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PUBLIC AGENCY RETIREMENT SERVICES (PARS) - 2011
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PUBLIC AGENCY RETIREMENT SERVICES (PARS) - 2011
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Last modified
8/5/2016 2:45:04 PM
Creation date
8/8/2011 10:39:04 AM
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Contracts
Company Name
PARS (PHASE II SYSTEMS)
Contract #
A-2011-114
Agency
Personnel Services
Council Approval Date
4/18/2011
Expiration Date
4/7/2016
Insurance Exp Date
5/8/2017
Destruction Year
2021
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EXHIBIT 1C <br />DATA REQUIREMENTS <br />PARS will provide the Services under this Agreement contingent upon receiving the <br />following information: <br />1. Participant Data (provided by Agency): <br />(A) Participant's Legal Name <br />(B) Participant's Position <br />(C) Participant's Address <br />(D) Participant's Birth Date <br />(E) Participant's Hire Date <br />(F) Participant's Contract Salary <br />(G) Years of Agency Service <br />(H) Retirement Date <br />2. Executed Legal Documents (provided by Agency): <br />(A) Certified Resolution <br />(B) Adoption Agreement <br />(C) Plan Document <br />(D) Trustee Investment Forms <br />3. Completed Funding Documents (provided by Agency): <br />(A) Authorization to Pay Benefits Form <br />(B) Funding of PARS Supplementary Retirement Plan Form <br />4. Completed Enrollment Forms (timely submitted by Participant): <br />(A) Correction Form <br />(B) Enrollment Form <br />(C) Beneficiary Designation Form <br />(D) Tax Withholding Request Form <br />(E) Letter of Resignation <br />5. Other information pertinent to the Services as reasonably requested by PARS. <br />Page 8 <br />
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