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HomeMy WebLinkAboutResolution 3500 Establish 401 money purchase retirement plan through ICMA COMMISSION RESOLUTION NO. 3500 A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF BOZEMAN, MONTANA, ESTABLISHING A 401 MONEY PURCHASE RETIREMENT PLAN THROUGH THE ICMA RETIREMENT CORPORATION. WHEREAS, the Employer has employees rendering valuable services; and WHEREAS, the establishment of a money purchase retirement plan benefits employees by providing funds for retirement and funds for their beneficiaries in the event of death; and WHEREAS, the Employer desires that its money purchase retirement plan be administered by the ICMA Retirement Corporation and that the funds held under such plan be invested in the ICMA Retirement Trust, a trust established by public employers for the collective investment of funds held under their retirement and deferred compensation plans. NOW, THEREFORE, BE IT RESOLVED by the City Commission of the City of Bozeman, Montana, that the Employer hereby establishes a money purchase retirement plan (the "Plan") in the form of the ICMA Retirement Corporation Governmental Money Purchase Plan & Trust, pursuant to the specific provisions of the Adoption Agreement, an executed copy of which is attached hereto. The Plan shall be maintained for the exclusive benefits of eligible employees and their beneficiaries. BE IT FURTHER RESOLVED that the Employer hereby executes the Declaration of Trust of the ICMA Retirement Trust, attached hereto, intending this execution to be operative with respect to any retirement or deferred compensation plan subsequently established by the Employer, if the assets of the plan are to be invested in the ICMA Retirement Trust. BE IT FURTHER RESOLVED that the Employer hereby agrees to serve as trustee under the Plan and to invest funds held under the Plan in the ICMA Retirement Trust. BE IT FURTHER RESOLVED that the Administrative Services Director shall be the coordinator for the Plan; shall receive reports, notices, etc.; from the ICMA Retirement Corporation or the ICMA Retirement Trust; shall cast, on behalf of the Employer, any required votes under the ICMA Retirement Trust; may delegate any administrative duties relating to the Plan to appropriate departments; and is authorized to execute all necessary agreements with the ICMA Retirement Corporation incidental to the administration of the Plan. PASSED AND ADOPTED by the City Commission of the City of Bozeman, Montana, at a regular session thereof held on the 17th day of December 2001. MARJ:!!~u~tc:;;.Yor ATTEST: ~J~ R BIN L. SULL N Clerk of the Commission ICMA RETIREMENT CORPORATION GOVERNMENTAL MONEY PURCHASE PLAN & TRUST ADOPTION AGREEMENT Account Number 10- 7 99 .3 The Employer hereby estabJishes a Money Purchase PJan and Trust to be known as (the "Phn") in the form of the lCMA Retirement Corporation Governmental Money Purchase Phn and Trust. The Plan shan be known as: City of Bozeman 401A Plan [906/ This Plan is an amendment and restatement of an existing defined contribution money purchase plan. 0 Yes W No If yes, please specify the narne of the defined contribution rnoney purchase plan which this Plan hereby amends and restates: L Employer Name: City of Bozeman {902] n. The Efl(~ctive Date of the PJan shall be the first day of the Plan Year during which the Employer adopts the Plan, unless an alternate Effective Date is hereby specified: III. Plan Year will rnearL C3 The twelve (12) consecutive month period which coincides with the limita- tion year. (See Section 5'(J4(i) of the Phn.) [8OJ] 0 The twelve (12) consecutive month period conllnencing on and each anniversary thereafter. [803] IV. Normal Retirement Age (not to exceed age 65) shall be age 55 (2881 V. ELIGIBILITY REQUIREMENTS: 1. The following group(s) of Employees are eligible to participate in the Plan: ~ All Employees - An Full-Time Employees ~ Salaried Employees - Non-union Employees - Management Employees - Public Safety Employees - Ceneral Ernployees X Other (specifY belmv): City Manager MPP Adoption Agreement 4/30/2000 1 [Picked up contributions are excludable from the Participant's gross incorne under section 414(h) (2) of the Internal Revenue Code of 1986 only if they rneet the requirements of Rev. Rul. 81-35, 198 J -1 CD.255. Those requirements are (1) that the Employer must specify that the contributions, although designated as employee contributions, are being paid by the Employer in lieu of contributions by the employee; and (2) the employee must not have the option of receiving the contributed amounts directly instead of having them paid by the Employer to the plan.) 0 Fixed Employer Match of Participant Contributions. I'he Employer shall contribute on behalf of each Participant ~% of Earnings for the Plan Vear (subjcct to the limitations of Article V of the Plan) for each Plan Vear that such Participant has contributed % of Earnings or $ . Under this option, there is a single, fixed rate of Employer contributions, but a Participant may decline to make the required Participant contributions in any Plan Vear, in which case no Employer contribution will be made on the Participant's behalf in that Plan Vear. 0 Variable Employer Match Of Participant Contributions. The Employer shall contribute on behalf of cach Participant an amount determined as follows (subjcct to the limitations of Article V of the Plan) : %) of the contributions made by the Participant for the Plan Vear (not including Participant contributions exceeding 'X) of Earnings or $ ) ; PLUS % of the contributions Inade by the Participant ft.)r the Plan Vear in excess of those included in the above paragraph (but not including Participant contributions exceeding in the aggregJte %J of Earnings or $ ) . Ernployer Contributions on bell<llf of a Participant for a Plan Vear shall not exceed $ or _% of Earnings, whichever is more or less. 2. Each Participant rnay make a voluntary (unmatched), after-tax contribution, subject to the lirnitations of Section 4.05 and Article V of the Plan. [XI Yes 0 No MPP Adoption Agreement 4130/2000 -' ---- --...--- 0 Other Method. (Note to Employer: Provide below language which will satisfy the 1.0 limitation of section 415(e) of the Code. Such language must preclude Employer discretion. See section 1.415-1 of the Regulations for guidance.) 3. 'The limitation year is the fc)llowing 12-consecutive month period: January 1 - December 31st IX. VEST'INC PROVISIONS The Ernployer hereby specifies the following vesting schedule, subject to (1) the minimum vesting requirements as noted and (2) the concurrence of the Plan Administrator. Years of Service Percent Completed Vesting Zero - % One ~% Two - % Three - % Four - % Five % Six % Seven (% Eight - % Nine - % "Ten - (X) X. Loans are permitted under the PIan, as provided in ArticJe XIII: 0 Yes ~ No [751 ] XI. The Elnployer hereby attests that it is a unit of state or local government or an agency or instnnnentaIity of one or more units of state or local government. XII. The Plan Administrator hereby agrees to inform the Employer of any alnendments to the Plan nude pursuant to Section 14.05 of the Plan or of the discontinuance or abandonment of the Plan. XIII. The Elnployer hereby appoints the ICMA Retirelnent Corporation as the Plan Administra- tor pursuant to the terms and conditions of the ICMA RETIREMENT CORPOI~A- TION GOVERNMENTAL MONEY PURCHASE PLAN & TRUST. The Employer hereby agrees to the provisions of the Plan and Trust. MPP Adoption Agreemellt 4130/2000 5 -..--.----.-----.------- ----. _.._ .._n.._.____ 401 Qualified Plan Implementation Data Form ~ . Instructions to Employer: Provide necessary information to establish your plan properly. Please contact Employer Services at 1-800-326-7272, if you have any questions. ICMA RETIREMENT CORPORATION -~._.~~~ ICMA-RC Use Only 1. Employer Number: 10 7 '1' 1f-3 General 2. (902) Employer's Full Name: City of Bozeman, Montana Information 3. (924) Street Address: 411 E Main Street (925) POBox 1230 4. (918) City: Bozeman (919) State: MT (920) Zip Code:__ 59771-1230 5. (633) Primary Contact Name: Kiral Gamradt 6. (634) Primary Contact Title: Administrative Services Director 7. (631) Primary Contact Telephone#: ( 406 ) 582-2325 8. (632) Fax #:( 406 ) 582-2344 9. (882) Employer's Federal Tax Identification Number: 81-6001238 10. # of Employees: one 11. # of Employees Eligible for Plan Participation: one 12. (803) Plan Year End Date: __. 12-31-01 Plan 13. Plan Level Quarterly Statements: (Note: * == default) Implemen- tation a. Sort Order: (629) [XI S",SSN* o N",Name Information b. Output Media: (627) IX) P""Paper* o M""Microfiche c. Type: (626) 0 S""Summary* !XI D==Detail 14. Contribution Information a. Deposit Medium: (624) ~ Check * DWire DACH b. Media Transmission: (623) ~ EZ Link If you do not have Internet access, please contact ICMA- RC's Employer Services Unit at 1-800-326-7272 for alterna- tive submittal options. c. Sort Order: (612) III (S) SSN* [..J (N) Name 15. Allocation Change Frequency: 00 (0) No Restrictions * o (3) 1 per 4 months (220) o (1) 1 per 12 months U (4) 1 per 3 months o (2) 1 per 6 months o (5) 1 per Plan Year P<Jge 1 of 3 401 Qualified Plan Implementation Data Form ~ ICMA.RC Use Only I Employer Number: 10 ICMA RETIREMENT CORPORATION Plan 16. Default Fund for Investment Allocations: Implemen- Instructions - Use the Vantagepoint Funds Brochure or sheet to complete this section. tation Information A. Default investment allocation. List the fund Investment restrictions. List the fund code(s) that (can't) B. code(s) and percentage for investment are NOT eligible for contributions or fund allocation if a participant elected allocation transfers: is not available. (Note: If no fund code is listed, the default will be Fund 77 - PLUS Fund.) n_.._ ........---.... ._....__..u__..___ --..--..--- ._-_..~,.. . _.- ---...- ... ---....-.- ------.".-...., ..-.-- ....,.,....-- __... ._.__".m PLAN CONTACTS (If any item #18-25 is left blank, the Primary Contact in Q. #5 will receive mailings) Disbursement! 17. PT07 Contact Signature: --. -~'~.~,,~ Loan Contact Information (200) Contact NamefTitle: .~-~-,._.~~ (420) Telephone: ( ) Fax:L ___) - Please 18. PT08 Contact Signature: indicate --- alternate (200) Contact NamefTitle: ~.w, Disbursement! Loan Contacts (420) Telephone: (~~) Fax:(_) __._~_.__ 19. PT09 Contact Signature: -- -,~- (200) Contact NamefTitle: - (420) Telephone: (_) ~_~_ Fax:(_) -'.'. Contributionl Terry Clark, Payroll Clerk EZ Link 20. PT02 (200) Contact Name{Title:_ .- Contact (420) Telephone: C 406) 582-2336 Fax:( 406 ) _?_~.~-2}23 Information Quarterly 21. PT04 (200) Contact NamefTitle: Terry C~~!k, Payroll Clerk Statement ~----~~~~ Contact (420) Telephone: ( 406 ) 582-2336 ____ Fax:L~.9JiJ 582-2323 Information Plan 22. PT05 (200) Contact Name: Miral D. Gamradt .~~~~._,~_.~.- Coordinator Administrative Services Director Contact Contact Title: ~~~._.~,~-~-_. Information Note: Changing this title requires an amendment to your resolution. (420) Telephone: ( 406 ) 582-2325 Fax:(~) 582-2344 Page 2 of 3 401 Qualified Plan Implementation Data Form ~ ICMA.RC Use Only Employer Number: 10 ICMA RETIREMENT CORPORATION Billing 23. PT06 (200) Contact NamefTitle: Terry Clark. Payroll Clerk (Fees) Contact (420) Telephone: (iQL) 582-2336 Fax:( 406) 582-2323 ~~~ - Information Remittance Terry Clark Payroll Clerk Reconcilia. 24. PTO? (200) Contact NamefTitle: tion (420) Telephone: cL.!:QL) 582:-2336 Fax:L~QLJ 582-2323 Contact Comments: Tclark @ bozeman.net (Alternate Email: Addresses for #18.26) Transferred 25. Is there a transfer of assets? o Yes ~ No Plan Asset Will total plan assets be transferred or is co-administration required" Information o In total o Co-administration Administrator Name (if app.) __~~_r Company -- Add ress..__.__.___.___..___.._.... ... ....._____~.______ --- Telephone (_)__.__~_.._.____ Fax (_) How many participants will be eligible to transfer assets to ICMA-RC? ___ What is the estimated cash value of the assets to be transferred to ICMA-RC? $ Date and methods (check, wire, etc.) the assets will be transferred to ICMA-RC: ____ - To ensure your funds are posted timely and accurately, please forward the following information to your ICMA-RC plan analyst before any assets are transferred. 0 Copies of most recent participant statements. 0 Complete list of participant names. social security numbers. total assets to be transferred. Employer plan conversion form for each participant for allocation of funds or letter from employer if allocations are the same as contributions. . Administrative enrollment for retired or terminated participants with assets. , . Copies of participant disbursement request forms for those currently receiving disbursements. Copy of existing plan document for individually designed plan. How many participant loans are currently outstanding with your current Plan Administrator? We must receive the information for all outstanding loans to ensure a successful transition of the loan balances to ICMA-RC. o Participant Name o Loan payment amount o Social Security Number . Payment frequency . Original loan amount o Current loan balance o Original loan issue date . Highest 12 month balance . Loan interest rate . Loan number . Current balance by source (employer dollars, employee pre-tax dollars, etc.) Page 3 of 3 . , . ~ 777 North Capitol Street, NE - Washington, DC 20002-4240 1-202-962-4600 FAX 1-202-962-4601 Toll Free 1-800-669-7400 Internet http://www.icmarc.org ADMINISTRATIVE SERVICES AGREEMENT Type: 401 Account Number: 7993 ICMA RETIREMENT CORPORATION The publiC service Vantagepoint" since 1972 ICMA-RC Services. LLC. is a broker/dealer affiliate of the ICMA Retirement Corporation, member NASO and SIPC. , Plan # 7993 777 North Capitol Street, NE Washington, DC 20002.4240 1.202.962 .4600 ADMINISTRATIVE SERVICES AGREEMENT ~:~ ~;;~~~~~~~:~~~7400 Internet: http://www.icmarc.org This Agreement, made as of the /Jt!J.day of Oec..i31n pe;- , 2001 (herein referred to as the "Inception Date"), between The International City Management Association Retirement Corporation ("RC"), a nonprofit corporation organized and existing under the laws of the State of Delaware; and the City of Bozeman ("Employer") a City organized and existing under the laws of the State of Montana with an office at 411 East Main, Bozeman, Montana 59771. RECITALS Employer acts as a public plan sponsor for a retirement plan ("Plan") with responsibility to obtain investment alternatives and services for employees participating in that Plan; The ICMA Retirement Trust (the "Trust") is a common law trust governed by an elected Board of Trustees for the commingled investment of retirement funds held by state and local governmental units for their employees; RC acts as investment adviser to the Trust; RC has designed, and the Trust offers, a series of separate funds (the "Funds") for the investment of plan assets as referenced in the Trust's principal disclosure document, "Making Sound Investment Decisions: A Retirement Investment Guide." The Funds are available only to public employers and only through the Trust and RC. In addition to serving as investment adviser to the Trust, RC provides a complete offering of services to public employers for the operation of employee retirement plans including, but not limited to, communications concerning investment alternatives, account maintenance, account record-keeping, investment and tax reporting, form processing, benefit disbursement and asset management. AGREEMENTS 1. Appointment of RC Employer hereby designates RC as Administrator of the Plan to perform all non- discretionary functions necessary for the administration of the Plan with respect to assets in the Plan deposited with the Trust. The functions to be performed by RC include: (a) allocation in accordance with participant direction of individual accounts to investment Funds offered by the Trust; (b) maintenance of individual accounts for participants reflecting amounts deferred, income, gain, or loss credited, and amounts disbursed as benefits; (c) provision of periodic reports to the Employer and participants of the status of Plan investments and individual accounts; ICMA RETIREMENT CORPORATION Tho public sorvice Vantagepoint'" since 1972 ICMA-RC Services. LLC. is a broker/dealer affiliate of the ICMA Retirement Corporation, member NASa and SIPC. . ------......--..-..-.. _.._____..__...._..___._._... .n_.._ ___... ___.... ". Plan # 7993 777 North Capitol Street. NE Washington, DC 20002-4240 1-202 -962-4600 (d) communication to participants of information regarding their rights GW\~I~~S d th PI d Toll Free 1-800-669-7400 un er e an; an Internet: http://www.icmarc.org (e) disbursement of benefits as agent for the Employer in accordance with terms of the Plan. 2. Adoption of Trust Employer has adopted the Declaration of Trust of the ICMA Retirement Trust and agrees to the commingled investment of assets of the Plan within the Trust. Employer agrees that operation of the Plan and investment, management and disbursement of amounts deposited in the Trust shall be subject to the Declaration of Trust, as it may be amended from time to time and shall also be subject to terms and conditions set forth in disclosure documents (such as the Retirement Investment Guide or Employer Bulletins) as those terms and conditions may be adjusted from time to time. It is understood that the term "Employer Trust" as it is used in the Declaration of Trust shall mean this Administrative Services Agreement. 3. Employer Duty to Furnish Information Employer agrees to furnish to RC on a timely basis such information as is necessary for RC to carry out its responsibilities as Administrator of the Plan, including information needed to allocate individual participant accounts to Funds in the Trust, and information as to the employment status of participants, and participant ages, addresses and other identifying information (including tax identification numbers). RC shall be entitled to rely upon the accuracy of any information that is furnished to it by a responsible official of the Employer or any information relating to an individual participant or beneficiary that is furnished by such participant or beneficiary, and RC shall not be responsible for any error arising from its reliance on such information. RC will provide account information in reports, statements or accountings. 4. Certain Representations. Warranties, and Covenants RC represents and warrants to Employer that: (a) RC is a non-profit corporation with full power and authority to enter into this Agreement and to perform its obligations under this Agreement. The ability of RC to serve as investment adviser to the Trust is dependent upon the continued willingness of the Trust for RC to serve in that capacity. (b) RC is an investment adviser registered as such with the Securities and Exchange Commission under the Investment Advisers Act of 1940, as amended. ICMA-RC Services, Inc. (a wholly owned subsidiary of RC) is registered as a broker-dealer with the Securities and Exchange Commission (SEC) and is a member in good standing of the National Association of Securities Dealers, Inc. ICMA RETIREMENT CORPORATION The public service Vantagepoint" since -1972 ICMA-RC Services, ltC, is a broker/dealer affiliate of the ICMA Retirement Corporation, member NASD and SIPC. . . ..._.___.__."._. _... ... _u . m__..___._ ._..__ ....._....... . . Plan # 7993 777 North Capitol Street. NE Washington, DC 20002-4240 1-202-962-4600 FAX 1-202-962-4601 RC covenants with employer that: Toll Free 1-800-669-7400 Internet: httpJ/www.icmarc.org (C) RC shall maintain and administer the Plan in compliance with the requirements for plans which satisfy the qualification requirements of Section 401 of the Internal Revenue Code; provided, however, RC shall not be responsible for the qualified status of the Plan in the event that the Employer directs RC to administer the Plan or disburse assets in a manner inconsistent with the requirements of Section 401 or otherwise causes the Plan not to be carried out in accordance with its terms; provided, further, that if the plan document used by the Employer contains terms that differ from the terms of RC's standardized plan document, RC shall not be responsible for the qualified status of the Plan to the extent affected by the differing terms in the Employer's plan document. Employer represents and warrants to RC that: (d) Employer is organized in the form and manner recited in the opening paragraph of this Agreement with full power and authority to enter into and perform its obligations under this Agreement and to act for the Plan and participants in the manner contemplated in this Agreement. Execution, delivery, and performance of this Agreement will not conflict with any law, rule, regulation or contract by which the Employer is bound or to which it is a party. 5. Participation in Certain Proceedinas The Employer hereby authorizes RC to act as agent, to appear on its behalf, and to join the Employer as a necessary party in all legal proceedings involving the garnishment of benefits or the transfer of benefits pursuant to the divorce or separation of participants in the Employer Plan. Unless Employer notifies RC otherwise, Employer consents to the disbursement by RC of benefits that have been garnished or transferred to a former spouse, spouse or child pursuant to a domestic relations order. 6. Compensation and Payment (a) Plan Administration Fee. The amount to be paid for plan administration services under this Agreement shall be 0.55% per annum of the amount of Plan assets invested in the Trust. Such fee shall be computed based on average daily net Plan assets in the Trust. (b) Account Maintenance Fee. (i) There shall be an annual account maintenance fee of $25.00. The account maintenance fee is payable in full on January 1 st of each year on each account in existence on that date. For accounts established AFTER January 1 st, the fee is payable on the first day of the calendar quarter following establishment and is prorated by reference to the number of calendar quarters remaining on the day of payment. ICMA RETIREMENT CORPORATION Tho public "ervice Vantagopoint'"' since 1972 ICMA-RC Services, LLC. is a broker/dealer affiliate of the ICMA Retirement Corporation, member NASD and SIPC. .. .-.-.........-----...- .......u._._._..__..__... _ ..._. . . Plan # 7993 777 North Capitol Street. NE Washington, DC 20002-4240 1-202-962-4600 FAX '-202-962-4601 C) Th t' t f 'II b . db' . . th ~e h80~00 II e accoun main enance ee WI e waive eglnnlng In e year ~W _ marc.org year in which total Plan assets exceed $4 million. (c) Compensation for Management Services to the Trust and Advisory and other Services to the Vantagepoint Funds. Employer acknowledges that in addition to amounts payable under this Agreement, RC receives fees from the Trust for investment management services furnished to the Trust. Employer further acknowledges that certain wholly-owned subsidiaries of RC receive compensation for advisory and other services furnished to the Vantagepoint Funds, which serve as the underlying portfolios of a number of Funds offered through the Trust. The fees referred to in this subsection are disclosed in the Retirement Investment Guide. These fees are not assessed against assets invested in the Trust's Mutual Fund Series. (d) Mutual Fund Services Fee. There is an annual charge of 0.40% assessed against average daily net Plan assets invested in the Trust's Mutual Fund Series. (e) Payment Procedures. All payments to RC pursuant to this Section 6 shall be paid out of the Plan assets held by the Trust and shall be paid by the Trust. The amount 'of Plan assets held in the Trust shall be adjusted by the Trust as required to reflect such payments. 7. Custody Employer understands that amounts invested in the Trust are to be remitted directly to the Trust in accordance with instructions provided to Employer by RC and are not to be remitted to RC. In the event that any check or wire transfer is incorrectly labeled or transferred to RC, RC will return it to Employer with proper instructions. 8. Responsibilitv RC shall not be responsible for any acts or omissions of any person other than RC in connection with the administration or operation of the Plan. 9. Term This Agreement may be terminated without penalty by either party on sixty days advance notice in writing to the other. 10. Amendments and Adjustments (a) This Agreement may not be amended except by written instrument signed by the parties. ICMA RETIREMENT CORPORATION The public service Vantagepoint~ since 1972 ICMA-RC Services, LLC, is a broker/dealer affiliate of the ICMA Retirement Corporation, member NASD and SIPC. . . Plan # 7993 777 North Capitol Street, NE Washington, DC 20002"4240 1- 202 .962 -4600 (b) The parties agree that compensation for services under this Agr~M~~t2-~t\d d ' 't r d r I t b d' t d f II Toll Free 1-800.669-7400 a minis ra Ive an opera lona arrangemen s may e a JUs e as 0 QMV~i: http//www.icmarc.org RC may propose an adjustment by written notice to the Employer given at least 60 days before the effective date of the adjustment and the notice may appear in disclosure documents such as Employer Bulletins and the Retirement Investment Guide, Such adjustment shall become effective unless, within the 60 day period before the effective date the Employer notifies RC in writing that it does not accept such adjustment, in which event the parties will negotiate with respect to the adjustment. (c) No failure to exercise and no delay in exercising any right, remedy, power or privilege hereunder shall operate as a waiver of such right, remedy, power or privilege. 11. Notices All notices required to be delivered under Section 10 of this Agreement shall be delivered personally or by registered or certified mail, postage prepaid, return receipt requested, to (i) Legal Department, ICMA Retirement Corporation, 777 North Capitol Street, N.E., Suite 600, Washington, D.C, 20002-4240; (ii) Employer at the office set forth in the first paragraph hereof, or to any other address designated by the party to receive the same by written notice similarly given. 12. Complete Aareement This Agreement shall constitute the sole agreement between RC and Employer relating to the object of this Agreement and correctly sets forth the complete rights, duties and obligations of each party to the other as of its date. Any prior agreements, promises, negotiations or representations, verbal or otherwise, not expressly set forth in this Agreement are of no force and effect. 13. Governinq Law This agreement shall be governed by and construed in accordance with the laws of the State of Montana, applicable to contracts made in that jurisdiction without reference to its conflicts of laws provisions. In Witness Whereof, the parties hereto have executed this Agreement as of the Inception Date first above written. CITY OF BOZEMAN by: ~/J~/~ Signature/Date /2- / 11'/0 ( ICMA RETIREMENT CORPORATION The public service Vantagepoint" since 1972 ICMA-RC Services. LLC. is a broker/dealer affiliate of the ICMA Retirement Corporation, member NASa and SIPC . . Plan # 7993 777 North Capitol Street. NE Washington, DC 20002-4240 1-202-962-4600 FAX 1-202-962-4601 Toll Free 1-800-669-7400 Internet: http://www.icmarc.org Name and Title (Please Print) INTERNATIONAL CITY MANAGEMENT ASSOCIATION RETIREMENT CORPORATION by: 1l11,Jd+ Paul Gallagher Corporate Secretary ICMA RETIREMENT CORPORATION The public .service Vantagepoint"' since 1972 ICMA-RC Services, LLC, is a broker/dealer affiliate of the ICMA Retirement Corporation, member NAsa and SIPC.