H+ ORIGINAL

THE NEW YORK STATE TEAMSTERS CONFERENCE PENSION AND RETIREMENT FUND

PARTICIPATION AGREEMENT

1. (a) This Participation Agreement, executed by the undersigned Teamsters Local Union (hereinafter “UnionTM) and Employer,
is the basis for participation in the New York State Teamsters Conference Pension & Retirement Fund (hereinafter “Fund”).
The Employer, its participating employees. and the Union. as a condition of participation in this Fund, are bound by this
Participation Agreement, the Trust Agreement. Plan documents and all of the rules and regulations of the Fund now and/or
hereafter adopted by the Bonrd of Trustves,

(b) The Employer and Union understand and agree that the Fund contributions shall be made, as set forth herein, on all
employees doing bargaining unit work, irrespective of whether said employees are full-time. part-time, casual or seasonal,
except as is otherwise provided herein, No agreement between the Employer and the Union shall alter this rule or any other
rule or provision of this Participation Agreement,

(¢) The Employer agrees to contribute as follows, nol lo exceed the maximum:

; Linde Gas LLC - Distribution #1464

‘Covered Group of Employees ( Define]

60 Mombh 60 Month DB
Rehabilitation Death (8.05 if Total
Schedule Benefit Rates of Contribution: Hourly elected) Hourly Weekly

Default Yes | Effective snowzers ricra 38122 se
Schedule A s No Effective crores 20000 40600 240
Schedule B Effective oxeor any 4309 7280
Schedule C | Effective srevaows caso 44080 ry
Schedule D Effective sxeiaov 49043 4900 swat
Schedule E a Effective

Schedule G Effective

Contmet Type: = CJ UPS 1D Freight-National OH Construction ([) Municipal (1 Other

Covered Employees: [Bargaining — [) Non-Baryaining
Contributions begin on all employees from the first hour of the first day of employment.

Formula for Road Drivers Contributions: Total miles driven in a tour of duty divided by 25 miles per hour equals hours
per trip.

(d) All such payments to be made to the Fund are to be received by the Fund office on or before the tenth (10th) day of the
month following the month in which said monies were accrued. except when otherwise agreed by the Fund, but not to exceed
by the end of the same month duc,

2. Failure on the part of the Employer to timely contribute on any of its employees as specified herein shall make the Employer
liable for all employee benefit claims which are incurred during the period of delinquency, damages, reimbursement to the Fund
for the Fund's attorneys’ fees, auditors’ fees. court costs, disbursements and expenses incurred by the Fund in recovering the
above. In addition, the Employer must pay all arrears due the Fund together with liquidated damages in the sum of ten percent
(10%) of the delinquent amount. The late payment of any delinquency by the Employer shall not in any way relieve it from the
obligations set forth above, In addition, when the Employer is notified in writing by the Fund that it is delinquent, the
Employer must immediately pay the delinquent amount to the Fund. After said payment, the Employer may appeal the Fund's
decision to the Board of Trustees. whase decision shall be final and binding. In the event of failure of the Employer to comply
with any of the rules of the Fund, the Employer and all its panicipating employees, at the Fund's sole discretion, shall cease to
participate in the Fund, and the Employer shall be responsible for all the benefits and all other charges specified herein,

3. The Fund may. at any time. oudit the payroll records of any and all employees of the Employer at a time mutually agreed

1
REV, 201407


THE NEW YORK STATE TEAMSTERS CONFERENCE PENSION AND RETIREMENT FUND

ARTICIPATION EMENT

1. (a) This Participation Agreement, executed by the undersigned Teamsters Local Union (hereinafter “Union") and Employer,
is the basis for participation in the New York State Teamsters Conference Pension & Retirement Fund (Iereinafter “Fund”.
The Employer, its participating employees, and the Union, as a condition of participation in this Fund, are bound by this
Participation Agreement, the Trust Agreement, Plan documents and all of the rules and regulations of the Fund now and/or
hereafter adopted by the Board of Trustees.

(b) The Employer and Union understand and agree that the Fund contributions shall be made, as set forth herein, on all
employees doing bargaining unit work, irrespective of whether said employees are full-time, part-time, casual or seasonal,
except as is otherwise provided herein, No agreement between the Employer and the Union shall alter this rule or any other
rule of provision of this Participation Agreement,

(c) The Employer agrees to contribute as follows, not to exceed the niaxinum:

Larned Trucking - Garage #7774

Covered Group of Employees (Define)

60 Month 60 Momh DB
Rehabilitation Death (3.05 if Total
Schedule Benelit__| Rates of Contribution: Hourly clected) Hourly Weekly

Default Yes Effective 220s z2 138 21920
Schedule A No fs Effective zeea a8 246 3849
Schedule B Effective znaor as? aor 299
Schedule C Effective

Schedule 0 Effective

Schedule E Effective

ScheduleG  (] Effective

Contract Type: [UPS 1 Freight-National OConstruction [1] Municipal © Other

Covered Employees; [] Bargaining — [] Non-Bargaining

Contributions begin on all employees from the first hour of the first day of employment.

Formula for Road Drivers Contributions: Total miles driven in a tour of duty divided by 25 miles per hour equals hours
per trip.

(@) All such payments to be made to the Fund are to be received by the Fund office on or before the tenth (10th) day of the

month following the month in which said monies were accrued, except when otherwise agreed by the Fund. but not to exceed
by the end of the same month duc.

2. Failure on the part of the Employer to timely contribute on any of its employces as specilied herein shall make the Employer
liable for all employee benefit claims which are incurred during the period of delinquency, damages, reimbursement to the Fund
for the Fund's attorneys” fees, auditors’ fees, court costs. disbursements and expenses incurred by the Fund in recovering the
above, In addition, the Employer must pay all arrears due the Fund together with liquidated damages in the sum of ten percent
(10%) of the delinquent amount. ‘The late payment of any delinquency by the Employer shall not in any way relieve it from the
obligations set forth above, In addition, when the Employer is notified in writing by the Fund that it is delinquent, the
Employer must immediately pay the delinguent amount to the Fund, Afier said payment, the Employer may appeal the Fund"s
decision to the Board of Trustees, whose decision shall be final and binding. In the event of failure of the Employer to comply
with any of the rules of the Fund, the Employer and all its participating employees, at the Fund's sole discretion, shall cease to
participate in the Fund. and the Employer shall be responsible for all the benefits and all other charges specified herein.

3, The Fund may, at any time, audit the payroll records of any and all employees of the Employer at a time mutually agreed
1
REV. 201407


Aipon at HePeNtea change to ike Eiployer, In ile overt 1 fs uid that the Employer tas not fully complied with the Fund rules
andor provisions of this Participation Agreement. the Employer shall pay the full cost of the audit that has beer performed by

the Fund. tn addition. the Employer shall be responsible as set forth inv this Pocticipation Agreement and the Fund's niles.
regulations wider cullection policies.

4, The Fund shall be open to panicipation by any group of members belonging 10 a participating Union iat [lly compiles with
all putes and regitations of the Put, 1 addition, the Enyployer may comribute to the Fund for employees working outside the
jurisdiction of the collective bargaining agreement in the amount indicated abowe. However, if these employees are included,
the Exmplayer agrees la thake contributions on all employees in this category subject to the same conditions and on (he same
basis as 1S provided in this Panticipution Agreement, and the Employer also agrees to cominue to make contributions on all these
employees for a5 long us there shall be @ callective bargaining agement between the Employer and ihe Union, subject fo any
anid nfl cules and reguitations or decisions covering this group that arc issued by the Fund, The Employer must request in writing
and rescive written opproval from ihe Fund in order to have these non-covered employees included. Such request must
Specifically define the cotegory or caicgories involved.

5. Should any of the provisions of this Marticimion Agreement be leekaed to be iy violation of the Labor-Managenrent
Relations Act of 1947, os aniended. of any oler State or Federal stone or regulation, such declaration shall in no way impair
Whe effectiveness or contlilty Of the rest Of the provisions of this Participaibn Agreement ond stich provisious are hereby
expressly declared to be saved from such illegality.

6. Payments 10 the Fund must be mode by the Employer (or all compensable vacation and holiday time dp to 0 maximum oF
cone fill calendar year,

7. Pan employee & uranted 9 leave of alnence, the Exployer shall collect fron said employes, prier to the leave of sbsence
being effective, sificicht monies to pay Ihe requint comteitutions during the period of absence and suet wonles <ball
thereafler be promptly forwarded 1 the Find in accordance wit the rules ofthe Punch (nthe event the Employer ens a leave
and does nol so comply. the Employer snwsl pay the contrititions sebjeet (o af] ofter requirements in parugropl 2 bereliy.

BW. The Employer ayrces.to fimmish such information as yay be necessury bo enable ive Find to carry owl ts dudies,

9. If n regolar employee ts absent hecmee of Whiess or off-thejob injury and notifies the Employer of suet) abseico, the
Employer shall contin to wake the required coniitutions fora period of four (4) weeks. Ca regular employee is injured on
the jot, ihe Employer shall continue to pay the required comelbutions until such employee relia to work, However, such
contributions shall not be paid form period of mene Whar _52__ weeks,

10. Ail actlons ari proceedings commenced or initinied by any claimant. applicmu, cmployes. partietpant, the Unlon or Hie
Employer. or their agents, successors ar assigns, against the Funyl (he Trustees of any employee, service provider,
representative of agcit Wiergof, aid all actions and procealings commenced by or on betall of aid Tretees against any
Clair, applicant. employee, participant. the Union or the Ensployer perraininy to the Fund in. any manner, shalt be brought in
the appropriate coun 111 the County of Grondaga, New York or other applicable tribunal located therein except where otherwise
provided tterein, to regard to withdrawal liability arbitration proceedings. all such arbitrations slinll be initiated In the Boston,
Massachusens regional office of the American Arbitration Assvcjation and all lwarinys and relaicd proceedings stall be
conducted in Syracuse. Now York, In reginl to federl dlisirict court detions. all such actions shal! be commenced and heard in
the United Suites District Court for the Northen District of New York. The Find shall nor be subject to any
Briewnce/arbiinnion procedure set foelt i any eolicelive bargaining ayrecment, |) |S specifically ayreed then any wetlon oF
proceeding commenced or initialed iv ally! other jmisdiction or venue sliall he transferred to the apprepriate court or tribunal
specified herein.

1k This Paricipuion Agreement shall hoeome cfivclive as al the ctite of execution hereaf and the payrunis provided
hereinabove shall he payatile thant and other [osar2018 jw) Coninue until expiration of the collective bargaining

ayyiermern on (OMOG2021) sat, Nimwever ta, the discretion of thre Trustoes. fer expiration of the coltective
bargaining agreement, this Mrticipation Agreement stall continue in full force and effect Wwittl a siccessor collective bargaining
aurvement is exceed by the Employer aid Unlor sntess a) the Trees iemniiate the participation of the Employer and
provide written Hollee of the date OF lerninetion, ©) the Employer gives the Furic ot loxet sixty (60) days advance written notice
by corded vail wilh return receipe requested of its intent 1 terminate particination because Tt ao longer has an obligation to

2

REV, 201407


THE NEW YORK STATE TEAMSTERS CONFERENCE PENSION AND RETIREMENT FUND

PARTICIPATION AGREEMENT

1, (a) This Participation Agreement, executed by the undersigned Teamsters Local Union (hereinafier “Union") and Employer,
is the basis for participation in the New York State Teamsters Conference Pension & Retirement Fund (hereinafter “FundTM).
The Employer, its participating employees, and the Union, as a condition of participation in this Fund, are bound by this
Participation Agreement, the Trust Agreement, Plan documents and all of the rules and regulations of the Fund now and/or
hereafter adopted by the Board of Trustees.

(b) The Employer and Union understand and agree that the Fund contributions shall be made, as set forth herein, on all
employees doing bargaining unit work, irrespective of whether said employees are full-time, part-time, casual or seasonal,
except as is otherwise provided herein. No agreement between the Employer and the Union shall alter this rule or any other
rule or provision of this Participation Agreement.

(c) The Employer agrees to contribute as follows, not to exceed the maximum:
Lak Baverage- Full Time Sales Reps, Hired after 6/1/2008 PROGRESSION
Covered Group of Employees (Define)

60 Month DB

(8.05 if Total

Contract Type:  C)UPS (1 Freight-National OConstruction [Municipal [Other
Covered Employees: [@) Bargaining (7) Non-Bargaining

‘Contributions begin on all employees from the first hour of the first day of employment.

Formula for Road Drivers Contributions: Total miles driven in a tour of duty divided by 25 miles per hour equals hours
per trip.

(d) All such payments to be made to the Fund are to be received by the Fund office on or before the tenth (10th) day of the
month following the month in which said monies were accrued, except when otherwise agreed by the Fund, but not to exceed
by the end of the same month due,

2. Failure on the part of the Employer to timely contribute on any of its employees es specified herein shall make the Employer
liable for all employee benefit claims which are incurred during the period of delinquency, damages, reimbursement to the Fund
for the Fund's attorneys’ fees, auditors’ fees, court costs, disbursements and expenses incurred by the Fund in recovering the
above. In addition, the Employer must pay all arrears due the Fund together with liquidated damages in the sum of ten percent
(10%) of the delinquent amount. The late payment of any delinquency by the Employer shall not in any way relieve it from the
obligations set forth above. In addition, when the Employer is notified in writing by the Fund that it is delinquent, the
Employer must immediately pay the delinquent amount to the Fund. After said payment, the Employer may appeal the Fund's
decision to the Board of Trustees, whose decision shall be final and binding. In the event of failure of the Employer to comply
Ne ago Ge ees Oia Rey Se ice rd A Be pe ene eoneerzoen foe Fee's aoe Goervios Sat comes
participate in the Fund, and the Employer shall be responsible for all the benefits and all other charges specified herein.
BP covered by ths agreem caf we “il

3. The Fund may, at any time, audit the payroll records of any and all employees of the ih a ne ee

REV. 201407


upen Ot No-eNira chomge 10 fhe Employer, th the event it is found (hat the Employer hes hot fully coniptied with sue Fund rales
Sadler provisians of (his Participation Agreement, the Employer shalt pay the full cost of the wudit that haa been

by
the Find, ho oddition, ie Employer still be respopsible as set fortlt in this Participation Agreement and the Fund's niles.
regulitions and/or collvction potictes.

4, The Fund shall be open to participsilen by ary group of members belonging (99 participating Union that fully compties with
al) rules and reyutotions of the Fund, bnaddtition. the Employer may contribute to the Fund for eniployees working outside the
Jurisdiction of (he cotlective barysining oyrcement To the amount indicated above. However, if these employees are ineladed,
the Employer agrecs to iiake contributions on all enployees in this category subject to the same conditions and on the sane
basis as is provided in this Purticipotion Agreement, and the Employer nlso mgrves to continue to make contributions on all Wiese
employees for ns haitg as there shall be a colloctive bargaining agreement between the Employer and the Union, subject wo any
wind all rules and rewidlutbons or decisions Covering this eroup tlm are Issvied by the Fund, The Employer mest request in writing
and reesive written approval from ihe Fund in onter to tne those non-covered employees inchuled. Such request iwet
specifically define Ihe calegory or calcynrics iwolved.

5. Shouk! any of the provisions of this Vueiicipation Agreement be declared to be in violation of the Labor-Maneyemunt
Relations Act of 1947, 1s uenended, or any other State oF Federal smite or reunion, such declaration shall Th no way impair
the effectiveness or continuity of tee ral of the provisions of Wis Participmion Agreement wel such provisions are hereby
expressly declared fo be saved front sucts Wicgality.

6 Payments bo ie Fund musi be wade by like Employer for al compensable yacation and yoliday time up to a maximum of
ene full calendar year,

7. [fan employee is yrante o leave of abseace. the Eiuptoyer shal! collect from said enplayee, prior so te leave of wbsence
being effective, suflciowt moles ir pay tle required contributlons during (he pefiod of absence und such monies shall
thereafter be promptly forwarded 40 the Fund in accordance with the rules of the Fund, In the event the Employer grouts a leave
and does noi so comply, Ie Eyuployer inust pay (He contributions subject (gall utter requirements iy purageaply 2 herein.

5, Me Employer agrees to Woriist sueh Inlurartion as ray be necessary ro eomble rhe Fund to carry out its dhmies.

9. Ifa regular employee is absont becuse of Hnwss oF off-the-fob injury avd notifies the Employer of such absence, the
Employer shall continue to make tle required contributions ler a period of four (4) weeks. (fa regular employee is injured oe
the job, the Exnyployer atul contiwe to pay’ the required contributions Wnockl such employer retums (0 Work, However. such
comributions shall not be paid fr n period of more than 32 weeks.

10. All netions an proceedings comimenved or hnitined by any clnimant, applicant, cmployee, pnticipadt, the Linion ar the
Employer. of thelr ayemis. successors ur assigns, aigslist (se Fund, Wee Trustees (hereof of any enmployer, service provider,
Tepresomalive or agent thereof, und all wctlony ait proceedings commenced by or on belall of said Trustees against any
claimant. applicont, employee. panicipant, the Unio or the Emplayer pertaining w the Fund in any miner. shall be browelt in
the appropriate court In the County: of Onondaga, New York or other applicable tribunal located fHherein except where otlerwise
provided herein. In pegand to withdrawal Habitly arbitration proceedings, all suck arbitrations shall be initiated in the Boston.
Massachusetts regional office of the Aierican Arbitration Association md all hearings and related procecdings shall be
conducted iy Syricuse New York. In ruyand to federal disiric| court sctions, all such actions shall be commenced ayyd fyecere it
tie United States District Court for te Northen District of New York. The Fund shall not be subject to any
grievance/arblirmion procedure vet forth in any collvetive bargaining agreement, tt is specifically agreed that any action or
Paice elit or Tnitiated jn any other jucisdiction or venwe shall be transferred to the approprine court or tribeal
speci i

11 This Parilcipation Agreement still become effective as of the date of executlon hereof and the payments provided

horelnabee stall be payable front aul after lovmi201s and coithwie until expiition of the collective bargaininy
agreement oy 17/01/2020 Aubjeet, however, to the discretion of the Trustees. Afer expiration of the-collective

bargaining agrocment, this Participation Avrocmen shall cominue in full force und effect until t successor collective borgnining
agreement is exyeuted by (he Employer nnd Union uiiless a) the Trustees terminate the participation of the Employer and
provide written notice of the date of termination, by the Employer wives the Furl at beast sixty (60) days advance written notice
by certified mail with mewn receips requested of fi intent fo terminate pnrticipaiion because it no longer has an oblization to

2
REV, 201407


AIA

ORIGINAL

THE NEW YORK STATE TEAMSTERS CONFERENCE PENSION AND RETIREMENT FUND
PARTICIPATION AGREEMENT

1. (a) This Participation Agreemem. executed by the undersigned Teamsters Local Union (hereinafler “UnionTM) and Employer,
is the basis for participation in the New York State Teamsters Conference Pension & Retiremem Fund (hereinafter “FundTM),
The Employer, its participating employees, and the Union, as a condition of participation in this Fund, are bound by this
Participation Agreement. the Trust Agreement. Plan documents and all of the rules and regulations of the Fund now and/or
hereafter adopted by the Board of Trustees.

(b) The Employer and Union understand and agree that the Fund contributions shall be made, as set forth herein, on all
employees doing bargaining unit work, irrespective of whether said employees are full-time, part-time, casual or seasonal,
except as is otherwise provided herein. No agreement between the Employer and the Union shall alter this rule or any other
tule or provision of this Participation Agreement,

(c) The Employeragrees to contribute as follows, not to exceed the maximum:

Linde Gas LLC - Production #1465

Covered Group of Employees (Define)

60 Momh 60 Momh DB
Rehabilitation Death ($.05 if Total
Schedule Benefit | Rates of Contribution: Hourly elected) Hourly Weekly

Default : Yes a Effective csarao past

Schechule A No Effeetive cxaraorr 41356

Schedule B Effective sxarans 44055

Schedule C Effective ovcnzore 4eor9

Schedule D Effective searacs 4 toa0

Schedule E o Effective

Schedule G Effective

Contract Type: = Furs (0 Freight-National OConstruction [Municipal [i] Other

Covered Employees: [&) Bargaining (1) Non-Bargaining
Contributions begin on all employees from the first hour of the first day of employment.

Formula for Road Drivers Contributions: Total miles driven in a tour of duty divided by 25 miles per hour equals hours
per trip.

(d) All such payments to be made to the Fund are to be received by the Fund office on or before the tenth (10th) day of the
month following the moath in which said monies were accrued, except when otherwise agreed by the Fund, but not to exceed
by the end of the same month duc.

2. Failure on the part of the Employer to timely contribute on any of its employees as specilied herein shall make the Employer
liable for all employee bene! claims which are incurred during the period of delinquency, damages. reimbursement to the Fund
for the Fund's attorneys’ fees. auditors’ fees. court costs. disbursements and expenses incurred by the Fund in recovering the
abowe. In addition, the Employer must pay all arrears due the Fund together with liquidated damages in the sum of ten percent
(1086) of the delinquent amount, The late payment of any delinquency by the Employer shall not in any way relieve it from the
obligations set furth above. In addition. when the Employer is notified in writing by the Fund that it is delinquent. the
Employer must immediately pay the delinguent amount to the Fund. Aficr said payment, the Employer may appeal the Fund's
decision to the Board of Trustees. whose decision shall be final and binding. In the event of failure of the Employer to comply
with any of the niles of the Fund. the Employer and all its participating employees. at the Fund's sole discretion, shall cease to
panicipate in the Fund, and the Employer shall be responsible for all the benefits and all other charges specified herein,

3. The Fund may. at any time, audit the payroll records of any and all employees of the Employer at a time mutually agreed

1
REV, 201407


upon at nv extra charue to the Employer. tn the event it is found thet the Employer has not fulty complied with the Fund rules
and/or provisions of this Participation Agreement the Emplayer shall pay the fall cost of the audit that has been performed by
the Fund, In addition, ine Employer shall be responsibic as sct forth in this Participation Agreement and the Fund's rules,
regulations and/or collection policies,

4. Tho Fund shall be open to participation by any group of members belonging to 2 participating Union that fully complies with
all rules and regulations of the Fund, Lv addition, the Employer may contribute to the Fund for employees working outside the
jurisdiction of the collective bargaining agreement in the amount indicated above, However, if these employees are included,
the Employer agrees to make contributions on all cinployees in this category subject to the same conditions and on the same
basis as is provided in this Participation Agreement, and the Employer also agrees to continue to nmke contributions on all these
employees for as long as there shall be a collective bargaining agreement between the Employer and the Union, subject to any
and all rules and regulations or decisions covering this group that are issued by the Fund, The Employer must request in writin
and receive written approval from the Fund in order to have these vion-covered employees inchided, Such request must
specifically define the category of calegories involved.

5, Should any of the provisions of this Participation Agreement be declared to be in violution of the Labor-Manayement
Relations Act of 1947, as amended, or any other State or Federal staune or regulation, suoh deckiration alall in no way impair
the effectiveness or continuity of the rest of the provisions of this Participation Agreement and such provisions are hereby
expressly declared to be saved from such ibeuslity.

6. Paynients to the Fund must be made by the Eniployer for all compensable vacation and Woliday tine ip te A maxinin of
one (wll calendar year.

7, If an employee is granted a leave of absence, the Employer shall collect trom said employee, prior to the leave of absence
being effective, sufficient monics to pay the required contributions during the period of aisence and such monies shall
thereafier bo promptly forwarded to the Fund in accordance with the rules of the Fund, In the event the Employer grants a leave
and does not se comply, the Employer must pay the contributions subject to all other requirements in paragraph 2 herein

8_ The Employer agrees to furnish such information as may be necessary to enable the Fund to carry out its doties,

9, Ifa regular employee is absent becanse of illness or off-thejob injury and notifies the Employer of such absence, (me
Employer shall continue to make the required contributions for a period of four (4) weeks, Ifa regular employee is injured on
the job, the Employer shall continue to pay the required contributions until such employee returns to work. However, such
contributions shall not be paid fora period of more than _52___ weeks,

10, All actions and proceedings commenced or initiated by any claimant, applicant, employee, participant, the Union or the
Employer, or their agents, successors of assigns, against the Fund, the Trustees thereof or any employee, service provider,
representative or agent dhereof, and all actions and proceedings commenced by or on behalf of said Trustees against any
claimant, applicant, employee, participant, the Union or the Employer pertaining to the Fund in any manner, shall be brought in
the Appropriate court in the County of Onondaga, New York or other applicable tibunal located therein except where otherwise
provided herein. In regard to withdrawal lixbility arbitration proceedings, all such arbitrations shall be imitiated in the Basten,
Massachusetts regional office of the American Arbitration Assoviation and all hearings and related proceedings shall be
conducted in Syracuse, New York, In regard to federal district court actions, afl such actions shall be commenced und heard in
the United States District Court for the Norther District of New York The Fund shall not be subject to any
urievance/arbiimiion procedure set forth in any collective bergaining agreement. f is specifically agreed that any action or
proceeding commenced or initiated in any other jurisdiction or venue shall be transferred to the appropriate court or tribunal
specified herein.

11, This Participation Agreement shall becume effective asof the date of execution hereof and the payments provided

hereinabove shall be payuble from and after /V2016 and continue until expitation of the collective bargaining
agreement on J430/2019 subject, however, to the discretion of the Trustees. After expiration of the collective

bargaining agreement, this Participation Agreement shail contimic in full force and effect until a sticcessor collective bargaining
agreement is executed by the Employer and Union unless a) the Trustees terminate the participation of the Employer and
provide written notice of the dale of termination, b) the Employer gives the Fund at least sixty (60) days advance written nolice
by certified mail with retum receipt requested of its intent to terminate participation because it no longer hes wn obligation 1

2
REV. 201407


qui

contribute by contract or statute, c) the date the NLRB certifies the results of an election thot terminates the Union's
representative status or, d) the date the Union's representative status terminates through a valid disclaimer of interest. The
Employer shall pay any contribution rate increases due under the Rehabilitation Plan in effect during negotiations with the
Union ond such payments shall be made in accordance with the rules and regulations of the Fund. A new Participation
Agreement must be signed and submitted for each successor collective bargaining agreement.

PANUARY 1, 2016

Effective date of collective bargaining agreement:
Expiration date of collective bargaining agreement: | -—"

12. The Employer and its employees shall not be entitled to participate in this Fund unless the Employer and the Union are
signatory to o current Participation Agreement.

13. This Participation Agreement represents the entire egreement and understanding of the parties and supersedes all prior or
contemporaneous agreements or understandings, whether oral or written. As such, this Participation Agreement may not be
modified except by ¢ writing signed by all parties. Further, to the exlent there exists any conflict between any provisions of this
Participation Agreement and any provisions of the collective bargaining agreement, this Panicipation Agreement shall control.

‘The parties hereto have caused this Participation Agreement to be executed on the date shown by each of their signatures below.

LOCAL UNION# 116 EMPLOYER: LAKE BEVERAGE CORP
ADDRESS: ‘SO METRO PARK ADDRESS: 900JOHN ST.
ROCHESTER, 4 14623 we NY 14585
Redacted by the epartment of reas
SIGNA)
PRINT NAME: DAVID W. WEILERT PRINT NAME:SERNARD H SCHROEDER
PRINT TITLE;BUSINESS AGENT 2. PRINT TITLE: PRESIDENT

DATE: if $/ bert Lf pate: _//2//6

NEW YORK STATE Theva ict gaieibaad ON AND RETIREMENT FUND

151 NORTHERN CON
Nee tits) parment of the Treasury YORK 13221-4928
SIGNATURE: DATE: 4 HA

EXECUTIVE ADMINISTRATOR

REV. 201407


$3549 -\s'

- 2nd

003-2
vo - ard

qoos-—4e"

contribute by contract or statute, c) the date the NLRB certifies the results of an election thot terminates the Union's
representative status or, d) the date the Union's representative status terminates through n valid disclaimer of interest, The
Employer shall pay any contribution rete increases due under the Rehabilitation Plan in effect during negotiations with the
Union and such payments shall be made in accordance with the rules and regulations of the Fund, A new Participation
Agreement must be signed and submitted for ench successor collective bargaining agreement.

PANUARY 1, 2016

Effective date of collective bargaining agreement:
Expiration date af collective bargaining agreement: t= ==="

12. The Employer and its employees shall not be entitled to participate in this Fund unless the Employer and the Union are
signatory to 2 current Participation Agreement.

13. This Participation Agreement represents the entire agreement nnd understanding of the parties and supersedes all prior or
contemporaneous agreements or understandings, whether ora! or written, As such, this Participation Agreement may not be
modified except by a writing signed by all parties. Further, to the extent there exists any conflict between any provisions of this
Participation Agreement and any provisions of the collective bargaining agreement, this Participation Agreement shall control.

The parties bereto have coused this Participation Agreement to be executed on the date shown by ench of their signatures below,

LOCAL UNIONW 118 EMPLOYER: LAKE BEVERAGE CORP

ADDRESS; 130 METRO PARK ADDRESS; 900,JOHN ST
ROCHESTER, Ny 14823 W, HENFUETTA. NY 14586

Redacted by the U.S. Department of the Treasury

SIGNA’

PRINT NAME; DAVID W. WEILERT PRINT NAME: SERNARD H, SCHROEDER

PRINT TITLE:BUSINESS AGENT | PRINT TITLE; PRESIDENT

pate_/§/ go/t Fd pate: _1/2//é

Redacted by the U.S.

NEW YORK STATE Department of the Treasury

151 NORTHERN CONCO!
MAILING ADDRESS: P.

AND RETIREMENT FUND

YORK 13221-4928
DATE:. fl / 6

SIGNATURE:

REV. 201407


upon a! no extra charge to the Employer, tn the ever it is found tut the Employer has not fully complied with the Fund rules
and/or provisions of this Participation Agreement, the Employer shell pay the full cost of the andit that bas been performed by
the Fund. Jn addition, the Employer shall be responsible as set forth in this Participation Agreement and the Fund's rules,
regulations and/or collection policies.

4, Te ontdeitat Demin echoed tami tener fuser anette ranch
all rules and regulations of the Fund. In addition, the to the Fund for employees working oulside the
peice afin comand ttpikig sapsmana irlte saan dened chore However, if these employees are included,
the Employer agrees to make comribusions on all employees in this category subject to the same conditions and on the same
basis os is provided in this Participation Agreement, and the Employer also agrees to continue jo make contributions on all these
emplayess for as long as there shall be a collective bargaining agreement between the Employer and the Union, subject to any
and sli miles and regulations or decisions covering this group that are issued by the Fund. The Employer must request in writing
and receive writen approval from the Fund in order to have these non-covered employees included. Such request must
specifically define the category of categories involved.

5. Should any of the provisions of this Participation Agreement be declared to be in violation af the Labor-Management
Relations Act of 1947, as amended, of any other Sisic or Feder! statute of regulation, such declarstion chall in no way impair
the effectiveness or cantinuity of the rest of the provisions of this Pacicipetion Agreement end such provisions are hereby
expressly declered to be saved from such iHlegality.

6, Payments to the Fund must be made by ihe Employer for all compensable vacation and holiday time op to ¢ maximum of
one full calendar year.

7. Uf an employer ts granted a leave of absence, the Employer shall collect from seid employee, prior to the leave of ehsence
being effective, sufficient monies to pay the required contribuilons during the period of sbsence and such monies shall
thermafler be prompily forwarded (o the Pund in eccardance with the rules of the Fund. fn the event the Employer grants a teave
and docs nol so comply, te Employer miist pay the contributions subject to all other requirements in pamgraph 2 herein.

8. The Employer agrees to furnish such information as may be necessary tm enable the Fund to ‘out its duties.

D8 Zers (2) CUA
9, Ifo regular employee is absent because of iltness or off-the-job injury and notifies the Employer of such absence, the
Einployer shall continue lo make the required contributions for # period of fowr{4) weeks, Ifa regular employee is injured on
the job, the Employer shell continue to pay the requited contributions until such employee returns ie work. However, such
contributions shall not be paid for « period of more than © _ weeks,

10, All ections and proceedings commenceit or initiated by any claimant, applicant, employes, participant, the Unica or the
Employer, or their agents, successors or assigns, against the Fund, the Trustees thereof or eny employes, service provider,
representative or agent Uhereof, and afl actions end proceedings commenced by or on behalf of suid Trustees agsinnt any
claimant, epplicant, employes, participant, the Union or the Employer pertaining to the Fund in any manner, stall be drought in
the appropriate court in the County of Onondage, New York or other applicable tribunal located therein except where otherwise
provided herein, In regard to withdrawal linbitity arbitration proceedings, all such arbitrations shall be initisted in the Boston,
Massachusetts regional office of the American Ashitration Assocjetion and al) heerings and releied proceedings shall be
conducted in Syracuse, New York. In regard (o federal district court actions, all such sethons shall be commenced and heard in
the United States District Court for the Northem District of New York. The Fund shall not be subject to eny
grievance/arbitraion procedure set forth in any collective bargaining agreement. it is specifically agreed that any netion or
ee ee ee I eRe eae tok re

11. This Panicipetion Agreement shall become effective es of the date of executlon herenf and the payments provided
hereinabove shall be payable from and after [71/2018 a And Continue until expiration of the collective bargaining

agreement on [12/31/2018 | subject, however, to the discretion of the Trustees. Afier expiration of the collective
bargaining agreement, tris Participation Agreement shall continue in full force and effect datil « successor collective bargaining
agreement is executed by the Employer and Union unless a) the Trustees terminate the participation af the layer and
provide written notice of the date of termination, b) the Eaypleyer gives the Fund at tense sixty (60) days advance written notice
by certified mail with retum receipt requested of its intent to terminate participation because it no longer has an obligation to

2

REV. 201407


2q1h
contribute by contract or statute, ¢) the date the NLRB certifies the results of an d30e that terminates the Union's
representative status or, d) the date the Union's representative status terminates through a valid disclaimer of interest. The
Employer shall pay any contribution rate increases due under the Rehabilitation Plan in effect during negotiations with the
Union and such payments shall be made in accordance with the rules and regulations of the Fund. A new Participation
Agreement must be signed and submitted for cach successor collective bargaining agreement.

Effective date of collective bargaining agreement; pn (2016

Expiration date of collective bargaining agreement: [arsorz01 :

12, The Employer and its employees shall not be entitled to participate in this Fund unless the Employer and the Union are
signatory to a current Participation Agreement.

13. This Participation Agreement represents the entire agreement and understanding of the parties and supersedes all prior or
conlemporancous agreements or understandings, whether oral or written, As such, this Participation Agreement may not be
modified except by a writing signed by all parties, Further, to the extent there exists any conflict between any provisions of this
Participation Agreement and any provisions of the collective bargaining agreement, this Participation Agreement shall control.

‘The parties hereto have caused this Participation Agreement to be executed on the date shown by each of their signatures below.

LOCAL UNION# 284 EMPLOYER; LC Whitlord (Hauling)

ADDRESS; 35 Tyrol Drive ADDRESS: 164N. Main Street

Redacted by the U.S. Department of the Treasury

PRINT NAME; Daniel Whitford
TITLE:Busindsy/h PRINT te Bepete] Manager —
DATE: 52 ib DATE: 4, 24, Vb

NEW YORK STA ae ENSION AND RETIREMENT FUND

1S] NORTHERN 3212

MAILING ADDRE SE, NEW YORK 13221-4928

SIGNATURE: pate:__J /6
3

REV. 201407


Upon st no extra cherge to the Employer. tn the event it is found thus the Employer has wot fotly complied with the Fund rules
and/or provisions of this Participation Agreement, the Employer shin)! pay the full cost of the oudit that has been performed by
the Fund, In oddition, the Employer shall he responsible as set forth in this Perticipation Agreement and the Fund's rutes,
regulations ander collection policies.

4, The Fund shall be open to participation by any group of members belonging to» Union tha: fully complies with
all rutes and regulations of the Fund. In addition, the Employer may contribute to the Fund for employees warking oulside the
jurisdiction of the collective bargaining agreement in the amount indicated above, However, if these employees are included,
the Employer agrees to make convibutions on all empluyess in this category subject tn the same conditions end on the some
basis as is provided in this Participation Agreement, end the Employer also agrees to continue to make contributions on all these
employees for as long as there shall be « collective bargaining exreement between the Employer and the Union, subject to any
and all rules and regulations or decisions covering this group that are issued by the Fund. The Employsr must request in writing
and receive writes approval fom ihe Fund in order to have these omt-covered employess included. Soch request must
specifically define the category or categories involved,

5. Should any of the provisions of this Participation Agreement be declared fo be in violation of the Labor-Management
Relations Act of 1947, as amendes, o¢ any other State or Federal statute of regulation, such declaration shall in no way impair
the effectiventss or continuity of the rest of the provisions of this Participation Agreement and such provisions are hereby
expressly declared to be saved from such illegality.

6. Payments to the Fund must be made by the Employer for all compensable wncation and holiday time up to # maximum of
‘one full calendar year,

7. Wan employee is granied a leave of ubsence, the Employer shall collect from sald employee, prior io the leave of absence
being effective, sufficient monies to pay the required contributions during the period of ebsence ant such monies shall
thereafler be promptly forwarded to the Fund in accordance with the rules of the Fund, In the event tie Employer grants « leave
and does not so comply, the Employer must poy the contributions subject (o al! other requirements in paragraph 2 herein,

§. The Employer agrees to flimish such information as muy be necessary to enable the Fund to carry out its duties,

Od ger co) eat [se
9, Ifa reguisr employee is absent because of Winess or off-the-jab ipjury and eotifies the Employer of such absence, the
Employer shall continue to make the required contributions for ¢ period of four{4) weeks. Ifa regular employes ts Injured on
the job, the Employer shall continue jo pay the required contributions unti} such employee retums to work. However, such
contributions shall nat be paid for e periad of more then _© weeks.

10. All actions und proceedings commenced of initiated by any claimant, applicant, employee, participant, the Union or the
Employer, or their ayents, sucvegsors of assigns, against the Fund, the Trustees thereol or any employee, service provider,
Tepresentstive of agent thereof, and all actians ond proceedings conimenced hy or on behalf of sald Trustees agsinst any
claimant, applicant, employee, participant, the Union or the Employer pertaining v0 the Fund in sny manner, shall be brought in
the appropriate cour in the County of Onondaga, New York or other applicable tribunal located therein except where otherwise
provided barein. In regard to withdrawal liability arbitration procesdings, all such acbitrations shall be initiated in the Boston,
Massachusetts regional office of the American Arbitration Aseociation and all hearings and related proceedings shall be
conducted in Syracuse, New York. In regard vo federal district court actions, all such actions shall be commenced and heard in
the United Staies District Court for the Northern District of New York. The Fund shall not be subject in any
grievance/arbitruion procedure set forth in any collective bargaining agreement. it is specifically agreed thel any action or
Pa proceeding commenced o¢ jnitinted in any other jurisdiction or verve shal! be transferred to the appropriate court or tribunal
herein.

1\, This Participation Agreement shall become effective as of the dave of execution hereof and the payments provided
hereinabove shall be from end after WV2018___| and continue until expiration of the collective bargaining

agreement on 12/31/2018 ___ subject, however, to the discretion of the Trustees. After expimtion of the cotlective
bargaining egreement, this Perticipstion Agreement shall continue in full force and effect antil a successor collertive bargaining
agreement is executed by the Employer and Union unless a) the Trustees ferminute the participation of the Exaployer and
rovide written notice of the date of terminstion, b) ihe Employer gives the Fund at feast sixty (60) days advance written notice

certified mail with retum receipt requested of its intent in terminate perticipation because it no longer has en obligation to

2

REV. 201407


4s

contribute by comiract or stance, ¢) the date the NLRB certifies the results of an election that terminates the Union's
representalive status or, d) the date the Union's represemative status terminates through a valid disclaimer of interest, The
Eimployer shall pay any contribution rate increases due inder the Rehabilitation Plan in effect during negotiations with the
Union and such payments shall be made in accordance with the niles and reguiions of the Fund. A new Participation
Agreement must be sipned and submitted for cach successor collective bargaining agreement.

Effective date of collective bargaining agreement: pavo7/2016 6

Expiration date of collective bargaining agreement; fosvosr2021

12. The Employer and its employees shall not be entitled to panicipate in this Fund woless jhe Employer and the Union are
signatory toa current Participation Agreement.

13, This Participation Agreement represents the entire agreement and understanding of the parties and supersedes all prior or
COMeMporaneens agreements or understandings. whether oral or written. As such, this Participation Agreement may not be
modified except by a writing signed by all parties, Further. to the extent there exists any conflict between any provisions of this
Panicipation Agreement and any provisions of the collective bargaining agreement, this Panicipation Agreement shall comrol.

The parties hereto have caused this Participation Agreement 1 be executed on the diate shown hy cach of their signatures below,

LOCAL UNIONN 449 EMPLOYER: Linde Gas LLC
ADDRESS: 2175 Watam Strect ADDRESS; 101 Katherine Steet

Bullato, bY 14206 | Sullalo, WY 14210 =
SIGNATURE:
PRINT NAME: Kea DrysBate PRINT NAME: Theodore J. Ral a
PRINT TITLE:Gusiness Agent PRINT TITLE: HR Business Manager
DATE: Hafs DATE: S-l-Aore

NEW YORK STATE TEAMSTERS CONFERENCE PENSION AND RETIREMENT FUND
IS} NORTHERN CONCOURSE, SYRACUSE, NY 13212
MAILING ADDRESS: P.O. BOX 4928. SYRACUS

W YORK 13221-4925

SIGNATURE: DATE:
EXECUTIVE ADMINISTRATOR

REV. 201407


TALb

contribute by contract or statute, c) the date the NLRB certifies the results of an election that terminates the Union's

live status or, d) the date the Union's representative status terminates through a valid disclaimer of interest. The
Employer shall pay any contribution rate increases due under the Rehabilitation Plan in effect during negotiations with the
Union and such payments shall be mode in accordance with the rules and regulations of the Fund. A new Participation
Agreement must be signed and submitted for each successor collective bargaining agreement.

Effective date of collective bargaining agreement; PANUARY 1, 2018 a _=_ ii}

Expiration date of collective bargaining agreement: [DECEMBER 31, 2018 = ai

12, The Employer nnd its employees shall not be entitled to participate in this Fund unless the Employer and the Union are
signatory Jo a current Pasticipstion Agreement.

13, This Participation Agreement represents the entire agreement and understanding of the parties and supersedes all prior or
comemporancous agreements or understandings, whether ors} or written, As such, this Participation Agreement may mot be
modified except by 4 writing signed by all parties, Further, to the extent there exists any conflict between any provisions of this
Participation Agreement and any provisions of the collective bargaining agreement, this Participation Agreement shall control,

The parties hereto bave caused this Participation Agreement to be executed on the date shown by each of their signatures below,

LOCAL UNIONS 118 EMPLOYER: LAKE BEVERAGE CORF
ADDRESS: 190 METRO PARK ADDRESS; 0JOHN ST

SIGNATU!

PRINT NAME; DAVID W. WEILERT PRINT NAME:BERMNARD H. SCHROEDER
PRINT TITLE:-BUSINESS AGENT PRINT TITLE: PRESIDENT

DATE: __1/ 7/#

patTe:__//¢_/go/e
t 7

Redacted by the U.S.
NEW YORK STATE TEAM, Department of the Treasury

151 NORTHERN CONCOURS

MAILING ADDRESS: P.O. YORK 13221- 492
SIGNATURE: DATE: (v

! AND RETIREMENT FUND

REV, 201407


upon at no exici charge to the Employer, In the event it is found that the Employer lis not (ally complied with ihe Fund rules
and/or provisions of this Participation Agseement, he Exnployer shall pay the fill cost of the ought that has been performed by
the Find, In addition, the Employer stall be responsible as sel foci i) Uds Purtcipayion Agreement and the Fund's cules,
regulations and/or collection policies.

4, The Fund shall be open to participation by any group of members belonging toe participating Union that fully complies with
all rules and rewulations of the Fund. In addition, ihe Employer may contribute to the Fund for employees working ootside the
Jurisdiction af the collective burgaining agreement fa Fe amount fifiegted sbeve Muwever, (fT these employees are included,
the Exmployer agrees to make contribullons on all cayployers i this category sutiect to the same conditions and on the same
basis as is provided in this Participation Agreement. and the Employer alse agrees to continue to make contributions-on all these
employees for as long as there shill be a collective bargaining agreement between the Employer and the Union, subject to any
and all rudes and regulations or decisions covering this group that are issued by the Fund, The Employer mist request in writing
and receive written approval from the Fund fy order to have (hese non-covered employees included, Sich request inust
specifically define the category oF calegores Involved,

3. Should any of the provisions of this Participation Agreement be declared @ be in violation of the Labor-Minsigement
Relations Act of 1947, as amended. o¢ any omer State oF Federal statme oF regulation, sich dechemtion shall In no way inspair
the effectiveness or coritinuity of ile rest of the provisions of tis Participation Agreement and such provisions are hereby
expressly dectared to be saved from such ifegitlity.

6. Payynents to the Fund nust be unade by jie Employer for al) compensable varation and holiday time wp to a maxim of
one fill calendar year,

7. Ifon eniployee ts granted a lenve-of absence, ile Emptoyor shiall collect foi sald eniployee, prlar to the leave of absence
being effective, stifliciem monies to pay the required’ comributions during the period of absence and such monies shall
thereniler be promptly Forwarded 10 the Furd fry accordance witth the rules of te Fund. (nthe event ihe Employer grams a leave
snd does nol so. comply, the Employer must pay the contributions subject (o all other requirements in paragraph 2 herein.

8. The Employer agrees bo furnish such infermation as nay be necessary 10 enable the Fund to carry out ils dulies,

% Wa employee Is absent because of ines or off-ile-fob iigury and notifies the Employer of such absence, the
Employer shall continte to make the required conrebutions fora period of four (4) weeks. Ifa regular employee i¢ Injured on
dhe job, the Employer shal) continue 10 pay the required compibutions umil such cimployee retums to Work. However, such
coniributiogs shall ot be paid for a period of more tiwn_52__ weeks.

10, AiE setlons and proceedings commenced or initiated by any cliinsnnt, applic, employee, participant, the Union or the
Employer, or their agents, successors oF assigns, ayainst the Fond, the Trusives thereof or any employee, service provider,
represcatative or agent thereof, nnd all actions und proceedings commenced by or on behalf of said Tristees against any
clalasant, applicant, comployee, participant. the Union or the Employer pertaining io the Fund in any mnanoer, shall be brougla in
the appropriate court In Hie County of Onan: New York of other applleable iribureal located therein except where othenvise
provided lrerei. In reward wo withelrawal lability arbitration proceedings. all such arbitrmians shull be initinted in the Boston,
Massachusetts regional office of the American Arbitration Association and all hearings and retaied proceedings Shall be
conducted in Syracuse, New York, In regard to federn| districs coun actions, all suck actlons stiall be commenced and leant in
the United States Disirict Cours for the Northern District of New York, The Fund shall nor be subject to any
grievance/arbitration procechire Set forth ju amy collective bangdning agreement, i ls specifically agreed that any action oF
Proceeding commenced oF Witkited in any other jurisdiction or venue shall be wansferred to the appropriate court or tribunal
specified herein.

11. This Panicipation Agreement shall become effective as of ihe dele of exeeusion hereof and ihe payments provided

hereinabove shall be fe from and aller [oare201s at continue until expiration of the collective bargaining
[orayzo1a

aigreemem oq EUS TSE IS suubjjecs, however, 10 ile diseretion of the Trustees. Afler expiration of the collective
bargaining agreement, this Participation Agreement shall continue in full force amd effect unlil a successor collective bargaining
agseement is executed by the Einployer ond Union unless n) the Trustees terminate the participation of the Employer and
provide written notice ef (he date ef termination, b) the Esployer gives the Fund at feast sixty (G0) days advance wrilten notice
by certified mall with retires receipt requesied of its intent 10 terminate participation heemee it ho longer bas an obligation to

2
REV, 201/407


THE NEW YORK STATE TEAMSTERS CONFERENCE PENSION AND RETIREMENT FUND

PARTICIPATION AGREEMENT

1. (a) This Participation Agreement, executed by the undersigned Teamsters Local Union (hereinafter “Unian”) and Employer,
is the basis for participation in the New York State Teamsters Conference Pension & Retirement Fund (hereinafter “Fund”).
The Employer, its participating employees, and the Union, as a condition of participation in this Fund, are bound by this
Participation Agreement, the Trust Agreement, Plan documents and all of the rules and regulations of the Fund now and/or
hereafter adopted by the Board of Trustces.

(b) The Employer and Union understand and agree that the Fund contributions shall be made, as set forth herein, on all
employees doing bargaining unit work, irrespective of whether said employees are full-time, part-time, casual or seasonal,
except as is otherwise provided herein. No agreement between the Employer and the Union shall alter this rule or any other
rule of provision of this Participation Agreement,

(c) The Employer agrees to contribute as follows, not to execed the maximum:

Larned Trucking - Drivers #7626

Covered Group of Employees (Define)

60 Month DB
(8.05 if

Schedule E
Schedule G

Contract Type: CUPS O Freight-National OConstruction [) Municipal — (&) Other
Covered Employees: (&) Bargaining — ([) Non-Bargaining

Contributions begin on all employees from the first hour of the first day of employment,

Formula for Road Drivers Contributions; Total mites driven in a tour of duty divided by 25 miles per hour equals hours
per trip.

(d) All such payments to be made to the Fund are to be received by the Fund office on or before the tenth (10th) day of the
month following the month in which said monies were accrued, except when otherwise agreed by the Fund, but not to exceed
by the end of the same month duc.

2. Failure on the port of the Employer to timely contribute on any of its employees as specified herein shall make the Employer
liable for all employee benefit claims which are incurred during the period of delinquency, damages, reimbursement to the Fund
for the Fund's attorneys” fees, auditors’ fees, court costs, disbursements and expenses incurred by the Fund in recovering the
above, In addition, the Employer must pay all arrears due the Fund together with liquidated damages in the sum of ten percent
(10%) of the delinquem amount, The late payment of any delinquency by the Employer shall not in any way relieve it from the
obligations set forth above, In addition, when the Employer is notified in writing by the Fund that it is delinquent, the
Employer must immediately pay the delinquent amount to the Fund. After said payment, the Employer may appeal the Fund's
decision to the Board of Trustees, whose decision shall be final and binding. In the event of failure of the Employer to comply
‘with any of the rules of the Fund, the Employer and all its participating employces, at the Fund's sole discretion, shall cease to
participate in the Funk, and the Employer shall be responsible for all the benefits and all other charges specified herein.

3. The Fund may, at any time, audit the payroll records of any and all employces of the Employer at a time mutually agreed
|
REV. 201407


THE NEW YORK STATE TEAMSTERS CONFERENCE PENSION AND RETIREMENT FUND

PARTICIPATION AGREEMENT

1, (8) This Participation Agreement, executed by the undersigned Teamsters Local Union (hereinafler “Union") and Employer,
is the basis for participation in the New York State Teamsters Conference Pension & Retirement Fund (hereinafter “FundTM).
The Employer, its participating employees, and the Union, as a condition of participation in this Fund, are bound by this
Participation Agreement, the Trust Agreement, Plan documents and all of the rules and regulations of the Fund now and/or
hereafter adopted by the Board of Trustees,

(b) The Employer and Union understand and agree thet the Fund contributions shall be made, as set forth herein, on all
employees doing bargaining unit work, irrespective of whether said employees are full-time, part-time, casual or seasonal,
except as Is otherwise provided herein, No agreement between the Employer and the Union shall alter this rule or any other
tule or provision of this Participation Agreement.

(c) The Employer agrees 1o contribute as follows, not to exceed the maximum:
Lake Baverage- DRIVERS/CASUAL-SEASONAL HELPERS/WAREHOUSEMEN
Covered Group of Employees (Define)

60 Month DB
Rehabilitation Total

Contract Type: [)UPS CO Freight-National (CH Construction [[) Municipal Other
Covered Employees: [@] Bargaining = ([] Non-Bargaining

Contributions begin on all employees from the first hour of the first day of employment.

Formula for Roed Drivers Contributions: Total miles driven in a tour of duty divided by 25 miles per hour equals hours
per trip.

(d) All such payments to be made to the Fund are to be received by the Fund office on or before the tenth (10th) day of the

month following the month in which said monies were accrued, except when otherwise agreed by the Fund, but not to exceed
by the end of the same month due.

2. Failure on the part of the Employer to timely contribute on any of its employees as specified herein shall make the ir
liebe for all employee benefit claims which are incurred during the period of delinquency, dameges, reimbursement to the Fund
for the Fund's attomeys’ fees, auditors’ fees, court costs, disbursements and expenses incurred by the Fund in recovering the
above, In addition, the Employer must pay all arrears due the Fund together with liquidated damages in the sum of ten percent
(10%) of the delinquent emount. The late payment of any delinquency by the Employer shall not in any way relieve it from the
obligations set forth above. In addition, when the Employer is notified in writing by the Fund that it is delinquent, the
Employer must immediately pay the delinquent amount to the Fund. After said payment, the Employer may appeal the Fund's
decision to the Board of Trestecs, whose decision shall be final and blading, In the event of failure of the Employer to comply
ver ohatel oar isasmibitanitebaddeaaaee
participate in the yer responsil benefits and a charges specified herei:
Be) covered by thet asrecmert Wi W7ife

3. "Ths Pend ig Sey fie, anc seg sonnets OF sy well wil eniptepes cf on Beapleyes. oa Hine sammaly eapeed

1
REV. 201407


v4

contribute by contrict of statute, c) the date the NLRB certifies the results of an election that terminates the Union's
representative status or, d) the date the Union's representative status terminates through a valid disclaimer of interest, The
Employer shall pay any contribution rate increases due under the Rehabilitation Plan in effect during negotiations with the
Union and such payments shall be made in accordance with the rules and regulations of the Fund. A new Participation
Agreement must be signed and submitted for cach successor collective bargaining agreement.

Effective date of collective bargaining agreement p70w2015

Expiration date of collective bargaining agreement: orm tv2020

12, The Employer and its employees shall not be entithed to participate in this Fund unless the Employer and the Union are
Signatory to a current Participation Agreement.

13, This Panicipation Agreement represents the entire agreement and understanding of the parties and supersedes all prior or
contemporancous agreements or understandings, whether oral or written. As such, this Participation Agreement may not be
modified except by a writing signed by all parties. Further, 1o the extent there exists any conflict between any provisions of this
Panicipation Agreement and any provisions of the collective bargaining agreement. this Participation Agreement shall control.

The parties hereto have caused this Panicipation Agreement to be executed on the date shown by each of their signatures below.

LOCAL UNIONH 449 EMPLOYER: Linde Gas LLC

ADDRESS: 2175 Witham Smoot ADDRESS: 101 Katherine Street
Dullata, NY 14306 Z Butiato, NY 14210

Redacted by the U.S. Department of the Treasury
SIGNATUR

2

PRINT NAME:Kevin Drysdale PRINT NAME: Theodore J.
PRINT TITLE:Business Agent PRINT TITL IR Business Manager

DATE: Lita {5 DATE: L-4-2 4S
Redacted by the U.S.
Department of the

es

1ON AND RETIREMENT FUND
12

| a
MAILING ADDRESS: EW YORK 13221-4928
DATE: N/h

SIGNATURE;

EXECUTIVE ADMINISTRATOR

REV. 201407


3301- Ist

BILL -LZnd
$147 - ard
ZIG - a thy

contribute by contrect or statute, c) the date the NLRB certifies the results of an election that terminates the Union's
representative status or, d) the date the Union's representative status terminates through a valid disclaimer of interest. The
Employer shall pay any contribution rate increases due under the Rehabilitation Plan in effect during negotiations with the
Union and such payments shall be made in accordance with the rules and regulations of the Fund. A new Participation
Agreement must be signed and submitted for each successor collective barpaining agreement.

Effective date of collective bargaining agreement; PANUARY 1, 2016
JOECEMBER 31, 2018

Expiration date of collective bargaining agreement:

12. The Employer and its employees shall not be entitled to participate in this Fund unless the Employer and the Union are
signatory to a current Participation Agreement.

13. This Participation Agreement represents the entire agreement and understanding of the parties and supersedes all prior or
contemporaneous agreements or understandings, whether oral or written. As such, this Participation Agreement may not be
modified except by a writing signed by all parties. Further, to the extent there exists any conflict between any provisions of this
Participation Agreement and any provisions of the collective bargaining agreement, this Participation Agreement shall control.

‘The parties hereto have caused this Participation Agreement to be executed on the date shown by each of their signatures below.

LOCAL UNION# 118 EMPLOYER: LAKE BEVERAGE CORP
ADDRESS: 190 METRO PARK ADDRESS: 900 JOHN ST.
ROCHESTER, NY 14629 HENRIETTA. NY 14505
Redacted by the Department of the Treasury
SIGNATURE}
PRINT NAME: DAVID W. WEILERT PRINT NAME: SERNARD H SCHROEDER
PRUNT TITLE:BUSINESS AGENT PRINT TITLE; PRESIDENT

DATE: Vd iLdolt 2 pate:__//7/4

DATE:

REV. 201407


Upon Meno extra charge 10 the Employer. in the ewent it is found that the Employer has not filly complied with the Find rules
and/or provisions of this Participation Agreement. the Employer shill pay the fill cost of the pudit (hit has been peclormed by

the Fund. In addition, the Employer sitall be respaysible as set forth in this Panicipalion Agreement and (he Fund's rules,
rejtilations and/or collection palicies.

4. The Fund stall be oper in participation by any group of members belonging io a purticipaling Unien that fully cornyplies wilt
oll rules andl reputations ofthe Fund, (i addition. the Eniployer may contribs to the Purid for employees working outside the
jurisdiction of the collective bergaining ayreement in the nmount indicated above, However, if these employees are incliated,
the Employer agrees bo make contributions on alt in this category subject to the syne conditions and on the same
basis as is provided in this Porficipalion Agreement. and the Employer also agrees io continue to wake contribations on all itese
employees for 2s lonw us there shall be. collective bargaining agreemiene beaween the Employer and the Union, subject to my
and all cules and regatations or decisions covering this group that are issued ty rhe Fund, The Ereployer must request by veriting
and receive wrilien approval from ile Fund in order to haw these nuncovercd cmployees included. Such request must
Specifically define the cateory or caearivs involved.

5. Should any of the provisions of (his Participation Agreement be declared to be in violation of tlie Labor-Management
Relations Act of 1947. as amended, a any other Sintec or Federal statute oF regulation, sich declaration still in ne way lepalr

the effectiveness or continuity of the rest of the provisions of thiy Participation Avreement and sively provisions are hereby
expressly declared io be saved from such itegality.

6. Paymens to the Fund just be mde by the Employer for all compensable vacation and holiday time up to a maximum of
‘one full Calendar year

7. Wan employee is gruved a leave of absence, ihe Etuployer simi} coltect from said emplovee. prior to the leave of absence
being effective, sufficient! monies to pay the required contributions durimg the period of absence and such monies shall
Aherenfier be promptly forwarded to the Fund it accordance with the rules of the Fund. In the event the Employer grams a leave
and dows nat so comply. the Einployer mest pay the contributions subject fo all other reetirernens int paragraph 2 herein,

8. The Employer agrees to furnish such information as may be necessary to enable the Fuixl to carry gutits duties,

9. (fa regular employee bs absent because of Illness or offthe-job injury and notifies the Employer of such absence, the
Employer shall continuc to vmke the required conteibutions for a period of four (4) weeks. [fa regular employee is injured on
the job, dic Employer shal) comtique 10 pay the required contributions wail such employee returns to work. However, such
contributions sleall nat be pald fora period of more thaw _52__ weeks.

10. All actions and proceediqes commenced of iniliated by any claimant, applicand, « yee, participant, the Union of the
Eniployer. Or their agents, ativecesdors or assigitt, against he Pond, the Trustees theroal or any employes. gervice provider,
representative OF age thereof, and ol) actions and proceedings commenced by or an behalf of said Trustees against any
claimant, applicant. enployee. participant the Union or the Employer pertaining to the Pond fy any manner, shall be brought in
the appropriate coun i the Cowmy af Onondaga, New York oe atler applicable trihunal located therein except where otherwise
provided herein. Un reward to withdrawal liability arbitration proceedings. all such arbitrations shall be initinted In te Boston,
Massachuserts region! office of dhe American Arbitration Association and all hearings and related proceedings <imft be
conducted in Syracuse, New York. In regard to federal disiric! court actions. all such actions shall be commenced and Heard iiy
the United States (istrict Cowt for the Nomhern District of New York, The Furw shall mot be subjeet to any
nriovance/uebitration procedure set Forth in any collective bargaining agreernent. 1 bs ifically agreed that any action or
proceeding commenced or initiated In any other jurisdiction or vere shat! be to the appropriate court op jyitunal
specified herein.

Jt This Ponicipation Agreement shall become effective as of the dow of execution licyeo? and the paymenis provided

hereinabove shill be payatle from and alte OZOWZO1S avs continue yma expiration of the collective bargaining,
fowar2018

AYrEEMENT On subject, however, to the discretion of jhe Trusives After expiration of the collective
bargaining agreement. this Participation Agreement aliall continie in full forse and effect until a successor collective bargaining.
agreement is executed by the Employer aud Union unless a) the Trusices terminate the participation of the Employer and
provide writen notice of the date of termination, b) te Eniptoyer gives the Fund ag lenst sixty (60) days advance writiert notice
hy certified nvall with retin receipt requested of iis liMent (0 terivinate participation because lt no longer has an obligation to

2
REV. 201407


THE NEW YORK STATE TEAMSTERS CONFERENCE PENSION AND RETIREMENT FUND

PARTICIPATION AGREEMENT

|. (4) This Participation Agreement, executed by the undersigned Teamsters Local Union (horeinafler "Union”) and Employer,
ts the basis for participation in the New York State Teamsters Conference Pension & Retirement Fund (hereinafter “PundTM),
The Employer, its participating employees, and the Union, as a condition of participation in this Fund, are bound by this
Participation Agreement, the Trust Agreement, Plan documents and all of the rules and regulations of the Fund now and/or
hereafter adopted by the Board of Trustees.

(b) The Employer and Union understand and agree tliat the Fund contributions shall be made, ms set foril hereimt, on all

employees doing bargaining unit work, irrespective of whether said employees are full-time, part-time, casual or seasonal,
except us is otherwise provided herein. No agreement between the Employer and the Union shall alter this rule ar arty other

rule or provision of this Participation Agreement.
(c) The Employer agrees to contribite as follows, not to exceed the maximum:

LC Whitford (Hauling)

Covered Group of Employees (Define)

60 Month DB
Rehubilitution (3.05 if Tonal
Schedule elect it

Default Effective sviaore aoe

Schedule A Effective stwzorr a iany

Schedule B Effective seo sey

Schedule C Effective

Schedule D Effective

Schedule E Effective

Schedule G Effective

Conic Type; (CUPS CO Freight-National OD Constenction [) Municipal — &] Other

Covered Employees: [5] Bargaining (1 Non-Bargaining

Contributions begin on-all employees front the first hour of the lirst day of employment,

Formula for Road Drivers Contributions: Total miles driven in a tour of duty divided by 25 miles per hour equals hours
per trip.

(d) All such payments to be made to the Fund ary to be received by the Fund office on or before the tenth: (10th) day of the
month following the month in which said monies were accrued, except when otherwise agreed by the Fund, bul not to exceed
by dhe end of the sume month due.

2. Failure on the part of he Employer to limely contribute on any of its employees as specified herein shall make the Employer
linble for all employee benefit claims which are incurred during the period of delinquency, damages, reimbursement to the Fund
for the Fund's attorneys’ fees, auditors’ fees, court costs, disbursements and expenses incurred by the Fund ip recovering the
above. In addition, the Employer rust pay all arrears due the Fund together with liquidated damages in the sum of ten percent
(10%) of the delinquent amount, The late payment of any delinquency by the Employer shall not in any way relieve it from the
Obligations set forth above, In addition, when the Employer is notified in writing by the Fund that it is delinquent, the
Employer must immediately pay the delinquent amount to the Fund, After said payment, the Employer may appeal! the Fund's
decision to the Board of Trustees, whose decision stall be final and binding, In the event of failure of the Entployer to comply
with any of the rules of the Fund, the Employer and all its participating employees, at the Fund's sole discretion, shall cease to
participate in the Fund, and the Employer shall be responsible for all the benefits and all other charges specified herein.

3. The Fund may, at any time, audit the payroll records of any and all employees of the Employer ut « time mutually agreed

t
REV- 201407


upon at no extra charge to the Employer. In the event jt is found that the Employer has aot fully complied with the Fund rules
and/or provisions of this Pericipatiun Agreenrent, the Employer shall pay the full com of the audit that has been performed by
the Fund, tn addition, the Employer shall be responsible as ect forth in this Participstion Agreement end the Fund's rules,
regulations end/or collextion policies.

4. The Fund shall be open to participation by ary group of members belonging to o perticipating Union that fully complies with
ef! qules and regulations of the Fund. In addition, the Employer may contribute fo the Fund for emplayers working outside the
Jurisdictiog of the collective bargaining agreement in the amount indicated above. However, if these employees are included,
the Employer agrees to make contributions on all employees in this cefegory subject to the same conditions and on (he same
basis as is provided ip this Participation Agreement, and the Employer also agrees (@ continue to make contributions an all these
employees far as bong as there shall be a collective bargaining agreement between the Employer and the Union, subject to any
end all rules and regulations or decisions covering this group that are iaswed by the Fund. The Employer must request in writing
and receive written approval from the Fund in order ta heave these nom-covered employees incleded, Such request must
specifically define the calegory or calegories involved.

5. Showld any ef the provisions of this Participation Agreement be declared to be in violetion of the Labor-Management
Relations Act of 1947, as amended, or any other State or Federal statute or regulation, such declaration shall in no way impair
the effectiveness or continuity of the rest of the provisions of this Participation Agreement and such provisions are hereby
expressly declared to be saved from such iflegality.

6. Payments to the Fund must he made by the Employer for all compensable vacation and holiday time up to 4 maximum of
one full ealeneiar year.

7. Ifan employee is gremied a leave of absence, the Empioyer shal) coflect from said employee, prior to the leave of absence
being effective, sufficient manies to poy tye required contributions dering the period of sbsence and such monies shall
thereafier be promptly forwarded to the Fund in sccordence with the rules of the Fumd. In the event the Employer grants a leave
tnd does not so comply, the Employer must pay the contributions subject to aif other requirements in paragraph 2 herein,

§. The Employer agrees to fitmish sach informatinn as may be necessary (a eneble the Fund to carry out its duties.

Da Peralta) ~ wes l/r
9. IF o regular employee is absent because of jliness or off-the-job injury and notifies the Employer of such absence, the
Employer shal! continue to make the required contrifutions for a period of fowe{4) werks. If a regular employee is injured on
the job, the Employer shell continue to pay the required contributions until such employee returns to work. However, such
contributions shall not be paid for a period of more then © weeks.

10. All actions and proceedings commenced or initiated by any claimant, applicant, employee, participant, the Union ar the
Employer, of their agenis, successors of assigns, ageinst lhe Fund, the Trustees thereof or any employer, service provider,
representative of agent thereof, and all actions and proceedings commenced by or on behalf of saith Trusiees against any
elaiment, applicant, employes, participant, the Union or the Employer pertaining to the Fund in any manner, shall be in
the appropriate court in the County of Onondaga, New York or other epplicable tribunal located therein except where otherwise
provided herein. la regard to withdrawal (lability arbliration proceedings, all such arbitrations sfimll be initiated in the Boston,
Massachusetts regional office of the American Arbitration Association and afl hearings and relited proceedings shall be
conducted In Syracuse, New York. In regerd io federal disiricl court ectfons, ol! seh ections shall be commenced end heard in
Gye United Stotes District Colt for the Northen District of New York. The Fund shall not be subject to any
Bricvance/urbiorstion procedure set forth in any callective berpsining agreement. {i \s specifically agreed that any action or
a eee or venue shall be wansferred to the appropriate court or vibunal

1 |. This Participation Agreement shall become effective as of the date of execution hereof ond the payments provided
hereinabove shall be poyatile from and after|VV@O18 ___ snd continue until expiration of the collective bargaining

agreement on 1231/2018 subject, however, to the diserétion of the Trustees. After expiraiion of the collective

agreement, this Participation Agreement shatl continue in full force and effect until a successor collective bargaining
agreement is executed by the Employer and Union untets «) the Trusi#es teominais the participation of the Employer and
provide written notice of the date of termination, b) the Employer gives the Fund at least sixty (60) days advance written notice
by certified mail with retum receipt requested of its intent to terminate participation because it no longer has an obligation to

2

REV, 201407


THE NEW YORK STATE TEAMSTERS CONFERENCE PENSION AND RETIREMENT FUND

PARTICIPATION AGREEMENT

1. (a) This Participation Agreement, executed by the undersigned Teamsters Local Union (hereinafter “Union”) and Employer,
is the basis for participation in the New York State Teamsters Conference Pension & Retirement Fund (hereinafter “Fund”).
The Employer, its participating employees, and the Union, as a condition of participation in this Fund, are bound by this
Participation Agreement, the Trust Agreement, Plan documents and all of the rules and regulations of the Fend now and/or
hereafter adopted by the Board of Trustees,

(b) The Employer and Union understand and agree that the Fund contributions shall be made, as set forth herein, on all
employees doing bargaining unit work, irrespective of whether said employees are full-time, part-time, casual or seasonal,
except as is otherwise provided herein. No agreement between the Employer and the Union shall alter this rule or any other
rule or provision of this Participation Agreement.

(c) The Employer agrees to contribute as follows, not to exceed the maximum;
Lake Beverage- DRIVERS/HELPERS/WAREHOUSEMEN PROGRESSION
Covered Group of Employees (Define)

60 Month DB
(8.05 if

Contract Type:  C) urs Li Freight-National CConstruction (C] Municipal Other
Covered Employees: Bargaining © ([) Non-Bargaining

Contributions begin on all employees from the first hour of the first day of employment,

Formula for Road Drivers Contributions: Total miles driven in a tour of duty divided by 25 miles per hour equals hours
per trip.

(d) All such payments to be made to the Fund are to be received by the Fund office on or before the tenth (10th) day of the

month following the month in which said monies were accrued, except when otherwise agreed by the Fund, but not to exceed
bby the end of the same month due.

2. Failure on the part of the Employer to timely contribute on any of its employees as specified herein shall make the Employer
liable for all employee benefit claims which are incurred during the period of delinquency, damages, reimbursement to the Fund
for the Fund's attorneys” fees, auditors’ fees, court costs, disbursements and expenses incurred by the Fund in recovering the
wbove, In addition, the Employer must pay all arrears due the Fund together with liquidated damages in the sum of ten percent
(10%) of the delinquent amount. The late payment of any delinquency by the Employer shall not in any way relieve it from the
obligations set forth above. In addition, when the Employer is notified in writing by the Fund thet it is delinquent, the
Employer must immediately pay the delinquent amount to the Fund. After said payment, the Employer may appeal the Fund's
decision to the Board of Trustees, whose decision shall be final and binding. In the event of failure of the Employer to comply
‘with any of the miles of the Fund, the Employer and all its participating employees, at the Fund's sole discretion, shall cease to
participate in the Fund, and the Employer shall be responsible for all the benefits and all other charges herein. tad
Ds Covered by this agreemert ~ WH Vix
3. The Fund may, at any time, audit the payroll recards of any and all employees of the Employenat a time mutually agreed
1

REV. 201407


Tb

contribule by confract or statute, ¢) the date the NLRB certifies the results of an election that terminates the Linion's
representative stalus or, d) the date the Union"s representative status terminates through a valid disclaimer of interest. The
Employer shall pay any contribution rite increases due under ihe Rehabilitation Plan in eflect during negotiations with the
Union and such payments shall be made in accordance with the rules and regulations of the Fund. A new Participation
Agreement must be signed and subinitted for cach successor collective bargaining agreement.

pp2o12015

TW3t/2018

Effective duc of collective bargaininy agreemen

Expiration date of collective bargaining agreement:

12. The Employer and its employees shall not be entitled to participate in this Fund unless the Employer and the Union are
signatory toa current Participation Agreement,

13. This Participation Agreement represents the entire agreement and understanding of the parties and supersedes all prior or
comfemporancous agreements or understandings, whether oral or written, As such, this Participation Agreement may not be
mowified except by a writing signed by all parties. Further, to the extent there exisis any conllict between any provisions of this
Participation Agreement and any provisions of the collective bargaining agreement, this Panicipation Agreement shall control,

‘The parties hereto have caused this Participation Agreement to be executed on the dale shown by cach of their signatures below.

LOCAL UNION# 294 EMPLOYER: Larned Trucking

ADDRESS: 899 Third Strest ADDRESS: 544 Burdeck Street
Schanectady. N¥ 12306

ry

aE PRINT NAME: Timothy S, Larned
PRINT TITLE:PresidenvPEOIBA PRIMT TITLE: President

DATE: DATE: et fC,
sy
Redacted by the U.S.

NEW YORK STATE TR RMUMAMA UL SS ION AND RETIREMENT FUND
151 NORTHERN CON
MAILING ADDRESS: EW YORK. 13221-4928

SIGNATURE: DATE:

REV, 201407


aie

contribute by contract or statute, ¢) the date the NLRB certifies the results of an election that terminates the Union's
representative stntus or, d) the date the Union's representative status terminates through a valid disclaimer of inferest. The
Employer shall pay any contribution rate increases due under the Rehabilitation Plan in effect during negotiations with the
Union and such payments shall be made in accordance with the rules and regulations of the Fund, A. new Participation
Agreement must be signed and submitted for cach successor collective bargaining agreement.

fo2no12015
1: (0131/2018

Effective date of collective bargaining agreement:

Expiration date of collective bargaining agreement

12. The Employer and its employees shall noi he entitled to participate in this Fund unless the Employer and the Union are
Signajory to a current Panicipation Agreement,

13. This Participation Agreement represems the entire agreement and understanding of the parties and supersedes all prior or
contemporaneous agreements or understindings, whether oral or written, As such, this Participation Agreement may not be
modified except by a writing signed by all parties. Further, to the extent there exists any conflict between any provisions of this
Participation Agreement and any provisions of the collective bargaining agreement, this Participation Agreement shall control.

‘The parties hereto have caused this Participation Agreement to be executed on the date shown by each of their signatures below,

LOCAL UNIONH 294 EMPLOYER: _Lamed Trucking
ADDRESS: 590 Thed Scot ADDRESS: 544 Burdeck Street
Abary, MY 12206 Sehoneciady. WY 12306
Redacted by the U.S. Department of the Treasury

PRINT NAME:3&" : _ PRINT NAME; Timothy 5, Lamed
PRINT TITLE:PresidenUPEOIBA, PRINT TITLE: President
e 7 =
DATE: B/4n fz DATE: _____ 2 fy ofS
7

sf

NEW YORK STATE THREE GiCalgea a
131 NORTHERN CONGIEERTIY
MAILING ADDRESS:

E PENSION AND RETIREMENT FUND
13212

SUSE. NEW YORK 13221-4928 be i
DATE: 2/ Of
oF

SIGNATURE:

EXECUTIVE ADMINIST

REV. 201407