ࡱ> '` Vbjbj{P{P C::Y       tt ,/,/,/8d/ 0,Q X1$|5:555608D:PPPPPPP$Rh'UlP :66::P  55YQ>>>:X 5 5P>:P>>K  L5L1 Po~,/;LLoQ0QLU;U(LU L(>:::PP>:::Q::::D,/,/4$Xp        (To be Completed By LEA) INDIVIDUAL SERVICE AGREEMENT UNDER THE SONOMA COUNTY SPECIAL EDUCATION 2010-11 MASTER CONTRACT FOR NONPUBLIC, NONSECTARIAN SCHOOL/AGENCY SERVICES Name of Local Education Agency:  FORMTEXT       Name of Nonpublic Agency: Bodil Wibe, Physical Therapist Pupil s Name: FORMTEXT       SEX:  FORMCHECKBOX M  FORMCHECKBOX F (Last), (First), (Middle) Pupil s I.D./S.S. #:  FORMTEXT       Birthdate:  FORMTEXT       Grade:  FORMTEXT       Residential Setting:  FORMCHECKBOX HOME  FORMCHECKBOX FOSTER  FORMCHECKBOX LCI Foster/LCI Phone:  FORMTEXT       Pupil s Address:  FORMTEXT       LCI/Foster Home License Number:  FORMTEXT       Parent/Guardian s Name:  FORMTEXT       Phone: home  FORMTEXT       work  FORMTEXT       NON-EDUCATIONAL PLACING AGENCY: (If applicable)  FORMTEXT       All terms and conditions of the current Sonoma County Special Education Local Planning Area Master Contract for Nonpublic, Nonsectarian School/Agency Service (NPS/NPA), hereinafter referred to as the  Contract, are incorporated herein by this reference. Contractor will implement the pupils Individualized Education Program (IEP) in accordance with this Individual Service Agreement and the Contract. Invoices shall be submitted based on actual service provided and attendance standards in the Contract. A. BASIC EDUCATION PROGRAM (Applies to Nonpublic schools only) Contractor shall enroll pupil in its Basic Education Program commencing on  FORMTEXT      , and ending on  FORMTEXT      , unless earlier terminated by notice from LEA upon pupil s change of residence, change of placement or termination of the Master Contract. Number of Regular School Days  FORMTEXT      Per Diem N/A = Total Regular School Year Basic Education Costs (Adjusted annually) N/A Number of ESY Days  FORMTEXT    Per Diem N/A = Total ESY Basic Education Costs (Adjusted annually) N/ATotal Instructional Days (Item-D page 2)  FORMTEXT  =b1+b2 00 Total Basic Education Costs -Adjusted annually (Item -A on page 2) N/A INDIVIDUAL PUPIL SPECIFICATIONS (Complete # 2, #5 and #6 or reference IEP) The pupils teacher/service provider will hold the appropriate credential/license to provide such service as issued by California Commission on Teacher Credentialing, Sonoma County Office of Education or the appropriate California Licensing Agency. a. The class size for the pupil will not exceed 12, or if fewer than 12, specify:  FORMTEXT      . b. The therapist/pupil ratio will not exceed  FORMTEXT   / FORMTEXT    . 3. The length and content of the Basic Education Program will be consistent with the Contract unless otherwise specified in the IEP. 4. Contractor shall provide authorized services in accordance with the pupil s IEP and this Individual Service Agreement. 5. Method for complying with statewide standardized assessment requirements:  FORMTEXT       6. Other Provisions:  FORMTEXT      24nV X 6 P R T h j l v x ~ ϹϨp\p'jvh35>*CJOJQJU,jh35>*CJOJQJUmHnHu'jh35>*CJOJQJUh35>*CJOJQJ!jh35>*CJOJQJUhQX]5CJOJQJh35CJOJQJh35CJOJQJh3>*CJOJQJh35OJQJh3OJQJh3CJOJQJ4nX 8 N k$ ) 8 xHX (#$a$  8 $ $ $@&a$  8 $@&$ ) 8 xHX (#$dh@&a$$ ) 8 xHX (#$a$$ ) 8 xHX (#$@&a$ VV N v z | 癌xa癌Ma'jJh35>*CJOJQJU,jh35>*CJOJQJUmHnHu'jh35>*CJOJQJUh35>*CJOJQJ!jh35>*CJOJQJUh3CJOJQJ'j`hd2h3CJOJQJUh35CJOJQJ'jhd2h3CJOJQJUh3CJOJQJjh3CJOJQJU   " , . 0 Z \ x z |   & Ͷڟ}iU'jhd2h3CJOJQJU'jhd2h3CJOJQJU'j6hd2h3CJOJQJUjh3CJOJQJU,jh35>*CJOJQJUmHnHu-jh]h35>*CJOJQJUh35>*CJOJQJ!jh35>*CJOJQJUh35CJOJQJh3CJOJQJN 0 : LvlQ$ ) 8 xHX (#$a$ $ $$a$ $ $@&a$ # 8 xH$@&$ # 8 xH$dha$$ # 8 xH$@&a$$ 8 xH$dha$$ & 8 xHX $dha$& ( * 4 6 Z \ ^ r t v 46FL ׵ממk׵מW׫'jh35>*CJOJQJU'j~h35>*CJOJQJUh3>*CJOJQJ'jh35>*CJOJQJUh35>*CJOJQJh3CJOJQJh35CJOJQJ,jh35>*CJOJQJUmHnHu!jh35>*CJOJQJU-jh]h35>*CJOJQJU"(*>@BLNR\^rtv؉~sbUAb'jVh35>*CJOJQJUh35>*CJOJQJ!jh35>*CJOJQJUh35CJOJQJh35CJOJQJ-jh]h35>*CJOJQJUh3CJOJQJ,jh35>*CJOJQJUmHnHu-jjh]h35>*CJOJQJUh35>*CJOJQJ!jh35>*CJOJQJUh3CJOJQJ   C  ,.BDFPRjĹΒu`WΒE`#jBh35>*OJQJUh3>*OJQJ(jh35>*OJQJUmHnHu#jh35>*OJQJUh35>*OJQJjh35>*OJQJUh36CJOJQJh356CJOJQJh35CJOJQJh3B*CJphh3CJOJQJ!jh35>*CJOJQJU,jh35>*CJOJQJUmHnHuDjl|~$@&Ifl ($ ) 8 xHX (#$$Ifa$l $ ) 8 xHX (#$a$$ )  xHX (#$a$|~`bjlڧڧچڧڝzni\jh356CJU h35h36B*CJphh35B*CJph%j h35B*CJUphh3h3B*CJphh3B*CJph*jh35B*CJUmHnHphu%jh35B*CJUphh35B*CJphjh35B*CJUphh35B*ph"F($ ) 8 xHX (#$$Ifa$l kd" $$Iflֈ~ N <$F 04 lal`bj$@&Ifl ($ ) 8 xHX (#$$Ifa$l  jlF % ) 8 xHX (#$$Ifl kd $$Iflֈ~ N <$F 04 lal.CDH$@&Ifl ($ ) 8 xHX (#$$Ifa$l $$@&Ifa$l $@&Ifl ,0BCDHJkȼȲ{j]h35>*CJOJQJ!jh35>*CJOJQJUh3>*CJOJQJh3CJOJQJh356OJQJh3OJQJh3B*CJph h36h3B*CJphh35B*CJphh3jv h356CJUh356CJmHnHujh356CJUh356CJHIJlQE'$ & F )  xHX (#$a$ $ & F`a$$ ) 8 xHX (#$a$kd $$Ifl\~ <$04 lal  ڶڶڬڶڶsfRs'j+h35>*CJOJQJUh35>*CJOJQJ!jh35>*CJOJQJU'j h35>*CJOJQJU'j? h35>*CJOJQJUh3CJOJQJh35>*CJOJQJ,jh35>*CJOJQJUmHnHu!jh35>*CJOJQJU'j h35>*CJOJQJUF FFuZZ$ ) * xHX (#$a$  $^! , xHJX (#$8^8`"$ )  xHX (#$8^8`a$$ )  xHX (#$a$$ & F )  xHX (#$a$FFFFFFFGVGXGZGzGGGG؞ΗrgZOrgBrh356CJOJQJh35CJOJQJh35:CJOJQJh3:CJOJQJh35:CJOJQJh35:CJOJQJh35CJOJQJ h35CJh35>*CJOJQJU'jh35>*CJOJQJUh35>*CJOJQJh3CJOJQJ!jh35>*CJOJQJU,jh35>*CJOJQJUmHnHu. C. DESIGNATED INSTRUCTION AND SERVICES/RELATED SERVICES: ESTIMATE Pupil s Name Pupil s Name: Service Provided Cost Per Hour as set forth in Master Contract  Estimated Hours until next IEP ESTIMATED TOTAL (Equals Cost Per Hour times (x) Estimated Sessions times (x) Hours per session) FORMTEXT       FORMTEXT       Eligibility  FORMTEXT       MinutesFrequency (times per week/ month/ Year)WK/ Month/ YearStart Date1. Physical Therapy   FORMTEXT        FORMTEXT     FORMDROPDOWN  FORMTEXT        FORMTEXT $83.68  FORMTEXT        FORMTEXT  =f4*g4 $0.00$0.002.  FORMTEXT         FORMTEXT        FORMTEXT     FORMDROPDOWN  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT  =f5*g5 0$0.00*Maximum DIS and Related Services Cost Estimate(C)Above Estimated Totals  FORMTEXT  =h4+h5 $0.00$0.00*Maximum Total Basic Education Cost Estimate(A) Item A from page 1 N/A*Maximum Total Basic Education and DIS/Related Services Cost Estimate(A + C)  FORMTEXT  =d6 $0.00$0.00Estimated Per Diem  DIS/Related Services divided by instructional daysInstructional Days - Item D from page 1  FORMTEXT     (A + C divided by D)  FORMTEXT  =c8/c9 !Number Too Large To Format     The parties hereto agree to comply with the terms of the Master Contract and hereby execute this Individual Service Agreement by and through their duly authorized agents or representatives. Bodil WibeLocal Educational Agency  FORMTEXT      ______________________________________________________________________________(Authorized Signature) (Date)(Authorized Signature) (Date)2617 Olsen Road(Name) FORMTEXT      Sebastopol, CA 95472 FORMTEXT      (707) 217-8041 cell phone FORMTEXT      (707) 922-5732 fax(Mailing Address) FORMTEXT       Phone  FORMTEXT       Fax     PAGE 2 10/11 2010/11 Wibe ISA Page  PAGE 2 of  NUMPAGES 2 FFFFFFFDGVGXGWW($ )  xHX (#$$Ifa$l ($ )  xHX (#$$Ifa$l *$ )  xHX (#$2$Ifa$l *$ )  xHX (#$2$Ifa$l  XGZGnGGGGG\H*$ )  xHX (#$2$Ifa$l ($ )  xHX (#$$Ifa$l % )  xHX (#$$Ifl GZH\H^H`HtHvHxHHHHHHHHHHHHHHHHHHHðΛÎvcΛYKYjh3CJOJQJUh3CJOJQJ$jh35CJOJQJUh35CJOJQJh35:CJOJQJh35:CJOJQJ)jh35CJOJQJUmHnHu$j2h35CJOJQJUh35CJOJQJjh35CJOJQJU h35CJh356:CJOJQJh36:CJOJQJ\H^HHH}U**$ )  xHX (#$2$Ifa$l ' )  xHX (#$2$Ifl kd$$Ifl4,rJD%``8`8D%4 lalHHHH*$ )  xHX (#$2$Ifa$l % )  xHX (#$$Ifl ($ )  xHX (#$$Ifa$l HHHHH}UUU' )  xHX (#$2$Ifl kd$$Ifl4rJD%  8 8D%4 lalHHHHHH IIZIbIlIIIIIIIIIIIIµ|qdSd?S'j#h35:CJOJQJU!jh35:CJOJQJUh35:CJOJQJh35CJOJQJ h35CJh35CJOJQJh35:CJOJQJh36:CJOJQJh35:CJOJQJh35:CJOJQJh3CJOJQJ&jh3CJOJQJUmHnHujh3CJOJQJU!jGh3CJOJQJUHH IIZIpIzIIX*$ )  xHX (#$2$Ifa$l ' )  xHX (#$2$Ifl *$ )  xHX (#$2$Ifa$l ($ )  xHX (#$$Ifa$l IIII*$ )  xHX (#$2$Ifa$l % )  xHX (#$$Ifl ($ )  xHX (#$$Ifa$l IIIID% ) h xHX (#$$Ifl kd$$Ifl4lִ2 JD%8 8 8D%    4 lalIIIIIIJJ:JbJdJJJJJK$$Ifa$l ($ )  xHX (#$$Ifa$l % ) h xHX (#$$Ifl IIIIIJ J JJJJJJ4J6J8J:JLNLPLᖈwdSd jh35OJQJU%jh35OJQJUmHnHu jh35OJQJUjh35OJQJUh35OJQJ,jh35:CJOJQJUmHnHu'jh35:CJOJQJU-jhd2h35:CJOJQJUh35:CJOJQJ!jh35:CJOJQJU PLRLTLVLXLbLdLfLhLxLLLLLLMMMM(M*M4M6M8M:MDMFMHMJMLMfMMMMMMMMMMMZNjNlNĻİwɝnh3>*OJQJh36CJOJQJ j-h35OJQJUh3CJOJQJh3OJQJh3:>*OJQJh35:OJQJh3:OJQJ h35h35OJQJ jh35OJQJUjh35OJQJUh35OJQJmHnHu+fLhLLG!% )  xHX (#$$Ifl kd$$Iflִ2 JD%888D%    4 lalLLLMHM($ )  xHX (#$$Ifa$l ($ )  xHX (#$$Ifa$l ($ )  xHX (#$$Ifa$l HMJMMMMmDm($ )  xHX (#$$Ifa$l % )  xHX (#$$Ifl kkd$$Ifl\JD%88 D%4 lalMMMMAkkd $$Ifl\JD%88D%4 lal($ )  xHX (#$$Ifa$l ($ )  xHX (#$$Ifa$l MlN|N~NNN.Xkd"$$IflFJD%8D%    4 lal($ )  xHX (#$$Ifa$l ($ )  xHX (#$$Ifa$l % )  xHX (#$$Ifl lN|N~NNNNNNNNNNNNNNNNNOPOvOzOOOOOOOOOOPraN%jh35OJQJUmHnHu j"h35OJQJUh356:CJOJQJh3:CJOJQJh35:CJOJQJh36:CJOJQJh35:OJQJh35:>*OJQJ h35 ju!h35OJQJUh35OJQJmHnHujh35OJQJUh35OJQJh3OJQJNPOOOOOOOpP($ )  xHX (#$$Ifa$l ($ )  xHX (#$$Ifa$l % )  xHX (#$$Ifl OOOOOOOPP$P&P\P^P`PbPlPnPpPrPQQ R R>R@RBRDRFRHR\R^R`Rָ֥䕋zvhWh!je%h3CJOJQJUjh3CJOJQJUh3 h3CJh35CJOJQJh3CJOJQJh35CJOJQJ h35%jh35OJQJUmHnHu j9#h35OJQJUh3OJQJmHnHujh35OJQJUh3CJOJQJh3OJQJh35OJQJpPrPQQQ R R>RvvveQe$$@&Ifa$l $@&Ifl  $ $$a$~kd#$$IflrrJD%b8D%4 lal>R@RBRDRFRnR|hXhh$Ifl $$@&Ifa$l kd$$$IflF,$  t0    4 la`RjRlRnRpRRRSSSSBTDTbTdTfTrTtTTTTTTTTTTTTΫΣԶqZΣ,jh35>*CJOJQJUmHnHu'j'h35>*CJOJQJUh35>*CJOJQJ!jh35>*CJOJQJUh3OJQJh35CJOJQJh35CJOJQJh35>*CJOJQJ h3CJh3CJOJQJjh3CJOJQJU&jh3CJOJQJUmHnHunRpRRRS|hhh$$@&Ifa$l kd%$$IflF,$  t0    4 laSSSSBT|hhh$$@&Ifa$l kd&$$IflF,$  t0    4 laBTDTdTfTT|kWW$$@&Ifa$l $@&Ifl kd7'$$IflF,$  t0    4 laTTTTT|kWW$$@&Ifa$l $@&Ifl kd[($$IflF,$  t0    4 laTTTTTTT(U*U,U@UBUDUNUPURUTU|U~UUUUUUUUUUUUUUڸڒ~ڟshڒQڸڒ-j+h]h35>*CJOJQJUhd2h3OJQJh35CJOJQJ'j-*h35>*CJOJQJUh35>*CJOJQJh35CJOJQJh3OJQJ h3CJh35CJOJQJ,jh35>*CJOJQJUmHnHu!jh35>*CJOJQJU'j )h35>*CJOJQJUTT(U*URU|kWW$$@&Ifa$l $@&Ifl kd)$$IflF,$  t0    4 laRUTU|U~UU|kWW$$@&Ifa$l $@&Ifl kd*$$IflF,$  t0    4 laUUUUV|hTT$$@&Ifa$l $@&Ifgd3l kdQ+$$IflF,$  t0    4 laUUUVVVVVVVVV V"V$V&V(V*V,V.V0V2V>V@VBVDVFVJVTV\VfVVVVVVVV׵ztztjtj_jthQX]CJmHnHujh3CJU h3CJ hQX]CJ h30Jjh30JUhQX]hZjhZUh3 h3CJh35CJOJQJh35CJOJQJ,jh35>*CJOJQJUmHnHu!jh35>*CJOJQJU-ju,h]h35>*CJOJQJU%VVVVV"V$V(V*V.V0VFV|wuuuuuuuul&`#$$a$kd,$$IflF,$  t0    4 la FVHVJVVVV$a$h]h hh]h`hVVVVVVVVVVVhQX]h3h30JCJhQX]CJmHnHu h3CJjh3CJU A 0&P/ =!"#$%0 $vD(Text22vD(Text23tDeCheck1tDeCheck2vDText24vDText25vDText26tDeCheck3tDeCheck4tDeCheck5vDText27vD(Text29vDText40vD(Text30vDText31vDText33vDText35vDText36vDText37jDH$$Ifl!vh5555F5 5#v#v#v#vF#v #v:V l05555F5 54alvDHText38$$Ifl!vh5555F5 5#v#v#v#vF#v #v:V l05555F5 54alDjText39=b1+b2$$Ifl!vh5555#v#v#v#v:V l05555/ 4alvDText17vDText18vDText19vDPText50vD,Text21$$Ifl!vh5558585#v#v#v8#v:V l4,D%++++,55585/ / / /  / /  / 4alvDText51'$$Ifl!vh5558585#v#v#v8#v:V l4D%++++,55585/ / / / /  / / /  4alvDText16vDText49d$$Ifl!vh55855558585#v#v8#v#v#v8#v:V l4lD%+++,55855585/ / /  / / / / / / 4alvDText30vDText40Df Dropdown1N/AWeekMonthYeartDText5DHText1$83.68$#,##0.00;($#,##0.00)zDH#,##0.00DjText2=f4*g4$#,##0.00;($#,##0.00)$$Ifl!vh55855558585#v#v8#v#v#v8#v:V lRD%55855585/ / / / / / / / /  / / /  / / 4alvD(Text52vDText30vDText40DfN/AWeekMonthYearjDDH$#,##0.00;($#,##0.00)zDH#,##0.00Dj=f5*g5$#,##0.00;($#,##0.00)$$Ifl!vh55855558585#v#v8#v#v#v8#v:V lD%55855585/ / / / / / / / / / / / / / 4alDj Text8=h4+h5$#,##0.00;($#,##0.00)$$Ifl!vh558585#v#v8#v:V lD%5585/ / / / / /  / 4al$$Ifl!vh558585#v#v8#v:V lD%5585/ / / / 4alDjText10=d6$#,##0.00;($#,##0.00)$$Ifl!vh5585#v#v8#v:V lD%5585/ / / / 4allDH0Dj=c8/c9$#,##0.00;($#,##0.00)$$Ifl!vh55b5585#v#vb#v#v8#v:V lD%55b5585/ / / / 4al$$If!vh5 55#v #v#v:V l t05 554vD&Text11$$If!vh5 55#v #v#v:V l t05 554$$If!vh5 55#v #v#v:V l t05 554$$If!vh5 55#v #v#v:V l t05 554vD(Text12$$If!vh5 55#v #v#v:V l t05 554vD-Text13$$If!vh5 55#v #v#v:V l t05 554vD-Text13$$If!vh5 55#v #v#v:V l t05 554$$If!vh5 55#v #v#v:V l t05 554vDText14jD$$If!vh5 55#v #v#v:V l t05 5548@8 NormalCJmH sH tH t@t Heading 14$@& )  xHX (#$5CJOJPJQJp@p Heading 2:$$ ) 8 xHX (#$@&a$ 6B*CJN@N Heading 3$$ @&a$ 5OJQJN@N Heading 4$$ @&a$ 5OJQJp@p Heading 5:$$ ) 8 xHX (#$@&a$ 5B*CJDA@D Default Paragraph FontZi@Z  Table Normal :V 4 l4a _H(k(No List J6@J List Bullet 2  & F OJPJQJ4@4 Header  !TB@T Body Text%B*CJOJPJQJmH phsH tH .)@!. Page Number@ @2@ Footer  ! OJPJQJ@Y@B@ Document Map-D OJQJzz 7Aym&\DQRpqLMQRl|}1 + a    - 6 7 8 B W X h i 8CHVWklmno  $%&:;LM_st  /0]buvz{3\]os[\ 45IJ\]^_$$v:$j$v:$W$v:$$v:$^$W$W$v:$W$v:$j$v:$v:$v:$x!"v:"v:v:v:v:nn v: v:"v:"v:v:v:v:nn v: v:`"v:"v:v:v:v:$v:$v:$v:$v:$v:$v:$v:$v:$v:$v:"v:v:v:v:`^`^`^`^`j`^`^`^`j"^"^"^$"jt;"j"^"^`^`^ث^jjj"v:"v:"v:"v:`v:`v:v:v:^^^````""K$ "v:"v:`v:`v:v:v:^^^````""Y``v:""```v:""`:`""Y8 x!v:`""$v:$v:$j4ssss4s4sv: 4ssss4^s^s4sv:4sv:4sv:4s^4sv:$$$j7Aym&\DQRpqLMQRl|}1 + a    - 6 7 8 B W X h i 8CHSTUVWklmno  $%&:;LM_st  /0]buvz{3\]os[\ 45IJ\]^_0@0@00@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0 @0@0@0 @0@0 @0@0 @0@0 @0@0 @0@0@0 @0@0 @0@0 @0@0 @0@0 @0@0 @0@0@0 @0@0 @0@0@0 @0@0 @0@0 0 0 0@0@0@0@0@0@0@0@0 @0@0@0 @0@0@0@0@0 @0@0@0@0 @0@0@0 @0 @0 `0 `0 `0 `0 @0 @0@0@0 @0@0 @0@0 @0@0 @0 `0 `0 `0 @0 @0@0@0@0 @0@0 @0@0 @0@0 @0 @0@0 @0@0 @0@0 @0 @0@0 @0@0 @0@0 @0@0 @0 @0@0 @0@0 @0@0 @0 @0 @0 @0 @0@0 @0 @0 @0 @0 @0@0 @0 @0 @0 @0@0 @0 @0 @0 @0@0@0 @0 @0@0 @0 @0@0@0@0 @0 @0 @0 @0@0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 80X00X00X00X00X0UX0UX0U00 XXX[ & GHIdJ KKPLlNO`RTUVV ".278:<=CEHMQTN jHFXG\HHHHIIIK4KfLLHMMMNpP>RnRSBTTTRUUVFVV!,-/0134569;>?@ABDFGIJKLNOPRSV)5;EUZj-=EU^nHTZtq}}~ L X ^ y o{ "&28;GJM]_kqt %'-]im ,2_kq|FFG$G$FFFG$G$G$FFFFFFFFFFFF"FFFFFFFFFFS FFFF"FFFS FFFF"F"F"FF"FFFFFF 9@BGRT[!!8@0( A-gnmotuoitaELOn B S  ?(Text22Text23Check1Check2Text24Text25Text26Check3Check4Check5Text27Text29Text40Text30Text31Text33Text35Text36Text37Text38Text39Text17Text18Text19Text50Text21Text51Text16Text49Text3Text4 Dropdown1Text5Text1Text2Text52Text8Text10Text12Text14*F[.F_Iu~ M z p `  !"#$%&'<Vk>Vo[ _  #.rw{V^!+ 2 v y ?H::::::::::::ch)<H[tq}~ L _ y o #&9;KM^_rt .]n 3_r|q^8k,*U.>K:5td*Ao:\6 r^PJt(K+%od ^`OJQJo(808^8`0o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.\ \^\` o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.88^8`o(.88^8`.L^`L.  ^ `.  ^ `.xLx^x`L.HH^H`.^`.L^`L.^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.88^8`o(.^`. L ^ `L.  ^ `.xx^x`.HLH^H`L.^`.^`.L^`L.o:K:5K+%o8k r^U.X13QX]ZDQpLQR|  7 X 8HSTUVWn  %:L_s /0]buz{3\s[\ 45IJ\]^_@|; PP P PP$@PPP0@PPPFUnknownGz Times New Roman5Symbol3& z Arial3z Times5 Geneva"hV&X&`Ȧ % %E)Ñ4d2PQX]* EXHIBIT A Ruth Petroff Ruth Petroff(       Oh+'0  0 < H T`hpx EXHIBIT ARuth PetroffWibe_09Ruth Petroff1Microsoft Office Word@G@`I @d ~@g~՜.+,0 hp  SELPA% '  EXHIBIT A Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUWXYZ[\]^_`abcdefghijklnopqrstuvwxyz{|}~Root Entry FPfo~Data V-1TablemUWordDocumentCSummaryInformation(DocumentSummaryInformation8CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q