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RES 1317 11/15/2005 We Local Government urchasing Cooperative Cibolo Resolution #1317 BOARD RESOLUTION of The City of Cibolo, Texas (Name of Local Goverment) Cooperative Member WHEREAS, the City of Cibolo, Texas , (hereinafter "Cooperative Member") pursuant to the authority granted by Article 791 et seq. of the Interlocal Cooperation Act, as amended, desires to participate in the statewide purchasing program of the Cooperative; WHEREAS, Citv of Cibolo Texas , has elected to be a Cooperative Member in the The Local Government Purchasing Cooperative (hereinafter "Cooperative"), a program created by local governments in accordance with and pursuant to the Interlocal Cooperation Act ("Act"), Chapter 791, Texas Government Code and Section 271.101 of the Texas Local Government Code; WHEREAS, the Cooperative Member, is of the opinion that participation in the Cooperative's purchasing program will be highly beneficial to the taxpayers of the local government through the efficiencies and potential savings to be realized; and WHEREAS, the Cooperative Member desires to participate and join with other local governments in a cooperative Interlocal agreement ("Agreement") for the purpose of fulfilling and implementing their respective public and governmental purposes,needs, objectives,programs, functions and services. NOW, THEREFORE, BE IT RESOLVED, that the Cooperative Member does request that the Cooperative include its stated needs for all categories, including but not limited to, instructional, maintenance, custodial, and food service goods and services, on the Cooperative's Purchasing Program and award contracts for those items, whereby the Cooperative Members may be allowed to purchase those items from the Cooperative's contracts; and that Cooperative is authorized to sign and deliver all necessary requests and other documents in connection therewith for and on behalf of the Cooperative Members that have elected to participate. FURTHER, BE IT RESOLVED, that the Board of Trustees of the Cooperative Member does hereby authorize its Board President, Superintendent or other officer to execute the Interlocal Participation Agreement which includes the adoption and approval of the Organizational Interlocal Agreement previously executed and adopted by two or more local governments. 7 Coop Bylaws as last amended 7/31/2004 page l Bylaws of The Local Government Purchasing Cooperative (Adopted by the TASB Board on July 31, 2004) The Local Government Purchasing Cooperative ("Cooperative")has been created as an administrative agency of cooperating local governments and state agencies pursuant to the Interlocal Cooperation Act("Act"), Chapter 791, Texas Government Code; and the Interlocal agreement("Agreement or Agreements") between participating local governments and state agencies ("Cooperative Members")to purchase goods and services in the performance of their governmental functions. L PURPOSE AND OBJECTIVES The general objectives are to facilitate compliance with state bidding requirements, to identify qualified vendors of goods and services, to relieve the burdens of the governmental purchasing function, and to realize the various potential economies, including administrative cost savings, for local governments and state agencies which elect to participate in the Cooperative, and to perform such other services as the Cooperative Board of Trustees ('Board")may authorize. 2. NATURE OF THE ORGANIZATION The Cooperative is an administrative agency of local governments and state agencies. Texas public school districts must be members of the Texas Association of School Boards and their income must be described in Internal Revenue Code("IRC") section 115 in order to be eligible for membership in the Cooperative. Each Cooperative Member shall abide by the Bylaws, Agreements,rules, and regulations provided for the Cooperative. The Cooperative is a statutorily authorized nonprofit contractual mechanism by which, through Interlocal agreements with other local governments and state agencies, Cooperative Members may collectively or individually discharge their governmental functions of purchasing goods and services and related activities. 3. ESTABLISHMENT OF THE BOARD The Cooperative shall be governed by the Board. The Board shall operate the Cooperative on a nonprofit basis on behalf of the Cooperative Members pursuant to the Bylaws,Agreements, rules, and regulations, and shall have the further powers, duties, and functions as hereinafter set forth.All Board members, although maintaining their official capacity as elected officials or employees of local governments while serving upon this Board, shall act as representatives of all Cooperative Members. 4. BOARD QUALIFICATIONS Each member of the Board must be either an elected official or an employee of a local government which is a Cooperative Member. Any Board member who, at the time of appointment, is an elected official or employee of a Cooperative Member and who vacates that Coop Bylaws as last amended 7/31/2004 page 2 Position, shall be deemed to have vacated the position on the Board, and the position shall be deemed vacant at that time. 5. COMPOSITION OF BOARD The Board shall be made up of eleven (11) members appointed by the TASB President. Four shall be elected officials or employees of school districts, two shall be elected officials or employees of municipalities, one shall be an elected official or employee of a county, and four shall be at-large positions from any type of participating governmental entity. No Cooperative Member shall have more than one member on the Board. 6. VACANCY Any vacancy on the Board shall be filled in the same manner as the original appointment was made. If the appointment is not made within sixty (60) days, the Board shall fill the vacancy. Each vacancy on the Board shall reduce full membership of the Board by one (1) until such time as the vacancy is filled. 7. REMOVAL Any Board member may be removed at the discretion of the TASB President. Any Board member who is absent from three consecutive regularly scheduled meetings may be subject to removal from the Board by a majority vote of the remaining Board members. 8. TERM OF THE BOARD Initially,the four at-large positions may be appointed as early as September 1, 2004, with terms expiring the last day of February as follows: two positions with terms expiring in 2006, one position with a term expiring in 2007, and one position with a term expiring in 2008. Subsequent terms, excluding appointment for unexpired terms, shall be for three years.No person shall serve more than nine years. Board Member's terms end on the last day of February. 9. MEETINGS The Board shall hold an annual meeting in the summer of each year for the purpose of electing officers, receiving reports, and for other business that may arise. When called by the Chair, the Board shall hold such other meetings as are deemed appropriate and necessary for the transaction of its business. When any four Board members submit to the Chair a request in writing for a meeting, the Chair shall then call a meeting within 30 days of the latest of the four requests. The Chair shall set the time, date, and place of all meetings and shall give no less than five nor more than 30 days notice personally, by facsimile transmission, electronic transmission, by U.S. Mail, or by any other means that is accessible to all Board members. Notice may be waived if a majority of the Board files with the Secretary a written instrument affirmatively waiving the notice requirements contained herein. Coop Bylaws as last amended 7/31/2004 page 3 The Board meetings shall be held in Austin, Texas or at any other place upon proper notice to all Board members. The Chair may conduct valid Board business without a meeting by arranging a telephone conference of the Board members or by mail ballot. 10. QUORUMS AND VOTING A majority of members of the Board shall constitute a quorum. When a quorum exists, concurrence of a majority of those present and voting at any Board meeting shall be necessary for any official action taken by the Board. A majority of the full Board must concur for action taken pursuant to a telephone conference or mail ballot to be valid. On any occasion when a meeting is called and a quorum is not present, the Chair shall conduct valid business by polling the Board members who are present and then polling the absent Board members by telephone or other electronic transmission. In any poll taken by telephone or other electronic transmission, the Board members who are polled shall confirm their action in writing. 11. OFFICERS The Board shall, at its annual meeting, elect one of its members, Chair, another of its members Vice Chair, and a Secretary, who may or may not be a member of the Board. 12. CHAIR The Chair shall preside at all meetings of the Board and shall see that all actions and resolutions of the Board are carried into effect, and shall perform such other duties and have such other authority and powers as the Board may prescribe. The Chair, on behalf of the Cooperative, shall have the authority to sign and execute all contracts and other instruments, and to conduct the business of the Cooperative between Board meetings. 13. VICE CHAIR In the absence of the Chair or in the event of the Chair's inability or refusal to act,the Vice Chair shall perform the duties of the Chair, and when so acting shall have all the duties of and be subject to all the restrictions upon the Chair. The Vice Chair shall perform such other duties as may be assigned by the Chair. Coop Bylaws as last amended 7/31/2004 page 4 14. SECRETARY The Secretary shall keep the minutes of all meetings of the Board; the Secretary shall attend to the giving and serving of all notices. The Secretary shall have charge of the Cooperative's books, records, and such other books and papers as the Board may direct. The Secretary shall in general perform all duties incident to the office of Secretary subject to the control of the Board. In the absence of the Secretary, the Chair may appoint any person, other than the Chair,to act as Secretary during such absence. 15. EXPENSE REIMBURSEMENT The appointed, qualified, and acting members of the Board shall serve without compensation, but shall be entitled to reimbursement of actual, necessary, and reasonable expenses incurred in the performance of his or her duties. 16. POWERS AND DUTIES The Board, in addition to other powers and duties herein conferred and imposed or authorized by law, shall have the following powers and duties, which shall be exercised in the accomplishment of the Cooperative's public purpose: A. The Board shall have the general power to approve or ratify contracts and agreements necessary or convenient to carry out any of the powers granted under the Bylaws and to perform any of the functions necessary for carrying out the purposes of the Cooperative, including services to Cooperative Members. B. The Board shall make provision for proper accounting and reporting procedures for Cooperative Members. C. The Board shall carry out all of the duties necessary for the proper operation and administration of the Cooperative on behalf of the Cooperative Members and to that end shall have all of the powers necessary for the effective administration of the affairs of the Cooperative. D. The Chair shall be authorized to conduct the business of the Cooperative between Board meetings. E. The Chair may appoint committees of the Board as the Chair deems necessary to properly perform or more effectively carry out the mission and purposes of the Cooperative. Unless the Board has authorized otherwise, the committees of the Board will cease to exist at the close of the fiscal year. F. The TASB President may appoint special committees of the Cooperative from persons nominated for consideration by the Chair. Unless the Board has authorized otherwise,the special committees of the Cooperative will cease to exist at the close of the fiscal year. Coop Bylaws as last amended 7/31/2004 page 5 G. The Board shall have the authority, on behalf of all Cooperative Members, to terminate membership of any Cooperative Member that fails to abide by the Bylaws,Agreements, rules, and regulations provided for the Cooperative or commits any other action that may be detrimental to the fiscal soundness or efficiency of the Cooperative. H. The Board may hire or direct the hiring of attorneys, accountants, actuaries, or such other service providers that it may deem necessary for the proper administration of the Cooperative. I. The Cooperative, may institute, defend, intervene, or participate in a judicial administrative or other governmental preceding or in an arbitration, mediation, or any other form of alternative dispute resolution. It may also assert a claim in its name on behalf of its members if(1) one or more members of the Cooperative have standing to assert a claim in their own right; (2)the interests the Cooperative seeks to protect are germane to its purposes; (3) and neither the claim asserted nor the relief requested requires the participation of a Cooperative Member. The Cooperative shall have the authority to be the class representative of the Cooperative Members. The Cooperative has the authority to engage counsel and appropriate experts for and on behalf of the Cooperative and Cooperative Members in respect of such claims, disputes, litigation or other matters that may arise under this provision. J. The Secretary or designee shall be the custodian of the records and proceedings of the Cooperative. 17. FISCAL YEAR The fiscal year for the Cooperative shall be from the first day of September of each year and ending on the 31 st day of August of the succeeding year. 18. WITHDRAWAL FROM MEMBERSHIP Any Cooperative Member may withdraw from the Cooperative during the term of the Agreements, only in accordance with the terms of the Agreements. 19. LIABILITY Neither the Board,the administrator, nor any officers, trustees, board members, or employees shall be held liable for any action or omission to act on behalf of the Cooperative or the Cooperative Members unless caused by willful misconduct, and shall enjoy the broadest immunities permitted by law. 20. INDEMNIFICATION The Cooperative shall indemnify and hold harmless (either directly or through insurance) any Board member or officer of the Cooperative,to the extent permitted by law, for any and all Coop Bylaws as last amended 7/31/2004 page 6 litigation, claims or other proceedings, including but not limited to reasonable attorney fees, costs,judgments, settlement payments and penalties, arising out of the management and operation of the Cooperative, unless the litigation,claim or other proceeding resulted from the willful misconduct of such person. 21. INSURANCE The Cooperative may buy and maintain insurance on behalf of the trustees for any liability asserted against a trustee arising out of their relationships with the Cooperative. 22. COOPERATIVE TERMINATION Notwithstanding anything contained herein to the contrary, upon dissolution of the Cooperative, assets will first be used to pay all debts and obligations; remaining Cooperatives shall be distributed for IRC 501(c)(3)public purposes through pro rata distributions to such Cooperative Members which are school districts or local governments or state agencies of the State of Texas as have contributed to the Cooperative, from the date of founding, forward, on a net cumulative basis, and which are Cooperative Members for the year(s) of dissolution. For purposes of the foregoing, a local government or state agency is an instrumentality or political subdivision for the State of Texas described in the Act, and whose income is described in IRC 115. The precise formula for distributions, and the timing thereof, shall be determined by the Board. 23. AMENDMENTS TO BYLAWS The Board of the Cooperative may recommend such changes to the Bylaws, as it deems necessary or desirable. Amendment to the Bylaws may be made by the TASB Board of Directors after notice of the proposed amendments has been mailed to the members of the TASB Board of Directors at least ten (10) days prior to the day of the meeting to consider same. FINALLY, BE IT RESOLVED that the execution of this Resolution shall evidence the election of Cooperative Member and eligible local governments to become members of the Cooperative upon the terms and conditions stated. The Board of Trustees has, and at the time of adoption of this Resolution had, full power and lawful authority to adopt the foregoing Resolution and to confer the obligations, powers, and authority to the persons named,who are hereby granted the power to exercise the same. y certify that ` the foregoing is a true and co ,µlrrect co py of the resolution duly adopted by on the 15 rnday of ; v= in (Name o Local Govement) r the year DLJ , and that the same now appears of record in its official minutes. Jr.F rr (I) -)L;t o (Name of Localvernmentj , Cooperative Member v' `�Authori Representative Date: '( -0 j 1 a .! C)C: (Title) ATTEST: Secretary of the Board Date: 8 The Local Government P41� urchasing Cooperative INTERLOCAL PARTICIPATION AGREEMENT for the The Local Government Purchasing Cooperative This Interlocal Participation Agreement ("Agreement") is made and entered into by and between The Local Government Purchasing Cooperative ("Cooperative"), an administrative agency of cooperating local governments, acting on its own behalf and the behalf of all participating local governments, and the undersigned local government of the State of Texas ("Cooperative Member"). The purpose of this Agreement is to facilitate compliance with state bidding requirements, to identify qualified vendors of commodities, goods and services, to relieve the burdens of the governmental purchasing function, and to realize the various potential economies, including administrative cost savings, for Cooperative Members. WITNESSETH: WHEREAS, the Cooperative Members are authorized by Chapter 791, et seq., The Interlocal Cooperation Act of the Government Code ("the Act"),to agree with other local governments to form purchasing cooperatives; and WHEREAS, the Cooperative is a local cooperative association as authorized under Section 271.101 of the Local Government Code; and WHEREAS, the Cooperative Member does hereby adopt the Organizational Interlocal Agreement, together with such amendments as may be made in the future, reflecting the evolving mission of the Cooperative and further agrees to become an additional party to that certain Organizational Interlocal Agreement promulgated on the 26th day of January, 1998. NOW BE IT RESOLVED that the undersigned Cooperative Member in consideration of the agreement of the Cooperative and the Cooperative Members to provide services as detailed herein does agree to the following terms, conditions, and general provisions. 1 In return for the payment of the contributions and subject to all terms of this Agreement, the parties agree as follows: TERMS AND CONDITIONS 1. Adopt Organizational Interlocal Cooperation Agreement. The Cooperative Member by the adoption and execution of this Agreement hereby adopts and approves the Organizational Interlocal Agreement dated January 26, 1998, together with such amendments as may be made in the future and further agrees to become a Cooperative Member. 2. Term. The initial term of this Agreement shall commence at 12:01 a.m. on the date executed and signed and shall automatically renew for successive one-year terms unless sooner terminated in accordance with the provisions of this Agreement. The terms, conditions, and general provisions set forth below shall apply to the initial term and all renewals. 3. Termination. (a) By the Cooperative Member. This Agreement may be terminated by the Cooperative Member at any time by thirty (30) days prior written notice to the Cooperative; provided all charges owed to the Cooperative and any vendor have been fully paid. (b) By the Cooperative. The Cooperative may terminate this Agreement by: (1) Giving ten (10) days notice by certified mail to the Cooperative Member if the Cooperative Member fails or refuses to make the payments or contributions as herein provided; or (2) Giving thirty (30) days notice by certified mail to the Cooperative Member. (c) Termination Procedure. If the Cooperative Member terminates its participation during the term of this Agreement or breaches this Agreement, or if the Cooperative terminates participation of the Cooperative Member under any provision of this Article, the Cooperative Member shall bear the full financial responsibility for any purchases occurring after the termination date, and for any unpaid charges accrued during its term of membership in the Cooperative. The Cooperative may seek the whole amount due, if any, from the terminated Cooperative Member. The Cooperative Member will not be entitled to a refund of membership dues paid. 4. Payments. (a) The Cooperative Member agrees to pay membership fees based on a plan developed by the Cooperative. Membership fees are payable by Cooperative Member upon receipt of an invoice from the Cooperative, Cooperative Contractor or vendor. A late charge amounting to the maximum interest allowed by law, but not less than the rate of interest under Section 2251.021, et seq., Texas Government Code, shall begin to accrue daily on the 31St day following the due date and continue to accrue until the contribution and late charges are paid in full. The Cooperative reserves the right to 2 collect all funds that are due to the Cooperative in the event of termination by Cooperative Member or breach of this Agreement by Cooperative Member. (b) The Cooperative Member will make timely payments to the vendor for the goods, materials and services received in accordance with the terms and conditions of the Invitation to Bid and related procurement documents. Payment for goods, materials and services and inspections and acceptance of goods, materials and services ordered by the procuring party shall be the exclusive obligation of the procuring Cooperative Member. 5. Cooperative Reporting. The Cooperative will provide periodic activity reports to the Cooperative Member. These reports may be modified from time to time as deemed appropriate by the Cooperative. 6. Administration. Cooperative Member will use the BuyBoard purchasing application in accordance with instruction from the Cooperative; discontinue use upon termination of participation; maintain confidentiality and prevent unauthorized use; maintain equipment, software and testing to operate the system at its own expense; report all purchase orders generated to Cooperative or its designee in accordance with instructions of the Cooperative; and make a final accounting to Cooperative upon termination of membership. 7. Amendments. The Board may amend this agreement, provided that notice is sent to each participant at least 60 days prior to the effective date of any change described in such amendment which, in the opinion of the Board,will have a material effect on the Cooperative Members participation in the Cooperative. . GENERAL PROVISIONS 1. Authorization to Participate. Each Cooperative Member represents and warrants that its governing body has duly authorized its participation in the Cooperative. 2. Bylaws. The Cooperative Member agrees to abide by the Bylaws of the Cooperative, as they may be amended, and any and all reasonable policies and procedures established by the Cooperative. 3. Compensation. The parties agree that the payments under this Agreement and all related exhibits and documents are amounts that fairly compensate the Cooperative for the services or functions performed under the Agreement, and that the portion of gross sales paid by participating vendors enables the Cooperative to pay the necessary licensing fees, marketing costs, and related expenses required to operate a statewide system of electronic commerce for the local governments of Texas. 4. Cooperation and Access. The Cooperative Member agrees that it will cooperate in compliance with any reasonable requests for information and/or records made by the Cooperative. The Cooperative reserves the right to audit the relevant records of any Cooperative Member. Any breach of this Article shall be considered material and shall make the Agreement subject to termination on ten (10) days written notice to the Cooperative Member. 5. Coordinator. The Cooperative Member agrees to appoint a program coordinator who shall have express authority to represent and bind the Cooperative Member, and the Cooperative will not be required to contact any other individual regarding program matters. Any notice to or any agreements 3 with the coordinator shall be binding upon the Cooperative Member. The Cooperative Member reserves the right to change the coordinator as needed by giving written notice to the Cooperative. Such notice is not effective until actually received by the Cooperative. 6. Current Revenue. The Cooperative Member hereby warrants that all payments, contributions, fees, and disbursements required of it hereunder shall be made from current revenues budgeted and available to the Cooperative Member. 7. Defense and Prosecution of Claims. The Cooperative Member authorizes the Cooperative to regulate the commencement, defense, intervention, or participation in a judicial, administrative, or other governmental proceeding or in an arbitration, mediation, or any other form of alternative dispute resolution, or other appearances of the Cooperative in any litigation, claim or dispute which is related to the subject of this Agreement, and to engage counsel and appropriate experts, in the Cooperative's sole discretion,with respect to such litigation, claim or disputes. The Cooperative Member does hereby agree that any suit brought against the Cooperative may be defended in the name of the Cooperative by the counsel selected by the Cooperative, in its sole discretion, or its designee, on behalf of and at the expense of the Cooperative as necessary for the prosecution or defense of any litigation. Full cooperation by the Cooperative Member shall be extended to supply any information needed or helpful in such prosecution or defense. Subject to specific revocation, the Cooperative Member hereby designates the Cooperative to act as a class representative on its behalf in matters arising out of this Agreement. 8. Governance. The Board of Trustees (Board) will govern the Cooperative in accordance with the Bylaws. Travis County, Texas will be the location for filing any dispute, claim or lawsuit. 9. Limitations of Liability. COOPERATIVE, ITS ENDORSERS ,(TEXAS ASSOCIATION OF SCHOOL BOARDS, TEXAS ASSOCIATION OF COUNTIES, AND TEXAS MUNICIPAL LEAGUE) AND SERVICING CONTRACTOR(TEXAS ASSOCIATION OF SCHOOL BOARDS DO NOT WARRANT THAT THE OPERATION OR USE OF COOPERATIVE SERVICES WILL BE UNINTERRUPTED OR ERROR FREE. COOPERATIVE, ITS ENDORSERS AND SERVICING CONTRACTORS, HEREBY DISCLAIM ANY AND ALL WARRANTIES, EXPRESS OR IMPLIED, IN REGARD TO ANY INFORMATION, PRODUCT OR SERVICE FURNISHED UNDER THIS AGREEMENT, INCLUDING WITHOUT LIMITATION, ANY AND ALL IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. THE PARTIES AGREE THAT IN REGARD TO ANY AND ALL CAUSES OF ACTION ARISING OUT OF OR RELATING TO THIS AGREEMENT,NEITHER PARTY SHALL BE LIABLE TO THE OTHER UNDER ANY CIRCUMSTANCES FOR SPECIAL, INCIDENTAL, CONSEQUENTIAL, OR EXEMPLARY DAMAGES, EVEN IF IT HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. 10. Merger. This Interlocal Participation Agreement, Terms and Conditions, and General Provisions, together with the Bylaws, Organizational Interlocal Agreement, and Exhibits, represents the complete understanding of the Cooperative, and Cooperative Member electing to participate in the Cooperative. 4 11. Notice. Any written notice to the Cooperative shall be made by first class mail, postage prepaid, and delivered to the Associate Executive Director Financial Planning, Texas Association of School Boards, Inc., P.O. Box 400, Austin, Texas 78767-0400. 12. Venue. This Agreement shall be governed by and construed in accordance with the laws of the State of Texas, and venue shall lie in Travis County, Texas. 13. Warranty. By the execution and delivery of this Agreement, the undersigned individuals warrant that they have been duly authorized by all requisite administrative action required to enter into and perform the terms of this Agreement. 14. Legal Authority. The Cooperative Member represents and warrants to the Cooperative the following: a. It meets the definition of "Local Government" or "State Agency" under the Act. "Local Government" means a: county, municipality, special district or other political subdivision of Texas or another state; or combination of two or more of those entities. "Political Subdivision" includes any corporate and political entity organized under state law. "State Agency" means (A) a department, board, bureau, commission, court, office, authority, council, or institution; (B) a university, college, or any service or part of a state institution of higher education; (C) a local workforce development board created under Texas Gov't Code Section 2308.253; and (D) any statewide job or employment training program for disadvantaged youth that is substantially financed by federal funds and that was created by executive order not later than December 30, 1986; or similar agency of another state. b. The functions and services to be performed under the Agreement will be limited to "Administrative Functions" as defined in the Act. "Administrative Functions" means those functions normally associated with the routine operation of government, including tax assessment and collection, personnel services, purchasing, records management services, data processing, warehousing, equipment repair and printing". c. It possesses the legal authority to enter into the Agreement, designates the Cooperative as its agent, and can renew the Agreement without subsequent action of its governing body. d. Purchases made under the Agreement satisfy all procedural-procurement requirements that the Cooperative Member must meet under all applicable local policy, regulation, or state law. e. All requirements, local or state, for a third party to approve, record or authorize the Agreement have been met. 5 IN WITNESS WHEREOF, the parties, acting through their duly authorized representatives, sign this Agreement as of the date indicated. TO BE COMPLETED BY THE COOPERATIVE: The LOCAL GOVERNMENT PURCHASING COOPERATIVE, as acting on behalf of all other Cooperative Members By: Date: Gerald Brashears, Cooperative Administrator TO BE COMPLETED BY COOPERATIVE MEMBER: / —�� C %,,-I. C� ,--3 (Name of Lo Go ent) By: i �/�y %/ Date: — '"> C S , Signacture of 4toKrizetf representative of Cooperative Member Printed name and title of authorized representative Coordinator for the Cooperative Member is: Name Mailing Address City Texas, (zip) '� 10 - (-o:5' Cdc i f)(� Tel hone Fax Email 6