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<br />, '. <br /> <br />ON-.-JOB TRAINING AGREEME_ <br /> <br />I <br /> <br />(1) 00 Original <br />(2) IXl Title II A <br />o Title liB <br />o Other <br /> <br />o Modification Type: <br />o Extend Completion Date <br />o Contract Amount <br />o Add / Delete Participant <br />o Change in Training Hours <br />o Other <br /> <br />(3) ForCentralOlficeUseOnly <br />(Unless Modification) <br />.~gr~e(l:lent # _.____._ <br /> <br />County Code 277 <br />City Code 55080 <br /> <br />(4) Employer <br /> <br />Telephone <br /> <br />City of Paris <br /> <br />P.O. Box 9037 <br /> <br />(parts, Texas 75460 <br />2l~ 781 2~61 <br /> <br />~Iater Treatme ,t <br />(5) Issuing Office: <br /> <br />ARK-TEX COUNCIL OF GOVERNMENTS <br />P. 0, BOX 5307 <br />TEXARKANA, U,S,A, 75505 <br /> <br />o Check if WQrkSlte is different from employer. See Attachment <br /> <br />(6) 0 Private For Proht 0 Private Non-Profit <br />Ii\I Government Ci ty 0 Other (7) Workers' Compensation Insurance <br /> 75-6000635 ISpecltYI Policy Number A 0088 <br />Federal Tax 1.0, # <br /> Texas Mur.icipal League <br />(8) OJT Agreement Dates: Beginning 08 1'; 89 Completion 17 11 Rq <br /> Manlh Oay Year Month Day Year <br />Total Contract Amount $ 2044 ,00 Total Number of Training Slots 1 <br />(Complete lor Onginal Conlracl OnlYI <br />Change in Contract Amount Does Subcontractor Agree to Utilize A TCOG <br />(Complete lOr MOdifrcalion OnlYJ OJT Time and Attendance Report (ATCOG <br />Previous Contract Amount $ .00 JT/055) ? <br />Net Increase / (Decrease) .00 IKl 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 fortermination set forth in the <br /> ATCOG's On-the-Job Training Handbook, <br /> <br />(10) Collective Bargaining Agreement <br />Is/are the occupation(s) included in this agreement subject to a collective bargaining agreement, or is/are <br />the occupation(s) covered by a formal apprenticeship program? 0 Yes IX! No <br /> <br />(11) Attachments 1 <br /> <br />thru 1 <br /> <br />are attached hereto and made a part hereof, <br /> <br /> (12) EMPLOYER (13) ATCOG AUTHORIZED REPRESENTATIVE <br /> I understand 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, 80. 5307 <br /> and made part of this agreement. The undersigned, as the c1uly <br /> authorized representative of the employer, has authority to commil Texarkana, U,S,A, 75505 <br /> the employer to this agreement. (214) 832-8636 <br />I <br />, <br /> Signature l( <br /> Typed Name Michael Malone T3n~s: G02't"'l'::e <br /> Title r.it.y M~r~b:"or E:::~cutive Director <br /> Date 08 14 89 OR 14 R" <br /> Month O.y Year Mvntn Oil,' v".-:J <br /> --.------. --- -... _.~ .-... . --.---.----.---------....- ..-. <br /> <br />;,-j ,. <br />