by mnn afarcb
111 'u1 mlivay, MM in renal. raboa or na mama Doll, Wryagm mtol w afmMmon...'lime
Inlommam a my m, Mom We Pace_ a ufla Ja mmpanun I t oo woh. In MY, aiJ quipmml.a
11.1. on qe M. ado end de bamma mmGM IartW. Ho nh of tla Pug . imlaHng, all
I pat minor. la I.Mmod me or iw rabic i[ on al wit Mir In I—MIC illbl^6 noon W ba tee of
Ilminow.xcry.oa orpnif III, mllmoti. Iran III, I, I wlm Ilion, pna.im, In lo, neon ofmy delay,
Wamipnam a part u M,ioml tw Sella mill, vl in, Own upem vM a it, option, eilb pm am No 0e
Iw Pulv'Irwel Irvin I.", lI It- W mlmleml atl egoomr, I, mie4 rho, upW Cplwi,U GoomerelawMm
Fuanwr on MM W amorm, plug uN yartionem mpW, O TIMIC na ume wino aobmmally tral rot
mW mWi,in, Sal,, roblofar'.metre.H—Io,th,&IIaball 1M by bunk.1 bm.p a, rain .1.1,
anna illy equipment of Mini mRbaa— mninim ing.
Joe to omx' al rtuowbly lmmmmle whim ore nryoM is twumbn .idol W ommul III fall f ombarce.
arena xu of cm. ecuuf,ivalamiliaury xulFurilieggrrvmmlY
flarma 11aN,epieemiu,wna
I5. MSOLVENLY.
m n.—anuµ
nag aanb minyuei W.e PunMe Mgio Oval Ile
Yong Seller bin beet^' -I.. m bream mob m wmmaam fa lw wart ofweiu4
N.
Fairlly,R orObbill
Net,wM1mOe Seller Oaton,tomb........I1^tM ercm of my rv,M1 miry,l�ma afdulimyadllw
all..Notnmiar Ma
orbya
rm my or Iw 9ellm progay abww;.i. urea wry foMwiNwuualtl by IM1e
uavhl fro twpenalglmllo tomb v,laullY lag M1Ymwollhe JeYY
loomoerrauuu
PuabunwillmnllWilih
J, WApMHfT.
In WVERNINOIAW.
TW Soler wamm.twl.11 Man, anion.. Loom ,no,woh avem by tin, mbar win cmrmm... µpliable
me eel I.— of amn uW m iw alvpealim.1.a vgaaanlmdlwlVM[ ofvll Win beam3 JWlw
Wore, gpnifmwm. moo In oWur aha hanptiuna g,w,, will w 01 ra m papma i,Ymm, nml
'malruW al W gmmmadbytw hwoflh Saeorfobmdq VS1.
pa16m m with Iw bri tlryee aI.w W mmpY<na iu...I w.. notated [mndatb for wnh Mre
miW remit. The Sella 4m In FUW m puMwa WoloO, fmm by lay moor, or am— whiot lore
a flWvm AbWorel ConGlimu
8 upP Y m1Y In rem wFue lM Why n on fadmm woh MImia..
pualwr my-.ur met, on uawam oIrro S,llan bmon of--Ory TM.,..,M tepwq(port a mete
ialuaittp lbe.mwes.(Sella, Pets on", on m,—iw annm,
glwXM1wu am W.e momar,Iaboaa.. Wing Yahm me (l) yet m wilbin.ah(npr port of
1T SELLERS RFSFONSIOILITY.
MY b'i. will or by lwlemu.1,Wiume wernar''. by ft Boller M Y,We dole of
xupmat.1. room nwumf heamtla (.1....Wla, nmmmrebly aklow), ralntmg Ram brommameofenY
On, urryon .0 ,,k On Sal�o', antom ontoth, mm,, Illy mntplelei aid xmPlµuW I,11,
w Sell
m dono I, Womb.
e'.1.W. nycroo boa OWlml
mal IM
aeumo ee.Unanm itrlayW., wn wroar nwwiab lelut Yell'/, nrel mmMninn.na
gmam
N'ry n awumha."Man 0m I'.. offoo GlRt
Ill Mad, anox Fmly umJbyin,
tom"I lw am m WWI ow^ a wo W W the smirfMioM of the Purthmer. WM1m mnl... 11
ball I,.. , wmisbed by mpg is inlalklaola al—ti- by to Sella.' wild 4mll mdvG a.
dtlaamun w
Fovich of my
11 anomm
lidilh/Mumoa.Wll ulered lu ellmmyapmaimnWly[aultr by in, M1tmbolmy oflM1e llrtNiog wamntin
Om Wm hl1Wi1iVy 111nwv Mimlmk ofpmOmmlmofoa.NO1MPLIBOWAR of
WM1[nrlevmealM1e,ibWw[one mgmeble Nemfm nlMogb aucM1 matniu4 mNa muiPn,nl
intionwa,bem8
Oa M BRCHANTABILITY OR OF FITHCSS FOR PURPOSE SHALL APPLY.
(miaW hytla SelaruMa.e oNa.
4.CHANGPS IN L.ALTP.F,
.^ !Ire,-1an4u m orm Wlvpllmaby analI.. WI,
J. C.G. in ...Cm T Ffbs.
ll
Oeµ.mor. banally oNertd to in m aloolua errd orms, II amltOrraia8m [6ro. mm.Ilf I rah
ehmm.., lw emwa rw y ln, Iir Irm.— mo.ara.,ia mobaoamOnml,Wll w Mob.
6.iEoPMlmor MYi
TW Fmdmm mymmlyma 0 yorbi [aamNorbl, alma agree mym.meta orlon
pmmuaa M.nlgcl. Wpv'I ^rN a'im err Jrga^m
pmg M mAiW PUI Iw poWmal I.net onilmb on, wy lo- taco a¢iplai ymnn by, anmmOMM
of.e gwW aapmwoh. la irciJnaWlmmauquemiul rYrnvgw,o
non,maim.— in
.Yaaf.e Rllawtm cop al u mry madiarkrmino."o.namnlwo�N aM1ameMm OWlrellem
tla ILmlaaa or tle Salle of mry Ilgeu Ibligaiw a m mY lmrL Jel IvnM Iererrrma.
I. C W MS POR AO30STM@iT.
Any clam W Mludaaat ^W a aroma wIr in mint' (30) Y3a fmm 1w on, Iw mualga or armiWnm u
S.COMPLIANCEW lUW.
Tw Sma=oOm rent el roam ale Mwuldon AM non wa mormal. rem. Mfvnta W Imam It,ma
I'll— -to nil o lltnbin laws air ('ring..' m wri b Jm rW6 x nWjxl. The lort,.bol axule awl
obIre. martial .grey be rarytree In Nip of enmme mmpliuwu. All Iowan l aµhpamngnimllu4
taugannJ in manotan utlois metal, no Ol Itampaill man by ma ref —boo no ball, ogre¢ to
IWw WLat Iw Porthum WrIons hmm al.Yon Man, M. 1ytla Fumh. m a moil o flw
$lire Oi lure to comply Mnh cob Iva.
9 ASTIGNMENf.
,impant' MMI Imuafey amoot' IMsart,amy rtmiw me urmmwrcme M1eauMnwi0mtIbe
prurwnllmtonnmlorgafeogerpmry.
Il"Ir E.
Tw Setlawunm¢ Ill. or— W _,my mr. to me Plutnam M al l ante ^o mmnW, W hma wmaM1et
In Womonae of Y%a mot Rn W elm of my W 01 wu, mlriniow, ramatmx amWry ImaW Reread OM014
emunb boar W thin,,, Mm.
IS. MSORANCE
¶w Sella rMll, err nu rem enp,mgponce fr Nr Pnrmml olwahm wmpelaeeon,aaupximnl
claw wmfk.lu ik anplu3'nnnlplMyme
tl an err in mmmlion aim IFt woh mreM OF
.Ihle .I pnmhat
.ohm W 1m. nmWmb in adaJmte wl. I.wa.rme age in whim.' wMh a m he Bone>h s.na
ilWl el®,try ewapMmtiw rowan lltlillly iwluding. real net I......
m, am..I Wevmmvhil'or on,
am m iomaae mammy y hall Wemin nmm ofm Icmr Dmb, Tfm my ma fmmq g ne artfmmy
aeihnl me on 1 metre limn par uam— a( last. . Tw I11 Men nkwiae rtgoW Nr
ill on mpmnee (wawa mmfia, fa-,mau^ua. sUIromry giro salm. gong mnkacM
m Onto enuummr m1npnrm as .rnmerr.gewet alonmmmn Ne Vumnua M ubda,
omrodmmlol orlon m0, ban ,.mid. o. oam s...11 onman
a, Oin M. wire amn
�.metre^,mM1a,au^'net,banp.oun.sodaanmmaanonouni(y In.Jug wMnwarm m11orm, m
imom. antra!adnlnveamaM.mntnmpamliwwaJim.rma Wall la meiMilwiamal Nader
non amk i mmpnl 1 vaN m1peJ.
p. PROTFOC ONAGAMSTAXTE)FN(BANOOAMAOFS.