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NEW YORK STATE
OCCUPATIONAL SAFETY AND HEALTH
.' HAZARD ABATEMENT BOARD
ROBERT F. GOLLNICK
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STATE CAMPUS
BUILDING 12, ROOM 166
ALBANY, NEW YORK 12240
ANN MARJE TALIERCIO
CARL J. TH lJRNAU
Members
R08ERT F. CARPENTER (518) 457-7629
Chalnnan FAX (518) 485-6082

February 27, 2002 r-e-

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John Bulgara . .-
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President r
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Teamsters Local 294 -.
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890 Third Street
Albany, New York 12206
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Dear Me Bulgara:

Your contract for the 2001-2002 aSH T&E grant has been approved for
modification by the Department of Labor.

Attached are four (4) copies of Appendix X and onc complete contract.
Please have each Appendix X, Information Modification Signature Sheet signed in
blue ink, notarized and all returned at your earliest convenience.

When the modification approval process has been completed, a fully

executed copy will be returned to you for your files.

Sincerely,

Albert A. Blackman
Grant Manager

Attachments

All. A (Mlltl ,)

GOVERNMENT
EXHIBIT

GD -21
 arnsters Local 294 C009270 Basic Agreement

BASIC AGREEMENT

This contract, dated August 1, 2001 is made between the NEW

YORK STATE DEPARTMENT OF LABOR, herein referred to as the NYSDOL, and

Teamsters Local 294

herein referred to as the Contractor.

WHEREAS, the NYSDOL serves as an eligible grant recipient or eligible

subgrant recipient under the aSH T&E 305 Fund : and
(Funding Source)

WHEREAS, the NYSDOL wishes to engage the Contractor to perform a

portion of the services required under such grant or subgrant;

NOW, THEREFORE, the NYSDOL and the contractor do hereby agree as

follows :

1. The Contractor will perform the services as set forth in the attached
Program Narrative (Appendix D).

2. The NYSDOL will pay the Contractor a sum not to exceed : $100,000
for such services as set forth in the Program Narrative (Appendix D).

3. This Contract shall be for the period

July 31, 2002
up to four years through _ _ ---'--"
N~ IA-'--- _

4. This Contract consists of the following :

• Appendix X: Contract Signature Sheet and Corporation

Acknowledgement
• Appendix B: Planning and Budget Summary
• Basic Agreement
• Appendix 0 : Program Narrative or Description of Funding
• Appendix B Supplement : Contract Budget Summary
• Appendix A: (Planning Grant or Original Contract Only)
• Appendix A Supplement: General Terms and Conditions
(Plann ing Grant or Original Contract Only)
• Appendix C: Advance Payments, Reimbursement Payments,
Allowable Costs
• Other append ices agreed to by NYSDOL and the Contractor

CMas terC009270IBT-2942001-02 Basic Agreement 21712002 2:33 PM