|
PROFESSIONAL SERVICES AGREEMENT
<br />erempt~ ~°""11nty.lndh~~GQDi:n,prialanr)-nat
<br />c.rmpl rrirn, ~ wtN'lclCll!Yj. o.apaa&n.11(1>-.ipt·-. bi»Dlup
<br />'l"IN'd:I~ 11:ir -ti p,ymcnlll. 8UC:II & hlorGlsl ll:ICI clt'1cllnli. ~-!daamJ!lfnm ~ ~ llar f'l'lmdll nw» In ~al f9J"l<nl
<br />QIRlor91n! pottY.-adc bwlallklnA
<br />_ ,you-~ !ram ms~·w,111..,Jrwadl,_g.,,. )'1111.,__....,,plallla
<br />l:nnto11\101dpcmlfllQClfl'CnlXIWl t>ldcupwlffi0'9n&-
<br />n,,,-.g111111aaldlra)',pa)IIMltm ... aanpt-~--·-•
<br />1 -1-1 ~ ao;,ari,p!IQmwar.0111 -ao:ltt':Z IAA. o, •
<br />am10C1 acccan UldGr ~Clo)ll(T)lll'llolJODUl>t 11»~11>
<br />al Nlllbn 40lfl)C2J
<br />2-'lhlt unaar:1 .... a qar .. ag,nc1a 111 .,_,.
<br />a-A·llild1\ lht ~or cuu-., a~af-Llnllill llllll-. or any a1
<br />.. pcamJ IU!dhlom G' lrlllnna1lll-
<br />~amllllll a q DI lta ...-llllllllNlmW, ag,ncla, ar
<br />&-Aacrparallln
<br />1!1-A-1n-....111---~to...-lnh1Ulem
<br />11111-. t,a IJlllnlt DI Calumblll, 111• i--, al l"la Llnlllld Slllla
<br />7-Allllna llllllllll._... ....,....niglllaadwtlhhl OllmmadlJNura
<br />1l'mttg ~ 1!1-Aral __ _
<br />11 -/VICffllY~---cu-v--~-lht~ ~l>dolf!MD.
<br />10-A-IIUlllLnl~llr'•-inla-118'til
<br />11-A9WIIIIII~
<br />~:r,~1111-,ln .. _anl!UllylHlaran.,_a
<br />1a-A-8IUIIIIJllllan1B ..--Gl!l4 arelamlblld n-.4Mr
<br />n»lelio'Mng CNri .,._,. typoa Cl pao,tncn,1 llal.""" ljNIJlfflpt "'"1 m:iup
<br />W!Ndl~ Jb:>anar\~IO ownpt ~ lallld.t!o..,_ 1 ~13..
<br />Pa)m-ort1,,..,,,laooracp.inidto bD
<br />Rlplriad IS1d Clf;>Cll lloia <Tffll IG.0001
<br />--...-..... lar ...
<br />·-Farm 1111D-11118C,.--hXDa, --~
<br />·~. 1111<1r~ flO'F"d!l1MOo10aoorpn110nlllld "'fl0ltlbAi:nl'Om
<br />1QIIO..Ml9Ccwno4 -.ipt-. bodllllp~~ mll<llcaln,1-ehasa
<br />~ allllmolJI>' ..-. i,aupoo.-. pltl t>anlllllamy, .n:1.,..-n
<br />IIINIIM pdCI l,r a lllelllnal lla!IIJlh."O agency ,
<br />EHmpllan -FATCAnpora,e(IOCIII<. TI11>-llgcodo:ia-l)I,~
<br />IIWlalO~ 1:Dr11 ~-·FATOA. ~OOCINl!lPl',!10~
<br />Sllbm~ :lerm1°' IICl0CIHl--alt'IQ~Slma ~
<br />CA11111n l'llrllf!1\ ltVr)QII hllllililons. lbcnllan>, I you-~· l!!llln\lllt'9-tam1
<br />,o, WIMID:IUl'l)'IIU lll*lln 1h11 Ulltod 81111-. V<lllmll/ Ql\'Oftll lllllab11r11.
<br />Oonlull '#11'1 l:llQ ~naqllallb:I ~ lllfffl ti•-aro lnOMIOI • a,o tnDnclllf
<br />lnrl!IUICn II ~ ID 1(hQj/j> ftllJJ~
<br />A-Arl~-,,Phn'lwt ardtJI 11111 IIOlflt)ar q 11111-
<br />,r;,a f*lll•dCIIIWI r,.-, f7D1(a,pl)
<br />B-1hll \dal-a q DI 1111 .... laa a tlnWnalldlla
<br />C-A IIDII!,, 11111 DIIM:I ol COUlllblll. a poMClllibl Cll hi lMIIII ai.._ a al)'
<br />al .. pallWDl aullcJh1s!Or4 er,~
<br />D -A~ lllO 1'0cikol ,otdch I~ "'ll"llrtf '-llllalll a IINIID
<br />-..-.!llouna1lc.itl. aadiollcrCQdln Agg.-lbn t.14lll·-1tcl(t)fl
<br />£-A~opAl!l0nihlf.i.a.mantu-ol Iha --~-11"'4' • • ~-lnR.g,.-t.1A'2.lr.o(l l(lj ,
<br />F-A_...ln _,..., 0IIIIUIICldli.., a llah.lllMll'Wlalll ....._
<br />(lramlltl n0ll0NII ~ <Dtlnlnl:i. Ml.rail, ~ 1111:1 ~-II
<br />.... D.ICIIWICIOllt,p 'binollhalJIIIGdBJlllo Cffll"J-
<br />8-AIIIIII-~ ....
<br />1:1'-A.-IIIMIANll't cmn~• OClllr!a! n..-11!i1 rY A'I ew1111v
<br />~a! ltl .,,_Ol.1'"9 lblt1u..,,_U'd:lr W.Olrwlldmcnl company ACS of
<br />1-AcawaM!I-IUld•-tl-118'til
<br />J-A Dini• dDfNd lrl-:110nt!III
<br />l<-Alrallilr
<br />L-A .,_ aanpt Inn m ..-aa111an 11M ar damlla:I In -,aar, 4841(1«1}
<br />M-Amam,p11na1...-allldDl~p11na-.451(dpla'I
<br />Part I. Tmipayer ld8ntilioalian Nlanbor (TIN)
<br />e:-yl!Ul'TIN ln.ffill ~-,II )Oii Dnl~ .-..lclcnl mid >'0',1 dold
<br />f!D..O ft! Alli"°" ~~gal 11'1 BSM, J0U1 TIN tl }'IUIA8 lrd~IIIMpll)IIII'
<br />lelllTllllilllD'I omii,,i-[ITN,', b1IG-t In tho IIOC!III .-:ir'llt IUlll>clr bmt.. H -,,::ill CIO net --..-.--mt1111•J11Wbam.
<br />II~-• -P"'fRICt-!1'11119-111 EIN, !ID",_,,.....,_ p,EN
<br />ar'EIN .~.hlRSpl'O!!ln-wa,i.aa,iulll!N.
<br />lt,)'CLI.-OD~l>Ct UJC NII-~ -1111 ll'lll)'IIOf**ll'cllltl:I
<br />-.C-,tl!/\l'lod L..-')' ~,:LQ}Cll,I ~ ~ 111)1• lhl ............ SSH p
<br />I It,,,.-,--)-Cord""* ltlo IH'OglrllOd cinllyi& El n Iha U.Cla
<br />lold Ma aapaadlcn or p,wtoanNp, -(,---,'a BN. ----mipiga4ltlr...,._a_ar __ 11111 aam-...
<br />-ID pl a TIN. II \ICU~ "'11 ,_• ntl. app!J larcn, ~Y-1'08"1¥
<br />rarml!:5f'l.,Q11IFIIIIIISS-li.~lllrD-SaeullyCIRl,ll"Cffl)IICU'ix-nl
<br />-~~-OllloDfJlgc(llisll:lfflO'llnllill.-.-gtH.'f0U
<br />ma.ytlllo got1N•rcn,,1>yca11-91.aao.n12 . 12'1~ IJaoFormW,:r,~ Ill!'
<br />IAStnal\'ICI .. I~ lelanl*-i Mlmla, 1Dapplyb anffl,t.Of FDnnSS.,C,
<br />Af!p41lldlcnt:lr'Em~ 1-fUNlcr, IO°""' b WIElN, YOll e.11\IICIS)l'f
<br />rarll'IElffarftlD tiyJIOQll&dng 11osg....-111 IOWir:l.-a;gcw.-111111 · ·
<br />c~on E'm~ldal'lltllellltcn ('El'(l-~•Bu-. VbU
<br />c;Gn 911 Famt W ,7 _ B8,.4 -lht 1111 ~ •hllrg IRS.plll bycallhg 1-l!IID-
<br />T.U.FQflM [!WM). '
<br />It )'Ill.I--IDCCl!"f'l"'I!' Fotlll W-dlblll<IOIX>I -• Tllil. llflPY ltr D lllil
<br />JlnCI ~·"Pl*d Rlt' In IIIO.-,O IQ' N'llH,"9' midd#ID .... bm,..:lg),9
<br />loQ)l)~.r.. lnl:na-~ paym<nb..--~ll\ll!IQ
<br />Wllh-pDCII Ill l-11y ~---gotll"II..U'"' -llO~., got D TIN sid (f.YO I ID h ~llcibnrylu-lo ~ WllllllOICll'9Gn
<br />~ 1l\DC!O.aiyl'\ID~nct"Ff"Y IO-typc,,s Cl payinarrlL VOii all bo
<br />•UJl!CX:I b ~ wff'bckj~ er, lltl lUCh pc1~ rcu l"'a,..,.. ,.a. m ID
<br />II»~.
<br />-~·..-,cifa"--p.,-.-,~1Dr•T1Na-11'111
<br />you-IDllflPI)' rarcni-.
<br />cadlall:Jl~U.11.anllly-Jta•~----11111 .,...,._w.a.
<br />Part II. C8rlification
<br />TDINlimlJti IOIIIOlll~"9'"llllil:,au _,. U.S. panim. ot,_I oiler\.
<br />• Fl:ffl>W,11. Yllllfflltj' ba~ IO· llr' 1h11 llt'1IKll*lg l9'f't wan"
<br />Hana 1, 4,aa._...__
<br />F«D fot'/1 .S!<Xllft, atty ,__iWIOCMl 11N It anown lnPir1 I llhoulcl lliJll
<br />~~.lniha-Ol•~tnlfy. IIIO i-->ldcdn.CICIII IL'II
<br />•HAwno"bclllll.dl lilc""'f'IJID)"Qt,-~,.,.,--··
<br />&lfnaura~a.oampi;eattw-a.110nmn1tml0dlnlbmll 1
<br />~ & ...... ,.~.~-..,.,...,._.,._..opan,id __
<br />and llralcc,r ---~ IMlllff ~ 1'*1,. "°41ffiutt ~ pz
<br />DlllnlCt TIN. l:U:.,... donal-1D.11we"'1~-
<br />2. .......... ~. tiraw, lftlbartwuGfanee111CIIGM1hCJflllf*llaflM'
<br />11161 -bl"olw accounbl CGllillillncl .,_. IMlllg ION, l'CIUIJ!lllll dijn ·lno
<br />oatalcalkln G' ~ ~ lli9 apply.Hwa,_,. Uljilal ID i.a..,
<br />w,lNloldrg-,o, .,.ff!O"Dtf POiltdtlifi YM CiOOOCI TUI 1D lhA......,, !1'1111
<br />fflUlllcnM4 0UI 11Cffi 21nlll0c.tlll::lmt1 biilem flgn~ lh> I a.-0 ---.--.--...,.,,.-.Ya.1...,ctaam
<br />Hmn:lalbl..-.
<br />4. otlw ~ 'tOl!offlUIQglv.a,a.rOlmlll IJ,bltl )'CILIOOnotlw\olo.
<br />U.... Dlnillcali:n~ )'Ql--nollllorf-.,... ,...;0 Pfll"blsly!J\lQII.,,
<br />lnlXnDCIITIN . "OUIGr ~· 11C:u»P1'Jffl""1:si'mir»ln lho<nnool lho
<br />roq.,osw.s n0o or IIURilll&IIJI nm m,ar."' gooci..l,lllnir iran 1:11s iu
<br />m~--'-'IIIC4108Dl\1c.iclllfnll~pcr/ff1anbl0
<br />CCIIJIQrll:liarffl. ~Clll)D ~lo,Qo r,:,t ·~ ~ fl\a:laln
<br />amtbnWII of fll,i>onl eim .. ~ ltirtl fl*IYinatlomt ~ ~ to
<br />ccrtldn(lll'ing ~ ~mamDl!nlmldl'itlslmolan. ..,g'OSlfl'OCklOdap,>ICI to
<br />lllliamllp (lramt-e ..,......10 -.........
<br />5.. IIOngllp "*'-1pa1011Jyou,.aaqulllles1 or~ ol -00 ~.~anolelell(,qi&-.cilllhl~,..,.._ .. (\nfat
<br />~.mlll,.JAA, canr.l EM,Anllla'1111A ,t11Hu.C~CW
<br />~.arldpan-~.Yauffllllt ... yc:vacmNll'TW,DUl)IIU
<br />IICll"Dl'-l01119">NDCW1ilalllor\.
<br />Page 20 of 21
|