HomeMy WebLinkAboutC2005-524 - 7/26/2005 - ApprovedCONTRACT FOR PUBLIC HEALTH ~i[VICI~
¢'ontr~ ~ I~: DEP.t~TMEI~ OF STATE HEAI,TH SI~VICES
(RE~ 'EIVING AGF. NC~'~ 1100 WEST 49TM STREEt'
AU,VI3N. TEXAS 78756-31~9
DSHS IX)CUM10~ NO. 74(:~05741~
I-~lll %uthorily U, U,~II'~t~ C~' 12. iteahh ~d ~ Code
~?~.~
I~RVORMING AGII~IUY NAM'R: t'TFY OF CORPUS CHRISTI PAKK AND ~TION DEPT
MAll.IN(; ADDRF~: 1~,1 I.EOPARD ST CORPUS CHRISTI TX 78401-2120
N'FRF~ET ADDRI~N: 1201 LPOPARD ST CORPUS CHRISTI TX 78401-2120
NAME OF AUTltO~I2~D
CONTRA£TING gNTrTY~
PAY~ DATA ~]f ~ :~ ~ ~ ~ A~Y ~ A~r~m~ ~Ac'I~ ~; ~ ~ m ~ ~ ~ ~ ~
NAME' , I ~', )F, 'O~P~ (~ PARK AN~ ~R~ON D~I
ADD~: I:~ll I ~P~D~ I'~S f~ ~ 7~]
(Cmly. >h~ 7~,
8ts~ of Tex~ V~cl~ I~ ....... No. (14 (llfla)
174~00~4102a
PAYI~ Af~CY ~
Y~r ~ ~
PA YEE. ~US/NE~ INFORMATION FO~ STATIC'fICA L ~oirrll~: Pleaac ,--~',~ d~ cate~oz~ that apply m yma- hmmm.
,mall Bhune~ - A t~mc~. ~t, pn~m~hq~. ~ ~her ~ ,~,~y fonmxl f~t ~h~ I~t~ ~f makini · ~a m'6. which ia
: mdy ~,~ a~t operat~ ~m~ has f~w-r Ibm l~ empk~a. ~r ha~ Ima t~n $ ! J~O0.(~0 kn ann~ p mc~q~
Proct,~i,.enl C'omm~ t~ ~'r ,'miry
SUMMARY OF CONTRACT DOC'UM~rI'ATION.
COVER PAGE I
C()VER PAGE2
OililY. AL PROVISIONS - 612004
ATFACHME. NT{S j
EXHIBITS. IF APPLICABLE
I)NHh
2O05-524
07r26/05
Redi26357
Cover Page I
DETAII. S OF ATTACHMENTS
\it, I DSH.S P.-o~mm ID~
Amc DSHS ~rch~c
'~ , '. )r.te~ Numl~
TeA III
}-.'nd
15,0~O.OO OJ~
$15,0~0.00 $ 0.00
Totll Am~um
$
*}~.-de~al fun&, ,tre ,ndic~tt~l by · numh,=r fram the C~*Alog of ~ Dom~'fic A.~ialar,~ (C]~DA), if ~ ~ TO
BI fl a ;ET .~ECH¢ tN OF ANY 7~.RO AMOI FN'T A'I'TA~ I::OR DE'TAn ~.
Cowr Page 2
EXECt ri'ED ~ DUPLICATE OR1OINAI-q ON THE DATES SHOWN.
Authorized Co~umlating Entity (type above if diffe~mmt
fTUm PERBDRMING AGENCY) for and in behalf of:
PERPORMINO AOENCY NAME:
CITY O{' CORPUS CHRISTI PARK AND
.-/
By:
(N~ne ~ Ti~
~ ......... ~_.,Zo ~ ............
RECOM~
from
pe~(.~{t~zed m sign
RF~O AOENCY NAME:
DEPARTI~NT OF STATR HEALTH
S~RVICR8
By:
/0- q-os'"
DSHS Docum~t No: 744500(~41~
Cover Pag~ 3
IX)C-'UMF3~rF NO. 7460005741A-2006
A'I'I'ACttMENT NO. 01
FURCHA~E ORDER NO. 0000307381
PERFORMING AGENCY: CITY OF CORPUS CHRISTI PARK AND R.EC~RATION
DEFT
RECEIVING AGENCY PROGRAM: DISEASE PREVENTION AND
INTERVENTION SECTION
TERM' Jun~ 30. 2005 'II-i~U: Jtme 29. 2006
SEUTION 1. SCOPE OF WORK:
Dtmng the project l:~-iod, PERFORMING AGENC~ (through the CCAPW~
Pm'tneaadp) will be ro:lui_md to (1) Contin,~- to dm/clop p~tssn~,it~ nnd in~ to
plnn, implement, and evaluate n commtmiry plan to combat obesity nnd redaI~ ctmmic
dinr. aae. n, (2) Begin imp[$ment~fiola of ~l~gic pinn to ccnnbat obemty, with technical
anaistnnce from the Univernity of Texu sutff, and (3) Develop and impk',nv~t ~n
evaluation plan aloog with a timeline for ~ activitiet
PERFORMING AGENCY shall collaboram with the ~O AOi~ICY ami
,amtracta~ from the Univenity of Texas at Attain to:
· Hold CCAPWell Obesity Orant Sulx:ommitm meefin~ .f leaat mo~hly, and
submit monl~iy parmen~hip meetin~ minute~ to the Univemty of Texu stnf~,
· Implement commtn~ty stra~gie~ to increase physical activity and baa]thy oaling
in targe~d sectors of the c~mmttrdty;
· Cond~~mrion evitlumiom of each inlm'vention;
Tex~s and RECEIVING A(3F. NC~ stat:f= and
Submit an implementation and cvalu~on plan for ftra~ activities with time, lines
rot ~ activities by June 29.2006.
SECTION I1. SPECIAL PROVISIONS:
(ie~e~al P~visions, F.,qulpnumt nnd Sopp#m, is no~ npplicable to thi~ Att~-~
Cretin'al Provisions, Program ~ ia not nt~licabic m this
SF_.~rION III. BUDGET:
PERSONNI:a_ $0.00
FRINGE BENEFrrS 0.00
TRAVEL 0.00
~QUIPM~NT 0.00
S UPP~ J'~-~ 730.00
CONTRACTUAL
TOTAL $15,000.00
Total r~imbul~rn~t~ will not excg~d $15.000.00.
GENERAL PROVISION8 FOR
DEPAi~TMENT OF STATE HEALTH SERVICF~ SUBBECIP~,NT GRANT CONTRACTS
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~ I*ROVlSlON8 FOP.
D~PAR~ OY S'rATI: ~tLTI! snvIC~S SU~ GItAN*r
PERPORMING AOENCY and RECEIVING AGENCY (tl~ pm'ties)
(_~_ tm~), to futbfu~ pm.b~ the dm~ IWUm'bed ~ this c~ntn~ md to u~! md abid~ by its twnn ~
pro~"micnm. 'lTtts cxnm~-t cm~ists of:
· RF_.CEIVIlqG md ~ AGENCY identi.f~ns data,
· Geritol Pmvimem, .~
Attactm~m uny inr. lude the fotlowini ek~..~:- as spp~t~ie:
~ G'rmn'm ld-~t~.~,-~t Standards and RECTEIVING AGENCY _in~:'~__ -m autl~m~m ~ ehoomm m a
c4mnl~t mw~-~u,m ~ ~ ~'itlcn mplotov~ f~xn RI~"EIV~O AGENCY. PERFORMII~ AOEN~'Y n~m
sul0n~mqum~ ml~nmt ~ by RECEI~INO AOENCYI°'~Omn. RECEIVINO AOENCY ~ll,~.-,-~-.' tho
nny ~ to n cem~smct A~ becommn a pmrt of tl~ c~mlnc~ f~.
grmnt~tboexmmm~e.n'~m '=_ .nmmmM, m ..... k.=-i, or,...m~&-ti,...ofmycmmractor~mnt(31U3OJl3~2, m
· It m s3~ i~li~ble tz isrtiml~tim m felnl ~ m ~ p[o~mm m ~ ~ 1~9.
~ .ad S-q,,,,-~. Fab. 18. 1~ 51 Fed.
~ PI~tFORMING Ao{~MCY is unabte m ewtify to andy of tba _' ' in ~ Artiok~, PERIW]iH~iXNO
AOHWCYisllms~mm,p{, -i~ ~An{m{cYlmw~nspslmikinnomffki~
c,. ....... k,tti,.., sud equa{ nt~ess ~o pu~ ~ -,~ nutivitks m pet'nm~ wi~h Ltmtlul lk]liish
· Ti~t IX oflh~ Ed:lumtkm A .... ,,'k.--,~ of 1972, 20 USC J1168 l-1683, md 168.W-16{~ m ~ m,4mt~h
dimbiltl~,.,~ thc Amerk=sm wiih ~ Aot of I gg0, 4,2 USC {.Il 2101 ~ .s,~, tnaludinl tim immvi~m
· Th~Alnl~' -'~A~tof197J,42USCJ16101-6107, mmnmdut, whi~hi~dl.a' ~' on
· T~ ~kug Abutm Office md Tnnmm~ A~ of 1972, 21 USC Jill01 f~ JMtq., 8s mnmdml, nninth~ to
l'mNaiim2nl Rmm'ch Service Awml Act o~'1971, 42 USC JJ21Jgu-i et seq., maturated, md_~f~__! (p.L.
93-34~ ~d P.L. !03-43), as ~ mp~tln~ t~m l~X~s~m of ~ nnbJes~ kn~tv~! tn msnm~
d~,.Io~.~, 1.n t~ami ~ttv~el ~ by any . ~i ~-~- ~ of ~ -," m
'fbcO~-%" -] Safety~~~l~8,,b4~,-mBloodlkn~PMimSu~29CFR
01910.1030, ~ ~t ~ty ~ ~m tl~ ~~ ~ in the prt~m smU' wire troy
~ Auinni Wef.t~ A~of 19~ 7 USC H2131 eimq. (P.L. 89-.544), m ammded, ~ m
lUl~sm~by~i, awlxdof- ' ' --
RI~:~VlM~ ~ by csnins (S 12) 458-77~.
of' 19~9, 42 USC J~43214347 ~ ~ ~ ! 1514 ~5 F~ ~ 4~ ~ ~
~t of ~ ~..
~~~ ~~m~~ 11~8(~~3~~
~ ~~of~~~ ~F~W~~~~~m
13) ~of~~~~ ! 1~,~ ~i.
i4) E~of~~m~~~~~~ll~F~
26~ 1.
~ ~~ ~1~, 16 U~ ~1451 ~., ~ ~
i~5, m ~ 42 U~ ~7~I ~.
M.
p. Te~s Oo,m'nnm,t Cod~ Chq~m- 55 L n',~:in~ to opm n:ms:inp.
Q. TexnaO¢~. -t~ -Codn,~lTOi. mmnmdJ~nndnllruinsJioplndbylboTmmnCz ' ' fin
Law lb~m~mmt Offi~r SmKlJds md Educsthn purmsnt ~) OJs~u' 1701, m ammded, rubtinj m
of tl~ EPA O~ e~'Fed~n~l A__,~v~m ~ ~ a fis;~ty m ~e tmsd in ~m lnroJe~t b und~ c '"
~ ....... t,,'~ wbn'e th~ inin'un~ is aviflabk~ ns a (xmdtl=km fl:r the l~i:xsipt of in,y bdm~si ~h~u~d
mJll~Kj~e u'l · ~'
if PERFORMING AGENCY prov~l~s i ....... ~;-~;;o,,u, PEKFORMING At'TI~ ahall omnl~Y wilh all
PERFORMING AGENCY shall onmply w~h th~ mquinmmm of th~ T~xms Wm'kml' C', . '~ Am~ Lmbm'
C, od~ ~ 401.406, snd mira ix~l~sw.d ~ foumi st 28 Texas A~im~-' kat~eu C-,a.. (TAC), Pm't 2.
rc~oducc, publish. ~ othow~ usc, tnd m m othn~ ~ uso, ~' ~dcml or s~mo ~tmxmt pmpoeos (1) th~
PERPOR_MINO At"~J~ ahll place m e~ of ~lznl or s~lc swsrd~_ qcncy grant ntplxrt md a
AGENCY ptndBem ownznltip with [~ent suppm't.
AOENCY and will rupm't HUB -d-- t ac'dvtty on a qtm~rly bash ~o RECEIVII40 AOENCY.
A) -~m~.~lf ,. d~z~ ~o inclu~ tl~ foilowi~.
c')
D)
~ ACtENCY md lin m~,__',f ':m) shl] ~ m wm'mn~ ~ ~~~iit
o~4nim~m irodu~m), tbt lm~lu~m) dm3vm~d md inmlimd'wlmr I~ ' i'~. - dun annm~~valM dram
IIJ~:~jo::t I1~ tt~ I~'ni mnmd c~m~i;i;,~'mm offi~me Frmd~rm:~Xn"m Idnndl~d ~-~:-I wimml¥ (x' m o(x~l~mm~ in the
r~pln~"~""~ of Iny I~ predict ~ f ii~ no~cmn~Rinc~ is ~ ind nld~ ~ lo III nl~i~nl~lil~ i~
RECEIVING A~ENCY ~ no~ hold PERFO~G AGEN~"Y r~peIIa~ie i.f I]~ ~ ~ i
PI~,=~3RM~IG AGENCY'S p~dut~ot~ ~ ~ AI'~I~ICY ii ina~ura~ or ~n~pt.
any firsudulenl ~ diahonest act or a~s c,~nmit~d by tomy of FERFORM]NG AGENCY'S
mdividmlly or m ~ ~ ~ and/or 2) fnilutu of PERFORMINO AOENCY ~ tomy of ils ~ ~o
OMB C'kuttl~ A-87, Sram, OIVlB Cimalsr A- 133 -,,,4 UOMS UOM~
Lo~ -,,a Tnlml ~
A~ COiqTRAC'I'INO ENTITY shall m~nit m copy lu lin~tk ~nd l:hm~ S(rvi~m C= ' '
~{-mmc), olo Stns~ Audit st me mllowi~ ~kk~s:
Ams~t~ Sin~ Audit om
1100 Weut 47'th S~mmet
Anattn. Ttsun 78756=3199
~ (Hnql~.AL ~ 6;2004 i'up 10
requg~ far rem~---~..~t m a Sla/e of Texas Purchase Vaocber ~ l~rm B=I3) w arty o~ ~rn ~ by
REC.'El'VINO AOI~NCY mmthty ~ t~,-ty (30) days follow~s the cad of
PERFORMING A~aa~--~ slml] su~..:t · reimbursemn~ r~F~s~ as ~ ~ close-out trill nm lsan- ttm~ ninety (90)
~=n' an em,~t~tt w~ be nnd~ on a cue-.by-~lat ~mi2 nnd t~y fin- nn exlunnfin~ .~,~
Pupil
RECEIVING ^GENCY wiU det~m~ tl~ an~unt ofth~ advance, ffmmy, by th~ nnxxmI and tn-m of the appli~a~
.a. uac, lmm~t). Fw es~h Attactnnent, ~ ~t of ~ ~ ~1 ~ ~ ~ ~ ~ t" ~
PERFORMING AGENCY ~ ~mit a wrillmj,,, -'n~w6,~ sad lil~l~ of Tmas
Pta-~mat Voucher m the ammmt nes~snnry Io ~ the rmio. ff the adjusixnm~ is downn~d, ~
the Texas Bom. d ofl-lmlth rulm Cm~ling Fe~ for Clinical Hmllh l~aniom, 25 TAC [ 1.91; and olhtt nlNstkni~ kwh.
No patimt m~ be dmied n servi~ du~ to inability to p~y.
Addiaw ri:mired - ,,aa tl~ la'O~,,,..., im~e m ~e fttndm mlrmdy, ..... ,~h-~ m the pmj~t by bo~
rufmd~! m ~O AGENCY.
a~limb~ ^~ ' '(s}.
in n~omtnno: vrith I-Ienlth mmcl .~ ~y Code, §12.053, title to nil eq~ ~ ~~ ~ ~ ~
~tUs cunu~ shah be in tl~ nmne of PER~O~O AGENCY tl-uo{h~ut the ~. u--t~s) I~a)
mcqtn~i~ c~t is the net invo~oe ,mR ~ ofm ~ of cquipncnt, ~ the coet of tomy nccnmm-y
A(]E3'q,{~N~ by rnmns ora wr~ mnerKhmnt or A" -{m.,f,.w C'umi,jn Ntwic, e.
,-,---] c,.nmJ{~ nNmcrt (TI)H Fm'm OC- 11) tu ~ Al]t{iqCY no bmr thru Oqfl[im- lJ{h nd'mob yusr.
PERFOR.MINGAOENCYdmI~-' '',' alm~mnof, ' .mi~r,,,,,d~.,.:" ofsmmm~fr~,h
nmntrucgo~ in w~ ~2~ {~m ~ AOI~dCY.
AOENCY.
~ ~'mm41{~=~.~ 6~n04 ~ 13
· ReceSs ns~ntiofl mquiru~dsnts consia~t ,~i~ UGMS;
· Accem tn inapect tl~ w~k snd the lx~nin~ on whmh mty of t~ ~,: is perh. nn~ in acom~x~ wi~h the
Irmpe~s Aflicl~ c~tam~d in this con~n~;
P~ AOEIqC'Y ia ~Nxmsfl31e to RECEIVING AOENCY f~ the ~
PE~H20{LMINO AOENCY shall mnm~ both ~ md la,._. ~ p~f~a
r,e,~la that shall be mvmla~e for ~ by RF.(XEIVING AOENCY.
will be effected .,,d em lmm f~ meqtlnn~ (all crone-is in excem of $10,000).
cLC,~; ~ PI~ 6'2004 PIp 14
· Retmtxm or'all mquh'ed reoerda f(r the requized n~n~3e period a~er RECEIVING A~ mnla I~,1
~mmm~ in ~ of $100,0~0).
F~ rep(nla ~e mqak~ an lnt~ded m U(iM$, ,-,a P~LI3T:IRMXNO AOENCY st~nn ~e ttmn nnla~llnm of
PERFORMING~.~m3ditamlx.__'.' '{,)shallj i' ~, ' in' .~ :' -andlnmdde,. ti:a0em.
tkmlitkn, mdismnoetuthe.,m., mi,..... Ali' . __:' -mde~uhmtm~wlllbe~ ' ~lbamhamm---'m
PF. RFORM[NG AGENCY and its m _h~-ipmnt(s). L~my, St~II gi~ RECEIVING A~, TITmC, t~
~x'~rm'n~. m~l I~ Tex. nn Stn~ Am4itor, or m~ of tbeb d-ly ~ a~.ta, ' ' ' v~, ncc~n to my perl~a~tt
IX~OlUL clocmm.~ pepa~ snd ¢lmm or _p~--t ~ if nny, f~- ~be purpom of makinB audit,
~l.d~ and moft~lnmclxmamls~-d to rl'dncaatr~t. ~G ACiENCYv.'Ll]bn~ot~etJ~lttoma~t
.*my de.-in.es idgn'ci~d by ~G AGENCY snd/m ~ ul~on e..mh,-~m of ~
AGENCY'S retards wA1 be om~-y~cl m wri~ng to PERFOI~NG AGENCY. ~ At"~m4CY'8
PERF~ At"~l~ 'S ~aolutioa of~z~l~ngs win be sent to thg ~mcy(~-) zaf~ ~ur. ed in tl~ eov~ ~ oft~
22 T~ Adminia~ative Code (TAC), Pm't 9. l165.1('oXo) ar ~ . ,Lt,'-~-~- slattnm md tquistkms loqns~_
medicd ~ PER_PORM/NG AGENCY .h-fl n~in sz~d l~mgr~ ti] o4hn' moqn~ ~ ~
t~g lnavimmsofth4nc~mlz~-t.f~apea~odof~a'(4) y~aznnl~n'tl~l · 'i~moftlm~ .... :s). Ifnn
li'a~t~m ar m.n mm:lit until t~ liti~ntien im ..,~'d m ali qmmtJem~m p~laah:dz~ ~ tl~ mndJt mu n~mo~ud.
mmde
PI~F(]RWINO ~ tmmt mminsJn lmis~ md c~nt rmmdm m mm~lJmme ~ mmm h~m nJmkl m IJm
seantty ,,,,~ mmnttm af tundra.1 m ~mmt mam~ n.ECEIVINO AOENCY n~ mqa~ ~
^~ m tmon' m'iminm~ m eapies af pmtmm ,,~m abmt t'mmdm m maemm' o~y, ~ e,,~ omma~ m-
tuthmzat~ of tl~ psue~t er clie~ upen ~-mirmtion of ~ c~n~, or if th~ cm~ m~t m~aln~s~ of ~
mdiv~dtu] pmiem or cliem if trnafcrmt to noO~ rarity.
ssr~a~ m RECEIVING AC~CY for my ~:h ofthi~ ~ a~ ~1 mnnimr P~,.~d~qO ~ t~r
fu~--i~l oamplim~:~ REC"EIVING AGENCY may, at ils own dis~"lim, imls~ es~ m mm~ ~ t~' a~h
mm~e~e ,~,~ be msd ~ with the ln~,'isim~s) oft~s Arti~ tn S~ e~l~m m both.
RF. CEIVING ^GENCY mm~.
A. Tenmnn~nnarapm'tofRdscantra~. ~ml~T,.,. ' " Arti~einl~msa.m,.,,.'' ·
lm~L ~ ~ otm ~ md mob ie~! ar e-t
m not ilh~able m expn~ly n~'iz~d by tl~ nmi~ of ~ ,
b,duL~ ' m ~ Unimd ~m~u m m tl~ ~mm of Texan;
pmvtsJm~ m c) bs.~ld ' m tern Unfmd ~mms ar m I~ ~la~ of TesaK
F Dmy ~ ~ m futm ~ awsrds ~o a PI~FOR_M]NG ~;
H
AGENCY;
~. Den~ld nq~yn=,t~ ~ ~ AGENCY;
the ^r '- KB); md.
impnm~ mi.VORMn~ AOENCY ia nnm~d ~ n~. / ~, (15} da~ of m~t ~ nn~ a ~d~n
AG/~k~'"Y.-' ' ..~.--tntannt~min..-.., t '],sndtminnh~mm~mismbJe~tlomvlmw(snammtnnRm4mw
An "~ m dm~flnt~l u the ~n_owinl:
· ~ AGENCY ~fla m m a pdt _ mmsu~
· PERFORMING AOENCY i s ex]~nd~g funds ~.
4RTICLi 29. ~t,--t~-- P.Me~
PEJtiq3RMIZqO AOENCY'S ndmtine hi'mn c~nin th~ O:dk~ (1) a cupy ofRm {fStllr flmxn~ ~
notifyin8 PER..tq]itW~qG AC]ENCY of the mn~tim~ (7) a ~ ~ (~'ennh ont Rmt b {ho basts ir lim
diapu~ (3) 1~ Imuds uiMn whieh PER.FORM]NO AGENCY tram th~ c ~'
or tm~ ~u be ,uotved; (5) a ~ ~ of tl~ ~ fi,~ (6) ny do~ '" b, mpw~ of
PERIW]RMB,~ AGENCY"S ~
dine r~.viewg~(s) m f{,nl smd is lt~ Bna{ m of ~ AOElkmC. y tbr puquosm oi~ fln~br lm .. -
,'IC,~ ~ PROVISIONS 6/'2n04 Pap 19
PERFORMING AGEI'4CY of the aufl~aity to oblisnte 1~ awm~ed /hnds. }qZRFORM]NG
AGENCY tom ~sultmg thxn obi/gs~0m ~ by PERFORMING AGENCY ~ ~- ' '~ dan
nwm~i n'e not tl.lowmble tmle~ exp~ssly ~ by the netke of m'm/nafim. T~ lines not
mdud~ It)wttlxlrmwmiof'fundsawnn~d,~tl~bansofthe PERFORMING~S.=~-," -
ofb~e unebli&ml~! be~noe in m Imri~ ~ ~) witlxlrmwmi aftl~ tmd~mlxdbal~ ma ~tbe ~
of m~ AUnc, hnent; (3) reihml to extend an Atmd=nent ~ swani add/t/mai {hnda, to nmke n e~,Teei~ or
n~conq~dng cem/mm/e~ n=te,vmL extem/m, or supplanemi awsrd; ~ (4) vo/d~g ofm emmm~t upon
B '[~rrr~W~ wd.ho~ r~.
nei/~e to the other pmy.
(2) 'l'n~ imsrt~ns tmq~ m'nmmt~ t~i. c~mmat by ~mm~ a~,...~..,~t.
(4)
C. Tin, minim fo~ ~mtme.
(i)
(~i)
(iv}
D
AR'I'IO~ 3~. V~ Cemtra~
~ ,mdt ' ~ Udm~'mnp~o)~aOQn~l~z~dh~ml~]~. Ou~m~,~ .... .o(x~ili~Dedklflvq
ac~ craNIa, AL FROY].~OI~ ~ Pup21
farnnl spin. oval md a revised tmd~ to PI~.FOR-MINQ AGENCY m mmPk~ th~ etmv[stsJm~ ~ ~ ~~'
,otTIClZ ~s. I{t,iv, m ,f Till
Tl~ PARTlg8 l~Os~.g88LY AGR~g TBAT NO ~ O~ T~m ~ m IN ANYWAY
[NTgPfl~D TO CT~,~i ~ s-t~l~ A W~ Olt ANY IMMtlNITI~8 ~BO~ SUIT (l ~B~]~ ~
TBAT Tl~ pARTlY/O~ T]~ 8TAT~ O~ T~XA~ MAY BAV~ BY OP~BATION O~ LAW.