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A-2015-023-0a <br />INSURANCE NOT ON FILE <br />WORK MAY NET PROCEED <br />CLERK OF CNUNL <br />DAT jD <br />I?olWILY, I A VantageCare Retirement Health Savings (RHS) <br />cG•PP1 Aft'" BUILDING PUBLIC SECTOR <br />RET",,,ITT"I'll" PLAN AMENDMENT PACKET <br />61J 6-053 <br />To amend your existing R14S Plan, please complete the entireAdopdon Agreement, including items <br />that are not being amended. When you send your amendment ro IC1vLk-RC, please summarize the <br />changes in your cover letter. <br />Please note that ICMA-RC does not require the use of a resolution to amend the plan. Should you <br />require legislative action, you may use the Suggested Resolution for Amendment on the following <br />page. If you do not regdun legislative action, you may complete the Suggested Affirmative Statement <br />for Amendment which Follows. <br />Once the amendment is completed, retain a copy For your records and send she original Witt, the <br />cover letter and either the resolution or the affirmative statement to rCMA-RC as Follows: <br />Via Mae <br />ICM -RC <br />Arm — New Business Services <br />Suite 600 <br />777 North Capitol Street, NE <br />Washington, DC 20002-4240 <br />Via Facsimile <br />202-962.4601 <br />Arm —New Business Services <br />You will receive notification that your amendment has been received and accepted. <br />AC., 30662-091 & tr14( 2 <br />