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Completion Date <br />Eligible Expenses <br />(not-to-exceed) <br />Maximum <br />Compensation <br />Amount <br />Method of <br />Payment <br />(must select one) <br />State Retirement <br />Systems (must answer both <br />questions) <br />July 31, 2024 <br />$5891.52 <br />BASIC PROVISIONS <br />Note: the Maximum Compensation <br />Amount is inclusive of Eligible <br />Expenses. <br />D Lump Sum paid upon completion of all work. <br />IZI Payment method is described in scope of work. <br />D Payment method is as follows: lllt:l!IUU <br />Does Service Provider have 25 or more employees? <br />Answer: No <br />If Service Provider has less than 25 employees, did any Service Provider <br />Personnel who will work under this Professional Services Agreement retire <br />under a DRS retirement system? <br />Answer: No <br />"DRS retirement system" refers to any of the following Public Employers' <br />Retirement System (PERS}, School Employees' Retirement System (SERS}, <br />Teachers' Retirement System (TRS}, and Law Enforcement Officers and <br />Fire Fighters plan (LEOFF}. <br />"Service Provider Personnel" includes Service Provider employees and <br />owners (such as shareholders, partners or members). If Service Provider is <br />a sole proprietor, then "Service Provider Personnel" refers to the sole <br />proprietor. <br />END OF BASIC PROVISIONS <br />2 <br />N/A