Laserfiche WebLink
TEXAS DEPARTMENT OF ROUSING AND COMPdMTY AFFAIRS <br />HOME Proskl!;Ik:ram Contract Sy=stem AccessA uest Form <br />Contract Administmtor Name: City of Paris Administrator Phone Number: 903-784-9202 <br />.......... <br />................. ................ <br />........ .. ...... ........ <br />..................... .......... <br />............ <br />Physical Address (stwt, city, ZIP, : 135 i5' 3t SE, Paris, 75460 <br />Mailing Address: 133 i� St. SE, Pans, TX 75460 Eath@paw,texas.gov <br />.......................................... .......... Mmg <br />Mmedft&. <br />HOME C t UR RSP Agreement Number: RSP #20 14-0013 Administrator Tax ID #: 75-60OW6359 <br />................ .................... ............... <br />........ .... <br />Athni bunwe Fiscal Year Begins: 10/1 ---------- --- -- +Administrator's Fiscal Year Eads: 9/3U <br />Contract.. Execution -. <br />Individual authorized t. ..................o execute a contract an behalf of Contract Administrator. <br />Also has authority to enterand approve project set-ups and draw requests. <br />- - - - - - - - - - - - - - - - - - - - - - - • - - - `- --_ - .-.-. -_ .: 111.-1.-: r:....-.vxr:.. _ ..... rn'- :•1=•:.:.... - :: z;.s}.... = •-S}- .. - - ..:. f .S•1,.1:: t •.•.},iY!.Y??.!.ls.;•':.'.Y.S::�}:•:w:tiY-k: f {r :.:}'., .....:•'.ys1 f :Y �r :1L}} 1 '.1154 Y.:Y • •.••SY. <br />Nm ' • • �•. }:•..... Y-�:.... >.•:••J%.....:Y {•:•W }}}}}S!.;Y}yN}iLtiL?.!.•MS+M►M} <br />GmywnPath. <br />Title: <br />.......... ...................... . .•.....'.�..•�...•.. A'A...• .1.�„�....,�.a,. •..�..�,,......•.- --:•l:•• ......................... _ . _ ......... - . - .. - ....... - - ........ Mamger <br />.... <br />................ <br />..... <br />'9110348. 9200'22 Faxt: <br />9034854798 <br />.... <br />Phone: <br />t <br />F-mailogpadi@p6swxas.gov <br />}7•:•751:}.. r •}?rYf.. ?7?L. }' . - ...... _ til}}? w►5.4?9L1�Y +i+7ir�iF: �7 S�}}+}v�p4 -0.vr}m}r►w}y}?r}}}itivrtitis} .ti}}r►ty} r}}ti+►�ti}yr}}ti}�.v�.w�iriM► ----- -- -------------- ------ ----------- --- _........ _ . _ .. . <br />i certify that all 1*ndi"'duabl"denfified in t "s document are authorized to perform the functions as specified <br />.: •y � •!• � : � •�-� � • ::: � • ::• �':: = :: •}'S' • ;: .S :S :L:Y.•••h•.•:-.:S•:.Y.yy}!.•-:':}}}}::'.: :}}};•:l :; ::'.'•}•.'. � •}.:•14•}}}}'f'.'h:S:Y:j :•: •:•Y::KS':S'.fLSL:::i••.'.f:4Y/i1L:1111V:.•.4S1YfL•::.i'.Y.•hl.Y.Y•M.tiS•.Y1:•�L:•. :•J.•.SSSVLLLL4:'.tiS1:1S1•. <br />-w-twe of Authmized <br />V►iViwC!iiC�i:,+ititi- ;:4:1<•:atirii:{•r�•:ti•:•:v:{kYi:+A•7�]'?a11ti'KG•'tik+ti' {•iY[•:!•'r}};.'}-.L}LY ',k}; 1:•.Sti},r:.},!}11}111M1Y�ti'►Y}}4}ti4►!.}}}Lg\}VV}}i!.6:LLY.'.;:.:YA•.•:.••LV►}4}SLtitKM141�/SLY►LriLwMLMV�IA.Y.tiVyti1•.+t:t•rS-:.vtiY.tiKti•.Y�VYK�1►SL:4tiM1S 14 <br />I Cleance <br />.. - - - - - • g;.!r•.L_ ,}v,►}w�}vtirrw.'''`{�ti}}}:•;.iti!}titivti;`}}}. •:::.tv : �:.y•:wi:::•:•.•:i+:v:-:v:::-r.:vr:-itiiria+ti•:rriti+tii•intii'avow.•.:•:.+.�v,:+��!.titi+tiwtivtititi ' 46"..tii�+w�tiid v�w��wwav�v��++w�+r►tititititititit�i.��tiva•►iM►} <br />.PM <br />r0---uthoriz d fficMil <br />V'.17-a.,DweI-MIdiom,�- Date <br />V"V 11 ............... 0. for Enviro n <br />ra <br />i ... ..... .... .......................Officeor A 0 mal fft " --........----------- <br />.... ..... ......... ................... - .... .. ... .. -- ... . .. - - .... - <br />icb3al o� e * <br />..y�.... <br />le al authorofLaw)...rod EnvirommUl Ciear-=-.ce procedures, <br />haveresent Contract <br />' •. -. ..0ARXa%.,.w{.,.ti.ktix{�.•. {ate.{?v. a•�-ti,.�f�:ititY-YS :..._.:ssS1xJL L ts__s._stuai••� _vim. t� __--.---------_------------------------- <br />•Name <br />G-ayson <br />t' <br />Phone.*, 903-784o- <br />'r.......r�.do..�n..r_.�xR+►Y+wKr.twv�.aer.. - ... <br />................ v:..; <br />so <br />Lu='* <br />40 <br />Add ❑Remove °' Title: City M anager <br />Fax: 9Q3-785-8519 Email: gpath@paristexas.gov <br />Dace• .S�,�sJ�i c� <br />Data Entry and A royal Authorizations- <br />Individuals authorized to enter and approveproject set-ups or draw requests. <br />Note: individua l who enters an activity set-up or draw request cannot be the same individual who approves that transaction. <br />Name 1: Carla Easton}. <br />Add Remove <br />s rs;.�r}y.� rrrv►};.yv�r rvtiw�r'►!?vtitilr•}v�}�. �gr}� •}�}}} { ti �}};:.5; �i n1;r s};. r.;.�r+k..hw+}�++x;r•'t.1�vr} .ti}+ti+vr}Sw�t. .. ... r.+.... r ti tinn.►•..n.: - - .. - .. - .. - . _ .... �.ti►Mtiriri:.•..•.•.•-•.:::: - ::: •: •- .: - :• v •s • :.....: w;: . - - - -- . . <br />Contract System BD #0 Phone: 901-m-78 9292 <br />iR <br />:-.Y�rRSIry i'•VLSY.'.MtL'.M1Y.•.: AN1•.4Y• :Y►Y.-•41MA.!►VY•1i►}M1 :1h\•_ . . �•+•q,•P.►•►w.ly.t: .... .................. ... . ... . . . . . . . . - - - ... - -.. .. . - ........... - ........ - - ..... - - ... - - .. - ........ - - . - ........ - - - _ _ _ _ _ _ - _ <br />.. .....-•jNyY�yyAY. •�.�.�'��:_�_______ - - - __________:.L'. ::� :V.'L• LSIL:_•-•JLtI._iv_•_iiu��� u <br />Signature: <br />Title: City Engineer <br />- ------------------- ........ <br />Email:- <br />ceaston@paristex�i 0V <br />}k:k1}!•DS]Cr}Si�kti}?CK•:}ti}}: ti???•}X+?�i}Sstiyt►v.}}}:}:}};]•Y.�tirv�¢}:?�'`.'r-•'vL�+witi44ti4i}r}:4tititiv.:..... !.�:. '1'1..:.11.. -r v.:.ap. �:... - - ... }r . � :.:ti:::.:::.};.�_ ::.:.}..sr� }}};.;: r.}y,};:.:::ti,.•.�n5r.._:. . <br />Dates, <br />- - - - - - - - - - - - - - - - - - - -: rrrrllrlt++'+s!: r.•r •l.•7rr•�• •rte: t�i•�•�T•-•-rr.-._rs+.-•"•v-:.-r'rtirieM1tiLLLtiLWY\\ti•/•Y.LVSY.t•1rtiY•I.•.•.N\V••Y• .M1tiyth 1Nh"A\tiN«1M1YL:\ti�.� .\YMM1ti\tion•.•1KM1+iYr••.�hYr+r:•t:Y�•i+'.':.• •P:`: Jl �: .•f •4Y•.Yti :.}•:: ✓f.' '.14ti'.M1 1L7YLHH <br />{....... .................-....-..............• ......i•.. .. •. ........ .Anderson <br />Add <br />tleir <br />Fame �ti Genremove i Finance <br />Director <br />.......... <br />...: <br />..:...................................... .... ........ <br />.......................................... <br />.................. <br />Cooinftct System ED #0Phone:atstexas,,gov0t <br />V�V, <br />9304 <br />demn& <br />- .. . - - .. - - - .. - ..... .:1L• .. - .. - 4?P►!►W.Y►!►4V\41141.}WM►4N\VYYVY:7VLLyNn115M.\Rti►ti•+'7A1►\ti{11M.�M.NtiYYWlYM1Y.�+N•.L•.LtiSh•:.ti..... - . - . _ ... - . _ ... - .... - . - . - • - <br />l:LW:•}r_Yr •TLti41►lr 1lLti!• il:t: JY �- :•}y7 •.: l •l •}.•: r} jtii .:}t ::r :.:;{: • :j . j}}_. :1 � .'. � {ti'.� ::.S;.Y}.••= l •.• f}.•.•;L:.Y:.fr. �� 1 L}!•..Y•14Y L}•pL1VN:•-:Si'.ML}S1VLN!A7L}YAY.�iN/W/�/YM� !.1M11}\MV71NYA\Wf... - .. - .. .. .. - 4SY.41Vi4SSVASP►M <br />�': •,: •'•. . .. . ...... . . 11N'.:14SLLY44•.•►5,1 i1�11SLLti:••'.•iti444Y•S51Y.•.\S41i14W:W.•.1ti4;4\1114Yr.1 <br />SDate, <br />�.}y�;K.:}}¢.ryv�v.}}}}titiyrr s±.SSntiVrs+.titiv7ti4s11titti► �... ----------- --- - --- --------------- <br />Consultant Inform...... <br />- - --------ation and Authorization <br />Note: G---------- <br />onsul'tartts may enter data into TDHCA Contract System, and approve set-ups and/or draw requests. <br />- - <br />Orgm]-Zmati+ �__-__________________________--.-.�»�.��-----�-.-.-.�-.»�-.ter.--��-.saw•:•_ <br />on N� and Addmu: Resou= M ent & Consulting Co.P.O. Box 6031 Paris� TX 75461 <br />3 <br />•.. ............. . ... . ..... . .. ... - --.V!WYiti. ... - .. - ....... - .. - ..... - ... - .. W11W.'............. <br />. _ ......... • .. • _ . ...... _ . _ . - ... - .. _ ......... _ .. - .... - .. - . - --... - .... - •.•�1M1s WIIrNL1AY 4S;fL JAR: A•.'NANSNI\YJJWfJLSti•}trL'.1%V:•?I.r:•!r.WJ: !J'llrh�}: <br />xxe <br />.. -..................................... ....-.......................... :.52}}}}}y}V�}\?:►!►1!.' - .. <br />Phone.* 903484w6439 Fax: 903,w784e,2940 <br />Emailt ra <br />t <br />..w};.is}v.}}ir4i;.;.p}ti+y}}ti3}S•'r}r'l}:.:::sti:?y�:•X h�•Nq•Al+:}}?} rir}�rS?vs!river:•{:•.tier?�vr•:ir:}wr+v..r++nwti}K+v►+vrwtilsrtil+A.*y,.•r4rr _------ --- ---- -- _ ........ .. <br />Person Authodnd to <br />Perfmm Dataa-dr <br />,Cbrtra� �.& Tr%." C A& <br />ct SY f <br />•'•....... , ...... .... . ......... . .... .:•:-?}i•f:•?P :4L:•::.... ... ....... .. .. !^+�Q�?�+.}}}: ;•}:r.} h4;:•{:r;.!rr.; !,�r,.}�y;::;s�;s}'r}'- :=:?•'r:•:•S:r••:....,?.f ;.;{.�.};l•.!.•rr.; ... . <br />JWI <br />! � <br />CContort0 <br />I4M <br />nzes, <br />(check bapply) <br />Consultant Signature: <br />� Add � Titte: Consultant <br />❑ Remove � ma4: charlea(c�gxant-eonsultanteom <br />- ------ - - - - • - - - - - �::::r. r..-rr:::: rr - •:r.•.-- :•r xr.•• x:: •:•�rrti•ale.:•T�•.7?:+.•X•:^ayti?}r??YYfJ•:• ti1�.}}}..}}�}titi.}y}ras;.,.y���KK}}w•w}titin <br />Sdoup <br />�► <br />rove sit tivity <br />enter draw request <br />appmve draw request <br />............ ...... <br />:1�YGiniu5T7+yo- •"'� .r+:•s�o-r�d► •}r}.r.}.�...r,p�• :. t: {: +�........r..r.4 : ti <br />1 Date. <br />i:::r::: •r vR1 :•rr.•::s •:: r.•::farvrer�vr v: rf :v v sw r.:�rr: Y1L•:l VNA/JVJY: Nl Yl:l.Y.•2YJW.►f.WM•::: !: err •!1: :• •J: !.ti• • :r: rr:•ar..••=:•.::; .: •.•: •.:•.: =r •_= •, :.:•.. • ::.:: r::::: <br />... ....... _ . ............. .... - .. 4.;:. � •.::::�.'.�:.::::�.:::. � .:};.'::.tri ::::: � SY::.S•:.tiY.-.:::Y:.::tt :� : 4.: r: v::.sLL}:::}} :c :::}LtY.::: � :.s : � .s : _ .::x•:.•:.t :sr.1:v <br />. - ...... ......... - .. - .. ... • St :LS :SLY. :L•511�.1:••11Y.'j•Y.•.:44:•.{LSS::SSY.::•S.•: .S'•L'.t: •:14'✓.SSS .::.•.S4•.•: :•.S•.: T4':.: rSVJ:'LL .:LSS :LSLy7L•hyla:S•.M1•:.•.:1:4ti••:SS1S1:S:4'.L•.5:111LV.•.:4Y'•S•:1.'h••SK'.S'.•.S••S'•1SS5 <br />Individ Authohzed to <br />Perfonn• <br />Trac:Consultant <br />RAddR13 aim# <br />itan. <br />"ni-11...wco� <br />U41e...� <br />!�Yv...... rrrvtirw�!r.. - - ...... .!r.• . rl : EM: he I <br />�07 -;C s <br />: n rr> •:.•i•►�i Jr: r:•it�=.•'::•::•J •l.•:.•.%•::•':::_ r : - <br />.. r:tititi•:titiYiir:•...... - - .. _ .......... }.. .1- .....:.}1: .: .};. f .Y•. j!.Yr}':.;.4411 xtisa :.};:.su :::•:.•.•.•.VS:� .Y.•a1S14110.Y4S1tiLY A <br />Contract Administmtor Authonzes: <br />setwup activiVP1 <br />activity <br />I -A <br />(cfwck box(s) that <br />enter draw <br />eve &2W <br />P. P. �p <br />::•{•:Y�iii•:•:�:.�1}DCLtik•}:y'{'.•}{•:�fi•.Rylti•SL•:tiY••v�.•w'SSL:•}}S!.,!.}L%•VY'.•::4;►ti'.•A!.•.Y.:}VVM!VMIAM•.M•.1'� ..--- <br />... .. .... . ... . . ... . ..... . . . . .....-.�:::•e5•ir:�w.wry.X-rw-i:•:yv.is�iirtititi�:•wr:Y:•_ti�v:•+v.•.ti+v::+r�tiwrC-:•:3►,�.•:w:��M�rw� !fr • - .. :} 1:i•: •.L': 4�;4:r.}: } <br />}.• .. JY:•- :: }.•..... _ .4 , .{•. �9!1i..}L}!Y � .vk�:P.�}4}: iSk�'};M!►�:�itiW}f41�:•}i�11���Nk���i:�k7L�� <br />nsultantCo Sigwtm, <br />Date: <br />--------------- .........���.--.-.-..,r.-.-�.-.-.-:.-.-.::::•-:: :.-r: :.-:.:.::: r:. ��- ::: .; ....... ...��«.-.-.T.... •;. :..7 -.::rife w7..y-.-.1!r}}1M1ytiw!�f.%A4W►.41WA•.'V.• <br />. _ . • • ....... ... WKtiNVLtiNNNK1a4�4Y►\1�►KtiVLtiW.1•.WiVtitiYrN _...:.SW�tiL1V11ti1tSL4tiM1titiitititititi r:•iti•%}}:. %iY%M.tiR'•'ifi'GL4•f }}L. ti:: •Y•4.L.K.}if1}'.tiS};.1nr11}v±.M1}}?'..'.'•}}}}}ti�•r\Y\]r:}}}}',L}=S:•y:h'/}i•?�}?1:r}7;•}•ti};•:•'.•;.}?}:•}7'�':•'�..4•:•:•l}:•y}Y'l:•rtiY.�.�, L�C4�A�ti4y}}}:.i}f}1::}6:}i•4;.L,4L'.}}}}:ti1ti••:•7•;ti4'�}�{}��.}7�►}}}'.}'•:h} }?ti:}•4•yVlyyy�•ti•. <br />M <br />f <br />WARMNG*. TITLESaflon1001 <br />Mon L <br />Wilz1 �ent <br />.1� falm r fraudulent statements to any#�padment - -- - --...... •f�:•}•• _� States � �� <br />. .. ...-.... ...... ............................................................... .................. ...... ..... .,.w/.}H►Ha.w�WMYwM��rV\i►tw;Ytu►ttiatia.w=wR�w;a..r..rrV•R. �.z..n..1 <br />Texas Department of Housm"g and Community Affairs Page i of 1 <br />Fom 02.0 1 - HOME Counct System Access Request Form Revised 74013 <br />