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STATE RETIREMENT SYSTEMS EXHIBIT <br /> ALL SERVICE PROVIDERS MUST COMPLETE THIS EXHIBIT <br /> Service Provider Name: <br /> Servive Provider Phone Number: 5} <br /> 425)252 ...0 <br /> 1. Does Service Provider have twenty-five (25) or more employees? <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 /> 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 /> (PERS), School Employees' Retirement System(SERS), or Teachers'Retirement System <br /> (TRS)? <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(TRS)? <br /> Limited Liability Company. If a member will perform Work under this Professional Services <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 /> Standard Document Approved X.X.13/Office of City Attorney <br />