S\GS
Arbitration Association and all hearings and related proceedings shall be conducted in Syracuse, New York. In
regard to federal district court actions, all such actions shall be commenced and heard in the United States District

Court for the Northern District of New York. It 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 tibunal specified herein.

IL. This Participation Agreement shall become effective as of the date of execution hereof and the payments above
provided shall be payable from and after 013. and expire on 940/18 -This agreement shall continue in full
force and effect for the same term as the collective bargaining agreement. A new Participation Agreement must be
signed and submitted for each subsequent cxilective bargaining agreement.

Effective date of collective bargaining agreement 05/01/13

Expiration date of collective bargaining agreement 04/30/1 8

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.

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

LOCAL UNION# 294 EMpLoyER: Dagostino Building Block Co.

ApprEss; 890 Third Street ADDRESS: 1111 Altamont Ave,
lalRedacted by | 2206

the U.S
SIGNATURE:_ Piet

ithe Treasury
PRINT NAME: Of Bulgaro
PRINT TITLE: President & PEO PRINT TiTLE iets Ser tetas” jeas ver”
DATE: _ tho liz D 4-5 |3

Redacted by ti

NEW YORK STATE T Department of the Treasury

13] NORTHERN CON
MAILING ADDRESS:

EMSION AND RETIREMENT FUND
212
2W YORK 13221-4928

DATE: __ Luft ?

SIGNATURE:

REV, 5/2010


Sein seeru cing io ie eae Jo the event it is found that the Eeployer Itas not fully complied with te Fund rates
andor provisions of this Participation Ayreement. the Employer stall pay the full cost of the audit (hat las been performed by
the Fund, ln addivion, the Eayployer shall be responsible as set fortify this Participation Agreement and the Funif's rites,
regulations and/or coflvetion policies.

A. The Fund shall he open to participation by any 2roup of members belonging 10.9 participating Uinlow that filly comptes will
all niles cd reputations othe Fund. {iy neldlition. the Einployer may contrite to the Fund for employees working outside the
Jurisdiction of the collective bargnining agreement in te ama fntfiented above. However. if these enployees are incheled,
the Enupliver agrees 19 inake eontibutions on all employees in this category subject to the same conditions mnd on the sane
basis as is provided fv this Participuion Agreement, and )he Employer also ayrees to continue fo make contributions on all tes
cruployees for as lone is there shall boa cothective bargaining agreement between the Employer and te Union, subject to any
wid all niles avid reyguintions or decisions covering thls eroup What are issued by the Fund. The Employer suit request in writing,

and receive writen approval from ihe Fund in order to Have these nomcovered employees included. Such request must
specifically detine the emleyory or calegarics invotved.

3. Show uny of the yrowisions of this Pavleiparion Agreenwnt be deelwed to be Tu violaion of (he Labor-Management
Reluions Act of 1997. us omendeil. or any other Staie or Federal simute oF reevikwion. such decinnuion shall in no way impair
the effectiveness or comblidity of the fest of the provisions of this Participation Agreement and stich provisions are Iyereby
expressly declared jo be saved frou aneh Meyality

6. Payments to the Find must be onude by the Employer for all compensable vacation and holiday dime up to enim of
ene Pull calepilir vise

7, 1Fon employee is eramed a leave of absence, the Enmployer shall enitect from said employee, prior to the feaye of absence
befhy eMietive. silicon monies in pay the required eoniritutions daring the poriad of ahecnce and such monies shall
thervafior he prawintty torwerdés! wo the Fund io sccurdance with the ciles of the Fund. lo the event the Employer grams a teave
and does not se conmply, (he Eeyployer must pay the contributions subject to all other requirenents in parawrapl 2 Werein,

A. ‘The Bniployer agreus 10. fumish such intimation us may be necessary to enable the Fund to carry out its duties.

9. Ia regsitir employes be ahsont hecaue af illness oF ofliejob Injury and vatifies the Employer Of stl ahschce. thie
[Snployer shall continue to make the required comibuiions far a period of four (4) weeks, Ifa regular employee is injured on
the jab. he Employer shall contin: to pay the reyulred covlpibulions watil such eeployee returns to work. However. such
coutribetlons strall net be paid fora period oF more thin 4 weeks.

10. All actions and proceedings commenced ar initintes! by ony claimant. applicant, enyployec. parttcipant. the Linker or the
Employer, or their agents successers or assigns, against (he Fund. the Trustees thereof or any employee. service provider,
represenuiive op avent thereof, and all actions and proceedings commenced by or oo behalf of said Trustces supinst any
cabinet, ‘ygyplicant, employee. participant, the Union or the Eimployer pertaining to the Fund in aay miaeter, shall be brovgiht in
the appropriate court iw the County of Onondeya, New York or other applicable tribunal located (herein except where otherwise
provided herein. In regan io withdenval Uabilily arbviinaian proceedings. all such arbitrations shall be initinted In the Boston.
Massachusetts regional office of the American Arbitration Association andl ull hearings and related proceedings shall be
conducted in Syracuse. New York. ly reward to federal disivict couri actions. all such actions shall be commenced and heard in
fe United States District Court for the Northers Distoct of New York The Fund shal! wot be subject to any
gievmeetarhiinitlin procedure act forth ln any collective targnining agreement, 1 bs specifically agreed that any action or

proceeding commenced of fitted in any ofber jurisdiction or vere shall he transferred to the approprine court or tribunal
sperificd herein.

1h Tis Panicigtion Ageeerera stetl RFs gamete ngekrenages akan gees
1

wereivabove shall be puyalde frum aud atier OVOUZOTE yd continue unl expiration of the vollective bargaining,

mpeemem on A2SUZOIEsabgees, powever. tv the discretion oF the Trusives:. After expheion of the collective

agreement. this Participalion Agreement shill continue in fall force and effect until a successor collective bargaining:
agscement is executed hy the Employer ind Union unless. a) the Trustees terminate the pactleipation of the Employer and
provide written notice of the date of weniinution, b) We Employer gives he Fund al least sixty (60) days advance written notice
by certifive mail with retum recvipt requested of ils intent to tenninste participation because jt no longer has an obliyution to

2

REV. 201407


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

(a) This Participation Agreement, executed by the undersigned Teamsters Local Union (hereinafter "Union") and
‘mplayer, is the hasik for panicipation in the New York State Teamsters Conference Pension & Retirement Mund
vereinalicr “Punst"), ‘The Employer, its participating employees, and die Union, as a condiiion of participation in
is Fund, are bound by all of the rules ond regulations of the Fund pow jind/or hereafier adopted.

(b) The Enyployer and Union understand and agree that the Fund contributions shall be made, as set forth herein, ont
all employees doing bargaining unit work, irrespective of whether said employees are (ull time. parttime. casual or
casual, except ay is otherwise provided herein, No agreement between the Employer and the Union shall alter tity
ile or any other rule oF provision of this Participation Agreement,

(cv) The Employer agrees to contribute as follows, not to exceed [he maxinnunr:

Covered Group of Employees (Define) Bargaining, Heavy & Highway- Composite Crew

Rares of Contritnaion Hourly Weekly CONTRACT TYPE:

Effective 6/1/16 Sv.21 All Vrs Pail UPS

Fiffective FREIGHT ~ National

Effective FREIGHT ~ Area

Effective J = CONSTRUCTION

Effective a MUNICIPAL.
OTHER

Covered Employees: [JBargaining — [_JNon-Bargaining

Contributions begin on allemployees front the first hour of the first day of employment,

Formula tor Road Drivers Contributions: Total mites driven in a tour of dury divided by 25 miles per hour equals
hours per wip.

(dl) All such payments 10 be made to the Fund are to be received by the Fund office on or before dhe tenth (10th) day
of the pionth following the month in which said monies were accrued, except When otherwise agreed hy Ihe Fund,
hut not (@ exceed by the end of the sane month due.

. Failure on the part of the Enrployer to |imely contribute on any of its employees as specified herein shall make the
inployer Hable for all employee benefit claims which are incurred during the period of delinquency, damages,
sm burserment (o (he Fund for the Fund's attomeys’ fees, auditors’ fees, court costs, disbursements and expenses incurred
y the Fund in recovering the above. In-addition, the Employer must pay all arrears dive the Fund together with liquidated
wmagey in the sun of ten pervent (10%) of the delinquent amount, The tate payment of any delinquency by the
‘oyployer shall not in any way relieve it fron tie obligations set forth above. Ln addition, when the Employer is notified
i weiting by the Fund (hat it is delinquent, the employer must immediately reimburse the delinguent amount to the Fund
after said reimbursement, the employer nay appeal the Fund's decisiow to the Board of Trustees, whose decision shall be


sia

YS TEANSTERS BENEFIT CRIT Olam G+ 10-7000 a8

—__., 2010
weal ue

Board of Trustees
Alin: Kenneth R, Stilwell, Executive Adnoinisteator
New York State Teamsters Conference
Pension and Retirement Fund
P.O, Box 4928
Syracuse, New York 13221-4928

n 2010 Contri

We write to advise the New York State Teansiers Conference Pension and Retirement
Fund ("Fund") chat the undersigned Union and Employer have entered into collective bargaining
negotiations over the Fund's rehabilitation plan consisting of Schedules A-E atid a Defaule
(Rehabilitation Plan”),

Asa cesult of these wegotintions, tee undersigned Union and Employer certify that they
have reached an agreenient dhut provides for an incrense of 5% or more in the contribution rate
during calendar year 2010 and that the following schedule will apply (please check one of the

following):
O)Sehedule A
[kK] Schedule B
1D Schedule C
 Sotiedutle D
O)Schedule &
Ci Defaut

‘The undersigned Union and Employer certify that their above-referenced agreement
conceming (ke 2010 contribution rate and applicable Rehabilitation Plan schedule is
memorialized in @ written collective bargaining agreement (or amendment thereto) and the
participation agreement entered into among the undersigned parties.


THE NEW YORK STATE TRAMSTERS CONFERENCE PENSION AND RETIREMENT FUND
1 REE

1. (a) This Panicipation Agreement, exceuted by ihe undersigned Teamsters Local Union (hereinafter “Union” and
Employer, is the basis for participation in the New York State Teamsters Conference Pension & Retirement Hund
(hereinatier “Fund”), The Employer, its participating employees, and the Union, as 4 condition of participation in
this Fund, are bound by this Participation Agreement and all of the niles and regulations of the Fund now and/or
hereafler adopted,

(6) The Employer and Union understand and agree that the Pund contributions shall be made, as set forth herein,
on all employees doing bargaining wait work, irrespective of whether said employees are full-time, part-time, casual
or seasonal, except ay fs otherwise provided herein, No agreement hetween the Employer and the Uniow shall alter
this rule oF any other rule or provision of this Panicipution Agreement.

(c) The Emptoyer agrees to contribute as follows, nol lo exceed (he maximum:

Covered Group of Employees (Define) Baruaning -Awang Rates Camposne Craw

REHABILITATION

Runes af Contrihaion: Lonely Weekly — CONTRACT TYPE: SCHEDULE (attached)
Lifeetive @1-206 3720 Mime =) UPS Default
Efeetive FREIGHT — National Schedule A
Etfeetive FREIGHT — Area Schedule B
Elfective CONSTRUCTION Schedule C
Uifeetive MUNICIPAL, Sehedule 0
Hifeetive OTHER Schedule E

Covered Umployces: (Bargaining DD Now-Burpaining

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

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

(da) All such payments to be nade 1 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, excep! when otherwise agreed by the
und. but not to exceed by the end of the sume month due,

2. Failure on the part of he Employer to timely contribute on any of its employees as specified herein shall make the
Employer table for all employee benefit claims whieh are incurred during the period of delinquency, damuyes,
reimbursement to the Fund for the Pund's attomeys® fees, auditors’ fees, court costs. disbursements and expenses
inewrred by the Pund in recovering the above. In addition, the Employer must pay all arrears due (he 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 Tt from the obligations set forth abowe. In addition, when
the Employer is notified in writing by the Fund that it je delinquent, the Employer must Inimediately pay the
delinquent amount to the Fund, After said payment, the Employer may appeal the Fund's decision to the Hourd of


SSBF

Arbitration Association and all bearings and related proceedings shal! be conducted in Syracuse, New York, In
regard to federal district court actions, all such actions shall be commenced and heard in the United States District
Court for the Northern District of New York, It 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,

V1, This Participation Agreement shall become effective as of the date of execution hereof and the payments above
provided shall be payable from and after 61-2006 und expire on 531-2017 This agreement shall continue in full
force and effect for the same term as the collective bargaining agreement. A new Participation Agreement must be
signed and submitted for each subsequent collective bargaining agreement.

6-1-2016

[Nective dite of collective bargaining agreement

5-31-2017

Expiration date of collective bargaining agreement

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

13, This Participation Agreement represents the entire ment and understanding of the parties and supersedes all
prior or contlemponincous agreements or understandings, whether oral or written. As such, this Participation
Aurcement may not be modified except by a writing signed by all parties,

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

LOCAL UNIONY 687 EMPLOYER; Danko Development

appress; 14 Elm Street appress; 8545 SH 56

Potsdam,-New York 13676
Redacted by the U.S.

Department of the Treasury

Redacted by the U.S. Department of the
Treasury

SIGNATL

PRINT NAME; Brian K. Hammond PRINT NAME: ¥ eS
PRINT TITLE: President/PEO- Business Agent pry yp rrre: Wes de

DAT 5 —V/wAe DATE: 5-2/-/¢

Redacted by the U.S.
NEW YORK STATE [RERER UIE eg urine
151 NORTHERN CO)
MAILING ADDRESS

SIGNATURE:

E PENSION AND RETIREMENT FUND
b 13212

NEW YORK 13221)- 4928

DATE: fy [be

SIGNATURE:

REV. 5/2010


THE NEW YORK STATE TEAMSTERS CONFERENCE PENSION AND RETIREMENT FUND

PARTICIPATION AGREEMENT

1, (a) This Participation Agreement, executed by the undersigned Teamsters Local Unton (hereimafter Union”) and
Employer, is the basis for participation in the New York State Teamsters Conference Pension & Retirement Fund
(hercinaficr “Fund"), The Employer, its participating employees, and the Union, as a condition of participation in
this Fund, are bound by this Participation Agreement and all of the niles and regulations of the Fund now and/or
hereafier adopted,

(b) The Employer and Union understand and agree thai the Fund contributions shal! be made. as set forth berein,
on all employees doing bargaining unit work, irrespective of whether said employees are fill-time, pari-titme, casual
of seasonal, except as is otherwise provided herein No agreement between the Emmplover and the Union shall alter
thik pile or any other nile or provision of this Participation Agreement.

{c) The Employer agrees to contribute as follows, not t exceed the maxinnem:

Covered Group of Employees (Define) Crivers

DAILy OB REHABILITATION
Rates of Contribution: Fisica Weekly CONTRACT TYPE: SCHEDULE (attwclved)
Effective osinwss st7s2 S87 50 UPS Default
Effective 9501 S1B55 Ss2uu FREIGHT — National Schedule A
Effective 980115 s186e $840 FREIGHT ~ Arca Schedule B
Effective asowe sun.0e 6 Sto.at CONSTRUCTION Schedule C
Effective osowty S22 00 wd S108! ¥ MUNICIPAL, Schedule D
Effective yi =) OTNER Schedule E
Covered Employees: Bargaining CF) Now-Bargoining

Contributions begin afl employees from the frst hour of the first day of employinent,

Ponmulke for Road Drivers Contributions, Total miles dnver in a tour of duty divided ty 25 miles per hour
equiails hours per trip,

(i) 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 greed by the
Fund, but not to exeeed by the end of the sante month due,

2. Failure on the part pf the Employer to timely conttibute on any of its employees.as-specilied herein shall make the
Eruployer liable for all employes benefit claims which ave incurred during the period of delinquency, damages,
reimbursement Co ihe 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 Pond 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 js notified in writing by the Fund that ft is delinquent, Ihe Employer must immediately pay te
delinquent amount to the Fund, After said payment, the Employer may appeal the Fund's decision to the Board of


THE NEW YORK STATE TRAMSTERS 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 Mund
{hereinafter “Fund"). The Employer, its participating employees, and the Union, as # condition of participation in
this Fund, are bound by this Participation Agreement and all of the rules and regulations of the Find now wnd/or
hereafter adapted,

(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-lime, part-time, casual
or seasonal, except as is otherwise provided herein. No agreement between. the Employer and the Union shall alter
this nile or any other rule or provision of this Participation Agreement,

(c) The Employer agrees ( contribute as follows, not to exceed the usaximuny;

Covered Group of Employees (Define) Crosse ine Rocrmcer Hid aftes SiV/K05 wht in cropeession periecs

Effective onpieon
Schedule A Effective
Schedule B Effective
Sehedwe C Effective
Schedule =) Effective
Seledule E = Effective
Schedwe G Effective
Contract Type: == [UPS (CF Freight-National 1 Constntction [) Municipal Otber

Covered Employees: [ Bargaining (1 Nen-Bargaining

Contributions begin on all employees fram the first hour of the first day of emplayment

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

(d) All such payments to be made to the Fund are (o be received by the Fund office on or before the Cent (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 sume month due.

2, Failure on the part of the Employer to timely contribute on any of its employees as specified herein shall nuke the
Employer liable for all employee benefit claims which are incurred during the period of delinqueney, damages,
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 Pund 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 addiion, when


THE NEW YORK STATE TEAMSTERS CONFERENCE PENSION AND RETIREMENT FUND
Pp. ICIPATIO)

1. (® This Participation Agreement, executed by the undersigned Teamsters Local Union (hereinafter “Union”) and Employer,
is the basis for participation iy the New York State Teamsters Conference Pension & Retirement Pund (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 niles and regulations of the Fund now and/or
hereafter adopted by the Board of Trustees

(b) The Employer and Union understand and agree that te 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 maximus

Conceal Tinesust Eee (Cted Drivers Kennedy Facility Hired After 4/2007

60 Month 60 Month DB
Rehabilitation Death ($.05 if Total
Schedule Benefit Rates of Contribution= Hourly elected) Hourly Weekly

Default Yes (] | Effective asco 3% 1238
Schedule A No [@] | Effective ssna0i7 #555 1s s8
Schedule 8 Bffeetive ssvzoin 5253 wes
ScheduleC (_) Elfective ssezpts 5880 22.24
Schedule () Effective soveon 953 pes
Schedule E. | Effective

Schedule G Effective

Comenci Type; Cures (7) Freighi-Nations! (Consimction [) Municipal [i] Other

Covered Employees: [] Bargsinims 1] Now-Bargaining

Contributions begin on all employees from the first our of the First day of employment

Formula for Road Drivers Contributions: Total miles driven in a tour of duty divided by 25 miles pen 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 samie month due.

2. Failare on the pari of the Emplayer to timely contribute on any of its employees as specified Werein shall make the Eniployer
linhte for all employee benefit claims which are Incurred during the period of delinquency, damages, reinibursement ta the Fund
for (he Pund’s attorneys’ fees, audilors’ fees, court costs, disbursements and expenses incurred by tbe Fund in recovering the
above, (0 addition, the Employer must pay all arrears due the Fund together with liquidated damages in the sum of ten percent
(10%) of the definguent amount, The te payment of any delinquency by the Employer shall qot in any way relieve it from the
obligations set forth above. iy addition, when the Employer is notified in writing by the Pund that it is delinquent, the
Employer musi immediately pay the delinquent amount to the Fund. After said payment, the Employer may appeal the Fund's
decision to the Bord of Trustees, whose decision sfiall be final and binding. In the event of failure of the Employer to comply
with any of the rales of the Fund, the Employer and all its participating employces, at (he Fund's sole discretion, shall cease to
participate in the Fund, and the Employer shat! be responsible for all the benefits and all other charges specified herein.

3, ‘The Fund may, at any time, audit ihe payroll records of any and all employees of the Employer aro tine mutually agreed

1
REV, 201407


315 455 1797

NYS TEAMSTERS SENEFIT 09-33-42 aum. 06-19-7010

By signing below, the Union and Employer certify to the Board of Trustees of the New York
State Teamsters Conference Pension and Retirement Fund that the information contained in this

letter is accurate,

UNION

Redacted by the U.S. Department of the
Sign: ‘Treasury

Bradley ‘Haag

Print: _ Sradley Haag
Title: Business Agent

Union's

Official Name: Teamsters Local 264

Date t Oates rE)

EMPLO Redacted by the U.S. Department of the

{Treasury
Sign:
Print:
= Dn,
Tite: Pras idt nt
Employer's
‘Official Name: Grossett Inc. — Rochester
oizzfro
7

Executive Administrator


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 enyployees, at the Fund's sole discretion, shall cease to
participate ip the Fund, and the Employer stall be responsible for all (he Benefits and all other changes specified
herein.

3. The Pund may, at any time, audit the payroll recotds of any dnd all employees of the Employer at a time mutually
ugiced upon at no extra charge to (se Employer. In the event it is found that the Employer bas not fully complied
with the Fund rules unt/or provisions of this Participation Agreement, the Employer shall pay the fill cost of the
audit that has been performed by the Fund. In addition, the Employer shall be responsible as set forth in this
Participation Agreement and the Fund's rules, regulations and/or collection policies.

4, The Puni shall te open to participatiow by any group of members belonging to a participating Umen that fully
complies With all rules and regulations of the Fund, In addition, the Employer may contribute to the Fund for
employees working outside the jurisdiction of the collective bargaining agreement in the anyount indicated above.
However, if these employees are included, the Employer ayrees to make contributions on all employees in this
category subject (o the same conditions and on the same basis as is provided in this Participation Agreement, and Ure
Employer also agtees to continue to make contributions on all these eniployees for us long as there shall be a
collective bargaining agreement between the Employer and the Union, subject io any wad al) jules and regulations or
decisions covering this group that are issued by the Fund, The Employer must request in wating and receive written
approval from the Fund th order to have these ton-covered employees included, Sch request mist specificully
define the category or cutegories involved,

5. Should any of the provisions of this Participation Agreement be declared to be in violation of the Labor-
Management Relations Act of 1947, as amended, or any other State or Federal statute or regulation, such declaration
shall itt no way impair the effectiveness of continuity oF the rest of the provisions of this Participation Agreement and
such provisions are hereby expressly declared 10 be saved from such illegality.

6. Payments to the Furd witist be made by the Employer for all compensable vacation and holiday dime up too
maximum of one [ill calendar year

7. [Fan employee is granted a leave of absence, the Employer shall collect from said employee, prior to the leave of
absenat heing effective, sufficient monies to pay the required contributions during the period of abyence and such
monies shal! (hereafter be promptly Mrwarded to the Fund in accordance with the cles. of the Fund. ln die event the
Employer grants a Jeaye and does not so 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 enuble the Mund to carry out ils duties,

0, Ma regular employee is absent because of illness or off-the-job injury and notifies the Employer of such absence,
the 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 of initiated by any claimant, applicant, employee, participant, (he Union
or the Eroployes, or their agents, successors or assigns, against the Pund, the Trustees thereaf or any employee,
service provider, representative or agent thereof, and all actions and proceedings commenced by ov on belhwlf of said
Trustees agwinat any claimant, applicant, employee, participant, the Union or the Employer pertaining to the Fund in
any manner, shall be brought in the appropriate cowrt in the County of Onondaga, New York or other applicable
tribunal located therein except where otherwise provided herein, In regard to withdrawal liability arbitretion
proceedings, all such arbitrations shall be initiated in the Boston, Massachusetts regional office of the American

2


gait

contribute by contract or statute, c) the date the NLRB certifies the results of an election that terminates the Union's
representative stalus or, d) the date the Union's representative status terminates through a valid disclaimer of interest. The
Employer shal! 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 bargaining agreement_

, #i03/2016
farozi2021

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 a current Participation Agreement.

13, This Participation Agreement represents the entire agreement and understanding of the parties and supersedes all prior or
contemporancous agreements or understandings, whether oral or writlen, 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 cach of their signatures below,

LOCAL UNIOM# 254 EMPLOYER: Crossett Inc,

ADDRESS: 35 Tyrol rive ADDRESS; POBR946
na WY 14z27 Waren Pa teas
Redacted by the U.S. Department of the Redacted by the U.S. Department of
SIGNATUR Rrreasury SIGNATURE: the Treasury

PRINT NAME; Tony aren PRINT NAME:Alex Keddie
PRINT TITLE:8usiness Agent PRINT TITLE: CEQ

DATE: 6frtlte DATE:

NEW YORK SION AND RETIREMENT FUND
15] NORTHERN CONCHA 13212

MAILING ADDRESS: PUSE, NEW YORK 13221-4928
SIGNATURE: DATE: i (UG

EXECU

REV. 201407


fal and binding. In the event of failure of the Employer to comply with any of the rules of the Fund, the Employer ant
Lits participating employees, ut ihe Fund's sole discretion, shall cease to participate in the Fund, and the Employer shall
responsible for all the benefits and all other charges specified herein.

The Fund may, at any tine, audit ihe payroll records of any and all employees of the Eniployer at a tine wiiially
seed Upon af no extra charge 10. the Employer. tithe event itis found that the Employer hits not fully complied with the
Jnd rules and/or provisions of this Participation Agreement, the Employer shall pay the full cost of the audit that ties
ten performed hy the Fund. Ih addition, the Einployer shall be responsible as set forth in this Participation Agreement
1d i accordance with the Fund's cunvent Collections Policy.

‘The Fund stall be Open to purticipation hy any group of members belonging (0. participating Local Union thal fully
wpties with all niles and regulations of the Fund. In addition, the Employer may contribute to the Fund (or employees
orking outside (he jurisdiction of the Collective Bargaining Agreement in the amount indicwed above, However, if
ese eniployees are inched, the Employer agrees lo make contributions onal employees in this. category subject to the
ame conditions and on (he same basis as is provided in this Participation Agreement, and the Employer also agrees w
smatinue to make contributions on all these employces tor as tong as there shall be a Collective Bargaining Agreemem or
zreements between the Enyployer and the Union, vabject to any and all rules and regulations or decisions covering this
‘ony (hat are issued by the Fund, The employer must request in writing and reccive written approval from the Fund in
ter io have these non-covered employees included. Such request must «pecifically define the category or categories,
volved,

Should any of the provisions of this Participation Agreement be declined w be in violation ofthe Labor-Management
clitions Act of 1947, as amended, or wny other State or Federal statute or regulation, such declaration shall ti wo way
poly the effectiveness or continuity of the rest of the provisions of this Participation Agreement and such provisions ae
treby capressly declaved to be saved (rom such illegality.

Payinents 10 the Fund inust be mude by the Employer for all compensable vacation and holiday time up (0 4 maint
“one full eafenday year

If an employee is granted a leave Of absence, the Employer shall collect from said employee, prior to the leave of
wence being effective, sufficient inonies to pay the required contribiations during the period of absence and such sonics
wall (hereafler be promptly forwarded to the Fund in accordance with the ruley of the Fund. tn the event the Eployer
wits leave and does pot so comply, the Employer must pay the contributions subject to all-other requirements in
sragraph 2 herein.

The Employer ageces to furnish such information as muy be neeessary tO enable the Fund ty curry out fis duties,

1) a regu employee is absent beewuse of ilies or off-(be-job injury anc notifies the Employer of such absenee. the
ployer shall continue 10 make the required contributions for a period of four (4) weeks. Ifa regular employee is
tjured on the job, the Employer shall continue to pay the required contributions until such employee renimy 10 work.
owever, stich contributions shall not be paid fora period! of more than 4 weeks,

) All actions ant proceedings commenced or initiated by any claimant, applicant, employee, participant, (he Union or
ic Employer. or their agents, successors or assigns, against the Fund, the Trustees thereof or any employee, service
rovider, fepresemative or agent thereat, andl all actions and proceedings commenced by said Trustees agalist any
loliant, applicant, employee, participant, local the Union or the Employer pertaining to the Fund in any manner, slull be
rought 10 the appropriate court in the County of Onondaga, New York or other applicable tribunal located there except
‘here otherwise provided herein. Lo regard (0 arbitration proceedings, wll such arbitrations shall be initinied i (he
yrivuse, New York regional office of the American Arbitration Association and oll bearings and related proceedings

2


215 495 1237 YS TEAMSTERS BENEFIT 09:33:42 am. 06-10-2010

By signing below, the Union and Employer certify to the Board of Trustees of the New York
State Teamsters Conference Pension and Retirement Fund that the information contained in this

letter is accurate,

UNION

Sign;

Bradley Haag

Printz

Title: Business Agent

Union's
Official Name: Teamsters Local 264

Date: l ofze Ji2 —

EMPLOYER

Title:

Employer's
Official Name: Crossett Inc. - Rochester _

Department of the

ACHIEESTING

Ken
Executive Administrator


920d

tribunal located therein except where otherwise provided herein. In regard to withdrawal liability arbitration
proceedings, all such arbitrations shall be initiated in the Boston, Massachusetts regional office of the American
Arbitration Association and all hearings and related proceedings shall be conducted in Syracuse, New York, In
regard to federal district court actions, all such actions shall be commenced and beard in the United States District
Court for the Northern District of New York. It is specifically agreed that any action or proceeding conunenced or
initiated in any other jurisdiction or venue shall be transferred to the appropriate court or tribunal specified herein.

11. This Participation Agreement shall become effective as of the date of execution hereof and the payments above
provided shall be payable from and after 0712011 and expire on 09282016 ‘This agreement shall continue in full
force and effect for the same term as the collective bargaining agreement. A new Participation Agreement must be
signed and submitted for cach subsequent collective bargaining agreement.

Effective date of collective bargaining agreement 05/29/2011

Expiration date of collective bargaining agreement 06/27/2016

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.

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

LOCAL UNION# 264 EMPLOYER: Crossett Inc,

Rochester hired after 5/17/09

ADDRESS: 35 Tyrol Drive AppREss: PO Box 946

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

PRINT NAME: Yanet Gregory

PRINT TITLE: Business Agent PRINT TITLE: President
DATE: Wrofry DATE: 2 - Nq effeclurt Ware

NEW YORK STATE a parment of the E PENSION AND RETIREMENT FUND
15] NORTHERN CONCMiiaaate 13212

MAILING ADDRESS: USE, NEW YORK 13221- Lh
SIGNATURE: DATE: if ve
7 TT

REV. 11/2012


the Employer is notified in writing by the Fund that it is delinquent, the Employer must immedintely pay the
delinquent amount to the Fund. After said payment, the Employer may appeal the Fund's decision to the Board of
Truutees, whose decision shall be final and binding. In the event of failure of the Employer ty comply with any of
the rules of the Fund, the Employer and al! 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 othee 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 upon at ne extra charge to the Employer, tn the event it is found that the Employer has not fully complied
with the Fund rules and/or provisions of this Participation Agreement, the Employer shall pay the full cost of the
audit that has been performed by the Fund, fy addition, the Employer shall be responsible as set forth: in this
Participation Agreement and the Fund's rules, regulations and/or collection policies.

4. The Pund shall be open to participation by any group of members belonging to 9 participating Union Unt fully
complies with all rules and regulations of the Fund. tn addition, the Employer may contribute 10 the Pund for
employees working outside the jurisdiction of the collective bargaining agreement in the amount indicted ubove.
However, if these employees are included, the Employer agrees to make contributions on al) employees 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 make contributions on all these employees for as long as there shall be a
collective bargaining agreement between the Employer and the Union, swhject to any und all rules and regulations or
decisions covering this geoup that are issued by the Fund, The Employer must request in writing and receive written
approval from the Fund in order to have these non-covered employees included. Such request must specifically
define the category of categories involved,

3. Should any of the provisions of this Participation Agreement be declared 10 be in violation 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 of continuity of the rest of the provisions of this Participation Aureement ant
such provisions are hereby expressly declared to be saved from such iMeyality.

6. Payments to the Fund must be made by the Employer for all compensable vacation ond holiday time ip to a
maximum of one full calendar year.

7. fon employee is granted a leave of absence, the Erployer shall collect from said employee, prior to the leave of
absence being effective, sufficient monies to pay the required contributions during the period of absence and such
monies shall thereafler be promptly forwarded to the Fund in accordance with the rules of the Fund. Inthe event the
Employer grants a leave and does nol so 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 canry out its duties,

9, Ifa regular employee is absent because of illness or offthe-job injury and notifies the Employer of such absence,
the 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 for a period of more than 4 weeks.

10. All actions and proceedings commenced or initiated by any claimant, applicant, employes, 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 thereof, and all wctions and proceedings commenced by or on behalf of said
Trustees against any claimant, applicant, employee, participant, the Unton of the Employer periaining to the Fund in
any manner, shall be brought in the appropriate court in the County of Onondaga, New York or other applicable

2


Upott at no extra charge to the Employer, tn the event it is found that the Employer tas not fully complied with the Fund rules
and/or provisions of this Participation Agreement, the Employer shall pay the full cost of the audit that hus been performed by.
the Fund. In addition, the Employer shall be responsible as set forth in (his Participation Agreement and the Punid*s rules,
regulations and/or collection policies.

4. ‘The Fund shall be open to participation by any group of members helonging to 2 participating Union that fully complies with
all rules and regulations of the Fund, In addition, the Employer may contribute to lhe Fund for employees working outside the
jurisdiction of the collective bargaining agreement in (he amount indicated above, However, if these employees are included,
the Employer agrees to make contributions on all employes in this category subject 10 the same conditions and on the same
basis as is provided in this Participation Agreement, and the Employer also agrees to contione to make contributions on all (hese
employees for a5 long as there shall be a collective bargaining agreement between Me 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 writing
and receive write, approval from the Fund in order to have these non-covered employees included. Such request must
specifically define the category or categories involved.

5. Should any of the provisions of this Participation Agreement be declared to be in violation of tht Labor-Management
Relations Act of 1947, as amended, or any other State or Federal statute or regulation, such declaration shall in no way impair
ihe effectiveness or continuity of the rest Of the provisions of this Participation Agreement and such provisions are hereby
expressly declared to be saved from sucls iNlewality.

6 Payniwnis to the Fund must be made by the Employer forall compensable vacation and holiday tine up to a miaximtim of
one full calendar year,

7. [fan employee is yranied a leave of absenoe, the Eoyployer shall collect from said employee, prior to the leave of absence
being effeetive, sufficient nyonies lo pay the required contributions during the period of absence and such monies shall
therealler be 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 contribulions subject to all other requirements in paragraph 2 herein.

§. The Employer agrees to (urnist such information as may be necessary to enable the Fund to carry out its duties,

9, Uw regulat employee is absent because of illness or offhe-job injury and notifies the Emplayer uf such absence, the
Employer shall cominue to make the required contributions for a period of four (4) weeks. If a regular employee is injured on
the job, the Emplayer shall continue to pay the required contributions until such employee returns (o work, However, such
coniributions shall not be paid fora period of more than * weeks,

10. All actions and proceedings commenced or initiated by any claimant, applicant, employee, participant, the Union or the
Employer. or their agents, successors or assigns, against the Fund, the Trustees thereof or any employee, service provider,
represenlalive or agent thereof, and all actions and proceedings commenced by or on behalf of said ‘Trustees against any
claimant, applicant, employee, participant, the Union or the Einployer pertaining to the Fund in any manner, shall be brought in
the appropriate court in the prpatsd of Onondaga, New York or athee applicable tribunal located therein except where otherwise
provided herein. In regard to wil wal liability arbitration proceedings, all such arbitrations shall be initiated in the Boston,
Massachusetts regional office of the American Arbilration Association and all bearings and related proceedings shall be
conducted in Syracuse, New York. In regard to federal disirict court actions, all stich actions shail be conimenced and heard in
the United States Distriet Cow for the Northem Disirict of New York. The Fund shall not be subject to any
gricvance/arbitration procedure set for in any collective bargaining agreement. It is specifically agreed thal any action or
proceeding commenced of initiated in any other jurisdiction of yenue shall be transferred to the appropriate court or tribunal
specified herein,

1) This Participation Agreement shall become effective as of the date of execution hereof an! the payments provided

hereinabove shall be payable from and alter VBU2016 and continue unlil expiration of the collective bargaining
farozr2azs

agreement on EESSENE’ subject, however, to ihe discretion of the Trustees, Aer expiration of the collective
bargaiiting agreement, this Participation Agreement shall continue it full force and effect until a suecessor collective bargaining
agreement is executed by the Employer and Uniow unless a) the Trostees. terminate the participation of the Employer and
provide written notice of the date of termination, b) the Employer gives the Fund at bexst sixty (60) days advance written notice
by certified mail with returd receipt requested of its intent (a fermipale purticipation because i ne longer has ain obligation to

2
REV. 201407


Trustees, whose decision shatl be final and binding. tr the event of failure of the Employer to comply with any ol
the niles of the Mund. the Employer and all its participating eeyployees, al the Fund's sole discretion, shall cease to
participate in the Fund, and the Employer shall be responsible for ull the benefits and. all other charges specitied
herein.

4. ‘The Pond may, at any time, qudlt the payroll recurds of any and all employees ofthe Employer at a time mutially
agreed upon at vo extra charge to the Employer, to the event itis found that the Employer has not filly complied
with the Fund rules and/or provisions of this Participation Agreemeni, (he Employer shall pay the full cost of the
audit that has been performed by the Fund. In addition, the Employer shall be responsible as set forth ii) this
Participation Agreement and the Pund’s rules, rexulations and/or collection poficies:

4, The Fund sfuil be open to participation by any group of members belonging to» participating Union thut fully
complies with all rules and regulations of the Fund. ty addition, the Employer may contribute to the Fund for
employees working outside the jurisdiction of the collective bargaining agreement in the amount indicuted above,
However, iF these employees are included, the Employer agrees to make contributlons on all employees in this
category subject 10 the same conditions and on the same basis as is provided in tis Panicipation Agreement, and the
Employer also qyrees (o continue to make 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 aid all rules and regulations or
decisions covering this group that are issued by the Fund, The Employer nvust request in weiting amd receive written
upproval from ihe Fuad i) order to have these non-covered employees included. Stich hequest Must specifically
decline the cutegory or catezories Involved,

3, Should any of the provisions of this Participation Agreement be declared te be in violation of the Labor-
Management Relations Act ol 1947, as amended, or any other Stute of Federal stauite of regulation, such declaration
shall in no way impair the effectiveness or continuily al the rest of the provisions of this Participation Agreement and
sel) provisions are hereby expressly declared to be saved trom such illegality,

6. Payments to the Fund must be made by the Minployer for all compensable vacation and holiday time up teu
axiniin oF one fill calendar year,

7. (an employee is granted a leave of absence, the Employer shall collect fnom said employee. prior 10 the leave of
absence being effective, sufficient monies to pay the required contributions during ihe period of absence and suely
monies shall thereufler be promptly forwarded to the Fund ii accordance with the niles of the Fund. In the event the
lonployer grants a leave and does not 40 comply, the Employer must pay the contributions subject to all other
requirements in paragraph 2 herein.

8 The Linployer agrees 1 furnish such information as may be necessary io enable the Fund to curry wut its duties.

Wi regular employee is absent because of Naess or ofthe-job injury and notifies the Enyployer of such absence,
the Employer shall continue to make the required contributions fara period of four (4) weeks. Hu regular employee
is injured on the job. the Employer shall continue t pay the required contributions until such empluyee retuens to
work. However, such contributions shat! not be paid fora period of more than + weeks.

10. All actions and proceedings commenced or initiated by ony claimant, applicant, enyployee participant, the Union
ov the Eoyployer, or their agents, successors or ussiges, against the Fund, the Trustees thereof or any employee.
serview provider, representative or agent thereo!, and all actions and proceedings commenced by or on behalf ol sald
Jrusives agaist any claimant, applicant, employee, participant, the Union or the Employer pertaining to the Fund ip
any mornner, shill be browht int the appropriate court in the County of Onondaga, New York or other applicable
Wihunal located therein except where otherwise provided herein, Tn regard to withdrawal livbility arbitration
proceedings, all such arbitrations shall be iniliated in the Boston, Massachusetts regional office of the American

2


SYSlp
arbitration Association and all hearings and related proceedings shall be conducted in Syracuse, New York. In
regard to federal district court actions, all such actions shall be commenced and heard in the United States District
Court for the Northern District of New York. It 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 become effective as of the date of execution hereof and the payments above
provided shall be payable from and after 01/2010 ___ and expire on 5/29/2016 .This agreement shall continue in full
force and effect for the same term as the collective bargaining agreement. A new Participation Agreement must be
signed and submitted for each subsequent collective bargaining agreement.

Effective date of collective bargaining agreement 11/07/2010

Expiration date of collective bargaining agreement 5/29/2016

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.

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

LOCAL UNION# _264 EMPLOYER: Crossett Inc.
RochesterTerminal
ADpREss: 102 East Main Street ADDRESS: PO Box 946

Falconer, NY 14733

Redacted by the U partment of
SIGNATURE; MSS SIGNATURE:

PRINT NAME; Bradley Haag PRINT NAME:
PRINT TITLE; Business Agent PRINT TITLE:
DATE: l if Si DATE:

Redacted by the U.S.
NEW YORK STATE TEA! Department of the Treasury PENSION AND RETIREMENT FUND

151 NORTHERN CONG) 212
MAILING ADDRESS: SE, NEW YORK 13221-4928

DATE: ln

SIGNATURE:

EXECUTIV

REV. 5/2010


5184

contribute by contrict or statwie. c) the date the NLRB certifies the results of an clection that terminates the Union's
Tepresemative status or, d) the date the Union's represemative sinus terminates through a valid disclaimer of interest. The
Employer shall pay any contribution rate increases duc under the Rehabilitation Plan in effect during negotiations with the
Union and sach 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: PVO12016

Expiration date of collective bargaining agreement: 12/31/2018

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

13. This Panicipation Agreement represents the entire agreement and understanding of the partics and supersedes all prior or
conlemporincois 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 Participation Agreement shall control.

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

LOCAL UNION 234 EMPLOYER; Cushing Stone Company Inc.

ADDRESS: 890 Thed Sucot ADDRESS; 725 State Highway 5S
Redacted by the U.S.

Redacted by the -
METNIUTENU.S. Departme: Department of the Treasury

PRINT NAME;Paul Engel PRINT NAME;Joseph A. Tesiero, JR.

PRINT PRINT TITLE; President
DATE: DATE:

U.S. Department of
NEW YORK STATE ithe Treasury PENSION AND RETIREMENT FUND
131 NORTHERN CONCOUI 212
MAILING ADDRESS: Pg ISE.NEW YORK 13221-4928,

DATE: 4 Y, A Z

SIGNATURE:

EXECUTIVE ADMINISTRATOR

REV. 201407


Covered Group of Employees (Define) Bargaining Unit _

| 60Month |

Rehabilitation | Death I

Schedule i Benefit | ‘ibuti t 0
Default o| Yes o| Effective on/o12012 $7.95 $7.95
ScheduleA G| No m | Effective 07/01/2013 $8.45 $8.45 _
ScheduleB O| | Effective 07/01/2014 $9.00 $9.00
ScheduleC m| | Effective 07/01/2015 $9.59 $9.59
ScheduleD O| | Effective

ScheduleE Of | Effective

Contract Type: O UPS © Freight-National TM Construction Municipal O Other

Covered Employees: mBargaining O 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 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, 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 upon at no extra charge to the Employer. In the event it is found that
the Employer has not fully complied with the Fund rules and/or provisions of this Participation

3


Trustees, whose decision shall be final and binding {n the event of failure of the Employer to comply with any of
the rules of the Fun, 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 a time mutually
agreed upon ai no extra charge to the Employer. In the cyent it is found that the Employer has not fully complied
with the Fund rules and/or provisions of this Participation Agreement, the Employer shall pay the full cost of the
audit that has been performed by the Fund, In addition, the Employer shall be responsible as set forth in this
Participation Agreement and the Fund's rules, regulations and/or collection policies,

4. The Fund shall be open to participation by any group of members belonging to a participating Union that fully
complies with all rules and regulations of the Fund, In 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 employees in this
category subject to the same conditions and on the same basis as is provided in this Partivipation Agreement, and the
Employer also agrees to continue jo niake 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 arid regulations or
decisions covering this group that are issued by the Fund, The Employer must request in writing and receive written
approval from the Fund in order to have these non-covered employees included. Such request must specifically
define the category or categories involved.

3, Should any of the provisions of this Participation Agreement be declared to be in violation 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 effvetiveness 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 vacation and holiday time up to 6
maximum of one full calendar year.

7. Ifan employce is granted a leave of absence, the Employer shall collect from said employee, prior to the leave of
absence being effective, sufficient monies to pay the required contributions during the period of absence and such
monies shall thereafter be promptly forwarded to (he Fund in accordance with the rules of the Fund. In the event the
Employer grants u leaye and does not so comply, the Employer must pay the contributions subject to all other
requirements in paragraph 2 herein.

8. The Employer ageees to furnish such information as may be necessury to enable the Fund to carry out its duties,

9. If s regular employce is ubsent because of ines or off-the-job injury and notifies the Employer of such absenee,
the Eniployer shall continue to make the required contributions for a period of four (4) weeks. Ifa regular employee
is injured on the job, the Employer shal) continue to pay the required contributions until such employee returns to
work, However, such contributions shall not be paid fora period of more than _4 _ weeks.

10, All actions and proceedings commenced or initiated by any claimunt, applicant, employee. participant, the Union
or the Employer, or thelr agents, successors or assigns, against the Fund, the Trustees thereof or any employee,
service provider, representative or agent thereof, 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 (he Fund in
any manner, shal] be brought in the appropriate court in the County of Onondaga, New York or other applicable
tribunal located therein except where otherwise provided herein. In regard to withdrawal Itability arbitration
proceedings, all such arbitrations shall be initiated in the Boston, Massachusetts regional office of the American

2


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 and all of the rules and regulations of the Fund now and/or
hereafter adopted,

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

(2) The Employer agrees to contribute as follows, not to exceed the maximum:

Covered Group of Employees (Define) Drivers Roctaster Frciity tired Alter 4723/2007

REHABILITATION
Kates of Contributlon: Hourly Weekly CONTRACT TYPE: SCHEDULE (attached)
Effective soya nso 12.60 ups Default
Effective 5/2911 : 3355 93,82 () FREIGHT —National Schedule A
Effective [3573 14.28 ie PREIGHT — Area Schedule B
Effective aie 3805 $522 CONSTRUCTION Schedule C
Effective sna > ae 2620 fa MUNICIPAL Schedule D
Effective 5 wis ae 726 OTHER Fuel Schedule B
Covered Employees: [i] Bargaining C) 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 Lo the Pund 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 whett otherwise agreed by the
Fund, but not to exceed by the end of the same manth due

2, Failure on the part of the Employer to timely contribute on any of its employees as specified herein shall make the
Employer litble 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 ubove. 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, dhe Employer must inmediately pay the
delinquent amount to the Fund, Afier seid payment, die Employer may appeal the Fund's decision to the Board of


THE NEW YORK STATE TEAMSTERS CONFERENCE PENSION AND RETIREMENT FUND
PARTI TION A

1. (a) This Portichpathow Agroentent. exvewied by the sindersigned Teamsters Local Union (hereinafter “UnionTM) and Employer,
ip the basis for participution iv the New York State Teamsters Conference Pension & Retiremem Fund (heceinalter Fund”),
The Employer, its participating employces. and the Union, os @ condition af panicipation iw this Fund, are bound by this
Partictaiion Agreoment, the Trt Agreement. Plan documents and all Of the rules and regulations of the Fund now and/or
hevenlter adopted by the Board of Trustees.

(h) The Employer ain! Unie inderstat wna agree tat the (uid contributions shalt bo wine, as set forth herein. on alt
vinplovees dui bargaining init work, irrespective of whether said employees are full-time, part-time, casual or sestsocal,

except as is otherwise provided herein, No apgreenent between the Employer and (he Union shall alter this nile or any other
rule or provision of this Panicipation Agreement.

(ec) The Ean player ayers to contrilmic as follows. hot te exceed the max imu:
ae eins Cushing Stone #5182

60 Month O8
($.05 if

Effective ovmein

Setiodule A Effective suman tea) wa zeae
Sehodule 8 Effective oxouwois m0 130 i208
Schedule C Etiective

Schediile (3 Effective

Schedole 2 Effective

Schodile G Effective

Coniact Type: = urs ( Prciwit-Mational OiConsiniction ~=[F] Monicipal Oller

Covered Enytoyers: ft} Sorsainin (2) Now-fargnining

‘Coniylietians tein on all ceaployces (rons the fest hour of the first day of employment.

Formula for Koad Drivers Comei/adinns; Tolal miles driveu ii a tour of duty divided by 25 rites per hear eyudlé hower
per itip.

(4) AM steh peiyments 19 be vmde to the Fund are to be recived by the Fund office on or before the tently (10th) day of the
monly following the monly in which sid modics were aocrmed. except When atherwise agrecd by the Fund. bul neq io exceed
ty the end of the san month die.

2, Voihere on the part ofthe Enplayer to thnely coutribule on aly of its employees as specified lienein shall make the Ensployer
finble for atl employee benefit clains which are incnirred during the period of delinquency. damages. reimbursement fo the Fund
fow the Fund's atlorpeys” fees. auditors” foes. court costs. disbursements and expenses incurred by the Fund ja recovering the
dhove, In aliin. the Eanployer must pay ail nerenrs duc the Fund soyether with lquidated damages in the sum of ten percem
(1046) of the dolinpecnt amount. “The tie payment of any defiiuency by the Emptoyer shall nut in any way relieve it from the
obligations sei fort above. tr akfitinn. when the Employer is notified in writing by the Fund that it ts delinquent, te
Canployer wat immediately puy the defingtem amount to the Furl. Aficr said payment. the Employer inay appeal the Fund's
decision 1 the Board of Trusiees, wiwse decksion shall be final and binding, In the event of fhilure of the Employer to comply
willy any of the nuies of the Fund. the Fimployer and alt (ts partlelpating coployves, at the Fund's sole discretion. shall cease to
punvicipate int the Fund. und the Einployer shall he responsibly for oll the benefits and all other charges specified herein,

2. The Find sinty, ab any Cine. audit the payroll recoris of oy and oll employees of the Einployer at a (like mutually agreed
1
REV. 201407


4401) Barnatd|DA Coins SV

v

APPENDIX A

ALBANY REGION LRD/AGC
TEAMSTERS LOCAL 294 (ALBANY)
2012-2016 HIGHWAY-HEAVY WAGE RATE SCHEDULES

Effective July 1, 2012, or for work on which the carryover clause has expired.

Wages

$26.42
$26.47
$26.56
$26.67
$26.82

Welfare

$8.44

Pension
$7.95

$1.00

Total

$43.81
$43.86
$43.95
$44.06
$44.21

Effective July 1, 2013, or for work on which the carryover clause has expired.

Wages = Welfare = Pension = Training

$26.67
$26.72
$26.81
$26.92
$27.07

$9.32

$8.45

$1.00

Total

$45.44
$45.49
$45.58
$45.69
$45.84

Effective July 1, 2014, or for work on which the carryover clause has expired.

Group 1
Group 2
Group 3
Group 4
Group 5

Wages

$26.92
$26.97
$27.06
$27.17
$27.32

_ $10.26

$9.00

$1.00 Sis od

$47.18
$47.23
$47.32
$47.43
$47.58

Effective July 1, 2015, or for work on which the carryover clause has expired.

Group 1
Group 2
Group 3
Group 4
Group 5

Wages

$26.92
$26.97
$27.06
$27.17
$27.32

Welfare Pension

$1131

$9.59

Training
$1.00

Total

$48.82
$48.87
$48.96
$49.07
$49.22