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NOW, THEREFORE, BE IT RESOLVED THAT EMPLOYER HEREBY MAKES THE <br /> FOLLOWING REPRESENTATION AND WARRANTY AND THAT THE BOARD AND <br /> EMPLOYER AGREE TO THE FOLLOWING TERMS AND CONDITIONS: <br /> A. Representation and Warranty <br /> Employer represents and warrants that it is a political subdivision of the State of <br /> California or an entity whose income is excluded from gross income under Section 115 <br /> (1) of the Internal Revenue Code. <br /> B. Adoption and Approval of the Agreement; Effective Date; Amendment <br /> (1) Employer's governing body shall elect to participate in the Prefunding Plan by <br /> adopting this Agreement and filing with the CaIPERS Board a true and correct original <br /> or certified copy of this Agreement as follows: <br /> Filing by mail, send to: CaIPERS <br /> Constituent Relations Office <br /> CERBT (OPEB) <br /> P.O. Box 942709 <br /> Sacramento, CA 94229 -2709 <br /> Filing in person, deliver to: <br /> CaIPERS Mailroom <br /> Constituent Relations Office <br /> CERBT (OPEB) <br /> Attn: Employer Services Division <br /> 400 Q Street <br /> Sacramento, CA 95811 <br /> (2) Upon receipt of the executed Agreement, and after approval by the Board, the <br /> Board shall fix an effective date and shall promptly notify Employer of the effective date <br /> of the Agreement. <br /> (3) The terms of this Agreement may be amended only in writing upon the agreement <br /> of both CaIPERS and Employer, except as otherwise provided herein. Any such <br /> amendment or modification to this Agreement shall be adopted and executed in the <br /> same manner as required for the Agreement. Upon receipt of the executed amendment <br /> or modification, the Board shall fix the effective date of the amendment or modification. <br /> (4) The Board shall institute such procedures and processes as it deems necessary to <br /> administer the Prefunding Plan, to carry out the purposes of this Agreement, and to <br /> maintain the tax exempt status of the Prefunding Plan. Employer agrees to follow such <br /> procedures and processes. <br /> Rev 6/23/2010 2 <br />