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EMPOWER RETIREMENT Agreements/services signature page CITY OF EVERETT 107672 By signing this Agreements/Services Signature Page,the parties certify that they have read and understood this Agreement and all applicable documents set forth below,that they agree to be bound by the terms and conditions of these Agreements and applicable documents listed below,and that they have the authority to sign and adopt these Agreements and applicable documents. DOCUMENTS THAT REQUIRE SUBMISSION TO EMPOWER RETIREMENT AND ARE COVERED BY THE SIGNATURE PAGE • Administrative Services Agreement • Investment Advisory and Management Services Agreement IN ADDITION,THESE DOCUMENTS REQUIRE A SEPARATE ELECTION • Investment Advisory and Management Services Agreement © Accept Q Not at this time Participant Fiduciary Services: Empower may offer investment advice and provide recommendations as a fiduciary under applicable law to Participants on certain Plan transactions,such as point-in-time investment advice on designated investment alternatives,investment advisory services available under the Plan,and recommendations on distribution and rollover options,which may include services and products offered by Empower and its affiliates. When Empower acts as a fiduciary,it will do so in the best interest of the Participants.Empower will provide such fiduciary services pursuant to applicable law. "Talcott Resolution Life Insurance Company"waves any prenotice requirement—by executing this agreement the prior Administrative Services agreement will be terminated and replaced with this agreement. Great-West Life&Annuity Insurance Company reserves the right to provide communications and documents in an electronic format.By signing below,Plan Sponsor understands,acknowledges,and consents to the electronic communication of all general Plan Sponsor communications and the electronic delivery of plan and service-related information.Certain documents delivered electronically may still require Plan Sponsor signatures.Plan Sponsor understands and agrees that the Plan Sponsor can elect to receive all communications in paper form. IN WITNESS WHEREOF,the parties duly execute this Agreement as follows: EMPLOYERICLIEN PRINT NAME: ��" " — 1 "` ! TITLE: y��12 3 DATE: ii / t 2 ("Effective Date") 1` Responsible Plan Fiduciary(if different than client) BY: Pagel of 2 ATT SAGWTPACOGOV0521 ♦ /► office cf the City Attorney �,► ' . J • L V APPROVED 4.5TO FORM �jl David C.Hall,CityAttorrey Deputy City Clerk