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PROVISIONS <br />BASIC <br />Completion <br />Date <br />,fir i <br />I : <br />Eligible <br />Expenses <br />(not <br />-to <br />-exceed) <br />$4,350.00 <br />Maximum <br />Note: <br />the <br />Maximum <br />Compensation <br />Compensation <br />$4,350.00 <br />Amount <br />is <br />inclusive <br />of <br />Eligible <br />Amount <br />Expenses. <br />Lump <br />Sum <br />paid <br />upon <br />completion <br />of <br />all <br />work. <br />X <br />I <br />1 <br />Payment <br />method <br />is described <br />in <br />scope <br />of work. <br />Method <br />of <br />❑ <br />Payment <br />is as <br />follows: <br />Lcr <br />p aym ent m <br />ap x er;= <br />method <br />select <br />one) <br />Payment <br />(must <br />Does <br />Service <br />Provider <br />have <br />25 or <br />more <br />employees? <br />Answer: <br />No <br />If <br />Service <br />Provider <br />has <br />less than <br />25 employees, <br />did <br />any <br />Service <br />Provider <br />Personnel <br />who <br />will <br />work <br />under <br />this <br />Professional <br />Services <br />Agreement <br />retire <br />under <br />a <br />DRS <br />retirement <br />system? <br />State <br />Systems <br />Retirement <br />(must <br />Answer: <br />No <br />answer <br />both <br />"DRS <br />retirement <br />system" <br />refers <br />to any <br />of <br />the <br />following <br />Public <br />Employers' <br />questions) <br />Retirement <br />System <br />(PERS), <br />School <br />Employees <br />Retirement <br />System <br />(SERS), <br />Retirement <br />System <br />(TRS), <br />and <br />Law <br />Enforcement <br />Officers <br />and <br />Teachers' <br />Fire <br />Fighters <br />plan <br />(LEOFF). <br />"Service <br />Provider <br />Personnel" <br />includes <br />Service <br />Provider <br />employees <br />and <br />owners <br />(such <br />as <br />shareholders, <br />partners <br />or <br />If <br />Service <br />Provider <br />is <br />members). <br />a <br />sole <br />proprietor, <br />then <br />"Service <br />Provider <br />Personnel" <br />refers <br />to <br />the <br />sole <br />proprietor. <br />2 <br />