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INSURANCE NOT ON FILE <br />,WORK MAY NOT PROCEED <br />CLERK OF COUNCIL <br />IND DATE: <br />N <br />0 <br />(M) 0 <br />S1;MON i <br />for Retiree Dental Benefits Billin <br />THIS AGREEMENT, entered into by and between Total <br />Corporation ("TASC") and (the "Employer") City ofSagta Ana becomes effector <br />signature on the Plan Application. The services apply to the Plan Year as not <br />Application for retiree dental billing and continuing for successive years in whi <br />Level Agreement exists. The terms of this Ao eement shall be in effect indefinit <br />automatically renewable. This Agreement is applicable to the Plan specified or <br />Plan Application which is attached hereto as Exhibit A. <br />1. Services to be Provided <br />Under this Agreement, TASC is considered to be the Administering <br />provide timely administration and management of the appropriate Plan and <br />as outline in the appropriate Product Administration manual/portfulio. <br />2. Employer Responsibilitv <br />Under this Agreement, the Employer is considered the Plan Sponsor <br />the Employer must forward to TASC all relevant information in order for <br />functions to be performed in timely manner. This includes timely payment of <br />invoices. Failure to provide inputs on a timely basis will result in delays and possi <br />which will be the liability of the Employer. The Employers are responsible for i <br />Plan Participants on the services beine provided. Employer is responsibl <br />www.tascanline.comrprociderslFf[PAAr' to execute and file the Business Associ. <br />Provided by TASC. You will received information regarding this within a fevy' wee <br />I <br />EXHIBIT G j <br />A-2017-243 <br />services <br />;date of <br />he Plan <br />Service <br />will be <br />d in the <br />will <br />to this, <br />ve <br />their <br />visltin.- <br />Tlhe <br />25E-69 <br />