Upon al no extra charge 10 the Employer, In the event it is found that the Employer has net fully complied with the Pund rules
and/or provisions of this Participation Agreement, the Employer shall pay the fall cost of the wudit that has heen performed hy
the Fund, In addition, the Employer shall he responsible as set forth in this Participation Agreement and the Fund's rules,
regulations and/or collection poticies.

4. The Pond shall be open to participation hy any group of members belonging to a participating Union that fully complies with
all rules iu regulations of the Fund, fn addition, the Employer may contribute to he Fund for employees working outside (he
jurisdiction af the collective bargaining agreement in the amour indicaicd above. However, if these employees are included,
the Employer agrees jo make contribetions on ail employees jy this caleyury subjeet io the sme cunditions and on |e same
basis as is provided in Ihis Participation Agreemunt, und the Employer also agrees to continue to make contributions on all these
employees for as long a5 Ihere shall be @ collective hurgaining agreement between ihe Employer wml ihe Union, subject bo any
und all les and reyalations or decisions covering (his group (hat are issued by the Fund. The Eeyplayer mest request in wriling
and receive weltlen approval from the Fond fn order io hwve these non-covered employees inched, Such requesi must
specifically define te category or cuepories involved,

3. Shout! any of the provisions of this Participation Agreement be declured yo be in violation of the Labor-Munagement
Relations Act of 1947, as amended, or any other Site or Federal statute or regulation, snch dechiration shall ine no way impair
the effectivencss or continuity of the reat of the provisions of this Participation Agreement and snch provisions ure hureby
expressly declared Ww) be saved front such iegatity,

6. Payrnents, 0 the Fund aist be mate by (he Employer fer all compensable vacation and holiday time up to a maxim of
one full calendar year.

7. If an employee is granted a leave af absence, the Employer shall collect from said employee, print i the leave of absence
being effective, sufficient monies lo pay ihe required contributions during the pried of absence and such monies shall
thereafter be promplly forwarded to the Fund in accurdance with the rules of the Fund. In the event (he Eeoployer grants a lenve
and does not se comply, (he Employer must pay the contributions subject (o.all oher requirements in paragraph 2 herein.

B. The Employer agrees (o furnish Kueh information.as muy be pevessary to eaable the Fund to carey out its duties.

9. Ifa regular employee is absent becuse of illness or off-the job injury und notifies the Employer of such absence, the
Employer shall continue to make the required contributions for w period of four (4) weeks, If a regular employee és injured om
the job, the Employer shall continue 10 pay the required contribusions until such employee returns to work, However, such
contributions shall not be paid for a period of more than 82 weeks.

10, All actions und proceedings commenced or initiated by eny claimant, applicant, employee, participant, the Union or the
Employer, or their agents, successors of assigns, against the Fund, the Trustees thereof or any employee, servive provider,
rupresentative or aweot thereof, and all uctions and proceedings commenced by or on belulf of said Trustees apsinet any
chimant, applicant, employee, participant, the Union or the Employer pertaining to the Pund in any manner, shall he broaghe in
the appropriate court in the County of Onondaga, New York or other applicable tribunal located therein except whore otherwise
provided herein. In regard in withdrawal liability arbitration proceedings, al! such artrtrations shat! be Initiated in the Boston,
Massachuseiis regional office of the Americun Arbitration Assnciation and all hearings and related proceedings «hall bo
conducied in Syracuse, New York, In regard to federal district coust actions, all such actions shall he commenced and beard jn
the United Stutes District Coun for the Norther Disirict of New York The Fund shall not be subject ty any
grievance/arbiteation procedure set forth in any collective bargaining agreement. ft is specifically agreed Wal any action iv
proceeding commenced of initiated in wry other jurisdiction or venue shall be iransferred tu (he eppropaale court or (riiwenat
specilicd heroin.

11, This Participation Agreemunt shall become effective as of the date of exveution herwol and the payments provided
hereinabove wall be payable from and after ovoveo1s and continue until expiration af the collective bargaining

(on IZPSZO17 ————gudatect, however, 40 the discrethon of the “Trimocs: Afies explmdion of the callectivo
bargaining agreement, this Participation Agreement shall cominue ja full force and effect until ¢ successor collective bargaining
tigreement Is exceuted by the Etyployer and Union untess a) the Trustees terminate the participation of the Employer ant
provitte weitten notice af the date of termination, b) the Employer gives the Fund at least sixty (41) days udvance written notice
by certified niall with return receipt requested of ils intent t0 terminate participation because It no longer has an obligution Ww.

2

REV. 201407


upon wt no extra Charge té the Employer. Inthe event it is found that the Employer fare not fully complied withthe Pumd pully
and/or provisions of this Participation Agreement, the Employer shall pay the full cost of the audit (hat has been performed by
the Fund, fa wiition, the Employer shall be responsible us set forth in this Participation Agreement and the Fumd"s rules.
regulations and/or collection policies.

4. The Fund shall be open (o participation by any yroup of members belonging tos pariicipuing Union that fully complies with
Ul rules and regulations of tie Fund. In addition, the Employer may euniribule to the Fund for employees working outside the
jurisdiction of the collective hurgaining agreement ja (he amount fedicaied wbowe, However, if these employees are included,
the Employer agrees fy make conibutions on all cinployces in (his category subject (o the sume conditions and on ihe seme
basis ay is provided inthis Participation Agreement, word the Employer ilvo agrees to continue to muke contributions on all these
employees foray long os (here shall be a collective taremining agreement between the Eimployer and the Union, mubjeet ty nny
und all rules und regubttions or decisions covering this group thut wre issued hy the Fund, “The Employer must request in writing
and reveive written approval from the Fund in order 1 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 declured 1 be in violition of the Labor-Management
Relations Aci of 1947, as amended, or any other State or Federal statute or regulation, stch declaration stall it no Way faxpair
the effectiveness or contloulty of the rest of the provisions of this Participation Agreement and such provisions are hereby
expressly declared (a be saved (rent such iegallty,

6 Payments fo the Fund must be aiade by the Employer for ail compensable vacation and holiday time up te a maximum of
one full calendar year.

7. Ifan employee is granted a teave of absence, the Employer whall collect from said employee, prive to the leave of absence
being effective, sufficient monics te pay (he required contelbutions during the period of abserwe and such monics shill
thereafier be promptly forwarded to (he Fund in accordance with the rules of the Fund, In the event the Explayee grants a leave
ind does not se comply, the Employer must pay (he contributions subject to all other requirements in paragraph 2 herein,

8. The Employer ngrees to Curnish such informmiion os may be necessary to-cawble the Fund to carey out its duties.

9. Ifa regular cenployee Is absent because of illness or off-thejob injury und notifies the Employer of such absence, the
Employer shall continue to make the required contritutions for a period of four (4) weeks, If a rogulir employee is injured on
the job, the Employer shall continue w pay the required contributions until such employee returns to work. However, such
contributions shall not be paid fora period of more than _ $2 _ weeks,

10, All Gctions and priceedings commenced or initialed by any claimant, applicant, empliyce, participant, (he Union or the
Emptoyer, or thelr agents, successarm or assigns, against the Fund, the Trustees thereol ar any employee, service privider,
representative @r agent thervof, and all actlons and proceedings commenced by or un behall of said Trusives against any
claimanl, applicant, employee, participant, the Union or the Employer pertaining to ihe Pund in any manner, shall be brought in
the appropriate court in ite County of Onondaga, New York or other applicable tribunal Joculed therein except Where WMherwise:
provided herein, In regard to withdrawal liability arbitrallyn proceedings, all such arbitrations shall he Initiated in the Basten,
Massuchusetts regional office of the Americua Arbilratiin Association and afl hearings and related proceedings shall be
comueted in Syracuse, New York, In regard to federal district court actions, all such wetions shall be commenced and beard in
the United States Disiriet Court fur the Northern District of New York. The Funct shall not be subject io any
grievance/urbitention provedure yet forth in any collective bargaining aurcement, it is specifically ayrecd that any action or
proceoding commenced or initialed in wny other jurisdiction ur venue shall be iramferred ty (he appropriate court oe Iritunal
specified herein.

11, ‘This Morticipation Agreement shall become eflvetive as_of the datc of execution hewol and the payments provided
hereinabove shall be payable from and after Panuary 1) 2016 amt continue until expiration of the collective bargaining

agreement on [December 31,2018 cniect, however, Kv fhe discretion af the Trustces. After expiration of the collective

bargaining ugreemeni, this Participation Agreement shall continue In full farce and effect until 4 success collective bargaining

agreement is exvenled by the Employer aad Union unfess 4) the Trustees terminate (he participation of the Employer and

provide wrillen notice of the date of lermination, b) the Employer gives the Fund at least sixty (60) days advance written notice

by certified mail with returns reevipt requested of its intent ty lerminate participsilion because it ne luager has ao obligation to
2

REV. 201407


374

contribute by contract or statuie, 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 mile increases duc 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: pvowve015 =
IZI3V2017

Expiration date of collective bargaining agreement;

12. The Employer and its employees shall not be entitled to participate in this Fund uoless the Employer and the Union are
signatory 10 a current Participation Agreement,

13. This Participation Agreement represents the entire agreement and understanding of the parties and supersedes all prior oF
contemporancous agreements or understandings, wheiber 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 betwe i t
Participalion 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# 522 EMPLOYER: Westfield Borough

ADDR

129 East Chomung Place ADDRESS: 429 East Main Street
Envira. NY 14904
Redacted by the U.S.

Redacted by the U.S. Department of
ithe Treasury

SIGNATURE; Department of the ss SIGNATURE:
PRINT NAME: Woks PRINT NAM
PRINT TITLE: Vg gsoese PRINT TITLE:

DATE: Vols | 2oi4 re DATE: __ “et A- Bovey

NEW YORK STATE TERRREReR Eau NSION AND RETIREMENT FUND
[51 NORTHERN CONCBEET deh ut mcammee | 2
MAILING ADDRESS: cE, NEW YORK 13221-4928

SIGNATURE DATE:

REY, 201407


Upan at AO extra charge fo the Employer. In the even! it is found thal the Employer tus ml fully complied with the Pund rules
and/ar provisions of this Participating Agreement, (ke Employer shail pay the full cost of the audit that has been perfurmed by
the Fund. tn addition, te Employer shall be responsihle as set forth in this Participation Agreement and the Fund's rules,
regulations aad/yr cobeetion policies.

4, The Fund shall be open lo participation by any group of members belonging (6 4 participsiting Union that fully complies with
all rules and regulations of (he Fund. In addition, the Employer may contribute ty the Fund for employees working outside the
jurisdiction of the collective bargaining agreement in the amount indicated above, However, if these employees are ineluded,
the Employer agrees (© make contributions on all employees in this category subject to the same conditions and on the same
basis a4 is provided in this Participation Agreement, and the Employer also agrees to contimuc (0 make contributions on all ese
employees for as lang #5 there shall be « collective bargaining agroement buween the Employer and the Union, subject to any
aod all rules snd regulations of decisions covering this group that are issved by the Fund. “The Employer must request in writing
and receive weliten approval from the Fund ln order to huye these noo-eovered employees included. Such request mupt
specifically define the category or categories invelved,

5, Shewld ony af the provisions of this Participation Agreement be declared to be in violating of the Labor-Management
Relations Act of 1937, as amended, or any other Stale or Federal staiate of regulation, stich dechirstion stall in ae way impair
the effectiveness or continuity of the rest of (he provisions of this Participatian Agreement and such powisions are herehy
expressly declared (o be saved from such Megality-

6. Payments to the Fund must he made by the Eesployer for all compensable vacation and holiday time up to a miasimum of
one full calendar year,

7, Ian employee is granted 9 leave of absence, the Employer shall collect fram said employee, prior te the Jeave of absence
boing effective, sufficient monics to pay the required contributions during the poriod of abwence and such monics shall
thoroufier be promptly forwarded to (he Fund in accordance with the rules of the Fund, tn the event (he Employer grants a leave
and does aotso comply, the Employer must pay the contributions subject to all other requiremonts in paragraph 2 herein,

8. The Employer agrees to furnish euch information as may be necessary to enable the Fund to carry owt its duties.

9. Wa regular employee is absent because of illness oF alfthe-jol injury and notifies (he Employer of such absence, the
Employer shall continue i make the required contribuilins for a perlod of four (4) weeks. 1a regulur employee is injured on
ihe job, the Employer shall continue te pay the required contributions until such employes returns to work, However, such
contibatiins shall not be paid fit @ peried of more than 82% _ woeks.

10. All actions and proceedings commenced or iniliaied by any claimant, applicant, employee, participant, Ihe Union or the
Employer, or their agen(s, successors or assigns, against (he Fund, the Trustees thereof or any employer. service provides,
represonialive or agent thereof, und ull actions and proceedings commenced hy or on behalf of said Trustees agains! any
ehiimunt, applicant, employee, penieipant, the Union of the Employer pertaining to the Fund in any manner, shall be brought in
(he appropriate couri in the County of Onondaya, New York or other applicable (ibural Wened therein except where ovherwise
provided herein. [on regwrel to wilhdrawal Hivbility arbitration proceedings, all such wrbitrationy shat! be initiated in the Bostun,
Mussichusetts regional office of the American Arbitration Association and all hearings and related proceedings siull be
conducted in Syracuse, Now York, In regard io federal district court actions, all such uctiony shall be commenced and heard in
the United States District Court for the Northern District of New York, The Fund shall wor he subject in any
grievance/arhiiration procedure set forth in any collective baryuining agreement, I is specifically agreed (har any action oF
proceeding commenced or initinted in any other jurisdiction or venue shull be tunsferred to the wppropriate court or (rituewl
specified herein,

Wi, ‘This Participation Agreement shall become effective as of (he date of execution hereof and the payments provided

hereinabove shall be payxble from and after Panuary 1.2015 an continue until expieation of tho collective burgaining

AgreeMenL On {December 31, 2018 subject, however, lo the discretion of the Trusives. Aller expiraiion ul the collective
bargaining agreement, this Participation Agreement shall contique in full force and effect until a successor collective bargaining
agreement js exccuicd by the Employer and Union unless a) the Trustees terminate the participation of the Employer and
provide writen notice of the date of termination, b) the Employer gives the Fund at least sixty (60) days advance written notley
by certified mail with return receipl requested of its intent io (erminale participation because it no bonger has an obligation te

2
REY, 201407


H372

contribute by contract 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 und 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 burpaining agreement,

Effective date of collective bargaining agreement: proveo1s
[t2v31/2017

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 Agrecment.

13. This Participation Agreement represents the entire agreement and understanding of the parties and supersedes all prior or
conlemponincous 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 cach of their signatures below,

LOCAL UNION# 529 EMPLOYER:, Westfield Borough

ADDRESS: 129 East Chemung Pioce ADDRESS: 429 East Main Street
Redacted by the U.S

SIGNATURE: Department of the Treasury _ SIGNATURE: Department of the Treasury

PRINT NAME:____=Tolks Yausel\\ « PRINT NAME: “7 _wiamuee thin Ps

PRINT TITLE: Qogiodst PRINT TITLE: Vie ae - _ —
DATE; Vol @| Dow DATE: “Asp -=d014

NEW YORK STATE TEAMSTERS CONFERENCE PENSION AND RETIREMENT FUND
151 NORTHERN CONCOURSE SYRACUSE, NY_ 13212
MAI Mis| Redacted by the U.S. Department of the NEW YORK 13221-4928

DATE:

REV. 201407


upon at no extra charge 10 the Employer. ln the ovent it i found that the Employer tas not fully complied with the Fund roles
and/or provisions of (his Participation Agreement, the Employer shall pay the full coxt of the audit that has been performed by

the Fund. In uddition, the Employer shall be responsihle ax sea forth in this Participation Agreement and the Fund's rules,
regulations und/ar collection policies.

4, ‘The Fund shall be open to participation hy any group of members belonging i a participating Unien that fully complies with
all rules and regulations of the In addition, Une Enployer may cuniritute to the Fund tor employees working outside the
jurisdiction uf the collective bargaining agreement jn (he amount indicated above. However, if (hese employers are included,
the Employer agrees to make contributions on ll employees in this category subject (0 (he same conditions and om (te same
basis os Fs provided in this Participation Agreement,.and the Employer also agrees to continue (y make contributions on all these
employees for as long ay there shell he » collective bnzgaining agreement heween (he Employer and the Union, subject to any
ood all rules and regulations or decisions covering this group that are Issued by the Fand, The Employer musi request fn writing
ant reovive weitten approval from the Fund in order to have these non-covered employees Ineluded. Suef request musi
specifically define the category of categoricn involved,

5. Should any of the provisions of this Participation Agroemant be declared Ww be in violation of the Labor-Mannyenent
Relations Act of 147, us amended, or any other Sune or Federal stati or regulation, such declaration shalt in wo way impair

the effectiveness or continuity of the rest of the provisions of this Partivipation Agreement and such provisions are hereby
expressly deckired to be saved from such iMegulity.

6 Poymonts 10 the Pund auest be made by the Employer for all compensable vacation and holiday time up to a maximum of
ont full calendar year,

7% fan empltnyce is granted a leave of absence, the Employer shall collect from stid employee, prior lo the leave of absence
being effective, sufficiem! monies to pay the required contribullons during the period of whence and such monies hull
{hereafter be promptly forwarded (9 the Fund in accordance with the rules of the Fund. tn the event the Employer prints a leave
and does nol so comply, the Employer must pay the contributions subject to afl olber requirements tn paragraph 2 herein,

8. ‘The Employer agrees to birnish such iafurmenion as may be nevexsary io enable the Fusd ba curcy oul is duties.

% Ia regular employee is thsent because of Howse or off-ihe-joly injury and wotifies the Employer of such absence, the
Employer shull continue to make (he required contributions ture period of (our (4) weeks, If 4 regular employee is injured un
the job, the Employer shull continue to pay dhe required contributions until such employee returns to werk. Towever, suck
contributions shall not be puid fora period of more than 52___ weeks.

10, All dctions and proceedings commenced or initiated by any cliimant, epplicunt, employee, participani, He Union or (re
Eniployer, or their agehis, siecessors OF assigns, agalost the Fund, the Trustees thereo! or any employee, service provider,
representative or agent thereof, wid wil actions and proweedings commenced by or on behall of said Trustees against uny
climant, applicant, employee, participant, (he Union er the Employer pertalnlag to the Fund in any manner, shall be brought in
the appropriate court in the County of Onondaga, New York or other applicable tribunal located therein except wher otherwise
provided herein. In regard to withdrawal Tiability arbitration proceedings, all such arblizatluns shall be initiated in the Boston,
Mussuchuselis regional office of (he Americus Arbitration Assuciation and ull beatings and related proceedings shull be
eneduetei in Syracuse, New York, Ip regard to federal district court actions, al! such actions still be commenced and heard in
{he United Stats District Court for the Norther Disirict of New York. The Fund shall not be subject wm any
gflevance/arbitration procedure set forth in any collective bargaining agreement, ft ls specifically agreed hit any action oF
proceeding commenced or |nitinied in any offer jurisdiction or venue shall be trondferred (0 the appropriate court or tritwnal
specified herein.

11, “This Murticipution Agreement shall become elfective as of the date of exeeution hereof and the payments provided

hereinabove shall be payable from and after [oraiveors _and continue until expiration af the calltctive bargaining
agreement on fiaav2oi7 subject, however, to the discretion of the Tramees, After expiraion of (he collective

bargaining agreement, this Participation Agreement shall continue in full force and effect umil 4 successor collective burgaining.
agreement is cxecuted by the Employer and Union unless 4) the Trustees terminute the participation of the Employer am
provide writin notice of the dale of termination, b) the Employer gives the Fund at lew sixty (60) days advance weiften notice
by certified mail with reum receipt requested of (ts intent to termine participation because I no longer has un obligation wo

2
REV. 201407


Aa’70
660 §

contribute by contract 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: Panuary 1, 2016

Expiration date of collective bargaining agreement: December 31, 2018

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

13. This Participation Agreement represents the entire agreement and understanding of the parties and supersedes all prior or
conlemporaneous agreements or understandings, whether oral or written, As such, this Parlicipation Agreement may not be
modified excep! by a writing signed by all parties. Purther, 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 Purticipation Agreement to be executed on the date shown by cach of their signatures below

LOCAL UNIONH 529 EMPLOYER, Borough of Wellsboro
ADDRESS: 129 E Chemung Place ADDRESS: 14 Crafion Street
Ermira, NY 14504 Wallsbpro. PA 16901

Redacted @ Redacted by the U.S. Department of the
Lo). ll ——— Treasury
PRINT NAME; Robert Potter PRINT NAME: 1 2an 5, /4 48 T

PRINT TITLE:President print Titte:_PRES ID ¢ WT
DATE:__/ 425/21 0/& we _ DATE: 2/9 jz! é

NEW YORK STATE TEAMSTER FERENCE PENSION AND RETIREMENT FUND

151 NORTHERN CONC eee by q 3212
MAILING ADDRESS; ARSON SE, NEW YORK 13221-4928
Ti
SIGNATURE: iad DATE: L
EXECUTIVE ADMINISTRATOR
3

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 (hereinafler "Union”) and Employer,

is the basis for participation in the New York State Teamsters Conference Pension & Retirement Mund (hereinafler “Fund"),

The Employer, its participating employees, and the Union, as 4 endilion of participation jn this Fund, are bound hy this

Participation Agreement, the Trust Agreement, Plan documents and off of the rules ani regulations of the Fond now ani/ur
hereafter adopted by the Hoard of Trustees.

{b) The Employer and Uniod understand and agree thitt the Fund contributions stall be made, as set forth therein, on all
employees doing bargaining unit work, irtespective of whether sid employers ure full-time, part-time, casual or scasonul,
except us is otherwise provided herein, No agreement buween the Employer and (he Union shall alter (his rule or any other
rule oF provision of this Participation Agreement.

{ce} The Employer agrees to contribute as follows, not w exceed the maximum:

Diaasel Conse Biagiapectstiotd Borough of Mansfield Public Works Dept. #3912

60) Month 60 Moath DM
Rehabilitation Death (8.05 If Total
Schetilt: Benefit Rates of Contribution: Hourly elected) Ihourly Weekly

Defauti & | Yes | Effective tmnore 2 2 00 1"
Schedule A No Effective syareore 24s ms sone
Schedule 8 Effective ayevanvn 2m 2m) Veo
Schedule C Effeetive

Schodule D Effective

Sctiedule E | Effective

Sebedule G Effective

Contract Type: Ours CO Freigtt-Navional (D0 Consieuction Municipal OD Other

Covered Kinployees:  ([H] Bargaining = ([] Non-Bargaining

Contributions begia un all employees from the first hour of he fint day oF employment

Formula for Rovd Drivers Contributions: Total miles driven inn lowe of duty divided by 25 miles per hour equals hours
per trip.

(d) All such payments fo be mde tw the Fund are wo be received by the Fund office on or before the tonth (10th) day of the
month foflowing the month in whieh said monice were uccrucd, except when otherwise ugreed by the Fund, but not to excced
by the and of the same month due.

2, Failure on the part of the Employer to timely contribute on ny of its employees as specified herein shall make the Employer
finble for all employee benefit claims which wre incurred during the period of delinquency, damages, reimbursement 10 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 liquidued dinuges in the sum of ten percent
(10%) of the delinguent amount, ‘The late payment of wny delinquency by the Employer shall fot in any way relieve It from the
obligitions set forth ubove. In addition, whea the Employer i notified in welling by the Puna that it is delinquent, the
Employer must immediately pay the delinquent amount to the Fund. Afier said payment, the Employer may appeal the Fund!»
dveision to the Board of Trustees, whose decision shall be final and binding, In the event of failure of the Employer fo comply
with any of the rules of te Fund, the Employer and all Its participating, employees, at the Pund’s sole discretion, shall cease: 10
participate in the Fund, and the Earployer phall be resporetbte for all the benefits and all alher charges specified herein

3. The Fund may, at dny time, audit the payroll meords of gay and al! employees Of the Emplayor at a tine puitually agreed

‘
REV, 201407


THE NEW YORK STATE TEAMSTERS CONFERENCE PENSION AND RETIREMENT FUND

PARTICIPATION AGREEMENT

\. (a) This Participation Agreement, executed by the undersigned Teamsters Local Union (hereinafter “Unlon*) and Employer,
is the tutsis for participation in the New York Slate Teamsters Conference Pension & Retirement Fund (hereinafier "Fund",
The Employer, its participating employees, and the Union, as 2 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
hereafier adopled by the Board of Trusices,

(b) The Employer and Union understand and agree that the Fund contributions shall be made, ap set forth herein, ow all
employces 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, notte exceed the maximum:
Elkland Borough Police Dept PartTime Officers #5851

Covered Growp of Employees (Define)
60 Month £0 Month DB
Rehabilitation Death (8.05 it Total

Schedule Benefit Rales of Contributian: Hourly elecied) Hourly Weekly
Defuult Yes fal Effective svousers tae 1s neve
Schedule A No Effective motes sae 126 ean
Schedule B Effective ovousow 15 4.55 ro
Schedide C Effective owastoove 1 ‘be oT
Schedule D Effective
Schediile E Effective
Schedule G Eticctive
Contract Type: [urs ( Freight-National  Constructina Municipal == [[] Other

Covered Employees: Bargaining = = [7] Now Bargaining

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

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

(d) All such paymonts to be made to the Fund are to be received by the Fund office on or hefore the tenth (100) day ol tee
month following the pronth in which said monies were acerved, except When otherwise agreed by the Fund, bul not to exceed
by the end of the same month due,

2, Foilure on the part of the Employer 10 timely contelbute iin any of its employees as specified herein shall make tle Employer
liable for all employee benefit claims which are Incurred during the period of delinquency, damages, reimbursement tothe Fund
for the Fund's attorneys’ fees, auditors’ fees, court costs, dishursements and expenses incurred by the Pund in recovering the
above. In addition, the Employer must pay all arrears due the Fund logetier with liquidated damages jn the sum ol ten percent
(10%) of the delingiient amouol. The late payment of any delinquency by the Employer shall not in any way celieve it frome ihe
Obligations set forth above. In addition, when tbe Employer és notified in writing by the Fund that it is delinquent, the
Employer must immediately pay the delinquent amount ja the Fund. After said payment, the Emplayer may appeal the Fund's
decision 10 the Hoard of Trustees, whose decision shalt be final and binding. In the event of failure of tle Employer ip comply
with any of the rules of the Fund, the Employer and alt its participating employees, at the Fund’s sole discretion, stall cease iu
participate ia the Fund, and tbe Employer shall be responsihle forall (he benefits and all other charges specified herein.

3. ‘The Fund may, at any time, audi the payroll records of any and all employees of (he Employer al a Ww mulually agreed
1
REY, 201407


338

contribute by contract of statuie, c) the dale the NLRB certifies the results of an clection 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 mules 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 agreemem: Yanuary 1, 2015
[December 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
conlemporaneous 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 barguining agreement, this Participution Agreement shall control.

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

LOCAL UNION# 529 EMPLOYER:, Eland Brough
ADDRESS; 129 E Chemung Place ADDRESS; 105 Parkhurst Street

Eimra, NY 14904 Eland, PA 16920

Redacted by the U.S. Department of the Redacted by the U.S. Department of the
SIGNATURE: DR Treasury
PRINT NAME: Robert Potter = PRINT NAME: Ate 70 Any
PRINT TITLE: President & BA PRINT TITLE: Zrene < L

20} lo

DATE;

Fa pate: 3/7/76

ais See Redacted by the U.S. Department
NEW YORK STATES Treasury
151 NORTHERN ©
MAILING ADDRES!

USION AND RETIRE!
2

NEW YORK 13221-4932)

DATE. / It

ENT FUND

SIGNATURE:

REV. 201407


THE 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 Employer,
is the basis for purticipation in the Now York State Teamsters Conference Pension & Retirement Fund (hereitalter “Fund”.
The Employer, its participating employees, und the Union, es 4 condition of participation in this Fund, wre bownd by this
Participation Agreement, the Trust Agreement, Plain documents and all of the rules and regulations of the Fund now and/or
hereafler adopted by the Board of ‘Trustees.

(hb) The Employer and Union anderstand und agree that the Fund contributions shall be made, as set forth herein, on all
employees doing bargaining unit work, irrespective of whether salt employees are full-(lme, part-time, casual or atexonal,
except as is utherwise provided herein, No agreement herween the Employer and the Union whull alter this mile or any other
rule or provision of this Participation Agreement.

(¢) The Employer agrees to conttibute as follaws, nol (o exceed the maximum:

Borough of Westfield PW #4372

fi) Monlh DE
(S.05 if
elected)

Covered Group of Employees (Define)

Defaull Effective evotacs 284 a0 19232
Schedule A Effective sustanve pray 403 wis
Schedule B Effective  uoieasr +2 iz 1703
Schedole © Effective

Schedoke D [_] Effective

Schedule E ai Effective

Schedule G Effective

Contract Type: = urs G Freight-National D1 Construction Municyt =] Other

Covered Employees: [&) Bargaining 1) Non-Bargaining

Contributions begin on all employees from the First hour of the fest diay af employment.

Formula for Road Drivers Contributions: Total miles driven ina tour of duty divided by 25 miles per hour equals haw
perulp.

(d) All such payments Whe ninde to the Fund are 10 be received by the Fund office on or before the tenth (10) day of the
month following the month in which said monles were accrued, except when otherwise agreed by the Fund, but not to exewed
by the cad of the same month due,

2. Failure on the part af the Employer lo timely contribute on any of ils employees as specified herein shal) make the Employer
liable for all employee benefit claims which are incurred during the period of delinquency, damages, reimbursement ta 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, (he Employer must pay all arrears duc the Fund together with liquidated damages in the sum of ten perceot
(10%) of the delinquent amount. The late payment of any delinquency by the Employer stall not in any way relieve if from (he
obligations sei forih above, In addition, when the Employer is notificd in writing by the Fund that it is delinquent, the
Employer must immediately pay the delinquent amount to the Fund, Afier said payment, the Employer may appeal the Fund's
decisivn to the Nourd of Trustees, whose decision shall be final and binding, I (he event of failure of the Employer te comply
with any of the rules of the Fund, the Employer and all its participating employees, at the Fund's sole diseretion, shall cease to
participate in ihe Fund, and the Employer shall be responsible for all the benefits und all other churges specified herein,

3. The Fond mny, at any time, audit the payroll records of wny and wll employees of tho Employer jt a time mutually agreed
|
REV, 201407


Seol

contribute by contract of statuic, c) the dale 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 duc 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: Pianuary 1, 2015

Expiration date of collective bargaining agreement: [December 31, 2018

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 partics 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 pro mes Of this
Participation Agreement and any provisions of the collective bargaining agreement, this Participation Agreement shall control.

The purties hereto have caused this Participation Agreement to be executed on the dave shown by cach of their signatures below,

LOCAL UNION# 529 EMPLOYER: Elkland Brough

ADDRESS; 1295 Chemung Place ADDRESS: 105 Parkhurst Street
imira, NY 14904 nd PA 10520

Redacted by the U.S. Department Redacted by the U.S
sof the Treasury SIGNATURE: BRE US Cay

SIGNATUR!

PRINT NAME;Fobert Potter PRINT NAME: 7% “~
PRINT TITLE;President & BA _ PRINT TITLE: Geers ¢ ma

)

DATE: 3

Redacted by the U.S.

Department of the Treasury
NEW YORK STAT!
151 NORTHERN
MAILING ADDR

i PENSION AND RETIREMENT FUND
13212
SUSE, NEW YORK 13221-4928

DATE: Y7ME

SIGNATURE:

EXECUTIVE ADMINISTRATOR

REV, 201407


THE 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 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
hereafier 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:

eis Chao ei plies tees BOULTER INDUSTRIAL CONTRACTORS INC.

60 Month 60 Month DB
Rehabilitation Denth (8.05 if Totat
Schedule Benefit | Rates of Contribution; Hourly” elected) Hourly Weekly

Default & | Yes fa Effective sons ae i] aesaa
ScheduleA [J | No Effective

ScheduleB (J Effective

ScheduleC (] Effective

Schedule D Effective

Schedule E Effective

Schedule G Effective

Contract Type: == Cus C Freight-National 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 Road Drivers Contributions: Total miles driven in a tour of duty divided by 25 miles per hour equals hours
per trip.

(a) 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 ace 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 Empioyer 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, Afler 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 atl 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


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

1. (a) This Participation Agreement, ewecuted by the undersigned Teamsters Local Union (hereinafler “UnionTM) and Eniplayer,

ls the hasis 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 ihe rules and regulations of the Fuod sow and/or
jwreafter adopied by the Bourd of Trustees.

(b) The Employer wed Union understand apd agree that the Fund contributions shall be made, as sel forth herein, on all
employees doing bargaining unit work, irrespective of whether said employees are fulltime, pwri-time, casual or weasonal,
except as is olherwise provided herein, No agreemun! buwween Vie Employer und the Union shall aller this rule or any alher
tule or provision of this Participation Agreement.

(c) The Employer agrees. wo contribute as follows, not to exeeed the maximum:
ii thi thigh id Elkland Borough Public Wks Dept

6) Month ff) Month DB
Rehabititation Death (S.05 if Total
Schedule Benefit Rates of Contribution: Hourly elected) Hourly Weekly

Defwutt Yes Effective ouaneas arg ay terao
Schedule A No [B] | Effective omenmre aae 138 $520
Schedule B Effective ovmauyy ase a8 $4a20
Schedule C Effective vows a 170 15040
Schedule D Effective

Schedule Effective

Schedule G Effective

Contract Type: Ours (CO Freight-Natiomi DO) Consituctlon Municipal == [7] Other

Covered Employees: Rargaining © [[] Non-Bargaining

Contributions begin on all employees from the First howe of the [rst day of employment.

Formula (or Road Drivers Contributions: Total miles driven in a (our of duly divided hy 25 miles per hour equats hours
per trip,

(d) All such payments (0 be made to the Fund are wo be received by the Fund office on or before the tenth (10th) diy of the
month following the month ia which sald monies Were accrued, except when otherwise agreed by the Fund, bul not to exeoed
by the end of the same month cue,

2. Failure on the port af the Employer o timely contribute on any of its employees as specified herein. shull make the Employer
Viable for all employes benefit claims which are incurred during the potind of delinquency, daimages, reimbursement to the Fund
for the Fund's aitormeys” fees, auditors’ (ees, court costs, disbursements and expenses tncurred by the Fund in recovering the
above: {n addition, the Employer must pay all arrears due the Fund iogetber with liquidated damages in the sum of ten percent
(109%) of dhe definguent amount. The late payment of any delinquency by the Employer shall not in any way relieve it from the
obligations set forth above. In uddilion, whan 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 sald payment, the Employer may appeal the Fund's
decision to the Board ul Trustees, whose decision shall be {inal and binding, fn the event of failure of the Employer i comply
with any of the rules of the Fund, the Employer and alt its participating employees, at the Fund’s sole discretion, shall cease to
participate jn the Fund, and (he Employer shall be responsible for all he benefits wad all other charges specified herein.

3. The Fund may, at any time, audit the payroll reconds of any and alt employees of the Employer at a Lime matually agreed

1
REV. 201407


3912.

contribute by contmet of siatutie, c) the date the NLRB certifies the results of an election thi terminates the Union's
representative status or, d) the date the Union's representative status terminates through a valid disclaimer of interest. The
Employer stall any Contribulion rite increases duc under the Rehabilitmion Plan in effect during negotintions 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: Panuary 1, 2016
|December 31, 2018

Expinition date of collective bargaining agreement;

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

13. This Participation Agreement represents the entire ement and understanding of the partics and supersedes all prior or
contemporaneous agreements or understandings, whether oral or written. As cto this Participalion Agreement may not be
modified except by a writing signed by all partics. Further, to the extent there exis y 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 exch of their signatures below.

LOCAL UNIONW 529 __s EMPLO'YER:_Mansfield Borough
Pubsc Works Department
ADDRESS: 129 East Chemung Place ADDRESS; 14 South Main Street
Ehvira. MY 14004 Mansfold. PA 16933

Redacted by the U.S.

SNNNNNIINE Redacted by the U.S.
SIGNATURE: [Department of the Treasury

SIGNATURE: Department of ti

PRINT NAME; Richard Dexter PRINT NAME;:Shawn Forest

PRINT TITLE: Secretary-Tressurer & Business Agent
DATE: fofag /2o1s Li.

DATE: fi [aJ, —

NEW YORK 5! ig scoscied oy m SSE: PENSION AND RETIREMENT FUND
151 NORTHERN CONC igiigllallea 13212

MAILING ADDRESS: [iijaiatd “USE, NEW YORK 13221-4928

SIGNATURE: DATE:

REV, 201407


Upon at AO extra charge lo the Employer. In the event it is found thal te Employer has nel fully complied wilh (he Fund rules
and/or provisions of this Participation Agreement, the Employer shall pay the full cost of the audit (hal has been performed by
the Fund. ta addition, the Employer shall he responsible as sel forth in this Participation Agreement and the Fund's rales.
regulations and/or volleetion policies.

4. The Fund shall be open te participation by any group of members belonging (oa participating Union (hat fully complies with
all rules and tegulations of ihe Fund. in audition, the Employer may conteibuge to the Fund for employees working outyide the
Jurisdiction of the collective hurgaining agreement in the amount indicated above, However, If these employees are included,
(he Employer agrees iv muke contributions on all employees in this category subject to the sume conditions and on the sant
basis ws is provided in (his Participation Agreement, and the Employer also agrees w continue to make contributions on ull these
employees foray long as there shall be a collective bargaining wgreement between the Employer and the Union, subject to any
and all roles and regulvtions or decisions covering this group thatare issued by the Fund, ‘The Eniployer must request in writing
lind teeeive written wpproval from the Fund ia order ti buve these non-covered employees Included. Such request niust
specifically define (he category or categories Invelved.

5, Shiwld any. af the provisions al (his Participation Agreement be declarod Wi he in violation ol (he Labor-Management
Relations Act of 1947, as amemtet!, ar any other Stale or Federal statute or regulation, such declaration shall in ne way impair
the effectiveness or continuity of the resi of the provisions of this Participation Agreement and such provisions are herehy
expressly declared (o te saved from such (legality.

6. Payments to the Fund, evest be made by the Employer for al) vompensable vacation and holiday time up to a omaximent of
one (ull calendar year,

7. Ian employee is granted a leave wf absence, tte Employer shall collect [rom said employee, prive to the leave wf absence
being effective, sufficieal munics io pay the required comtibutions during (he periad of absence and such monies shalt
thereafter be prowepily forwarded to (he Furn! in accordance with the rules af the Fund, In the event the Employer grants 1 leave
and dues not so comply, the Employer must pay (he contributions subject to all other requirement in paragraph 2 herein,

A. The Employer agrees to furnish such information a4 muy be necessary to enable the Fund to carry out its duties,

4, He regulas employcu 4 absent because of ilness or off-the-job injury and notifies the Employer of such absence, the
Employer shall continue to make the required contelbutinns for a period af four (4) weeks, Ha regular emphiyee is injured an
the job, the Employer stull continwe to pay the required conteltatlias watil sock employee reiuras io Wark, However, such
Contributions shall net be paid fora period af more than 52 _ weeks,

1, All sections and proceedings commenced er iniinied by any claimant, applicant, empluyee. participant, Ihe Unien ar (he
Employer, or their agents, successurs or assigns, uyvinsi [he Fund, the Trustees thereat or any employee, service provider,
represuniative or agent Vhereol, and ull actions and procucdingd commenced by or on beball af sald Trustees against any
claimant, applicant, empliyee, panicipant, (he Union or the Employer pertaining io the Fund in any manner, shall be bright in
the Appropriate court in the County of Onondaga, New York ar other applicable irihunal locuted therein except where (itierwise
qwovided herein. (a regard to withdrawal lebility arbiiration proceedings, all such arbitrations shall be initiated in the Bastion,
Massachusetts regional office af the American Arhiiration Association and all hearings and related proceedings shall he
conducted in Syracuse, New York. th regan! io federal distyicl court actions, all such actions shall he commenced and heard jn
the United States District Court for jhe Northern District wf New York, The Fund shall not he subject i any
gricvance/arbitration procedun: set forth in any collective hwniving agreement. 1 iv specifically agreed thal any action oF
Proceeding commenced oy iniivied [i any other jurisdiction or venue shui! be (rawsferred to the appropriate court cr iflwnnt
specified herein,

1h. This Participation Agreemont shall hocome effective ax ol the dite of excoution herwol and the paymonis: provided
hereinabove shall be payable trom and afier WAMUBTY 1,2016 sou continue anil expiration of the enflective bargaining

agreement on [DECEMbEr 31, 2048 subject, awever, iv the discreion Of the Trustees. Allet expiration of the cillective
bargaining agreement, this Participation Agreement shall continve in (ull force and effect watll a successor collective bargaining
agreement is executed by the Emplayer aid Union wiles a) the Trustees terminate the participation wf the Employer and
provide written potice of the date Of termination, b) the Employer gives the Fund at feast sixty (00) days alvance wrillen nitice
by cortifed mail with muro receipt requested Of its intent to (erminate participation because Wt ne banger has an obligation to

2

REV, 201407


wpae acne extn charge to the Employer, Inthe event if is found dat the Employer hay nut fully complied with the Fund mules
and/or provisions uf this Participation Agreement, the Employer shal! pay the foll cost of the audit |hul has been performed by
ihe Fund, In addition, the Employer shall be responsible as set forth in this Panicipation Agreement and the Fund's rules,
regulations and/or collection policies.

4, The Fund shall be open to participation by uny group af members belonging wo a participating Union tat fully complies with
all rules and regulations of the Fund, In addition, the Employer may contribute to the Fund for employees working oulside te
jurisdiction of the collective bargaining agreement in the amivint indicaled above, However, if these employees wre includ,
(he Employer agrees to make contributions on all employees in this category subject to the same conditions and on the same
basis us is provided in (his Participation Agrcement, and (he Employer also agrees W9 continue i) make contributions on all Hhese
omployees for as long as there shall be a collective bargaining agreement between the Ensployer and the Uninn, subject 0 uny
and all rules and regulations of decisions covering this group that are issued by the Fund. The Employer must request in writing:
and receive Weitten approval from ihe Fund in order 10 have these pun-covered employees. included. Suck request nitist
specifically define the culegory or categories invelyed,

5, Should any of the provisions of this Participation Agreement be deelared (9 be in violation of the Labor-Managemont
Relmtions Act of 1947, as amended, of uny other Stare or Federal stalwre or regulation, such declaration shall in mu way impair
the effectiveness or continuity of the rest of the provisivas of this Participation Agreement and such provisions art hereby
expressly declared 10 be saved from such illegality,

6. Payments 10 the Fund must be made by the Employer for all compensable vacation and holiday fime up (o 9 maximam of
ong full calendar year,

7. Wan employee [s granted & leave of whycnoe, the Employer stall collect from suid employee, prior to the leave of absence
being effective, sufficient monies Ww pay the required contributions during the period of absence and such monies shall
thereafter be promptly forwarded to the Pund in accordance with the rules of the Fund. In the event the Employer grants a Wave.
and does not so comply, the Employer aust pay the conuThawiions subject to all other requirements in paragraph 2 herein,

8. The Employer agrees W furnish such Infvemation as may be necessary (0 enable the Fund to carry out its duties.

% Ia regular employee is absent because of Illness or off-the-job injury and notifies the Employer of such vbwnce, the
“Employer shall cantinue to make the required contritutions for a period of Sour (4) weeks. Io regular employee is injured on
the job, (he Emptoyer shall continue jo pay the requited contributions until such employee retums to work. However, such
contributions shall sat be paid fora period of more than _52__ weeks.

10: Alt belions and proceediags commenced or initiated by any claimant, applicant, employee, participant, the Union of the
Employer, or their agents, successors of assigns, against the Fund, the Trustees thereof or any employee, service provider,
fepreseniative or agent thereof, and af) actions and proceedings commenced by of on behalf of said Trustees agwinst any
claimant, applicant, employce, participant, the Union or the Employer pertaining to the Fund fn any manner, shall be brought in
the appropriate court in the County of Ononduga, New York or other upplicuble tribunal located (herein excep where otherwise
provided herein. In regard to withdrawal lisbility arbitration proceedings, al! such arbitrations shall be initiated in the Boston,
Massachusetts regional office of the American Arbitration Association and all earings and related proceedings shull be
conducted in Symcuse, New York. In regard 10 federal district court actions, all such actions shall be commenced and heand In
the United States District Court for the Northern District of New York. The Punt! shall aot be subjuct to aay
gtevance/arbitration procedure set forth in any collective hargaining agreement. It is spceifically agreed whut any weilon or

commenced or initiated In any other jurisdiction of venue shall be transferred to the appropriate court or tribunal
specified herein,

11, This. Participation Agreement shall become effective as af the dite of execution hereof and the payments provided

hereinabove shall be Le from and after Panuary 7.2075 sng continue until.expimtion of the collective bargaining
December 31, 2018

agreement on eS eS subject, however, to the discretion of the Trustees. After expiration of the collective
hurgaining agreement, this Participation Agreement shull com{nue in full force and effect until « successor collective burguining
agreement is executed by (he Employer und Union unlewy 4) the Troswes terminute the participation of the Employer and
provide written notice of the date of terminutivn, b) ihe Employer gives (ho Fund ab least sixty (00) days advance written notice
by certified mail with retum receipt requested of its inion to termina participation because it no longer hax wn obligation to

2
REV, 201407


THE NEW YORK STATE TEAMSTERS CONFERENCE PENSION AND RETIREMENT FUND

PARTICIPATION AGREEMENT

|. (a) This Participation Agreement, executed by the undersigned Teamsters Local Union (hereiimfter “Union") and Employer:
fs the basis for participation in the New York State Teamsters Conference Pension & Retirement Fund (hereinafier “Fund"),
‘The Employer, its participating employees, and thy Union, as a condiilon of participation ia this Fund, are bound by this
Vartivipation Agreement, the Trust Agreement, Plan documents and all of the fules and regakations of the Fund naw and/or
hereafter wdopted hy the Bourd of Trustecs.

(b) The Employer und Union understand and agree that the Fund coniributions shall be made. as set firth herein. on all
employees doing bargaining unit work, inespective af whether said employees are fulltime, part-time, casual or season!
except us is mherwise provided herein, No agreement hetween the Employer and the Union shall alter this nile or any other
cule or provision of this Participation Agreement,

(c) The Employer agrees io contribule as folluws, (pot fo exceed (he maxims

Livcind Catan of Employee fitiow) Borough of Westfield PW #4374
‘6D Mowily 60 Month DE
Rehabilitation Dewh (8.05 if ‘Toul,

Schedule Benefit Rates of Contribution: Hourly elected) Hourly Weekly
Defaul) Yes a Effective cvovoors am a iste
Schedule A Nu Effective owiewe aoa ct] zanat
Schedule 8 Bilfvetive aumenv aan 408 wos
Schedule C Effective
Schedule D Elivetive
Schedule E Effective
Schedule G Elfcetive
Conimet ‘Type:  ([] ups (CD Freight-Nationu! O)Constuction = [8] Municipal «= (1) Other

Covered Employees: [7] Barguining — &) Non-Bargaining

Contributions begin on all emplayees [rom the first hour of (he first day of employment.

Formula for Road Drivers Contributions: Total miles driven in a lour of duty divided hy 25 miles per hour equals hours
per rip,

(d) All such payments (9 be made to the Fund are be received by the Fuel office un or before the teeth (10th) day of the
month fatlowing the month in which said monies were accrued, except when olbenvisy ugreed by ie Fund, but not io exceed
by the end of the sume month duc.

2 Failure on (he part of (he Employer to timely coniribute on any of its employees as specified herein shall make the Employer
Hable for all emplayee benelil clainy which are incarred during (he period of delinquency, damuges, reimbursement to the Fund
for the Fund's attorneys* fees, auditors’ fees, court costs, disbursements and expenses incurred by (he Fund fn recovering the
above, In addition, the Employer must pay all arrears duc 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 wot in any way relieve it fom the
Obligations set forth above. In addition, when the Employer is novificd in writing by the Fund that it is detinquent, 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 finul and binding. In the event of failure of the Employer to comply
with wny of the rules of the Fund, the Employer and all its participating employees, at the Fund's sole discretion, shall cease 1
participate in the Fund, and the Employer shall be responsible for all the benefits and all other charges specified herein,

3, Tho Fund may, at any time, audit the payroll (cons af way and all employees of the Employer ata time oniually agreed

i
REV, 201407


THE NEW YORK STATE TEAMSTERS CONFERENCE PENSION AND RETIREMENT FUND

PARTICIPATION AGREEMENT

1, (n) This Participation Agreement, executed by the undersigned Teamsiers Local Union (hereinafler Union”) and Employer,
is (he bushy for participation in (he New York State Teamsters Conference Pension & Retirement Fund (hereumafter “FundTM),
The Employer, (ts participating employees, and the Union, as a condition of participation in this Fund, are bound hy this
Participation Agreement, the Trust Agreement, Man documents and ail of the rules and regulations of the Fund pow and/or
hereafter adopted by the Board of Trustees,

(b) ‘The Employer and Union undersiand and agree that the Fund contributions shall be mad, as set forth herein, on all
employees doing bargaining unit work, irrespective of whether suid employees are fulltime, part-time, casual or seasonal,
‘except us ik otherwise provided herein, No agreement between the Employer and the Union shall alter (his tule or any other
tule or provision of this Participation Agreement,

(c) The Employer agrees to contribite as follows, pot fo exceed the marina:

Feinlad Pied vs tietion) Elkland Borough Police Dept Full Time Officers #3881

60 Month 60 Month DB
Rehabilliation Death | (S.05 IF Total
Schedule Benefit Rates of Contribation: Hourly clocied) J hourly Weekly

Defwult Yes Effective ovevwers ax aw eae
Schedule A No [@) | Effective ovevene 46 255 i208
Schedule B Effective mouse? ne iT er
Schedule C Effective avons rm ou gouta
Schedule D Effective

Schedule E Effective

Schedule G Effective

Contract Types = CUPS CO Freighi-Nantional CD Consiruction Municipal ==] Ofer

Covered Employees: (&) Bargaining = F) NonBargaining

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 houre
per lip,

(4) All such payments to be made to the Fund are to be received by the Fund office on or before the tenth (10th) day ot the
month following the month fn Which sai monies Were Accrued, except when atherwixe agrced by the Fund, but pot ie exceed
by the end of the same month due,

2. Failure on the part of the Employer to timely contrite on any of ils employees as specified herein shall make (he Employer
liable for all employee henefit claims which ate incurred during the perind of delinquency, damages, reimbursement to the Fund
for ihe Find'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 wrrears duo the Fund iqgether with liquiduied damages in the sum of ten percent
(10%) of the delinquent amount, The late payment of any delinquency by the Employer stall nol in any way relieve it from the
obligations set fonh 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. Afier said payment, the Employer may appeal the Fund's
decision to the Board of Trustees, whose decision shall be (foal 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 shill be responsible for all the benefits und al) other charges specified herein,

3. The Fund may, al any time, audii (he payroll records of any and all employees of the Employer ait a Hine mutually agreed
1
REV. 201407


6981

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

Panuary 1, 2016
[December 31, 2018

Effective date of collective bargaining agreement:

Expiration date of collective bargaining agreement:

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

13. This Participation Agreement represents the entire agreement und understanding of the parties and supersedes ull prior or
coniemporancous 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, w the extent there exists any cont aween 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# 529 EMPLOYER: Towanda Borough
ADDRESS: 129 East Cnemung Place = ADDRESS: 724 Main Street

Elmien, NY 14004 Towanda, PA 18848

Redacted by the
SIGNATURE: Taped by
PRINT NAME:;Richard Dexter = PRINT NAME: Kyle Lone
PRINT TITLE; Secretary-Treasurer & Business Agent PRINT TITLE: Borough Manager
lel;

DATE: 9/e [20S a DATE: islis_

NEW YORK STATE TERRRERCCI TIES SION AND RETIREMENT FUND

RIO aeildiicneaieoepartment ofthe Treasury [By
MAILING ADDRESS: |, NEW YORK 13221-4928

1 ——
SIGNATURE: DATE: Ly) (a)

EXECU

REV. 201407


wpon at no extra charge to the Employer. ti the event Tt ie found thut the Employer bus wor fully compliod 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, fn addition, the Employer shall be responsible as set forth in this Participation Agreement and the Fund's rules,
fegulations and/is collection policies,

4. ‘The Fond shall be open Lo participation by any group af members belonging (¢ a participating Union that fully eoryplies willy
all sules and segulations of the Fund. In addition, te Employer may contribute jo (he Fund for employces working oulside the
jurisdiction of the collective bargaining agreement in the amount indicated above. However, if (hese employees wre included,
the Employer agrees (o make contributions on all employees in this category subject lo ike same conditions und on the same
busis as is provided iy this Participation Agreement, and ihe Employer algo agrees to continue lo make coniributions on all these
pi oa for es lovgg as there shall be a collective bargaining agreement bewwver the Employer and the Union, subject to any
and all rules ane repulitions or decisions covering this group that ure issued by the Fund, ‘The Employer must request in writing
and recelye 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 1 be in violation of the Labor-Management
Relations Act of 1947, a8 amended, of any other Stator Federal statute ar regulation, stich declaruiion shall in io way impair
the effectiveness or continuity of the rest of the provisions of this Participation Agreement and such provisions are tietchy
expressly declared to be saved fram such iegatity.

6 Paynunts to the Pond must be miade by the Employer for all compensable vacation and holiday time up to a mixin of
‘one full calendar year.

7, Wan employee is granted a leave of absence, the Employer shall collect from said employee, privr to the leave of absence
being effective, sufficient monies to pay the required contributions during the period of absence and such monies stall
thoreafier be promptly forwarded to the Fund in accordance with the rules of (he Fund, In the event the Employer grania a leave
and.does nol so comply, ihe Employer must pay the contributions subject to wll other requirements in paragraph 2 herein,

8. The Employer agrees to furnish such Information ws may be necessary to enable the Fund to eacry out ite duvies,

9, Wu regular employee is absent because uf illness of off-the-job injury ant notifies the Employer of such absence, the
Employer shall continue to make he required contributions for a period of four (4) weeks, Ua regular employee is injured on
the job, the Employer shall continue to pay the required contributions until such employee returns 1 work, However, such
comributions shall not be paid for a period of more than 52 _ wecks,

10, All ictions wad proceedings commenced or jnitivied by wy claimant, applicant, complayee, participant, the Union or the
Employes, or theif agents, successors oF assigns, against the Fund, the Trustees thereol or any employee, seevice pirnvices,
representalive Or agent thereof, ond all actions and proceedings commenced by or on behall of said Trusices against any
claimant, applicant, employee, participant, the Union or the Employer pertaining to the Fund in any manner, sixall be brought in
the appropriate court in ie Cuunty of Onondaga, New York ur other applicable tribunal Joculed therein except where otherwise
provided herein. Jn regard ta withdrawal lisbility arbitration proceedings, all such arhiteations shall be initinied in je Boston,
Massachusetts regional office of the Americun Arbitration Association and all hearings and related proceedings slmll be
conducted in Syracuse, New York, In regard to federal disivict court actions, all such wetiens shall be commenced and heard in
the United States District Court fur the Norihern District of New York. The Fund shall mal he subject Wi any
gricvance/arbitration procedure yet forth in any eullective bargaining agement, i is specifically agrevd thal uny aetiun oF
proceeding commenced oy initiated in way other jurisdiction or venue shull be iransferred io the appropriate court oF tribunal
speeified herein,

1). This Purticipation Agreement shall become effective as of the date of execution hereol and the payments provided

hereinabove shall be payable from and aller Panuary 1, 2016 ang continue uni expiration of the collective bargoining

agreement ag December 31, 2018 sities, however, to the discretion of the Trustees: Afler expiration of the collective
bargaining agreement, this Participation Agreement shall continue in full force and cffect unill a successor collective bargaining
agreement is exceuted by the Employer aad Union unicss a) (he Trusices terminate (he participation of the Employer and
provide written notice of the date of lernjnation, 5) the Employer gives the Fund at least sixty (G0) days advance written quiice
by certified mail with retum reccipt requested of ils inal to lerminate participation hecwuse fi nw longer has an obligation (9

2

REV, 201407


3874/9140

contribute by contract 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 rite increases due under the Rehabilitation Plan in effect during negotiations with the
Union and such payments shull 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.

Effeetive date of collective bargaining agreement: Hanuary 1, 2015

Expiration dite of collective bargaining agreement: December 31, 2018

12, The Employer and its employees shall not be entitled to participate in this Fund unless the Employer and the Union are
signmory 0 a current Participation Agreement,

13. This Participation Agreement represents the entire agreement and understanding of the partics and supersedes all prior or
contempormncous agreements or understandings, whether oral or writtea. 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 Parlicipation Agreement shall control

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

LOCAL UNION@ 529 EMPLOYER: _E&land Borough
Public Werks Deparment

ADDRESS: 128. Chomung Place __ ADDRESS: 105 Parkhurst Street

Emin, WY 14904 Etkland, PA 16520

Redacted by the U.S. & Redacted

SIGNATURE: _ Sarg es + SIGNATURE; [YAUEIUESS
PRINT NAME, Rober Potter PRINT NAME pr d he fas~J

;President & BA PRINT TITLE: C2 C Ssesi taal TF

34/2/26 A paTE: 3/2 ¥/%<

151 NORTHERN CON 3212
MAILING ADDRESS: ISE, NEW YORK 13221-4921

SIGNATURE:

EXECUTIVE ADMINISTRATOR

REV. 201407


Upon at no extra charge to the Employer. In the event it 4 found that the Employes bas not fully complied with the Puni rules
andor provisions of this Participation Agreement, the Employer shall pay the full cost of the audit that has been performed hy
the Fund, In addition, the Employer shall be fesponsibk: ws set furtly in this Participation Agreement and the Fund’s rules,
regulations and/or collection palicies,

4. The Fund shall be open to participation by any group of members belonging (oa particdmlins Union tat Tully complies sith
all rules and regulations of the Fund, fp addition, the Employer nny contribute to the Fund for employees working ouwide Me
jerisdiction of (he collective barguining agreement in the amount indicated above. However, if these employees are included,
the Employer agrees to make coniributions on all eenployees ii this calewory subject to the sume conditions and on ihe seme
basis as fs provided jn this Participation Agreement, and the Einployer alse agrees (o continue 19 make contributions owrull thee
employees for as long is Hhere shall be a collective bargaining agreement between the Employer and the Union, subject to any
aund all rules and regulations or decisions covering this eroup that are issucd by the Fund, “Che Employer aust request in writing
und reevive written approval from the Fund in order to have these non-covered employees included. Such roquest must
gpecificully define the category ur categories involved.

5. Should any of the provisions of this Participation Agreement be declared w be in violwion of the Labor-Management
Relations Act of 1947, as amended, of any other Suite or Federal statute ur regulation, stich declination shall in mu way impair
the effectiveness or continuity of the reat of the provisions of this Partlelpation Agreement and such provisions are herehy
expressly declared 10 be saved [rom such itlegality,

6, Paynients to the Fund must be made by the Employer for all compensable vacation and boliday time up to a maximunt al
ne full calendar year.

7. Mao employee is granted a leave of absence, the Employer shal) cottect from svid employee, prior (0 (he leave of whence
being effective, sufficient monies to pay the required contributions during the period of absence and such monies shall
(hereafler be promptly forwarded to the Fund in accordance wilh the rules of the Fund, In the event the Employer grants 1 leave
and doce not so comply, the Employer musi pay (he contributions subject to ull other requirements in paragraph 2 herein,

4, The Employer agrees to furnish such information as my be necessary tocnable the Fund io carry out ils dutios,

%, Wa regulur employee is absent because of illness or offthe-job injury and notifies the Employer of such ubsenee, the
Employer shall continue to make the required contributions for a period of four (4) weeks. Ife regular employce is injured oo
the job, the Employer shall continue to pay the required contributions until sucli employee rewrns to work, However, such
contributions shall not be paid fora period of more than _ $2_ weeks,

10, All actions and proceedings commenced or initiated hy doy claintant, applicant, employee, participant, the Union ar the
Employer, or their agents, successors or assigns, against (Ne Fund, tho Trusttes thereof or any employee, service provider,
representative or agent thereof, and all ocllons and proceedings commenced by or on behalf of said Trustees against any
claimunt, applicant, employce, participant, the Union of the Employer pertaining to the Fund in any manner, shal! be brought in
the appropriate court in the County of Onondaga, New York or other applicable tribunal located therein excepl where otherwise
provided herein. In regard to withdrawal lability arhitration proceedings, all such arbitrations shall be initiated in the Bosion,
Massuchusetis regional office of ihe American Arbitration Assuciation and all hearings and relaied proceedings shall be
conducted in Syracuse, New York. In regard to fed¢ral district court actions, all such wetions shall be commenced and heard in
the United Staies District Court fur the Northern District of New York, The Fund shatl not be subject jo avy
grievance/irbitniion procedure set forth in any collective bargaining agreement, I is specificntly mpreed thal uny action or
proceeding commenced or Initiated in any other jurisdiction or venue shall be transferred to the appropriate court oF erin
specified hervin.

11, ‘This Participation Agreement shall hecome effcetive ay of the daw of execution hereof! und the payments provided
herenpibeve shall be payable from snd after 4, 2015 and continue until expirnion of the collective mngnining
agreement on December 31, 2018 subject, however, te tbe discretion of the Trustees. Aller expiration uf the collective
bargaining agreement, this Participation Agreement shall continue In full force and effect until a sdecessor collective bargaining
agreement is executed by the Employer and Union unless a) the Trustees terminate the putlicipation of the Employer aad
provide wrillen notice of the date of lermioalion, b) lie Employer ysves the Fund at luasi sixty (60) days advance wrillen notice
by certified mail with return receipt requested of its intent to lerminate participation heeuse ft aw longer his we obligation i
2

REY, 201407


THE NEW YORK STATE TEAMSTERS CONFERENCE PENSION AND RETIREMENT FUND
‘AT ENT

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 Fund now and/or
hereafier 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, nol to exceed the maximum:

Covered Group of Employees (Define) Pusuye Works / Cre@icnt + U987

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

Default | Yes = (1 | Effective suevaow it iat 8
Schedule A . No — [8] | Effective sue.a017 208 2.06 240
Schedule B Effective svowv2o8 26 218 87.0
Schedule C Effective

Schedule D Effective

Schedule E Effective

Schedule G Effective

Contract Type: Ours (DD Freight-National O1 Construction — [&) Municipal OD 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
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 sKall 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
REY. 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 (hereimafler *Union") and Employer,
is the basis for participation in the New York State Teanters Conference Pension & Retirement Fund (hereinefer Fund"),
The Employer, its participaling employees, und the Union, as u condition of participation in this Fund, are bound by this
Participation Agreement, the Trust Agreement, Plan documents und all of the rules and regulutions of the Fund now and/or
hereafter adapted by the Board of Trustees,

(b) The Employer and Union understand and agree that the Fund conibutions shall be mide, ux set forth herein, on all
tmployces doing bargaining unit work, itrespective of whetlier said employees are Cill-time, part-time, casial or seasonal,
except as is otherwise provided hurein, No agreement beiweee the Employer and tho Unive shall alicr thin rile or any other
rule or provision of this Participutiin Agreement.

(c) The Employer agrees 0 contribute as follows, nol 16 exceed the maximum:
Borough of Wellsboro #2270/8608 PW Reg FT Street, Water, Clerical E

Covered Group of Employees (Define)
60 Month 60 Month DE
Death (3.05 if Total
Benefit Rates of Contrilution: Hourly tlecwd) Hourly _ Wevkly
Yes (J | Effective somuny 2008 aay isn seer
Noa [@] | Effective temany |.2087 418 ato sores
Effective tenor ).2018 aay ast rere
Elective
Effective
Effective
Effective
Conuaci Type: CUPS 1 Prejzhi-National C1 Construction Municipal = (7) Other

Covered Employees: [&) Burgaining  — C] Noo-Bargaining

Qontributions begin on. ull employees Ton the first haw of the frat day of employment.

Formula for Rowd Drivers Contributions: Total miles driven ina jour of duty divided by 25 miles per hour equals hours
per trip.

(a) All such payments to be made to the Pood 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, exeept when otherwise agreed by the Fund, but not lo exeevd
by the end of the same month duc.

2. Failure on the part of the Employer i9 timely contribute yn any of its employees as specified hervin shall make (he Employer
liable for all employee benefit claims which are incurred during the period of delinquency, damages, reimbursement (y the Fund
for ihe 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 arreats due the Fund together with fiquidated 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 retieve il 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, shal} cease to
partivipate in the Fund, and the Employer shall be responsible for wll the benefits and all other charges specified herein,

3. The Fund omy, at any timu, audit (he payroll records of any wnd wll employees of the Employer at 4 time muiuiily agreed

i
REY. 201407