Provider Agreement - 2009
!----
-t,
BlueCross
BlueSbield
of Kansas "
1133 SW Topeka Boulevard
Topeka, Kansas 66629-0001
In Topeka - (785) 291-7000
In Kansas - (800) 432-0216
Web site: www.bcbsks.com
September 21, 2009
City of Salina EMS
P.O. Box 736
Salina, KS 67402
200KS00365AO 1
72663
Dear Provider:
TriWest Healthcare Alliance (TriWest), and Blue Cross and Blue Shield of Kansas are pleased to
announce that TriWest Healthcare Alliance was awarded the contract for the TRICARE West Region by
the Department of Defense (DoD) on July 13,2009. TriWest has been a Managed Care Support
Contractor for the DoDsince 1997 and looks forward to continuing to provide access to health care for
the 2.7 million TRICARE beneficiaries in the 21-state West Region.
On behalf of the TRICARE beneficiaries, we would like to thank you for your hard work and
dedication. Your commitment to providing quality health care helps ensure that active duty service
members, military retirees and their families are well served. Your continued participation in this
network serving the men and women of America's military family is greatly appreciated.
f(
TriWest is determined to build on its successes and continue to focus on delivering superior customer
service to our provider network and to the TRICARE beneficiaries. TriWest is engaging a number of
enhancements to improve the provider experience, including greater availability and easier access to
information on its Web site.
Enclosed is an amendment to your current TRICARE Provider Agreement, effective February 1,2010.
The amendment updates your current provider agreement to align with the new Department of Defense
TRICARE West Region contract. No action is required by you at this time in order for you to
continue serving America's military family as a network provider in the West Region. For your
convenience, a summary of the TRICARE Provider Agreement changes is enclosed. If you have any
concerns about this amendment, please call before November 21, 2009.
Additional information and resources are available at www.triwest.com. Information about the
TRICARE program is also available at www.tricare.mil. If you have any questions, please contact your
local network representative at 1.800.432.3587.
Thank you for continuing to serve all ofthose who so selflessly serve all of us!
Sincerely,
Douglas R. Scott
Director Professional Relations
Enclosures: Contract Amendment
Summary of Contract Changes
"An Independent Licensee of the Blue Cross and Blue Shield Association.
.,.
'i
TRICARE PROFILE SHEET
W9ILEGAL BUSINESS NAME City of Salina EMS
FEDERAL TAX ID # 486017228
PRIMARY PHYSICAL ADDRESS P.O. Box 736
LINE 1
PRIMARY PHYSICAL ADDRESS
LINE 2
PRIMARY PHYSICAL CITY Salina KS 67402
STATE ZIP
PRIMARY CONTACT PERSON
PRIMARY PHONE/FAX
PRIMARY EMAIL
BILLING ADDRESS LINE 1
BILLING ADDRESS LINE 2
BILLING CITY STATE ZIP
BILLING CONTACT PERSON
BILLING PHONE/FAX
BILLING EMAIL
200KS00365AO 1
Page 1 of 4
~
,
AMENDMENT TO TRICARE ANCILLARY CONTRACT
This amendment to the TRICARE Ancillary Contract (this "Amendment") is entered into effective
as of 2/1/2010, ("Effective Date") by and between Blue Cross Blue Shield of Kansas , a Kansas
nonprofit corporation, ("Network Subcontractor") and City of Salina EMS ("Provider") (jointly
referred to as the "Parties" or individually as a "Party"). This Amendment amends the TRICARE
Ancillary Contract (the "Agreement") between the Parties as follows:
1. The following shall be added to the Recitals:
"TriWest is contracted by the Department of Defense to administer the TRICARE program in the
West Region."
2. Section I, Definitions: The definition "West Region Contract" shall be deleted in its entirety.
3. Throughout the Agreement the phrase "TRICARE benefiCiaries and/or Active Duty
personnel" shall be removed and replaced with "TRICARE beneficiaries."
4. Section III, Provider Responsibilities: The following provisions shall be added:
. "Provider shall provide Network Subcontractor prompt written notification of Provider's
employment of an individual who, at any time during the twelve (12) months preceding such
employment, was employed in a managerial, accounting, auditing, or similar capacity by an
agency or organization which is responsible, directly or indirectly, for decisions regarding
Department of Defense payments to provider."
"Provider shall refer TRICARE Beneficiaries only to providers with which Provider does not
have an economic interest, as defined in 32 C.F.R. ~ 199.2."
5. Section III, Provider Responsibilities: The following provisions shall replace, in their entirety,
those provisions in the Agreement covering similar terms and conditions:
"Provider shall collect applicable Copayments from TRICARE Beneficiaries. Except as
otherwise provided in this Paragraph B., Provider may not bill TRICARE Beneficiaries for
any service that is non-covered or disallowed. Provider shall not routinely waive Copayments.
Except for Copayments, Provider agrees that in no event (including, but not limited to,
nonpayment or breach of this Agreement by TriWest or TriWest's insolvency) shall Provider
bill or collect for Covered Services from a TRICARE Beneficiary, and this provision shall
survive termination of this Agreement. Provider shall not require payment from a TRICARE
Beneficiary for any excluded or excludable service that the TRICARE Beneficiary received
unless the TRICARE Beneficiary has been properly informed that the services are excludable
and has agreed in advance of receiving the services, in writing, to pay for such services. A
TRICARE Beneficiary who is informed that care is potentially excludable and proceeds with
receiving the potentially excludable service shall not, by receiving such care, be construed
200KS00365AO I
Page 2 of 4
,-
.,.
,I
to have entered into an agreement to pay. Provider acknowledges that payment shall not be
allowed for a non-Covered Service unless the TRICARE Beneficiary (with the exception of
Active Duty personnel) is properly informed and agrees in a separate writing. Any waivers must
be specific as to the details of the excluded or non-Covered Service. General agreements to
pay, such as those signed by the TRICARE Beneficiary at the time of service, are not evidence
that the TRICARE Beneficiary knew specific services were excluded or excludable or that the
TRICARE Beneficiary agreed to pay. Notwithstanding any contrary provision herein, Provider
shall not bill or collect payments from Active Duty personnel for non-Covered or excludable
services. "
"Provider agrees to being reported to the Department ofVeteraI)s Affairs (DV A) as a TRICARE
Network Provider. To the extent TriWest and DV A enter into an agreement, Provider agrees to
see Veterans Administration (VA) patients and shall accept reimbursement for these patients at
the rates set forth in Exhibit 1 to the Agreement. In the event Provider has an existing agreement
in effect to provide health care services to the Department of Veteran Affairs patients such VA
agreement shall control for any services provided to VA patients."
"Provider agrees to being reported to the Civilian Health and Medical Program of the
Department of Veterans Affairs (CHAMPV A) as a TRICARE Network Provider. To the
extent TriWest and CHAMPV A enter into an agreement Provider agrees to see CHAMPV A
patients and shall accept reimbursement for these patients at the rates set forth in Exhibit 1 to
this Agreement. In the event Provider has an existing agreement in effect to provide health
care services to CHAMPV A patients such CHAMPV A agreement shall control for any services
provided to CHAMPV A patients."
"Provider agrees to provide copies of medical records to TriWest within ten (10) business days
of TriWest's request, to permit TriWest to conduct peer review, quality assurance and utilization
review. At the Provider's request TriWest will'reimburse Provider for the cost of photocopying
and postage using the same reimbursement as Medicare."
"Provider shall provide and maintain policies of general and professional liability (malpractice)
coverage to insure Provider against any claim for damages arising by reason of personal injury
or death resulting directly or indirectly from the performance of this Agreement. Such coverage
shall be subject to the approval of Network Subcontractor and be in an amount equal to the
greater of the highest amount required by law or in the absence of such law, the community
standard for such coverage. Provider shall provide Network Subcontractor with a certificate of
such coverage upon execution of this Agreement, entitling Network Subcontractor to receive
thirty (30) days' prior notice of any change in coverage or termination or expiration of coverage.
If coverage is on a claims-made basis, Provider shall obtain or seek verification from employed
physicians proof of Tail Insurance satisfactory to Network Subcontractor upon any termination
of coverage and containing an extended reporting endorsement for a period of not less than three
(3) years after the termination of this Agreement."
200KS00365AO I
Page 3 of 4
....
.,
6. Section IV, Provider Directory: The following provisions shall replace, in their entirety, those
provisions in the Agreement covering similar terms and conditions:
"TriWest may periodically include Provider's name, gender, work address, work fax number
and work telephone number, whether the Provider is accepting new patients, specialty or sub-
specialty and willingness to accept VA and CHAMPV A beneficiaries in a directory of Network
Providers. "
7. Section VII, General Provisions: The following provision shall replace, in their entirety, those
provisions in the Agreement covering similar terms and conditions:
"All amendments to this Agreement or any of its Addenda proposed by Provider must be
agreed to in writing by Network Subcontractor in advance of the effective date thereof.
Any amendment to this Agreement, including any of its Addenda, proposed by Network
Subcontractor shall be effective 30 days after Network Subcontractor has given written notice to
Provider of the amendment, and Provider has not notified Network Subcontractor in writing of
Provider's rejection of the requested amendment within that timeframe."
"Amendments required because of legislative, regulatory or legal requirements, including
without limitation any and all changes made to TRICARE reimbursement or the TRICARE
program and policies, do not require the consent of Provider and will be effective immediately
on the effective date thereof'.
If any provision of this Amendment is deemed illegal, unenforceable or in conflict with any
law of a Federal, state or local government having jurisdiction over this Agreement, the validity
of the remaining sections and of the Agreement shall not be affected. This includes, without
limitation, a change in TRICARE law or policy which is inconsistent with any provision of
. this Amendment. Except as amended hereby, all of the terms and conditions of the Agreement
remain in full force and effect
-- Signature Not Required --
This Amendment addresses changes in the TRICARE program or TriWest's contract to
administer the TRICARE program and, therefore, do not require signature. If Provider fails
to object to this amendment prior to its Effective Date, Provider waives any provision in the
Agreement that requires signature of the Parties to amend the Agreement.
200KS00365AO I'
Page 4 of 4
~
~
3!!l.
(I)::C
3 ~
cr=-
!Il :T
~ a
Q.(I)
>>
IL~~
~ m ~ ..
O'Q~",
3 0
_. 0
-<"9!
s-~
:TO'
(1).0
"'c
_0
*-~
a:T
(I) (I)
--<0
",=-
-:T
00
>0
"'~
m(l)
~lf
!!l.'"
"':...
<2: ;l.
i:j'=
::J er
. :l
.
~;;I
~.....
;~
is'''
~.....
CD:;!
~(;;'
...,'
CD "0
~a
. a
ca
a
"0
::r
~.
==
en
CD
n
::t:
o
:s
-t
::s"
..
o
c
CO
::s"
o
C
-
~
o
n
c
3
CD
:s
-
0-
CD
CD
"0
0-
o
CD
Q
S'
~
"'1J
..
o
<
a:
CD
..
",-
..
CD
'"
"
o
:s
'"
go
==
CD
'"
~O)>CD ()::S CP.......:lllI .
o 0 (Q < 0 0 ~ ;;0 CD ::s ~ :. 0 ::sO 0" CD -+ ...,
;:- CD CD m "0 l' -u ()" H:::: 2- 0. -< 3 3' g ~ CD CDCT ::!' CDI () 0 c
-OCD~O ..., -~~- -0 -+- w OOCD
~-+3=-<0(0)>QO<CDOCD::s~CD5~0-::SSO::S::S-
<_ -3 <;;on <~ 0 Oo.OCD CD"'~-+-+CD
_. 0 CD::S < . a: m CD :.y, ;;r... ::5. -+ 0 -< C 0 ~ 0 :::!l CD :::T"" 0"" -
<...,::s [LCD CD CD CP~' 0 ::o.-<(Q CD"" -+.. CD 0 ~o 0 CD
CD () -+ C ::s CD"" ..., CD .. ?O :::T ""U CD - CD 0. :5" 0-' :: 0. 0-' .. 0 0 0 ~
-+ Q. -+ ~ ..., ..., _ ""U....... -+ -+ ..
CD 0 CT _. !" Q. 3 ::S.,; ""U 0 . = 0 ::s -. (Q ::s ..., ~ ~':::T CD ::s - <
..., < -<::s 00 CD..., ..., < ..., 0::S -+0 0 _.CD..., C 0 <
~m~~~...,-<~~~~a: 0.-<0~-~~0"'g~3~m
::s CD < 0 Q. ..... -. -. '<> 0.-' CD CD 0 3 ""U 0. - co = :::T .....
on<CT _~OQ.~ ..... 0"" -+""CD~::S oCTCD;;o
-+ CD C CD 0'" 0 ~. CD' CD '" in' 0 0 ~ 0 ..., ;;0 Q. :::T ::s CD CD
_. en '" -+"0 _ ..... CD..... ="":::T -. ..... ::s CD < '" -........ 0 0 ..., ....... co
oCD.....::s-+5CT!"'" 0.0 0(Qo_a::::TOOCCD7~-
::S<OO-<= :::T 0= ::so <CDO)>""-+' ~()O
o-.....-+Q<.......~o CD"" "'::sCOCD...,=;;o)>..... o)>::s
_2~=()CD;;oo= "'~ CD~m~~"Omo~ ~;;o()
~"'~~0~RCD8 ::sm (Qq[tvCDOO"~)> omo
in' =t CD -+"0 ~ )> -g. = 9. ....... Q <:5" - - 3 ::5. CD CD co '?' ~ ::s
)>O~o.CDoo;;oOCD :::T;;O 0.::s03"Oo.CD::SOCD"" OCD~
3 -<<m 0 - - OO-CD w"'o
..., ",_ -+ 3 _. '" -+ 0 0 ::s ~ 0 ::s 0 :::!l C CD I..... 0
CDo:rPCDQ.~9.0 (15)> (Q:::TO-+-<3ZQ.-<3 Q;;o-+
CD......."'::s::sm::s:::T"O ;;0 offc~ ~O"OCD oCDI
3~~0~"'CDCD"O om CD:::Ta"OCD~iCD::S oq.......
CD () < ::s _ :::T:::!l ~ 0 ::s OJ "0 -. :i" ..., 3.. 0 '" ..., -+ 0 0 ~
a )> ~ -g ~ g,g. in' 0 ~ ~ Q ~ (Q ~ 0 ~ . = g ~ :: ? 7
. ;;oo-<O::s...,CDCT oCD 3-+"'- CD-en CD <o~
~ m:s. 3 ::5. 0 (ii'"O m ::s:::!l "0 0 0. 0 C ~ "0 ;r. CD 0
oCP 0......"'..., 00 CDoc-::SO" -:::T O"O::S
< CD ~ CD CD 0"" _ 0 () 3 ,r 3.. ::s 9: (Q::S :::::;. 0 = 0"" :::T 0 0
-::s ::s..., 0<0 ..., ",-+ ~o '" CO
o.CDO-+ c...,- -~ o-~",o. :::T'" ~~CD
CD:::!l=OO::!:OQ."o ~.'" _Q:(Qc<::"a OCD 03Q.
""0 ""U...,co::s::sCD 0 ::s OCD- 0-...., = - '"
~croO"CD~-<Q.-< -+gCD- 0:::T~0 CT~ ~()
0'<CD""CD-<"'~CD3 m~ CD-9:""CDOU CD~ 2.....0
_~_ "'<~ CD- ...,'" -0 0 <0.....
::s~io-+<~~a ~~ aCD~3~"" CD)> O_CD
o;;r....,~~~~~'" - CDQ=U:::T~ 3;;0 ao~
~"'~o~C15CD""Ug g~ "O-<QQPo om -+~"O
CD~=-::S ~Q3 o.~ oQ03a3 CI5 o CD "0
~iQja ~i II ~ ~~;~ m 1~9
CD~ ~a::S"" CD O~::S~ a CD
Q "0 o.CD '" a Q. < -<:;: Q.::S '"
~ :::T "'.....< -+ -+
-<0 CD
'" ::s
CDO;;o~O"""'"
co::sCD-<>CD:::T
o co 3 :c -. '"
aCO~::SCD
_. 0 < 0 0 -
::SCOCD OCD
COCDQ.~3CD
)>Ocw"O::s
0::s::S =0
::!:Q.::S ~.o CD
<Q.CD ::s~
CD _.0 0 0
O~CD CD",
C ::s ~ ~
..... 0 0 -. 0
-< ..... ..., ..... 0.
. -. -< :::T 0.
g 0 CD
-no.
;;0-+
<.<no
OO"S'CTo.)>
-n CD -. CD CD 0
;;0 -. '" ::s --+
<.<n ::s ..., CD S' <::"
~O~:::!l=O:CD
CD 0 -.
,<>0 3 ..., -. 0 0
:c CDO::SC
o."O::S 0-+
"Q=o --<
_ 0 CD ....... S'
~::s~ ~o
w20 )>ne
- '" Q.
~ ~. 0 ~ CD
-~Q. Q.
0. -.
-CD ::s
~o. ~
o CD
.go~n~Q.""'"
"0 ca::S CD 0 0 CD ;r.
=c~a::s~~
80;;oaSCDm,
CT co CD 0 CD ....... CD
- CD co ..... Q. ~. ...,
CD _. o' 0 ~ CD
. "'::s~OCD~
go Q~CD
_ 0 CD ",- ~
o::s .- ..., 0
::s ~ v. 0
caO Cm'"
CDO ~oo
...,..... v Q.
Q"'Q.
-+.....CD
~Q.
0-
en
CD
n
::I:
o
:s
c
CD
::!J
:s
==
o
:s
'"
O~
Q.~
3~
-. CD
2.~
'" ..
-+.......
CD ...,
~~
:::TCD
CD '"
.......-+
;;0 in'
Ro
)>0
;;0 a
m""
"00
..., 0
0.....
co CD
..., Q.
OCT
3-<
-. -+
::s:::T
.....CD
:::To
CD CD
~"O
CD 0
'" ~
.....3
;;0 CD
~ ::s
o' c;-
::s -
. 0
CD
-
CD
::s
II>
CD
0-
en
=
3
3
~
~
o
I-+)
n
o
=
f'IIt-
t-t
~
n
f'IIt-
,
I
,
n
=r
~
=
(JQ
~
rn
~
i
CD
'"
-
"'1J
..
o
S
~
CD
..
en
CD
i
n
CD
'"
#
I "
"
"
~
CD~
~i;;'
CD "0
~,Q
. Q
(Q
a
"0
:::r
~
tr
CD
CD
"0
Q
()
CD
Q
S'
~
~
3 -
Q)::t:
3 ~
K~
Q.~
>>
~ [ :(~
3~ J)
~6: )J
-< m 'l; ..
C' a ~ III
30
_,0
~m
"-
-0
if.o
~a
J.=O
-'<
s,,,.
~[
"'-
n~
~~
1Q'
='f')
"'.....
~~
0=
?g
~U3~~WZ()~z)>Q.QO~OrrUCDCD~0~)>n~~~~~CD~~U
~::rO~O CDOCDCD(QCD(Q~~~~Ox<(Q~~OOOOO-~XCD~O
OV~Q.3CDCDO~3 ~CDQ~Q.~CDO~Q~~~~~<<::rCDQ~Q~~<
-CD-- <3::r< _~~QX~ eCDCDO~<CD- -3~eCDo3
OQ ~<eO ~OCD::r~~nQoZQ.~Q.~(QCD~Q.()~ CCQ.=CDCD
~ 0 rr 9. ~ g: ~ e ::r ~ 3 CD - Q. CD e 0 Q.. CD 0 rr n' 0 CD m Q ~ CD ~ 0 Q. _ ~
a~O~::r~~~CD~CD~OCD~Q.=<Q.CD<o)>eQ.OCDccQ.orro::r-
~ !!!. ~ -. e .:< ~ e ~ e ~ ~ .. 0 CD < 0 - _ < ~ - ~ 0 - - - CD -< 0 -
n. u ~ =l- Q,rr ~ rr ;+ ~ '< !!!. = rr 0 =+ ~ ::r ::r CD < '< m 7' rr ::r ::r"'O - 0
Qo~Q~_off~O~~Qg~~;~CD9.CDCD~i~~CDCD9.~g~~3
eQ,~W~ig~Q.ogoQ.Q3'~~~Qga~~Q.~~2ig~8~Q.;~0
O-"'O-)>~ e~::r- -Q.~ Q.eCD()~<O -~-~~::r~~~
0-Q.~Q.CCOO~QOCD_~CD-3-Q. )>CDCD~~CDQ.~CDCD~O=-~
~~CDoo~oa-ooOOrr~OCD~o~ ~~~- ~~-e~wn-()
00~-,<CD-CD-<~~=~CD~CCrr-~-3CDCDCCeff~Oo~)>
~=~~~CDQ~~QCD,<Q.=+::r~=0-()m2 ~~CDCD=U::rccU~)>
~ 0 ~ ...... 3 < ~ e Q Q~ 0 Q '< Q. - ~ CD )> ~. ~ -. - ~ 0. '< Q.. ~ ~ O~ m m~
~= v <~- ~3-- ~<o~w -~::r CDww
i50Q,~~~~~~~~Q~~ 3o~mi~rr~CD[~~~~~irr
~~~g~~o::rrrrr!~~5~ )>g~g~~~~~"'O~eff2~~i~
~o~<o~og,<mQm~afi o~-~~mUCDno<Q.,<~o~~~
OCD~CDo~~CD<o-~=OQom ~O::r-~'~CD~)>'<CDO~)>Q._-o
~ ~ 0 ~O - =l- ~ ~ <, -. '< 0 '< 3 rr \11 0 0 -.
OO~ CD=-m~Qrr,<~~o CD,<mooo~-~CDCD_X~<~-<O
~ [ ~ ~ Q, c5 8 s Q ~ ~ d~' R ~ g ~ ~~. :: ~ o' a- ~ ~ ~ ~ g R g ~ ~ ~
~R~~g~~~~3Q3rro3 .:<~n7'ima~~~~~~)>2~oQ
o-<O<~o~-om-'<Oo u~)>~_3ffmCDoQ.~rr~o::r~0
<~!~o~=oi~n.iCD~~ mg~I~~-Q.~~~CDCD~~9.~~
mo-=m::ro~e~Q-ffUaO~ ~::r~~m~iOOOO!OCDmo-Q.CD
000 OQ.rrm mO(Q~ mCDuo_ ~-<-OO~~ ::rex
z9.cc~~::rm~D~~~CDu 3(j)~m-OQQ_rr~=Q~~CD~Q
CDoCD~CDirro~~8CDQOffO CD~~~~U~(QO~CDo~"'O~~~meQ.
~ ~ Vi' -, 0 0 ::r 0 - Q 3 - _. = :;; - Q. -. ~ 0 Q. ~ =+ Q. cc Q.. 0 o' cc ~ ~
~ < _ 0 ~ 0 < 0 m -"0 Q U ~ Q. 0 ~ 0 0 -. '< v;- CD ::r - ~ _ 0' -. _ CD
Q.o~ O~CD= 0 m~CD ~~-<~o- CD-OCDrrCD,<-O::rQ.
o~3~~ga~Q.~~~~~~ ~~o~~~~~il~'<CD~im~Q
g CDoCDOi~~m<m~CD- ~Q.(Q~Q~::r~CDQ.CD~~~~O~CD
~ 30a~efiO~~Q.~0~~ hm~CDCDQmo~o-~Q~~~CDR~
- "'O-cc~"'OCD::rmo-- O~CD~~~CD~CD~_~=+ - )>-
~ -3CD-00 -QQ-~2~i <::rQ.~o_x~"'Ooo~::r 0 ~e
~ o~ ~ <_ ~eQ.~ CD '0 CD-::rov_ ~ CD mOo
~ '0 <m 'mo ~=O-~ OEO-o'~Ucc ~ 0
\11 ~ - ~ '<~- CD~ CD ~Q.~ 00 rr
o 0. -0 0 0.0 CDCD9.~~,< :j'-
~ ::r_ ~ _ CDO" CD
m 0. _
~
~~
0......
~~
~~
~-I
"0 - ~
OO~
=CD~
o _ CD
~ CD-
o m
c;~
e 0
=l CD
~ ~
-0
~~
2:!::!e
nu
)>0.
~o
m-
CD
0.
....
..
~
=-
.,.
..
o
~
a.
CD
..
en
CD
<
n
CD
lit
r
<1>3ICA
:J _.CD
::;.V>~
<1> "0 0
."":1- Q :;,
~ a
co~
a."
"00
::r<
~t
-...
0-0
<1>:::;"
(j) CD
"O!l
-0
g-<
<1>
Q
5'
~
<1>31
:J _.
.... V>
03' "0
~Q
. Q
co
a
"0
::r
~
0-
<1>
(j)
"0
a-
n
<1>
Q
5'
~
<1>31
~ (;;'
..,'
<1>"0
~Q
. Q
(Q
a
"0
::r
~
==
<1>31
~(;;'
03' "0
~a
co
a
"0
::r
~
0-
<1>
(j)
"0
a-
n
<1>
Q
5'
~
0-
<1>
(j)
"0
a-
n
<1>
a.
5'
~
...
~
3 !!l.
(I):I:
3 ~
[~
o !:l
-(I)
>)>
n ~\~
cO: -
-< !!l ~ ..
0' a ~ lit
3 0
=~
~. ~
:J _
-0
15-2
r~
-'<
9.i"
!.Q.
"'-
-:J"
00
)>0
~m
~'l'
!!l",
;;~
~~
g'o
. :J
O~Z~-~~~O'~~~"'()O'"OO-O~ )>CD-'<~<~ CD
o.CCD=~OCD~OCD~~CD~I:JqOIO::JCD'==~~CD~CDCDWX
o.rr-=CD'~["'~~~~<)>CDCD=)>Io.~~OCDCD3-~-~ ~
,O~::J~~~_-CDCDCD~~~x"'CD~)>~~-~O)>rr~CD~~CD::J
mOO~BOnOa~~~nCD~~"'a~~~no."'=(Qco~onoo.
"'~~CD~RCDQ"O~~~CD"'~~~"'~~[CD[Boi~~O~CD~CD
QO~~o.CD'~~0~-O~~')>CO~g)><)>~~_~"OCD3CD3)>::Jo.)>~Oo.
",00- CD - - - ~ -0 0' 0 -OCDB 0. - -::::i
"O~~O~~~ ~ig~~~Bco~~~~-~<a<CD~30ff~~"O
~~o.go~~ g~o.~~i~i~~~"'~~>:~~=~<~~~Q
~-~OOOCD "Oa~::J~o.~CDmg~02~ cCD_O~)>-~CD~
-O~CDO~~ -<<_- -3x ::J~' OO~::J,~CDO ::J
~::J~"OCD_ ~~"O~~~:CD~O-~O~=~CD~~qa<~~CO
"'-<0'-~03 (QCDCD-0()C::J~Oo003oCD<~CDCD-CD~0'3CD
CDO <-xO 'CD~~ 0-- 0)> (Q::J)>_ ",0, ~ ::J
, ~)>::J -< O~,v~I -_CD::J O,~ ~CDCD::J-O~-o.
:5. ~ 0. CO::J ::J , , S; CD )> ~ ::J "0 :;u - CD . _ 0 < _ a '" CD ::J 0
@ g ~ g::JCD ~-g o..oCD ~ :rm ~()Im.~CD~S ~:;:m -CQ g ~B )><00 m ~"'CD'
'" (Q -. rr :3. "0 -. CD ~ - - , CD CD i _ - 0 ~ 0
im=~~CD& Sil~~~~~i~mto~ CD",~W;::J~~::J3
~ 0 m I B Q o' 0 ~, g. ~ ~ = )> g 3 0 {g g ~ ~ ~ g. q <8 ~ g Q. ~
CD-~)>~::J~ (Q~~-<OO<OCQ~CD~O- ::J~~o~':;U-~=
,0::J~CDo.~ CD~o"'~~)>"OCDCDa ~~ -OCD-::Jmm~~o
[R~~~~~ iCD3ai~~aCD33~~3CD' ~m;~~3CDZCD')>Q
<i- ,00 ::J~-~ -~~ CDO<CD O~ CDOCD
~",CD)>"'~E (Q<O~O~io.CD::J<~::J"O = a,::J::Jl"Oi"O
:;:Y'~rr-g_o. -~~<.g =CDCDa::~CDC;Q O:;:Oqo.:+OS.CD~
~"O'~O~CD i~~mw 3~~QCD~-~ gCD::JCD~~~CD3~
-O~O::JCD~~~ "'~O~'" CD~::J_Q~<o. ~OCD:Oa~o.CDo.
CD --va 03::J"'0 ::J_-~ CD_ OCDXCD=<'-::JO
::J ::J ~ o' ~ ~ < 3 0 i - - - ~ CD CQ - - 0 -"0 (;;' - 0 ~ 0 0 ;+ -
~ ~ ~ ~: Q ~ g: CD g ~ ~ ~ ~ 8" ~ ~ m iCD ~ ~ Q 2. ~ Q g ~ 5: ~ = 5
-OCOCD'" ~ iCD::JCDo. =,< ~x~ 03 ~CDO~ -
rr~z~&~'" -3'~o.~~ ooCD~go~>Q ~CDS~~CQ~CDO
cc:CD::J'3::J 'C'o "'-CD",~-< ::J~ <Do
'" - '" 0 ~O--_::J<D CD~-= "'-CDm "0
~3~0-grr3 C~~O, ~~~g.CD~~~ ~OCDx m~o
mrro~n~CD ~o.O"OCDO ~~~Oo~~::J ~-3~ -CD~
'" CD ' , -. ~ - CD CD - CD CD -. <: I n < rr 0 3
~~CDO~ 3'~'Q ~",o.=I< CDCDCD~ ",CD
g. CD n. ~ ~ cg CD ~ ::J ~. 0. '0 -0 ~ ~ ~ m ~ '" ~ a - CDCD ~ ~
,<' 0 CD::J ::J' - '" CD ~ - - , -. _ CD -
~3 ~o~o. -:;: ~::J 6 ~o:;: O::JO ::Jo
=0 ::JCDCD OCD -< '" <::J ::J --
= Q.o.,~ '" )>0.
O--~
CDao~
(j)3i=
::J - ::!! CD
",~CD-
CD CD n CD
. o;i
CD CD ::J
"0 ~ @
Q , ~
3-CDO
.0 '"
CD !;.C
ai"O
030.
-CDO
::J -
_CD
"'0.
OO~::;!
= no:::!.
-'03=
@~_CD
i 3 ~. m
.0 0 0. CD
io.o~
~q~CD
~CD-~
"000
, - '"
OCDn
:5. ::J ~
0.0.0
CD 0 ::J
'-<co
'" CD
~o.
O=t-~
CDOO~
(j)3i=
::J _::::!lCD
",~CD-
CDCDO~
. - CD
o::J::J
CD CD 0
"O~CD
o , ~
3~CDO
.0",
CD !;.c
ai"O
030.
-CDO
::J -
_CD
"'0.
O~-~
CDOO~
(j)3i=
::J _::!! CD
",~CD-
CD CD n CD
. -i
o::J::J
CD CD 0
"O~CD
Q , ~
3-CDO
.0",
CD !;.c
ai"O
030.
-CDO
::J-
_CD
"'0.
~
~:6t
~.....
~~
~(Ii
~-t
f(
/
'-
....
...
~
CD
en
-
."
...
o
S-
o.
CD
...
CA
CD
i
n
CD
en
)>,J\
;,... ~<
1
=;<
~
3m.
tD:J:
3 ~
m~
o'l
-tD
>>
!L~~
00.
-< m ~ ..
c c ~ III
;!R
-<'ffi
:;~
~o
tD.o
..,c
_0
f~
iD~
~:f
~8
"'~
mtD
~Q
~..,
",<"
~;!
g6'
. :J
o :J -..., -
:JOOCD,,:
_--i.o3
:::r"";:OC
CD CD - ::;. CD
CD..Q ~ CD :J
~ ~. ;:0 30. 3
CDCDm~
O_...,_CD
::!::::rCDI/):J
<CD-" -
CD 3:r~
Q.8gQ..CD
o:J""c.oc
CD <D <D Q, ::;.
_:J 3 I~ CD
:::r-CD\U 0.
mQ.:J~o-
CD -=+CD
o~o:::ro
--.:0""00
,~ ~. 5= S. C
0. '" I/)
CDw=CD
...,-i30
o~=+-
:J()9.<D"
0. )> -. co
< ;:0 g tn.
<m -
== 00
rr ~ :J ::!:
CDO-<a5
co 0 '
m.a:J""
-3 0. CD
CD co
n-oOc
:;::. :J 0 9.
CDQ.:::rO
-. "0 0 -<
3 0 :J
3 =co Q
CD a.CD '"
Q.CDI/)W
_.1/) 3 co
9.o.oQ.
~oo.
'< CD
.
~~
~.....
~~
d!!
~YJ
~....
Q)31flt
::J _. CD
::t:l/)n
CDu=
~oo
. a::J
coS
a :-
"OG)
:::rCD
~~
0:2.
Q) ."
..., ...
Q) 0
u~
Q'!!.
o 0
Q) ::J
QCII
5'
~
3::!: ~ 0 Z"O 0 en"O ~
:3.:3CD(33C""CD
CD:rCD~......",rro'tJ
=t :J<vwo"O-
ocoo.oo:JooQ
30 3 ~<D o.:J CDI/) n
_ 3- CD
~-oCD<no.CDOo.a.
= (3 :t 5- O-:J 0 0- ':'
<' 0-<---<""::
-. 0 0 Z - 0 ..-
0. 0...,-0=
CD :J :J CD -. ..., 0
...,o._-5=:Jo
1/)- -0 0 ~ tn' 0 ~. 3
""...,00 0. 0. CD
~O_:;;!..)><CD:J
",' < 0 "CO 0 ..., 0.
w-,...,en..., 3
oo.:::rCCD:J 3
::!:CDorrCDOCCD
0""I/)03CD~:J
:J:::rCOoCDOo-iii
o 0 -. :J ..., - CD
-+."'<-+.-1-+ -+
-:J CD 0"" .:-+:::ro 0
:::r 0:J -. CD co
CD_<n-:JCD...,
"":J~OQ..=t:CD
CDO=+""cCDCD)>
.0 ~CD~Q,o o.co
C -. 0:J - -0- (j)
m CD:J =co :;::'0 CD
CD 0. 6 rr 0 CD 5' 3
Q.~::!:CD~ oo.~ CD
O_OCD ...,:J
<CD-O-=+-
3<___CD:fo
CD 0 0 CD -. - '''' ...,
..., 0 -:::r~
:J7'\-o::!:~CD""O
Q.en...,<..-...,v:J
3COCDo.CD-<-<
CD rr ~. w 0. g, Z 0
Oo.oCD' CD-
:tOCD :J)>-=+
<:J...,Q.o....,~1/)
<-00 ....0
=+o--<p-<...,)>
:::ro-I/) 7'\0.
-. _ :::r 0 0.
:JOCD- CD
-+ .., -+ ::J
:::r -. CD 0.
0:J ...,
_ 0
....
...
i
CD
CII
-
."
...
o
<
a:
CD
...
fit
CD
...
<
n-
CD
tit
8.g;;aQ.oo;;aO
3Q.oo:J:J-:::r1/)
_._......Q.CO o.()O:+
:JC"- c3)>:J....
tn' ..., ;:0 3 0 ;:0 co CD
=t 5= m 5' co 0 m CD 3
o . CD "0 tn' CD :J "0 I/)
::!:..., (3 =t ~ g- ..., 0 .Q.
a5 CD ~.9.==-S (j) g.
rr g. g. o' ~ ~ 0 a -<
~o...,:J0-3 0
Q.CD:J-<;;[ 0-
CD CDQO:I/)o(j)o
:J ~-CD o:::rl/) 0
I/) <:::r C :J
. oCDCD :J::o:=t
~ 0 cooo
<D m-n.