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HomeMy WebLinkAboutContract 54739 CSC No.54739 Appearance Release The City of Fort Worth Texas Public Library the S onsor is producing an online program for youth entitled "Learn Dream Do: Sky Full of Stories" (the Program), and has requested me to record a video that details my personal experiences as a NASA astronaut board-certified in Internal and Aerospace Medicine (my Performance) for the Program. I have so agreed. I have no objection to the reproduction, use, exhibition, display, broadcast, webcast, and distribution by the Sponsor and those acting on its behalf, in any media of the video of my Performance for the Program, in perpetuity and throughout the world, nor to the use of my name, photograph, likeness, voice, and biographical or other NASA audiovisual material to the extent used in conjunction therewith, nor for the incidental publicity or promotion thereof, provided that none of the above be used in any manner such as to constitute or otherwise imply an endorsement of any entity, product, or service by myself or by the National Aeronautics and Space Administration (NASA). My Performance for the Program is considered to be part of my official duties as an employee of the United States Government. Government Standards of Ethical Conduct preclude me from receiving any monetary consideration for my participation. 2- Date Michael R.tffice arratt Astronaut NASA Johnson Space Center 2101 NASA Parkway Houston, TX 77058 OFFICIAL RECORD CITY SECRETARY FT.WORTH, TX This signature page is for City administrative purposes only and is being added as receipt and acknowledgment of the "Appearance Release" signed by Performer,Dr. Michael R.Barratt on October 13,2020.This page was not included as part of the Appearance Release signed by the Performer. CITY OF FORT WORTH by_Dana Burghdoff(Oct 26,2020 20:07 CDT) Dana Burghdoff Assistant City Manager Date: 10/26/2020 Recommended by: Marilyn Marvin Assistant Library Director APPROVED AS TO FORM AND LEGALITY ��k by:� Jessika J.Williams Assistant City Attorney Ordinance No. 24161-04-2020 �44U�4� Sao pORT�pO ATTEST: Oho 0-1d OVo 0=4 al4t�l p��*000 0 00*mod Paa�nEXA`oo°p Mary Kayser City Secretary M&C—No M&C Required Contract Compliance Manager: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract,including ensuring all performance and reporting requirements. �) OFFICIAL RECORD Timothy Shidal CITY SECRETARY Administrative Services Manager FT.WORTH, TX