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� 2. Employee Designated Accrueci Leave Contribution. <br />Each eiigi�le I�arricipant sha�� be given rhe a�portunity a� enro�Iment ro irrevoc�bly elect to contribure <br />___% (insert fixed percentage of accrued unpaid Ieave to be eont�-ibuted) or up ro ___ %o (insert <br />maximum percentage o�accruec� unpaid l�ave to b� contrib�zred) vf Accrued L�ave to the I'la� {subject to the <br />�ir�itatior�s o�Article V of the P�ar�). <br />�nce e�ecteds an Emp�oyee's elecrion sha�f remair� in �occe and may nor be �-ev�sed or revoked. If the employer <br />��ects to "p�ck up" these arno�nts, in no ev�nt does the Emp�oyee l�ave the flption o{ receivi�g �he �ick-�p <br />conrribur�on a�rtour�t direct�y. <br />�e �mployer �er�bv elects te� "pick up" the Emp�ayee Desi�nat�e� Fina� I'ay �:ontributit�n thereby treating <br />suc� contributiQns as E�np�oy�r-�nade contrib��ions for federal income tax purposes_ <br />� Yes � No <br />�b��3 <br />�� ort�er tv allow �or �ina� Pay Cont�iburions and/or Accrued Leave Contributions, as de�rned in sections XV ant� XVI <br />above, the P�an musc also include ac�di�iona� sources of or�going contriburion�, such as �ixed Emp�oyer Conr�-i�utions <br />o�- Mandatory Participa�� Cantr�butions_ �n accordar�ce wi�h IRS Guidance, �CMA-RC Wi�� not process �inal Pay <br />Contribution or Accrued Leave Conr�-ihc�tion Features a� part of a"Sta�d A�one" F�na� Pay Plan. <br />�VII. The Emplc�y�r h�r�by att�sts z�at it �s a un�t of statr ��- �oeal gc�vernm�nt or an agency or instrum�nca�ity oFone or rrivrr <br />uni�s of state or local govern�nent. <br />XVIII. �e Pla� Adrr�inistrator hereby agrees ro info�-m rhe Employer of any a�endrnents tv the Plan rr�ade pursuant ra <br />Section 14_�5 of the P1an or of t�ie discontinuance or abandonment of the �'�an_ <br />XIX. �he Emplo�ec herebv appoints the ICMA Ret�rement �orporation as the ��an Administrator pursuant ta t�e terr�ns <br />anc� cvnditivns c�f the IC;IVIA RErfIRE1VIE�I�' CURPURA�,�OI�I C30��RN11/[EN�"AL iViC3N�Y I't��i.C�AS�, <br />�'I�A N 8� �I"�LTST. <br />�he Employer hereby agrees ro t�e provis�on� of che Pla� and Trusr_ <br />XX. The Emplvyer hereby acknowledges it understa�ds that Failure to properly �i�I our this Adopt�on Agreement �nay resu�t <br />in disqualificarion of the P�an_ <br />XXI. An ado�ting Emplove�- may rely c�n an advisary Ie�t�r issued �y the Inrernal �Zeve�ue Serv�ce as evidence that t�e <br />I'�an is qualified un�er s�ct�on 40� of the �ncernal �evenue Code to the extent provided �n ap�licab�e I�S rever�ue <br />�roc�dures and ather of��ial guic�ar�cC. <br />In �Xl��ness �lhereof, the Emp�ove�- herebv causes this Agreement to be executed on t��s ��_ day o� <br />_ 4 ..�— ----� 2o_i.� <br />ENiP�.OY�R <br />�y: � <br />.,._._-- <br />Print Narr�e. �i� _� .-�-.�''��=�� <br />, <br />.� <br />Title_ ���'�. ` �. � r � �''t`'1,�.� �'1� <br />Atres�: <br />ICMA �ET� R��� ENT C:C)R�'(�RA��(�N <br />777 Nort� Capitol Sr., NE <br />�lashin�ton, �C� 2�3U(�2-424{� <br />202-9C2-809� <br />�v. <br />, <br />Print �1ame: <br />�'it�e: <br />Artest: <br />_ , _. _ _ - - - _ . ._ . _ _ . - - -- _ . _. _ __ . _ - -- - -- <br />7 IVloney I'�rc�ase P�an Adoption Agreernent <br />