Teamster Training Grant 0801 (gd-19)

NEW YORK STATE

OCCUPATIONAL SAFETY AND HEALTH HAZARD ABATEMENT BOARD ROBERTF.CARPENTER Chairman

STATE CAMPUS BUILDING 12,ROOM 166 ALBANY , NEW YORK 12240 (518) 457-7629 FAX(518) 485·6082

ROBERT F. GOLLNICK MARIO SCARSELLEn A ANN MARIE TALlERCIO

CARL J . THURNAU Members

August 27,2001

!VIr. John Bulgaro Teamsters Local 294

890 Third Street Albany, New York 12206

Dear Mr. Bulgaro: I am pleased to inform von that your contract C009270 Teamsters Local 294 for 2001-2002 Occupational Safety and Health Training and Ed ucation Grant Program has been approved . Enclosed are six sets of Contract signature pages and one complete approved contract. Please provide an original signature in blue ink and notary for each copy of the six (6) Con tract signature pages, H AB T & E 105. In order to meet prompt contracting requirements and ensure a timely execution of your contract, please return the signed copies and the contract by September l Oth, 2001. A fully executed copy of the contract will be returned to you for your files.

Sincerely)

I/I,..r

,4.

&u.

Albert A. Blackman Grant Manager Enclosures

Al l. C (Contract)

GOVERNMENT EXHIBIT GD - 19

I

I

ssms ters Loca l 294

Informal Modification Appendix X

C009270 NEW YORK STATE DEPARTMENT OF LABOR

Charity Registration #

Exempt-9 APPENDIX X

Agency Code:

14000

Contract Number.

C009270

0-8

Modification No.

This is an AGREEMENT between the STATE OF NEW YORK, acting by and through the Department of Labor, having its principal office at State Office Building Campus. Bldg . 12, Albany. New York (herein referred to as the STATE) , and Teamsters Local 294 (herein referred to as the CONTRACTOR) , for modification of Contract Number as set forth in attached Appendices B, 0, and C

C009270 _

All other provisions of said AGREEMENT shall remain in full force and effect. IN WITNESS THEREOF, the parties hereto have executed or approved this AGREEMENT as of the dates appearing under their signatures. CONTRACTOR SIGNATURE /

Date :

"1' II""' \ 02.

)

STATE OF NEW YORK

)

County of .~c 'VJMooctQ 0'"1<

SS. :

)

On the \lo-\-fQ day of ~ I ~~ , ~...=..=.;..:_ _ , before me C:4.~ rs-=>.to me known, who personally appeared being sworn did depose a~d say that he/sfie resides at \9 -2G? :Jtlit±ch 'I.~ . O Q Q m~7 I;ZlCA , that he/she is the G3 tl,; & QlOj- /De o of the ',. lQrumkiQ 1» a&rr-:a i 294 , the corporation described herein which executed the foregoing instrument; and that he/she signed his/her name thereto by order of the Board of Directors of said . (ATH' r .:.N 1-\ I-IARKrNS Corporation. ~ I"'·r.r, PUL ic, Slate of New '., :

C?d \iq;u.. . 'f\ j

. 311 11 .c Ir, :::chenecl ady County

(Notary~ ~O p ' d) Q .~ CMaster C009270 IBT-294 2001-02 --Mod 0-8

•

8 .:'lJ· NlJ 11H..4.4784647

. .. ; 1.

I

#2 Appendix X

~:;for,

b;J :res July :; I.z.s9S

6/28/02 9:48 AM