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7.B. - Page 25 <br />Actuarial Office <br />P.O. Box 1494 <br />Sacramento, CA 95812 -1494 <br />Telecommunications Device for the Deaf - (916) 795 -3240 <br />Ca1PERS (888) CalPERS (225 -7377) FAX (916) 795 -2744 <br />CONTRACT AMENDMENT REQUEST <br />To initiate an amendment to contract, complete and return this form to the address above. The <br />necessary documents will be prepared and mailed to you within 30 days of the date this request is <br />received in our office <br />Employer Name: CITY OF REDWOOD CITY <br />Employer Number: Member Group or Plan: SAFETY PLAN <br />Coverage Group(s) affected by the Amendment: 74001 AND 75001 <br />Description of Benefit Provisions and Section(s): Section 20475 Different Level of Benefits. Section 21362.2 (3% @ <br />50 Full Formula) and Section 20042 (One -Year Final Compensation) are applicable to only those local safety <br />members entering membership on or prior to the effective date of this amendment to contract. Section 21363.1 (3% <br />@ 55 Full Formula) and Section 20037 (Three -Year Final Compensation) are applicable to local safety members <br />entering membership for the first time in the safety classification after the effective date of this amendment to <br />contract. (Coverage groups 74101 and 75101 will be established for this benefit). <br />Please indicate your choice: <br />❑ Standard Method <br />❑ Temporary Pooling Option <br />Please initiate the amendment to this employer's contract with CalPERS: <br />Name and Title: (Please Print): <br />Signature: <br />Mailing Address: <br />Street Address: <br />City /State /Zip: <br />Telephone Number: <br />Fax Number: <br />E -mail Address: <br />