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<br />ON-l ;-JOB TRAINING AGREEME.. <br /> <br />(3) ForCentralOfficeUSeOnly <br />(UnlesS Modification) <br /> <br />Agreement # -------- <br />.l :', <br /> <br />(1) ~ Original <br />(2) Ii! Title II A <br />o Title II B <br />o Other <br /> <br />o Modification Type: <br />o Extend Completion Date <br />o Contract Amount <br />o Add I Delete Participant <br />o Change in Training Hours <br />o Other <br /> <br />. . <br />County Code <br />City Code <br /> <br />277 <br />55080 <br /> <br />(6) 0 Private For Profit o Private Non-Profit <br /> ~ Government - City 0 Other (7) Workers' Compensation Insurance <br /> .... .Sp,:ootYI Policy Number ,11,0088 <br />Federal Tax 1.0. # 75-60006.)5 <br />(8) OJT Agreement Dates: Beginning 08 25 89 completion 03 15 III 9( <br /> Momn Day Year Monln DaY Yeal <br /> Total Contract Amount $ 1,015.00 Total Number of Training Slots 1 <br /> (Complete lor Onginal Contract OmYI <br /> Change in Contract Amount Does subcontractor Agree to Utilize A TCOG <br /> ,complete lor ModificatIon OnlYI OJT Time and Attendance Report (ATCOG <br /> Previous Contract Amount $ .00 JT/055) ? <br /> Net Increase / (Decrease) .00 Q Yes o No <br /> New Contract Amount $ ,00 If no, complete form ATCOG JT/065, <br />(9) Termination Statement <br /> This agreement may be terminated by either party as outlined in the provisions for termination set forth in the <br /> ATCOG's On-the-Job Training Handbook. <br />(10) Collective Bargaining Agreement <br /> Is/are the occupation(s) included in this agreement subiect to a collective bargaining agreement, or is/are <br /> the occupation(s) covered by a formal apprenticeship program? DYes B No <br /> <br />o Check if work site is different from employer - See Attachment <br /> <br />Telephone <br /> <br />City of Paris, Fire Department <br />P. O. Box 9037 <br />Paris, Texas 75460 <br />214) 785-7511 <br /> <br />(5) Issuing Office: <br />ARK-TEX COUNCIL OF GOVERNMENTS <br />P. O. BOX 5307 <br />TEXARKANA. U.S,A. 75505 <br /> <br />(4) Employer <br /> <br />(11) Attachments 1 <br /> <br />thru 1 are attached hereto and made a part hereof. <br /> <br />(12) EMPLOYER (13) ATCOG AUTHORIZED REPRESENTATIVE <br />1 undersland and will abide by this training agreement and all Ark-Tex council of Governments <br />provisions of the OJT handboOk. hereby incorporated by reference p, 0, Box 5307 <br />and made part of this agreement. The undersigned. as the ouly <br />authorized representative 01 the employer, has authority to commit Texarkana, U.S.A. 75505 <br />the employer to this agreement. (214) 832-8636 <br />Signature <br />Typed Name Michael E. Malone James D. Goerke <br />Title City Manager Executive Director <br />Date 08 25 89 08 25 89 <br /> tv'O",th Day Year Mc..o!t1 [l"f ~-. ,," <br />L- .----------.--- -- . - .---- .-' _.---_.-.._-~--_. <br /> <br />EXHIBIT A <br />