Form, 1 page
Contract signature sheet, July 1990 – June 1991
July 1, 1990 – June 30, 1991
The signature sheet for the third year of the state health and safety training contract, for $43,000, signed by Al Davidoff for the Coalition and by the Department of Labor, with the Attorney General's approval stamp.
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STATE OF NEW YORK DEPARTMENT OF LABOR OCCUPATIONAL SAFETY AND HEALTH TRAINING AND EDUCATION PROGRAM CONTRACT NUMBER 00 bOI FEDERAL |. D. NUMBER NYS E.R. NUMBER 86-94316 CHARITABLE ORGANIZATION NUMBER 56593 CONTRACT SIGNATURE SHEET FUNDING ‘ SOURCE Occupational Safety and Health (INCLUDE PROGRAM AND YEAR) _Training & Education FY 90 - 91 “A. CONTRACTOR NAME Tompkins/Cortland Labor Coalition SECTARIAN YES NO ADDRESS 109 West State Street Ithaca, NY 148 Liasion Person NAME Coert B } Se Ses L ADDRESS __109 West State Street .._______ Ithaca, NY 14850 Phone 607-277-5670 — —s—s—d B. NEW YORK STATE DEPARTMENT OF LABOR tw ONS eS ee eee Liasion Person NAME Ed Gynn ics ad Oa ADDRESS One Main Street, Room 881 US SESE Brooklyn, NY 11201 Phone 718-797-7677 C. CONTRACTOR FUNDING $ $43,000.00 XXAXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXX D. NYSDOL-NFA $ XXXXXXXXXXXXXXXXXXKXX E. TOTAL OBLIGATION $ $43,000.00 F. CONTRACT DATES $ July 1, 1990 Through June 30, 1991 G. MODIFICATION NUMBER apesy NS) TYPE: (] FORMAL CJIN-HOUSE (AFB) ‘(J IN-HOUSE (OTHER) sia >a 4 000 This Action (_ ) Increases, (_) Decreases, (_) Does not Change the Anipilnto Total Obligated Funds for this Contract by $ to $ et Ne Changes the Ending Date FROM ai = 2 CONTRACTOR BY: ; NYS DEPARTMENT OF LABOR BY: a -* \, te AR. Manat sf she... S SIGNATURE SIGNATURE Promas M, tines” NB. “| 8 Al Davidoff, Co-Chair Brequtive Deputy 4 ae on PRINT __ NAME AND TITLE PRINT VOmmisetone wey s Fe ra Aug. 3h, (470 a A BU) Ag ise r a . PSE ‘ p oy HAB TE -104 (3-89) 4°
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