ࡱ> '` $zbjbj{P{P G::Yfz7z7z787D8Je :hB:BBB}C@EL G!d#d#d#d#d#d#d$jfhhlGdG}C}CGGGdBBegMgMgMG@BB!dgMG!dgMgMA]5^B: (z7G]]^e0Je]:>iH>i,5^>i5^(gMGGGGdGdWMGGGJeGGGG z7z7$  (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 School: Greenacre Homes  3632 LCI 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  FORMTEXT $198.82 = Total Regular School Year Basic Education Costs (Adjusted annually)  FORMTEXT  =b1*d1 $0.00$0.00 Number of ESY Days  FORMTEXT     Per Diem  FORMTEXT $198.82 = Total ESY Basic Education Costs (Adjusted annually)  FORMTEXT  =b2*d2 $0.00$0.00Partial Day Student Number of Regular School Days FORMTEXT    Per Minute FORMTEXT $.55Number of minutes per day FORMTEXT     = Partial Day Student Total Regular School Year Basic Education Costs (Adjusted Annually) FORMTEXT  =(d3*f3)*b3 $0.00$0.00Partial Day Student Number of ESY Days FORMTEXT    Per Minute FORMTEXT $.55Number of minutes per day FORMTEXT     = Partial Day Student Total ESY Basic Education Costs (Adjusted Annually) FORMTEXT  =(f4*d4)*b4 $0.00$0.00Total Instructional Days (Item-D page 2) FORMTEXT  =b1+b2+b3+b4 00Total Basic Education Costs -Adjusted annually (Item -A on page 2) FORMTEXT  =f1+f2+h3+h4 $0.00$0.00 INDIVIDUAL PUPIL SPECIFICATIONS (Complete # 2, #5 and #6 or reference IEP) The pupils teacher/service provider will hold the appropriate credential/license to provide such service as issued by California Commission on Teacher Credentialing, Sonoma County Office of Education or the appropriate California Licensing Agency. The class size for the pupil will not exceed 12, or if fewer than 12, specify:  FORMTEXT      . The Related Service therapist/pupil ratio will not exceed  FORMTEXT      . The length and content of the Basic Education Program will be consistent with the Contract unless otherwise specified in the IEP. Contractor shall provide authorized services in accordance with the pupils IEP & this ISA. Method for complying with statewide standardized assessment requirements:  FORMTEXT       Dates student will not attend NPS per SELPA approved calendar:  FORMTEXT      . Other Provisions:  FORMTEXT      . C. DESIGNATED INSTRUCTION AND SERVICES/RELATED SERVICES: ESTIMATE Pupil s Name Pupil s Name: Service Provided Co24nV X  < T V X l n p z | ϹϨpeQp'jvh H5>*CJOJQJUh H5CJOJQJ,jh H5>*CJOJQJUmHnHu'jh H5>*CJOJQJUh H5>*CJOJQJ!jh H5>*CJOJQJUh%<5CJOJQJh H5CJOJQJh H5CJOJQJh H>*CJOJQJh H5OJQJh HOJQJh HCJOJQJ4nX < P p$ ) 8 xHX (#$a$ $@& $ $@&a$  8 $@&$ ) 8 xHX (#$dh@&a$$ ) 8 xHX (#$a$$ ) 8 xHX (#$@&a$ Vy"z P x | ~ 癌xa癌Ma'jJh H5>*CJOJQJU,jh H5>*CJOJQJUmHnHu'jh H5>*CJOJQJUh H5>*CJOJQJ!jh H5>*CJOJQJUh HCJOJQJ'j`h2h HCJOJQJUh H5CJOJQJ'jh2h HCJOJQJUh HCJOJQJjh HCJOJQJU " $ . 0 2 \ ^ z | ~   ( Ͷڟ}iU'jh2h HCJOJQJU'jh2h HCJOJQJU'j6h2h HCJOJQJUjh HCJOJQJU,jh H5>*CJOJQJUmHnHu-jhpFUh H5>*CJOJQJUh H5>*CJOJQJ!jh H5>*CJOJQJUh H5CJOJQJh HCJOJQJP 2 < NEmR$ )  xHX (#$a$$ ) 8 xHX (#$a$ $ $$a$ $@&$ # 8 xH$dha$ # 8 xH$@&$ 8 xH$dha$$ & 8 xHX $dha$ ( * , 6 8 : \ ^ ` t v x 68HN׶ממh׫מT'jh H5>*CJOJQJU-j~hpFUh H5>*CJOJQJUh H>*CJOJQJ'jh H5>*CJOJQJUh H5>*CJOJQJh H5CJOJQJh HCJOJQJ,jh H5>*CJOJQJUmHnHu!jh H5>*CJOJQJU-jhpFUh H5>*CJOJQJU  *,@BDNPT^`tvxìЕ~ЕsbUh H5>*CJOJQJ!jh H5>*CJOJQJUh H5CJOJQJ-jhpFUh H5>*CJOJQJU,jh H5>*CJOJQJUmHnHu-jjhpFUh H5>*CJOJQJUh H5>*CJOJQJ!jh H5>*CJOJQJUh HCJOJQJh H5CJOJQJh HCJOJQJ  !DE  ڹqdPq9q,jh H5>*CJOJQJUmHnHu'jh H5>*CJOJQJUh H5>*CJOJQJ!jh H5>*CJOJQJUh H6CJOJQJh H56CJOJQJh H5CJOJQJh HB*CJphh HCJOJQJh HCJOJQJ,jh H5>*CJOJQJUmHnHu!jh H5>*CJOJQJU'jVh H5>*CJOJQJU ,.BDFPRj̸١ꗋ{h{R{H>h HB*CJphh HB*CJph*jh H5B*CJUmHnHphu%jh H5B*CJUphjh H5B*CJUphh H5B*CJphh HB*CJph,jh H5>*CJOJQJUmHnHu'jBh H5>*CJOJQJUh H5>*CJOJQJ!jh H5>*CJOJQJUh HCJOJQJh H>*CJOJQJEjl$@&Ifl ($ ) 8 xHX (#$$Ifa$l $ ) 8 xHX (#$a$,.0ﰦ~ttdNd+jA hpFUh H5B*CJUphjh H5B*CJUphh HB*CJphj h HCJUh HCJmHnHu h HCJjh HCJUh HB*CJphh H5B*CJph!h%<5B*CJmHnHphu+j" h%<h%<5B*CJUphh%<5B*CJphjh%<5B*CJUphF($ ) 8 xHX (#$$Ifa$l kdR $$Iflֈ~ X %*F04 lal:<NP|~4$@&Ifl ($ ) 8 xHX (#$$Ifa$l  068:NPRfhjxz| "$&024δwmc]c]cRcEcRc]j; h HCJUh HCJmHnHu h HCJjh HCJUh HB*CJphh HB*CJph!h%<5B*CJmHnHphu+j h%<h%<5B*CJUphh%<5B*CJphjh%<5B*CJUphh HB*CJphh H5B*CJphjh H5B*CJUph*jh H5B*CJUmHnHphu46F($ ) 8 xHX (#$$Ifa$l kd $$Iflֈ~ X %*F04 lal46.0DFHPRT Ϲۣσrϙ\ۣPI h H5CJjh H5CJU+jhpFUh H5B*CJUph!h H5B*CJmHnHphu+j4hpFUh H5B*CJUphh HB*CJph*jh H5B*CJUmHnHphu+j hpFUh H5B*CJUphh H5B*CJphjh H5B*CJUphh HB*CJphh HB*CJph.TZ($ ) 8 xHX (#$$Ifa$l  :<FHJLVXZ\ŻŋukUD!h H5B*CJmHnHphu+j?hpFUh H5B*CJUphh HB*CJph*jh H5B*CJUmHnHphu+jhpFUh H5B*CJUphjh H5B*CJUphh HB*CJphh HB*CJphh H5B*CJphjh H5CJUh H5CJmHnHu h H5CJjh H5CJUZ\ kd$$Iflִ~ X %*8~ F0    4 lal\ >d%($ ) 8 xHX (#$$Ifa$l  >@TVX`bd#$%&>@OPQ[\jklڮڤzkz_[Vz h H5h Hh H5B*CJphjh H5CJUh H5CJmHnHu h H5CJjh H5CJUh HB*CJphh HB*CJph*jh H5B*CJUmHnHphu+jhpFUh H5B*CJUphjh H5B*CJUphh HB*CJphh H5B*CJph!%& kd$$Iflִ~ X %*8~ F0    4 lal&@Pr$@&Ifl ($ ) 8 xHX (#$$Ifa$l $$@&Ifa$l % ) 8 xHX (#$$Ifl lmnopqr-.νγΑ~titX!jh%<5>*CJOJQJUh%<>*CJOJQJh%<CJOJQJh H56OJQJh HOJQJh Hjbh HCJUh HCJmHnHu h HCJjh HCJU h H6h H5B*CJphh HB*CJphh H5CJmHnHujh H5CJUjh H5CJU!.Pjh\;;;!$ & F )  xHX (#$a$gd%< $ & F`a$kd$$Iflu\~ X %~ 0F04 lal !!!˴󧝐|lU|;|l|l2jhPfDh%<5>*CJOJQJUmHnHu-jehPfDh%<5>*CJOJQJUhPfDh%<5>*CJOJQJ'jhPfDh%<5>*CJOJQJUhPfDh%<CJOJQJh%<CJOJQJhQMph%<CJOJQJ,jh%<5>*CJOJQJUmHnHu!jh%<5>*CJOJQJU-jh8h%<5>*CJOJQJUh%<5>*CJOJQJ^ "" #####iii*$ )  xHX (#$2$Ifa$l $ ) * xHX (#$a$ & F $gd%< & F , xHJX (#$gd%<!$ & F )  xHX (#$a$gd%< !!" " "6"J"""""""""""""""ԺԭԝԺԝ|raT=a-jhh%<5>*CJOJQJUh%<5>*CJOJQJ!jh%<5>*CJOJQJUh%<CJOJQJh%<CJOJQJ-jQhPfDh%<5>*CJOJQJUhPfDh%<5>*CJOJQJhPfDh%<CJOJQJ2jhPfDh%<5>*CJOJQJUmHnHu'jhPfDh%<5>*CJOJQJU-jhPfDh%<5>*CJOJQJU"### # ####$bbXbZb\bbbbbcccwl_RD= h H5CJh H56:CJOJQJh H6:CJOJQJh H56CJOJQJh H5CJOJQJh H5:CJOJQJh H:CJOJQJUh H5:CJOJQJh H5:CJOJQJh H5CJOJQJ h H5CJh Hh%<CJOJQJh%<5>*CJOJQJ!jh%<5>*CJOJQJU,jh%<5>*CJOJQJUmHnHu####FbXbZb\bpbbb\% )  xHX (#$$Ifl ($ )  xHX (#$$Ifa$l ($ )  xHX (#$$Ifa$l *$ )  xHX (#$2$Ifa$l  st Per Hour as set forth in Master Contract  Estimated Hours, Miles or Sessions 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. Speech FORMTEXT       FORMTEXT    FORMDROPDOWN  FORMTEXT      Included in 3632 LCI Tuition Daily Rate FORMTEXT       FORMTEXT  =f4*g4 0$0.002. Temporary Behavioral Support Assistant FORMTEXT       FORMTEXT    FORMDROPDOWN  FORMTEXT      Included in 3632 LCI Tuition Daily Rate FORMTEXT       FORMTEXT  =f5*g5 0$0.003. Counseling FORMTEXT       FORMTEXT    FORMDROPDOWN  FORMTEXT      Included in 3632 LCI Tuition Daily Rate FORMTEXT       FORMTEXT  =f6*g6 0$0.004. Vocational Education FORMTEXT       FORMTEXT    FORMDROPDOWN  FORMTEXT      Included in 3632 LCI Tuition Daily Rate FORMTEXT       FORMTEXT  =f7*g7 0$0.005. LCI Home to School/PE Transportation FORMTEXT       FORMTEXT    FORMDROPDOWN  FORMTEXT      Included in 3632 LCI Tuition Daily Rate FORMTEXT       FORMTEXT  =f8*g8 0$0.006. Occupational Therapy FORMTEXT       FORMTEXT    FORMDROPDOWN  FORMTEXT       FORMTEXT $84.34  FORMTEXT       FORMTEXT  =f9*g9 $0.00$0.007.  FORMTEXT       FORMTEXT       FORMTEXT    FORMDROPDOWN  FORMTEXT       FORMTEXT $0.00  FORMTEXT       FORMTEXT  =f10*g10 $0.00$0.00*Maximum DIS and Related Services Cost Estimate(C)Above Estimated Totals  FORMTEXT  =h4+h5+h6+h7+h8+h9+h10 $0.00$0.00*Maximum Total Basic Education Cost Estimate(A) Item A from page 1  FORMTEXT      *Maximum Total Basic Education and DIS/Related Services Cost Estimate(A + C)  FORMTEXT  =d11+d12 $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  =c13/c14 !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. Greenacre Homes  Intensive ServicesLocal Educational Agency  FORMTEXT      ________________________________________________________________________(Authorized Signature) (Date)(Authorized Signature) (Date)438 Eddie Lane(Name) FORMTEXT      Sebastopol, CA 95472 FORMTEXT      (707) 829-1366 school phone FORMTEXT      (707) 823-5070 school fax(Mailing Address) FORMTEXT       Phone  FORMTEXT       Fax     PAGE 2 10/11 2010/11 Greenacre 3632 LCI ISA Page  PAGE 2 of  NUMPAGES 2 bbbccRkd=$$Ifl4,rJ&l$``F`8FD%4 la*$ )  xHX (#$2$Ifa$l ccccccccccccccccccccccdddd尣~tftUfA&jh HCJOJQJUmHnHu!jh HCJOJQJUjh HCJOJQJUh HCJOJQJ$jh H5CJOJQJU h H5CJh H5CJOJQJh H5:CJOJQJh H5:CJOJQJ)jh H5CJOJQJUmHnHu$jfh H5CJOJQJUh H5CJOJQJjh H5CJOJQJUcccccc]2*$ )  xHX (#$2$Ifa$l % )  xHX (#$$Ifl ($ )  xHX (#$$Ifa$l *$ )  xHX (#$2$Ifa$l ' )  xHX (#$2$Ifl cccc"d}UUU' )  xHX (#$2$Ifl kd$$Ifl4rJ&l$  F 8FD%4 lad d"d4dHdddddddddddddddddeeڳڨڡxdMxx,jh H5:CJOJQJUmHnHu'jh H5:CJOJQJUh H5:CJOJQJ!jh H5:CJOJQJUh H5CJOJQJ h H5CJh H5CJOJQJh H5:CJOJQJh H6:CJOJQJh H5:CJOJQJh H5:CJOJQJh HCJOJQJjh HCJOJQJU"d$d4dHddddX*$ )  xHX (#$2$Ifa$l ' )  xHX (#$2$Ifl *$ )  xHX (#$2$Ifa$l ($ )  xHX (#$$Ifa$l dddd*$ )  xHX (#$2$Ifa$l % )  xHX (#$$Ifl ($ )  xHX (#$$Ifa$l dddD% ) h xHX (#$$Ifl kd$$Ifl4lִJ &l${]8 F 8FD%    4 ladd eDeleee$f$$Ifa$l ($ )  xHX (#$$Ifa$l eeeee e"e>e@eBeDeFeZe\e^ehejeleeeڶmVK;jh H5CJOJQJUh H5CJOJQJ,jh H5:CJOJQJUmHnHu'jh H5:CJOJQJU-jmh2h H5:CJOJQJUh H5:CJOJQJ!jh H5:CJOJQJUh H5:CJOJQJ,jh H5:CJOJQJUmHnHu!jh H5:CJOJQJU'jh H5:CJOJQJUeeeeeeeeee ffffff f"f$f&f.fzf|f~ffѼ}o}^Qh H5:CJOJQJ!jh H5:CJOJQJUhG h H5CJOJQJh H5CJOJQJ h H5j h H5CJUh H5CJmHnHu h H5CJjh H5CJU)jh H5CJOJQJUmHnHujh H5CJOJQJU$jh H5CJOJQJUh H5CJOJQJ$f&f|fE% ) h xHX (#$$Ifl kd $$IflRִJ &l${]8F8FD%    4 lafffffffffffffffffffggggggڶڶڕmYB,jh H5:CJOJQJUmHnHu'j#h H5:CJOJQJU-jI#h2h H5:CJOJQJU!jh H5:CJOJQJUh H5:CJOJQJ'j"h H5:CJOJQJUh H5:CJOJQJ,jh H5:CJOJQJUmHnHu!jh H5:CJOJQJU'j]"h H5:CJOJQJU|ffffgbggg($ )  xHX (#$$Ifa$l gbgdgxgzg|gggggggggggggggggggh١rm\Oh H5:CJOJQJ!jh H5:CJOJQJU h H5$j$h H5CJOJQJU h H5CJOJQJmHnHuh H5CJOJQJjh H5CJOJQJU)jh H5CJOJQJUmHnHu$jI$h H5CJOJQJUh H5CJOJQJjh H5CJOJQJUh H5CJOJQJgggG!% ) h xHX (#$$Ifl kdc%$$IflִJ &l${]8F8FD%    4 lahhhhhhh(h*h,h0h2h4h6hRhThVhXhZhnhphrh|h~hhڶڶڶmYB,jh H5:CJOJQJUmHnHu'j(h H5:CJOJQJU-j (h2h H5:CJOJQJUh H5:CJOJQJ!jh H5:CJOJQJU'j'h H5:CJOJQJUh H5:CJOJQJ,jh H5:CJOJQJUmHnHu!jh H5:CJOJQJU'j'h H5:CJOJQJUgh4hXhhhh8i($ )  xHX (#$$Ifa$l hhhhhhhhhhii i"i$i&i(i*i4i6i8i:ilinii١rm\Oh H5:CJOJQJ!jh H5:CJOJQJU h H5$j)h H5CJOJQJU h H5CJOJQJmHnHuh H5CJOJQJjh H5CJOJQJU)jh H5CJOJQJUmHnHu$j )h H5CJOJQJUh H5CJOJQJjh H5CJOJQJUh H5CJOJQJ8i:iliG!% ) h xHX (#$$Ifl kd#*$$IflִJ &l${]8F8FD%    4 laiiiiiiiiiiiiiiiiiiiiiiijjڶڶڶmYB,jh H5:CJOJQJUmHnHu'j_-h H5:CJOJQJU-j,h2h H5:CJOJQJUh H5:CJOJQJ!jh H5:CJOJQJU'jS,h H5:CJOJQJUh H5:CJOJQJ,jh H5:CJOJQJUmHnHu!jh H5:CJOJQJU'j+h H5:CJOJQJUliiiijRjzjj($ )  xHX (#$$Ifa$l jRjTjhjjjljvjxjzj|jjjjjjjjjjjjjkk$k١rm\Oh H5:CJOJQJ!jh H5:CJOJQJU h H5$jC.h H5CJOJQJU h H5CJOJQJmHnHuh H5CJOJQJjh H5CJOJQJU)jh H5CJOJQJUmHnHu$j-h H5CJOJQJUh H5CJOJQJjh H5CJOJQJUh H5CJOJQJjjkG!% ) h xHX (#$$Ifl kd.$$IflִJ &l${]8F8FD%    4 la$k&k(k2k4k6k8kLkNkPkTkVkXkZkvkxkzk|k~kkkkkkkڶڶڶmYB,jh H5:CJOJQJUmHnHu'j2h H5:CJOJQJU-j1h2h H5:CJOJQJUh H5:CJOJQJ!jh H5:CJOJQJU'j1h H5:CJOJQJUh H5:CJOJQJ,jh H5:CJOJQJUmHnHu!jh H5:CJOJQJU'j0h H5:CJOJQJUk6kXk|kkkl\l($ )  xHX (#$$Ifa$l kkk l llllll2l4lDlFlHlJlLlNlXlZl\l^llll١rm\Oh H5:CJOJQJ!jh H5:CJOJQJU h H5$j3h H5CJOJQJU h H5CJOJQJmHnHuh H5CJOJQJjh H5CJOJQJU)jh H5CJOJQJUmHnHu$j2h H5CJOJQJUh H5CJOJQJjh H5CJOJQJUh H5CJOJQJ\l^llG!% )  xHX (#$$Ifl kd3$$IflִJ &l${]8F8FD%    4 lalllllllllllllllllllmmm m"m$mڶڶڶmYB,jh H5:CJOJQJUmHnHu'j6h H5:CJOJQJU-j?6h2h H5:CJOJQJUh H5:CJOJQJ!jh H5:CJOJQJU'j5h H5:CJOJQJUh H5:CJOJQJ,jh H5:CJOJQJUmHnHu!jh H5:CJOJQJU'j]5h H5:CJOJQJUllll$mPmxmm($ )  xHX (#$$Ifa$l $m&m:mmJmLmPmRmfmhmjmtmvmxmzmmmmmmmmm𳣘p```O`<`$jY8h H5CJOJQJU h H5CJOJQJmHnHujh H5CJOJQJU)jh H5CJOJQJUmHnHu$j7h H5CJOJQJUh H5CJOJQJjh H5CJOJQJUh H5CJOJQJ h%<5CJOJQJmHnHu*j?7h%<h%<5CJOJQJUh%<5CJOJQJjh%<5CJOJQJUmmmmmmmmmmmmmmnn nnnnn.n0n2n6n8n:nԼߧԖu^J^'j;h H5:CJOJQJU,jh H5:CJOJQJUmHnHu'j);h H5:CJOJQJUh H5:CJOJQJ!jh H5:CJOJQJU)jh H5CJOJQJUmHnHu$j:h H5CJOJQJU h H5h H5CJOJQJjh H5CJOJQJU h H5CJOJQJmHnHummmG!% )  xHX (#$$Ifl kd8$$IflִJ &l${]8F8FD%    4 lamn:n^nnnn$o($ )  xHX (#$$Ifa$l :n*OJQJh H5:OJQJh H:OJQJ h H5*j#>h*rh H5CJOJQJU h H5CJOJQJmHnHuh H5CJOJQJjh H5CJOJQJUh H5CJOJQJ)jh H5CJOJQJUmHnHujh H5CJOJQJU$j=h H5CJOJQJU$o&ooG!% )  xHX (#$$Ifl kd>$$IflִJ &l${]8F8FD%    4 laoooo&p($ )  xHX (#$$Ifa$l ($ )  xHX (#$$Ifa$l ($ )  xHX (#$$Ifa$l ooooopppppp"p$p&p(p*pDpppppppppppppppۯ}s`K)jh H5CJOJQJUmHnHu$j!Bh H5CJOJQJUh HCJOJQJh H6CJOJQJh HOJQJh H:>*OJQJh H:OJQJh H5:OJQJ h H5*je@h*rh H5CJOJQJU h H5CJOJQJmHnHuh H5CJOJQJjh H5CJOJQJUh H5OJQJ&p(ppppmDm($ )  xHX (#$$Ifa$l % )  xHX (#$$Ifl kkd/A$$Ifl\&l$F8F D%4 lappppAkkdB$$Ifl\&l$F8FD%4 la($ )  xHX (#$$Ifa$l ($ )  xHX (#$$Ifa$l pppppXqhqjqzq|q~qqqqqqqqqqqqqqqVrXr~rrrrrŴŞŴzmbzTh H56:CJOJQJh H:CJOJQJh H5:CJOJQJh H6:CJOJQJh H5:OJQJh H5:>*OJQJ*jCh*rh H5CJOJQJU h H5CJOJQJmHnHujh H5CJOJQJUh H>*OJQJh HOJQJh H5OJQJ h H5h H5CJOJQJpjqzq|qqq.Xkd9D$$IflFl$8FD%    4 la($ )  xHX (#$$Ifa$l ($ )  xHX (#$$Ifa$l % )  xHX (#$$Ifl qXrrrrrss|s($ )  xHX (#$$Ifa$l ($ )  xHX (#$$Ifa$l % )  xHX (#$$Ifl rrrrrrrrrrsssss0s2shsjslsnsxszs|s~stt齳飘s^YODh H5CJOJQJh HCJOJQJ h H5)jh H5CJOJQJUmHnHu*jWEh*rh H5CJOJQJUh HCJOJQJmHnHuh H5CJOJQJjh H5CJOJQJUh HCJOJQJh HOJQJ%jh H5OJQJUmHnHu jDh H5OJQJUh H5OJQJjh H5OJQJU|s~stDuFuxuveQe$$@&Ifa$l $@&Ifl  $ $$a$~kdE$$Iflr z$2 iFD%4 latDuFuxuzu|u~uuuuuuuuuuuu@vBvvvpwrwwwwwwwwwɸӤsfRs'jJh H5>*CJOJQJUh H5>*CJOJQJ!jh H5>*CJOJQJUh HOJQJh H5CJOJQJh H5>*CJOJQJ&jh HCJOJQJUmHnHu!jGh HCJOJQJUh HCJOJQJjh HCJOJQJUh H h HCJh H5CJOJQJh HCJOJQJxuzu|u~uuu|hXhh$Ifl $$@&Ifa$l kdF$$IflF,$  t0    4 lauuuu@v|hhh$$@&Ifa$l kdG$$IflF,$  t0    4 la@vBvvvpw|hhh$$@&Ifa$l kdH$$IflF,$  t0    4 lapwrwwww|kWW$$@&Ifa$l $@&Ifl kdYI$$IflF,$  t0    4 lawwwwwwww x xxxxxxVxXxZxnxpxrx|x~xxxxxxxxxxǿا؈ǿاt؈ǿkZ!jh H5>*CJOJQJUh H5OJQJ'jOLh H5>*CJOJQJUh H5CJOJQJ'j+Kh H5>*CJOJQJUh H5>*CJOJQJh H5CJOJQJh HOJQJ h HCJh H5CJOJQJ!jh H5>*CJOJQJU,jh H5>*CJOJQJUmHnHuwwwwx|kWW$$@&Ifa$l $@&Ifl kd}J$$IflF,$  t0    4 laxxVxXxx|kWW$$@&Ifa$l $@&Ifl kdK$$IflF,$  t0    4 laxxxxx|kWW$$@&Ifa$l $@&Ifl kdL$$IflF,$  t0    4 laxxxxPy|hhh$$@&Ifa$l kdsM$$IflF,$  t0    4 laxxxxyyy y4y6y8yByDyNyPyRyVyXyZy\y^y`ybydyfyhyjylynypy|y~yyyyy˴˩˴˩}uqmuqmuqmuqmc]c]c]} h H0Jjh H0JUh%<hIjhIUh H h HCJh H5CJOJQJ-jNh/h H5>*CJOJQJUh H5CJOJQJ,jh H5>*CJOJQJUmHnHu!jh H5>*CJOJQJU-j!Nh/h H5>*CJOJQJUh H5>*CJOJQJ#PyRyTyVyZy\y`ybyfyhyly|w\ZZZZZZZ$ ) * xHX (#$a$$a$kdO$$IflF,$  t0    4 la lynyyyyz"z$z$ ) * xHX (#$a$h]h hh]h`h&`#$yyyyyyyyyyyzzzzzzz z"z$zh%<h Hh H0JCJh%<CJmHnHujh HCJU h HCJ h%<CJE 0&P/ =!"#$%0 %vD(Text22vD(Text23tDeCheck1tDeCheck2vDText24vDText25vDText26tDeCheck3tDeCheck4tDeCheck5vDText27vD2Text29vDText40vD(Text30vDText31vDText33vDText35vDText36vDText37jDHDText57$198.82DjText53=b1*d1$#,##0.00;($#,##0.00)$$Ifl!vh555*555F#v#v#v*#v#v#vF:V l0555*555F4alvDHText38DText58$198.82Dj=b2*d2$#,##0.00;($#,##0.00)$$Ifl!vh555*555F#v#v#v*#v#v#vF:V l0555*555F4aljDHrD$.55jDHDj =(d3*f3)*b3$#,##0.00;($#,##0.00)$$Ifl!vh555*55855~ 5F#v#v#v*#v#v8#v#v~ #vF:V l0555*55855~ 5F4aljDHrD$.55jDHDj =(f4*d4)*b4$#,##0.00;($#,##0.00)$$Ifl!vh555*55855~ 5F#v#v#v*#v#v8#v#v~ #vF:V l0555*55855~ 5F4alDj =b1+b2+b3+b4DjText54 =f1+f2+h3+h4$#,##0.00;($#,##0.00)$$Ifl!vh5~ 5055F#v~ #v0#v#vF:V lu05~ 5055F/ 4alvDText17vDText18vDText50vD,Text21vD,Text21'$$If!vh555F585F#v#v#vF#v8#vF:V l4,D%++++,555F585F/ / / /  / /  / 4avDText515$$If!vh555F585F#v#v#vF#v8#vF:V l4D%++++,555F585F/ / / / /  / / /  4avDText16vDText49$$If!vh555{5]585F585F#v#v#v{#v]#v8#vF#v8#vF:V l4lD%+++,555{5]585F585F/ / /  / / / / / / 4avDText30vDText40Df Dropdown1N/AWeekMonthYeartDText5zDH#,##0.00Dj}Text2=f4*g4$#,##0.00;($#,##0.00)$$If!vh555{5]585F585F#v#v#v{#v]#v8#vF#v8#vF:V lRD%555{5]585F585F/ / / / / / / / /  / / /  / / 4avDText30vDText40DfN/AWeekMonthYearjDzDH#,##0.00Dj =f5*g5$#,##0.00;($#,##0.00)$$If!vh555{5]585F585F#v#v#v{#v]#v8#vF#v8#vF:V lD%555{5]585F585F/ / / / / / / / / / / / / / / 4avDText30vDText40DfN/AWeekMonthYearjDzDH#,##0.00Dj =f6*g6$#,##0.00;($#,##0.00)$$If!vh555{5]585F585F#v#v#v{#v]#v8#vF#v8#vF:V lD%555{5]585F585F/ / / / / / / / / / / / / / / 4avDText30vDText40DfN/AWeekMonthYearjDzDH#,##0.00Dj =f7*g7$#,##0.00;($#,##0.00)$$If!vh555{5]585F585F#v#v#v{#v]#v8#vF#v8#vF:V lD%555{5]585F585F/ / / / / / / / / / / / / / / 4avDText30vDText40DfN/AWeekMonthYearjDzDH#,##0.00Dj =f8*g8$#,##0.00;($#,##0.00)$$If!vh555{5]585F585F#v#v#v{#v]#v8#vF#v8#vF:V lD%555{5]585F585F/ / / / / / / / / / / / / / / 4avDText30lD0DfN/AWeekMonthYearjDDH$84.34$#,##0.00;($#,##0.00)zDH#,##0.00Dj =f9*g9$#,##0.00;($#,##0.00)$$If!vh555{5]585F585F#v#v#v{#v]#v8#vF#v8#vF:V lD%555{5]585F585F/ / / / / / / / / / / / / / / 4avDText58vDText30lD0DfN/AWeekMonthYearjDDH$0.00$#,##0.00;($#,##0.00)zDH#,##0.00Dj =f10*g10$#,##0.00;($#,##0.00)$$If!vh555{5]585F585F#v#v#v{#v]#v8#vF#v8#vF:V lD%555{5]585F585F/ / / / / / / / / /  / / / 4aDj Text8=h4+h5+h6+h7+h8+h9+h10$#,##0.00;($#,##0.00)$$If!vh55F585F#v#vF#v8#vF:V lD%55F585F/ / / / / /  / 4aDH Text56$#,##0.00;($#,##0.00)$$If!vh55F585F#v#vF#v8#vF:V lD%55F585F/ / / / 4aDj Text10=d11+d12$#,##0.00;($#,##0.00)$$If!vh5585F#v#v8#vF:V lD%5585F/ / / / 4alDH0Dj =c13/c14$#,##0.00;($#,##0.00)$$If!vh52 55i55F#v2 #v#vi#v#vF:V lD%52 55i55F/ / / / 4a$$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 OJQJl"@l Caption4$ ) 8 xHX (#$a$5B*CJphzz4D7Ayn']ERSqr'(:;DE[\  4 G   " < O  ? T ~  ) y W x !qr ->Pd#7_s*JKdx  5IZl ,@Vj@Aquckl/0lm+PQjklmnfgvw  VWXer%%v:%j%v:%W%v:%s%v:%^%W%W%v:%W%v:%j%%v:%v:%eX""v:v:v:RjRjv:v:nv:nv:w""v:v:RjRjv:v:nv:nv:Y"v:Rjv:`jDv:nv:w"v:Rjv:`jDv:nv:Yv:Xv:v:nv:6%v:%v:%%%%%%%5%5v:v:v:v:n^n^n^n^nj`^`^`^`jn^n^n^$jt;j^^^^ث^j`j,* v:v:v:^`^n^`snv:x!I=v:v:^`^n^`snv:x!v:v:v:^`^n^`snv:x!v:v:v:^`^n^`snv:x!v:v:v:^`^n^`snv:x!v:v:v:^`^nv:`snv:tv:v:v:^`^nv:`snv:sn`jnns=n`jnns `nnsYZ x!v:nns%j4ssss4s4sj 4ssss4^s^s4sj4sj4sj4s^4sv:%%&&j7Ayn']ERSqr'(:;DE[\  4 G   " < O  ? T ~  ) y W 3x !qr    ->Pd#7_s*JKdx  5IZl ,@Vj@Aquckl/0lm+PQjklmnfgvw  VWXY[\^_abdepqr000000000000000000000 000 00 00 00 00 000 00 00 00 00 00 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 000 0 00 0 00 0 0  0  0  0  0  0  0  0 0 0 000 00000 0000 000 0 0 0 0 0 0 0 000 00 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 00 0 0 0 0 00 0 0 0 00 0 0 0 000 0 00 0 00 0 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 800X0000X0000X0000X0000X00PX00PX00P00 eeeh (  04l!"cdeefghhij$kkl$mm:nnoprtwxy$z "$'*,./?BGHJLNPRTVXZ\]`adgjlqvyP E4Z\%&#bcc"dddd$f|fgg8ilijk\llmm$oo&pppq|sxuu@vpwwxxxPyly$z!#%&()+-0>@ACDEFIKMOQSUWY[^_bcefhikmnoprstuwx"z+7=FV[k.>FV_oIU[ur~ (48EQY   4 @ E    < H M  T _ n t v |  & c o u *0r~%+-9<>NP\b !#/5_kqs~"(*5>@BHdpvx 5AGIUXZjlx~ *,8>@LSVbhju~%068>lw0;Fbdjnz}+1=IOFFG$G$FFFG$G$G$FFFFFFFFFFFF"FFF"FFFF"FFFF"F"F"FFFFFFFFFFS FTFF"FFS FFF"FFS FFF"FFS FFF"FFS FFF"FFS FFFF"FFFS FFFF"F"FTF"FF"FFFFFF FMOT_ah!!8@0( A-gnmotuoitaELOn B S  ?)Text22Text23Check1Check2Text24Text25Text26Check3Check4Check5Text27Text29Text40Text30Text31Text33Text35Text36Text37Text57Text53Text38Text58Text54Text17Text18Text50Text21Text51Text16Text49Text3Text4 Dropdown1Text5Text2Text8Text56Text10Text12Text14,G\/G`Jv)EU  c s.?Q m~   !"#$%&'(>Wl?Wp\9Z} ' v 1,=Oc2 +4Yx|W_"  \ c Y~:::::::::::ch+>I\ur(9EZ  4 F   ! < N  T } 3r,-=>OPc"#6_rs)*Idwx 5HIYZkl +,?@TVij?l0kn}2=PXYY[[\\^_abdeorw{Yq^8k,*U.>K:5td*Ao:\6ZMp r^PJt(K+%od ^`OJQJo(808^8`0o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.\ \^\` o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.88^8`o(.88^8`.L^`L.  ^ `.  ^ `.xLx^x`L.HH^H`.^`.L^`L. 88^8`o(hH. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.88^8`o(.^`. L ^ `L.  ^ `.xx^x`.HLH^H`L.^`.^`.L^`L.o:K:5K+%o8k r^U.Z         HI7%<ERq':D[  4 G   " < O  T ~  xqr    ->Pd#7_s*JKdx  5IZl ,@Vj@Aquck/lm+PQjkmnfgvw  VW`@MS;MM `` ` ```$@`````8@``@@`"`bUnknownGz Times New Roman5Symbol3& z Arial3z Times5 Geneva"h&&fE 1E 1f_4dLLA2QP%<* EXHIBIT A Ruth Petroff Ruth Petroff,        Oh+'0   @ L X dpx EXHIBIT ARuth PetroffGreenacre_3632LCI_09Ruth Petroff1Microsoft Office Word@^в@@<@ E՜.+,0 hp  SELPA1 L'  EXHIBIT A Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz|}~Root Entry FData {O1TablejiWordDocumentGSummaryInformation(DocumentSummaryInformation8CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q