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Attachment A—Sample Data Request I <br />Actuarial Valuation Data Request <br />Sample City <br />2015 Actuarial Valuation <br />Bickmore requests detailed Information in an effort to ensure the accuracy of our analytical results. <br />Please note that each of the following questions and requests are required before Bickmore will be <br />able to Issue the City's report. Therefore, this process can be greatly simplified and shortened by <br />providing a complete data request. If any assistance is needed with this process please feel free to <br />call or email. <br />Please address the report to: (edit as needed) <br />Name: <br />Title: <br />Entity: <br />Address: <br />City, State / Zip: <br />Phone: <br />Fax: <br />Email: <br />Regarding the final report: <br />For <br />• We will automatically send a signed electronic copy of our report. <br />• In an effort to be more ecologically friendly, we prefer to ask: <br />o Would you like to receive printed, copies as well? (yes orno); <br />o If yes, our default is 3 bound, 1 unbound printed copy, double -sided reports. <br />- Does this meet the City's needs? <br />- Or, does the City have a different preference? <br />• Are there any deadlines we should be aware of while compiling the results? <br />m Completed By: (Complete only if different from above) <br />Name: <br />Title: <br />Phone: <br />Fax: <br />Email: <br />The following data request is organized into sections as follows: <br />- Confirm or correct information we have regarding the City's OPEB <br />- Questions that have not been discussed for this valuation <br />- Requests for documentation <br />Discussion of discount rate <br />- Review and confirmation of Table 3A from the City's previous OPEB valuation <br />Please return this form to: Bickmore <br />Attn: Bickmore Analyst Email: Analyst@bickmore.net Phone: 503-419.04XX <br />