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Public Employees' Ret ment System <br />Contract Services Division <br />Public Agency Contract Services <br />P.O. Box 942709 <br />Sacramento, CA 94229-2709 <br />Agency <br />of Santa Ana <br />Number 0137 <br />To proceed with an amendment to. provide Section 20818 (Two -Years Additional <br />Service Credit), please complete and return this form to the above address. <br />Indicate member groups: <br />X Local miscellaneous members <br />Local safety members <br />Enter dates: <br />Local fire members only <br />Local police members only <br />Deadline Resolution of Intention is needed to include in agenda for <br />governing body meeting. This date must be at least three weeks from <br />the date this form is received by the Contract Services Division. <br />1 -fib- 3 Adoption of Resolution of Intention. <br />-/n-7 ' First Reading of Ordinance. The first reading may be held on the <br />same day the Resolution of Intention is adopted. <br />3� 3 Adoption of Final Ordinance. Must be at least 20 days after <br />adoption of the Resolution of Intention. <br />y -93 Effective date of Ordinance. Usually 30 days after adoption of <br />-Ordinance. <br />Amendment Effective Date. This date may be as early as the first <br />day following the effective date of the Ordinance. <br />'I understand that after amendment to the contract, the agency will be billed <br />for the actual costs of providing this benefit as estimated by use of the cost <br />factor chart and for $10.00 per employee retired and credited with the two <br />vears additional service credit. <br />Signature <br />Principal Personnel Analyst <br />Title <br />(714) 647-5343 <br />Telephone Number <br />Con 8 (Section 20818) <br />Ordinance <br />20 Civic CPnt'Pr Playa 12-0 <br />Rox 1988 <br />Mailing Address <br />Santa Ana, CA 92702 <br />WE <br />