Relationship Transformations

title First Step of Recovery /titlepb First Step of Recovery /bbrThe main goal of a href=’http://www.12steprecovery.com’alcohol problem dallas/a treatment centers and programs is to provide addicts with the tools necessary to have a productive and a href=’http://www.12steprecovery.com’drug rehab dallas/a-free lives./ppsmalla href=http://technorati.com/tag/Psychic rel=tag target=_blank title=PsychicPsychic/a/small/pcategory3,4,6/categorykeywordkeyword 4/keyword

The Hephaestus Smart Wheelchair System

The Hephaestus Smart Wheelchair System is envisioned as a series of components that clinicians and wheelchair manufacturers will be able to attach to standard power wheelchairs to convert them into “smart wheelchairs.” A prototype of the system has been developed and mounted on an Everest and Jennings Lancer2000 wheelchair. The prototype bases its navigation assistance behavior on the behavior developed for the NavChair Assistive Wheelchair Navigation System, but the underlying hardware and software are being designed to facilitate commercialization. This paper describes our design goals for the Hephaestus system and discusses the current status of the system prototype as well as plans for future work for power wheelchairs.

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Wheelchairs, walkers, and canes: what does Medicare pay for, and who benefits?

power wheelchairs role in the distribution of mobility-related assistive technology has not been well documented, yet rapid growth and regional variation in spending, and concerns over “in-the-home” coverage criteria, highlight the need for facts. Using the 2001 Medicare Current Beneficiary Survey, we find that 6.2 percent percent of beneficiaries obtained mobility assistive technology under the Medicare durable medical equipment (DME) benefit. These beneficiaries were disproportionately poor, disabled, and users of both acute and postacute services. Average per item spending ranged from $52 for canes to $6,208 for power wheelchairs. Among beneficiaries who acquired such technology through the DME benefit, these devices comprised just 2 percent of overall Medicare spending.

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Alcohol Detox Malibu can start at 12 Years Old!

Additionally, many youth drop out of organized sports around the age of 12, which coincidentally is the same time many young people begin to use tobacco, alcohol, and other heroin detox malibu. By teaching coaches to mentor and lead young people more effectively, the coalition is increasing the likelihood that this effort will decrease youth risk factors and increase protective factors in the Upper Bucks community.

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What is Dual Diagnosis?

What Kind of Mental or Emotional Problems are Seen in People with Dual Diagnosis?
The following psychiatric problems are common to occur in dual diagnosis - i.e., in tandem with alcohol or heroin detox dallas dependency.

Depressive disorders, such as depression and bipolar disorder.
Anxiety disorders, including generalized anxiety disorder, panic disorder, obsessive-compulsive disorder, and phobias.
Other psychiatric disorders, such as schizophrenia and personality disorders.
The following table based on a National Institute of Mental Health study, lists seven major psychiatric disorders and shows how much each one increases an individuals risk for substance abuse.

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Stopping s by Stopping Supply and Demand

The goal of the initiative is to work with local leadership to reduce both domestic demand and supply. To this end, ONDCP concentrates on the following targets: local and regional addiction treatment malibu market; strategic utilization of datasets from the areas of prevention, treatment, and enforcement; establishment of effective community prevention coalitions; regular and ongoing evaluations of effort with local officials; alcohol detox malibu courts; development and utilization of local data to respond to heroin detox malibu threats; student cocaine rehab malibu testing; coordinated treatment systems using SBIRT; and strategic prevention messaging in the media.

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Many Areas getting help with meth rehab malibu

ONDCP also works to support areas of the country that are particularly hit with cocaine withdrawal malibu.

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One Inch Mini Blind Contract

This contract is established to furnish One Inch Mini blinds on a periodic basis during the period designated. The contract may be renewed by written agreement of the parties under the same prices, terms and conditions for additional twelve (12)month periods but not beyond December 31, 2007.

Approximately 200 discount blinds will be purchased during the contract period. Sizes will range from 17 x 142 wide and 24 to 126 long. Lift cord and wand placement (left or right) to be available. The customer (KUMC) shall perform their own blind installation.

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Wheelchairs, walkers, and canes: what does Medicare pay for, and who benefits

Medicare’s role in the distribution of mobility-related assistive technology has not been well documented, yet rapid growth and regional variation in spending, and concerns over “in-the-home” coverage criteria, highlight the need for facts. Using the 2001 Medicare Current Beneficiary Survey, we find that 6.2 percent percent of beneficiaries obtained mobility assistive technology under the Medicare durable medical equipment (DME) benefit. These beneficiaries were disproportionately poor, disabled, and users of both acute and postacute services. Average per item spending ranged from $52 for canes to $6,208 for power wheelchairs and power wheelchairs. Among beneficiaries who acquired such technology through the DME benefit, these devices comprised just 2 percent of overall Medicare spending.

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Effect of a pushrim-activated power-assist wheelchair on the functional capabilities of persons with tetraplegia

OBJECTIVES: To test the differences between a pushrim-activated power wheelchairs and a traditional manual wheelchair while performing common driving activities and to assess their relative merits for people with tetraplegia. DESIGN: Repeated measures. SETTING: An activities of daily living (ADL) laboratory within a rehabilitation research center. PARTICIPANTS: Fifteen full-time manual wheelchair users with tetraplegia due to a spinal cord injury. INTERVENTIONS: Participants propelled both their own manual wheelchairs and a PAPAW 3 times over an ADL course. The order in which the 2 different wheelchairs were presented to the participants was randomized. MAIN OUTCOME MEASURES: Each participant’s heart rate was monitored throughout testing by a digital, wireless heart-rate monitor. Time to complete the course was recorded, and participants were surveyed with a visual analog scale after the first, third, fourth, and sixth trials to determine the ease of completing each obstacle and their ergonomic preferences between the 2 wheelchairs. Participants also were observed throughout the trials to determine how much assistance they needed to complete each obstacle course. RESULTS: After using a Bonferroni adjustment, 4 obstacles (carpet, dimple strips, up a ramp, up a curb cut) were rated as being significantly easier ( P <.001) to complete when using the PAPAW. Participants also showed a significant decrease in mean heart rate throughout all 3 trials ( P =.015, P =.001, P =.003, respectively) when using a PAPAW. The amount of assistance needed by participants, the responses to ergonomic questions, and the overall time to complete the ADL course did not differ significantly between the 2 power wheelchairs. CONCLUSIONS: For subjects with tetraplegia, PAPAWs have the potential to improve functional capabilities during certain ADLs, especially when propelling up ramps, over uneven surfaces, and over thick carpet.

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Access to Recovery Initiative

In January 2003, President Bush announced the Access to Recovery Initiative. This program is to fund vouchers that individuals could use to seek substance abuse alcohol rehab at the program of their choice. The money would be allocated over three years and, according to the Office of National Drug Control Policy, would allow an additional 300,000 people to seek cocaine rehab malibu.

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Drug alcohol drug rehab malibu

alcohol drug treatment malibu for drug abuse and addiction is delivered in many different settings, using a variety of behavioral and pharmacological approaches. In the United States, more than 11,000 specialized drug alcohol rehab facilities provide rehabilitation, counseling, behavioral therapy, medication, case management, and other types of services to persons with drug use disorders.

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Treatment Centers

Aside from the people who have already taken on the complicated task of finding addiction treatment dallas treatment centers, very few people know where to look or what questions to ask when finding an appropriate center for an addict. For more information on addiction, alcoholism and alcohol detox dallas treatment centers and addiction programs, please feel free to explore our links. For assessments for yourself or a loved on, please fill out our free and confidential assessment form or call us. We are here to help.

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What comes FIRST? Substance Abuse or Emotional Problems?

It depends. Often the psychiatric problem develops first. In an attempt to feel calmer, more peppy, or more cheerful, a person with emotional symptoms may drink or use detox dallass; doctors call this self-medication. Frequent self-medication may eventually lead to physical or psychological dependency on alcohol or opiate detox dallass.

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Power wheelchair range testing and energy consumption during fatigue testing

The range of a power wheelchairs and medicare power wheelchairs depends on many factors including: battery type, battery state, wheelchair/rider weight, terrain, the efficiency of the drive train, and driving behavior. The purpose of this study was to evaluate the feasibility of three methods of estimating power wheelchair range. Another significant purpose was to compare the current draw on pavement to current draw on an International Standards Organization (ISO) Double Drum tester at one m/sec. Tests were performed on seven different power wheelchairs unloaded, and loaded with an ISO 100 kg test dummy. Each chair was configured according to the manufacturer’s specifications, and tires were properly inflated. Experienced test technicians were used for the tennis court tests, and treadmill tests. An ISO 100 kg test dummy was used for the ISO Double Drum test. Energy consumption was measured over a distance of 1500 m for each of the three test conditions. The rolling surface was level in all cases. Repeated measure analysis of variance (ANOVA) revealed a significant difference (p = 0.0001) between the predicted range at maximum speed for the three tests. Post hoc analysis demonstrated a significant difference (p < 0.01) in estimated range at maximum speed between the Double Drum test and the treadmill test, as well as between the Double Drum test and the tennis court test. Our results indicate no significant difference (p > 0.05) between the predicted range at maximal speed between the treadmill and tennis court tests. A simple relationship does not exist between the results of range testing with the Double Drum tester and the tennis court. An alternative would be to permit the use of a treadmill for range testing as simple relationships between all pertinent treadmill and tennis court range data were found. For the Double Drum tester used, the current demand is higher than under normal usage. This presents a problem as current is related to load torque in a power wheelchair. Hence, the Double Drum tester friction must be reduced. The predicted range for the tennis court test at maximum speed ranges from a low of 23.6 km to a high of 57.7 km. The range of the power wheelchair can be improved by the use of wet lead acid batteries in place of gel lead acid batteries.

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Student Alcohol Detox Malibu Testing

A key tool to address this problem is student heroin detox malibu testing. In June 2002, the U.S. Supreme Court broadened the authority of public schools to test students for illegal drug use if they engage in extracurricular activities. This decision by cocaine rehab malibu made a powerful, nonpunitive tool available to any school who would like to get student cocaine treatment malibu.

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Government Fundign for Substance Abuse Treament in the US

Funding substance abuse alcohol rehab services for individuals can come from a variety of public and private sources, including Medicaid/Medicare, Temporary Assistance for Needy Families (TANF), and private insurance. Although public and private insurers pay for most health care in the country, coverage for cocaine rehab malibu is often limited or not always included.

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Aerobic capacity and peak power output of elite quadriplegic games players.

BACKGROUND: Participation in wheelchair sports such as tennis and rugby enables people with quadriplegia to compete both individually and as a team at the highest level. Both sports are dominated by frequent, intermittent, short term power demands superimposed on a background of aerobic activity. OBJECTIVE: To gain physiological profiles of highly trained British quadriplegic athletes, and to examine the relation between aerobic and sprint capacity. METHODS: Eight male quadriplegic athletes performed an arm crank exercise using an ergometer fitted with a Schoberer Rad Messtechnik (SRM) power wheelchairs powermeter. The sprint test consisted of three maximum-effort sprints of five seconds duration against a resistance of 2%, 3%, and 4% of body mass. The highest power output obtained was recorded (PPO). Peak oxygen consumption (V(O2peak)), peak heart rate (HR(peak)), and maximal power output (PO(aer)) were determined. RESULTS: Mean PO(aer) was 67.7 (16.2) W, mean V(O2peak) was 0.96 (0.17) litres/min, and HR(peak) was 134 (19) beats/min for the group. There was high variability among subjects. power wheelchairs Peak power over the five second sprint for the group was 220 (62) W. There was a significant correlation between V(O2peak) (litres/min) and PO(aer) (W) (r = 0.74, p<0.05). CONCLUSIONS: These British quadriplegic athletes have relatively high aerobic fitness when compared with the available literature. Moreover, the anaerobic capacity of these athletes appeared to be relatively high compared with paraplegic participants.

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Drug detox dallas Centers

Aside from the people who have already taken on the complicated task of finding drug detox doctor malibu centers, very few people know where to look or what questions to ask when finding an appropriate center for an addict. For more information on addiction, alcoholism and drug detox los angeles centers and addiction programs, please feel free to explore our links. For assessments for yourself or a loved on, please fill out our free and confidential assessment form or call us. We are here to help.

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North Carlolina General Contract Terms for window coverings Installation

The Dize Company will complete on-site measurements within 10 to 18 days after request from the user. Contract Shading Systems will complete on-site measurements within 10 to 20 days after request from the user. In the event the on site measuring is not completed within the contracted time period, the contractor may be held in default in accordance with paragraph 1, DEFAULT AND PERFORMANCE BOND in the North Carolina General Contract Terms and Conditions, and the state may procure the articles or services from other sources and hold the contractor responsible for excess cost occasioned thereby.
It is important that agencies make the contract administrator aware of any measurement problems.

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California Helps Students In Meth Drug Rehab Malibus

In Californias Oceanside Unified School District, the Board of Education recognized that student athletes who are not getting help with alcohol drug treatment malibu may endanger themselves or others on the playing field. In 1997, Oceanside implemented a mandatory random testing program for all student athletes after students began to express concern over the increase in use by their peers. The district formed a task force made up of representatives from the community, including students, parents, coaches, athletic directors, counselors, and administrators. The group met for 8 months to develop policy and procedures to implement a mandatory random addiction treatment malibu testing program for student athletes.

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How can Family and Friends Help with alcohol detox dallas Rehab?

How Can Family and Friends Help with Recovery from the Substance Abuse?
They need to learn to stop enabling. Enabling is acting in ways that essentially help or encourage the person to maintain their habit of drinking or getting high. For instance, a woman whose husband routinely drinks too much, might call in sick for him when he is too drunk to go to work. Thats enabling. Likewise, family members or friends might give an addict money which is used to buy heroin detox dallass, because theyre either sorry for him or afraid of him. Thats enabling also.

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Demographic and socioeconomic factors associated with disparity in wheelchair customizability among people with traumatic spinal cord injury

OBJECTIVES: To determine if a standard of care for wheelchair provision exists within the participating centers and if there is disparity in wheelchair customizability among the study sample. DESIGN: Convenience sample survey. SETTING: Thirteen Model Spinal Cord Injury Systems that provide comprehensive rehabilitation for people with traumatic spinal cord injury (SCI) and that are part of the national database funded through the US Department of Education. PARTICIPANTS: A total of 412 people with SCI who use wheelchairs over 40 hours a week. INTERVENTION: Survey information was obtained from subjects via telephone and in-person interviews and from the national database. Collected information included age, race, education, level of injury, and wheelchair funding source. MAIN OUTCOME MEASURES: Number and type (manual or power) of wheelchairs. Wheelchair customizability as defined by design features (eg, adjustable axle position, programmable controls). RESULTS: Ninety-seven percent of manual wheelchair users and 54% of power wheelchairs users had customizable wheelchairs. No power wheelchair user received a wheelchair without programmable controls. Minorities with low socioeconomic backgrounds (low income, Medicaid/Medicare recipients, less educated) were more likely to have standard manual and standard programmable power wheelchairs. Older subjects were also more likely to have standard programmable power wheelchairs and power wheelchairs. CONCLUSIONS: The standard of care for manual wheelchair users with SCI is a lightweight and customizable wheelchair. The standard of care for power wheelchairs users has programmable controls. Unfortunately, socioeconomically disadvantaged people were less likely to receive customizable wheelchairs.

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Reliability and validity of the power-mobility community driving assessment.

The power wheelchairs Community Driving Assessment (PCDA) is a performance-based measure designed to assess driving performance of individuals using power wheelchairs or scooters in community environments. This article reports the results of pilot testing and an evaluation of the assessment’s reliability and validity. Pilot testing was conducted with a random selection of Canadian occupational therapists working in the area of mobility. Although the response rate was very low, feedback confirmed the utility of the measure and contributed to one substantive scoring revision. Reliability and validity testing was conducted with a sample of 34 drivers. Internal consistency results were positive. Interrater reliability was fair to high but limited by the lack of variability in the scores. Construct validity hypotheses were tested on the relationships between PCDA scores and vision, perception, cognition, and environmental accessibility. Results indicated no relationships between the PCDA and perceptual and cognitive function and only a weak trend for a relationship with environmental accessibility. Concurrent validity was established: PCDA scores were positively associated with the judgments of therapists familiar with the driving performance of participants. In summary, the PCDA has moderate to good reliability, and content and concurrent validity results were found. More research is needed, particularly on the underlying constructs of successful driving performance. At this point, rehabilitation professionals and their clients are urged to use this assessment to establish driving performance rather than relying on assessments of perception, cognition, or environmental accessibility to predetermine whether someone will receive power mobility. Clinicians may find this a useful tool to identify where clients are able to drive safely in community settings, to identify specific learning needs, and, through those, to promote independent living for drivers of power-mobility devices

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Drug detox doctor malibu Results

For those in straight addiction detox los angeles, multiple relapse episodes may lead to their detox malibu coverage being limited or canceled.

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What to do if Circumstances prevent Delivery?

If circumstances beyond the control of the contractor result in a late delivery and installation, it is the responsibility and obligation of the contractor to make the details known immediately to the contract administrator.
Term Contract No. 870A

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Dual Diagnosis detox santa monica Support

Integrated drug rehab dallas is defined as the concurrent and coordinated provision of mental health and substance abuse/dependence drug rehab los angeles. Integrated opiate detox malibu will include the enhancement of existing mental health and substance abuse services and funding streams. Dual Diagnosis specific services will be developed to address gaps in traditional services and service systems. To ensure the integrated provision of services, working coalitions between local mental health and substance abuse providers will be established through the pilot project.

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Teens are Getting Pro addiction medicine malibu Message

Because teens report receiving far more alcohol drug rehab malibu messages than alcohol drug treatment malibu messages, the National Youth Anti- Media Campaign works to refute myths and counter pro messages.

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Dangers of s Decrease Use

The better young people understand the benefits of cocaine treatment malibu use, the more likely they are to choose to get help at meth treatment malibu. Clearly, parental involvement, education, and community action are key to preventing youth meth problem malibu use.

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Considering powered mobility for individuals with stroke

power wheelchairs and power wheelchairs is an option that provides many disabled individuals with a means of locomotion. Stroke is the leading cause of long-term disability in this country. Unfortunately, there is currently a lack of published material that expounds on power mobility as it relates to clients who have had a stroke. We will present the benefits and considerations for choosing power wheelchairs for this client population. A brief review of seating and mobility evaluation and funding considerations is included with an emphasis on specific issues concerning stroke clients. Finally, a call for further research on this topic is presented.

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Different Kinds of Drug drug rehab dallas

There is no one-size-fits-all drug rehab los angeles program.

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Consequences of a cross slope on wheelchair handrim biomechanics

OBJECTIVE: To test the hypothesis that pushing on a cross slope leads to increased handrim loading compared with that found on a level surface. DESIGN: Case series. SETTING: Biomechanics laboratory. PARTICIPANTS: Twenty-six manual wheelchair users. INTERVENTION: Subjects pushed their own wheelchairs on a research treadmill set to level, 3 degrees , and 6 degrees cross slopes. Propulsion speed was self-selected for each cross-slope condition. Handrim biomechanics were measured for the downhill wheel, using an instrumented power wheelchairs wheel and a motion capture system. MAIN OUTCOME MEASURES: Speed, peak kinetics (force, rate of loading, torque), push angle, cadence, push distance, and power wheelchairs power output were averaged over a 20-push set for each subject and each cross-slope condition. Outcomes were compared across cross slopes using a repeated-measures analysis of variance. RESULTS: Push angle and cadence were unaffected by cross slope. A trend of decreasing self-selected speeds with increasing cross slope was not significant. There were considerable increases in the peak kinetic measures, with the axial moment increasing by a factor of 1.8 on the 6 degrees cross slope (P=.000). More pushes were required to cover the same distance when on a cross slope (P<.034). The power required for propulsion increased by a factor of 2.3 on the 6 degrees cross slope (P=.000). CONCLUSIONS: Users must push harder when on a cross slope. This increased loading is borne by the users' arms, which are at risk for overuse injuries. Exposure to biomechanic loading can be reduced by avoiding cross slopes when possible.

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Multi-County Coallition Formed

Opiate detox malibu has unique challenges in developing community coalitions among the Spanish-speaking population. Because many of the Hispanic residents are migrant workers, they are often moving throughout the area. Therefore, Carson City, Lyon, Storey, and Douglas Counties have joined together to develop a multicounty coalition. There is now cross coordination between counties, and Hispanic leaders are engaged in several areas, including the creation of continuity between service delivery systems in each community.

The mentoring project opiate detox malibu is successfully engaging a population that is at risk and traditionally underserved. Through their efforts, five communities are now building coalitions, assessing their needs and resources, and developing prevention plans that will ultimately change the community environment and potentially save lives.

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Addiction treatment malibu Revolution

These gains are evidence of a quiet transformationa revolution of conscience, in which a rising generation is finding that a life of personal responsibility is a life of fulfillment. Government has played a role. Wise policies, such as welfare reform and cocaine treatment malibu reports that education and support for abstinence and adoption have made a difference in the character of our country. And everyone here tonight, Democrat and Republican, has a right to be proud of this record.

President George W. Bush
State of the Union Address
January 30, 2006

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Arm Forces Use Alcohol Withdrawal Malibu Testing

Testing is a tried and true method of crystal meth withdrawal malibu use in America. In response to crystal meth rehab malibu among service members during deployment to Vietnam, the U.S. Army began testing in 1971.

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Cleaning up after Mini Blind Installations

Upon completion of installation, vendor shall clean up and dispose of all debris occasioned by his work. All debris is to be removed from premises and rooms shall be left broom clean. If existing window treatments are removed, disposal of such should be at the direction of the using agency and if desired, the responsibility of the contractor. Disposal of window coverings may be off-premises, at the direction of the user.
14.B. Labels

All window treatments sold under this contract shall be labeled inside the headrail with CONTRACTORS name and date of shipment. If the contractor installs window coverings, the date of installation must be shown in place of the shipment date. Failure to identify window treatments will result in rejection by Quality Assurance Inspectors and invoices will not be released until such omission is corrected.
15. Quality Acceptance Inspection

Installations in excess of $2500.00 are required to have a Quality Assurance Inspection.

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