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CONTRACT FOR PUBLIC HEALTH SERVICES TDH DOCUMENT NO. 7560006359 200 <br /> <br /> Contract Issued by: TEXAS DEPARTMENT OF HEALTH JV <br /> (RECEIVING AGENCY) 1100 WEST 49TM STREET <br /> AUSTIN, TEXAS 78756-3199 <br /> <br /> Legal Authority to Contract: Chapter 12, Health and Safety Code. <br /> <br /> Venue: The provisions of this Contract shall be interpreted in accordance with Texas law. Venue for any court disputes shall be in Travis County, <br /> Texas. <br /> <br /> PERFORMING AGENCY NAME: CITY OF PARIS <br /> <br /> MAILING ADDRESS: P. O. BOX 9037 PARIS TX 75461-9037 <br /> <br /> STREET ADDRESS: 150 SOUTHEAST FIRST STREET PARIS TX 75461-9037 <br /> <br /> NAME OF AUTHORIZED <br /> CONTRACTING ENTITY: <br /> (If diffcrenl from PERFORMING AGENCY) <br /> <br /> PAYEE DATA (If not thc same as PERFORMING AGENCY or AUTHORIZED CONTRACTING ENTITY; must bc on file with the Texas State <br /> Comptroller's Office.): <br /> <br /> NAME: <br /> <br /> ADDRESS: <br /> <br /> State of Texas Vendor Identification No. (14 digits) IPAYEE AGENCY Fiscal <br /> 17560006359010 I Year Ending Month: September <br /> <br /> PAYEE BUSINESS INFORMATION FOR STATISTICAL REPORTING: Please check thc categories that apply to your business. <br /> <br /> __ Small Business - A corporation, sole proprietorship, or other legal entity formed for the purpose of making a profit which is <br /> independently owned and operated and has fewer than 100 employees or has less than $1,000,000 in annual gross receipts. <br /> <br /> __ Historically Underutilized Business (HUB) - A corporation, sole proprietorship, or joint venture formed for the purpose of making a <br /> profit in which at least 51% of all classes of the shares of stock or other equitable securities are owned by one or more persons who <br /> have been historically underutilized (socially disadvantaged) because of their identification as members of certain groups: Black <br /> American, Hispanic American, Asian Pacific American, Native American, and Women. The HUB must be certified by General <br /> Services Commission or another entity. <br /> <br /> __ For Profit Organization <br /> <br /> SUMMARY OF CONTRACT DOCUMENTATION: <br /> COVER PAGE I - Receiving and Performing Agency Data GENERAL PROVISIONS - 11 /2001 <br /> COVER PAGE 2 - Details of Attachment(s) ATTACHMENT(S) <br /> COVER PAGE 3 - Authorized Signatures EXHIBITS, IF APPLICABLE <br /> <br /> Cover Page 1 EXHIBIT <br /> <br /> <br />