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YEAR Withholding Exemption Certificate CALIFORNIA FORM 20C5:1 (This form can only be used to certify exemption from nonresident withholding under California 59® R&TC Section 18662. This form cannot be used for exemption from were withholdinr.) File this form with your withholding agent. withholding agent's name (Please type or print) Vendor/Payee's name Vendor/Payee's ❑ Social security number Note: ❑ SOS no. ❑ California corp. no. ® FEIN Failure to furnish your AECOM "Technical Services, Inc. 95-2661922 identification number will make this certificate void. Vendor/Pavee's address (number and street) APT no. Private Mailbox no, Vendor/Pavee's daytime telephone no. 515 S Flower Street, 3rd FL city State ZIP Code Los Angeles CA 90071 I certify that for the reasons checked below, the entity or individual named on this form is exempt from the California income tax withholding requirement on payment(s) made to the entity or individual. Read the following carefully and check the box that applies to the vendor/payee: ❑ Individuals — Certification of Residency: I am a resident of California and I reside at the address shown above. If I become a nonresident at any time, I will promptly inform the withholding agent. See instructions for Form 590, General Information D, for the definition of a resident. 0 Corporations: The above -named corporation has a permanent place of business in California at the address shown above or is qualified through the California Secretary of State to do business in California. The corporation will withhold on payments of California source income to nonresidents when required. If this corporation ceases to have a permanent place of business in California or ceases to be qualified to do business in California, I will promptly inform the withholding agent. See instructions for Form 590, General Information E, for the definition of permanent place of business. ❑ Partnerships: The above -named partnership has a permanent place of business in California at the address shown above or is registered with the California Secretary of State, and is subject to the laws of California. The partnership will file a California tax return and will withhold on foreign and domestic nonresident partners when required. If the partnership ceases to do any of the above, I will promptly inform the withholding agent. Note: For withholding purposes, a Limited Liability Partnership is treated like any other partnership. ❑ Limited Liability Companies (LLC): The above -named LLC has a permanent place of business in California at the address shown above or is registered with the California Secretary of State, and is subject to the laws of California. The LLC will file a California tax return and will withhold on foreign and domestic nonresident members when required. If the LLC ceases to do any of the above, I will promptly inform the withholding agent. ❑ Tax -Exempt Entities: The above -named entity is exempt from tax under California or federal law. The tax-exempt entity will withhold on payments of California source income to nonresidents when required. If this entity ceases to be exempt from tax, I will promptly inform the withholding agent. ❑ Insurance Companies, IRAs, or Qualified Pension/Profit Sharing Plans: The above -named entity is an insurance company, IRA, or a federally qualified pension or profit-sharing plan. ❑ California Irrevocable Trusts: At least one trustee of the above -named irrevocable trust is a California resident. The trust will file a California fiduciary tax return and will withhold on foreign and domestic nonresident beneficiaries when required. If the trustee becomes a nonresident at any time, I will promptly inform the withholding agent. ❑ Estates — Certification of Residency of Deceased Person: I am the executor of the above -named person's estate. The decedent was a California resident at the time of death. The estate will file a California fiduciary tax return and will withhold on foreign and domestic nonresident beneficiaries when required. CERTIFICATE: Please complete and sign below. Under penalties of perjury, I hereby certify that the information provided herein is, to the best of my knowledge, true and correct. If conditions change, I will promptly inform the withholding agent. Vendor/Payee's name and title (type or print) Ginger Claridge Vendor/Payee's signature ► Claridge, Ginger Date 04/02/201.5 For Privacy Act Notice, got form FTB 1131 (individuals only). 59003103 Form 590 C2 (REV. 2003)