Laserfiche WebLink
<br />Page 7 <br />EXHIBIT 1C <br />DATA REQUIREMENTS <br /> <br />PARS will provide the Services under this Agreement contingent upon receiving the <br />following information. Agency is solely responsible for ensuring that all information and <br />documentation provided to PARS is true, correct, and authorized: <br /> <br />1. Executed Legal Documents: <br />(A) Certified Resolution <br />(B) Adoption Agreement to the Public Agencies Post-Employment Benefits Trust <br />(C) Trustee Investment Forms <br /> <br />2. Contribution – completed Contribution Transmittal Form signed by the Plan <br />Administrator (or authorized Designee) which contains the following information: <br />(A) Agency name <br />(B) Contribution amount <br />(C) Contribution date <br />(D) Contribution method (Check, ACH, Wire) <br /> <br /> 3. Distribution – completed Payment Reimbursement/Distribution Form signed by the <br />Plan Administrator (or authorized Designee) which contains the following <br />information: <br />(A) Agency name <br />(B) Payment reimbursement/distribution amount <br />(C) Applicable statement date <br />(D) Copy of applicable premium, claim, statement, warrant, and/or administrative <br />expense evidencing payment <br />(E) Signed certification of reimbursement/distribution from the Plan Administrator <br />(or authorized Designee) <br /> <br />4. Other information pertinent to the Services as reasonably requested by PARS and <br />Actuarial Provider. <br /> <br />201