Laserfiche WebLink
STATE RETIREMENT SYSTEMS EXHIBIT <br /> ALL SERVICE PROVIDERS MUST COMPLETE THIS EXHIBIT <br /> Service Provider Name: Materials Testing& Consulting,I <br /> Servive Provider Phone Number: B60-755=1990 <br /> 1. Does Service Provider have twenty-five(25)or more employees? ES =` "-_^------- <br /> IF YES: SKIP REMAINDER OF EXHIBIT E <br /> IF NO: ANSWER QUESTIONS 2 AND 3 <br /> 2. If a Service Provider employee will perform Work under this Professional Services Agreement, <br /> did that employee retire under the Public Employers'Retirement System(PERS), School <br /> Employees'Retirement System(SERS),or Teachers'Retirement System(TRS)? <br /> NO <br /> 3. Answer ONLY the question below appropriate for Service Provider's business entity: <br /> Sole Proprietor.Did Service Provider retire under the Public Employers'Retirement System <br /> .(PER. ), School Employees'Retirement System(SERS),or Teachers'Retirement System <br /> (TRS)? 1 -- .. - -- . <br /> Partnership.If a partner will perform Work under this Professional Services Agreement,did <br /> that partner retire under the Public Employers'Retirement System(PERS), School Employees' <br /> Retirement System(SERS),or Teachers'Retirement System(IRS)? <br /> ler <br /> Limited Liability Company.If a member will perform Work under this Professional S <br /> Agreement,did that member retire under the Public Employers'Retirement System(PERS), <br /> School Employees'Retirement System (SERS),or Teachers'Retirement System(TRS)? <br /> Corporation.If a shareholder will perform Work under this Professional Services Agreement, <br /> did that shareholder retire under the Public Employers'Retirement System(PERS), School <br /> Employees'Retirement System(SERS),or Teachers'Retirement System(TRS)? <br /> NO <br /> Standard Document Approved X.X.13/Office of City Attorney 61 <br />