ࡱ>  bjbj 4 eeeyyy8My#f LX("""""""$c%(b"eb""#!!!^8e"!"!!M!Z=iyj!"#0#!g(Hg(!g(e!!""!#g( : Independent Contractor Analysis FormINSTRUCTIONSThis form is required before processing payment for services to an individual using a Social Security Number. It should be completed prior to the beginning of services. If the University is contracting with an individual as an independent contractor, it is important to establish that the nature of the service does not constitute an employee/employer relationship. The following questions are necessary to enable proper tax withholding and reporting. Please complete the following with the prospective payee's cooperation. GENERAL INFORMATIONName of Individual or Service Provider: FORMTEXT      Soc. Sec. #: FORMTEXT      Banner ID (if applicable): FORMTEXT      Taxpayer ID (if applicable): FORMTEXT      Department: FORMTEXT      Form Preparer: FORMTEXT      Phone: FORMTEXT      SERVICE INFORMATIONStart Date: FORMTEXT      End Date: FORMTEXT      Location of services to be provided: FORMTEXT      Method of Payment: FORMCHECKBOX Lump Sum FORMCHECKBOX Hourly Rate FORMCHECKBOX Other (explain): FORMTEXT      Purpose of Work: FORMTEXT      determination of status analysisCheck  YES or  NO to the following questions. In the space provided, give a description as to why yes or no was checked. If more space is needed, use the back of the form or attach a separate sheet. In addition, below each question is an explanation of the reasoning behind each question.*Independent Contractor status is determined by the level of control the University has over the individual. There are two major types of control when referring to independent contractor status, BEHAVIORAL and FINANCIAL. It is important to understand the difference between the parameters of an assignment and controlling the means and methods of accomplishing an assignment. The parameters of an assignment may include instructions over laws, policies, or guidelines or quality assessments that relate to the acceptance or rejection of the end work product. On the other hand, the controlling of means and methods may include ongoing supervision, training given that suggests the work be performed in specific manner, and the submission of regular or written reports. 1.YES FORMCHECKBOX NO FORMCHECKBOX Once the individual receives the assignment, does the University have the right to further supervise or control how the individual must go about completing the work? BEHAVIORAL CONTROL FORMTEXT      Explanation: Supervision or control can consist of when and where to do the work, what tools/equipment to use, what workers to hire to assist with the work, where to purchase supplies/services, what work must be performed by a specified individual, what routines/patterns must be used, and what order the sequence must follow? The right to control how the individual must complete the work after the assignment is given would make it difficult to prove Independent Contractor status.2.YES FORMCHECKBOX NO FORMCHECKBOX Does the University have control over the expenses or business activities related to the work assignment?FINANCIAL CONTROL FORMTEXT      Explanation: If the University has no control over the expenses in which the individual should incur to complete the work, then the individual is most likely an independent contractor. If the University requires the individual to make a significant investment (ex. requiring the individual to use equipment, tools, services, etc. of high value) in order to do the work, then this represents an independent contractor.3.YES FORMCHECKBOX NO FORMCHECKBOX May the individual cease providing services prior to completion of the work without incurring any legal liability?FINANCIAL CONTROL FORMTEXT      Explanation: If the individual has the right to end his/her relationship with the University at any time without incurring liability, this indicates an employer-employee relationship. The University s ability to withhold payment(s) for unsatisfactory or incomplete work is characteristic of a liability.4.YES FORMCHECKBOX NO FORMCHECKBOX Does the individual provide services exclusively for SIUE? (The individual does not provide services to the general public.)FINANCIAL CONTROL FORMTEXT      Explanation: Providing services as a part of his or her business to the general public resembles independent contractor status.5.YES FORMCHECKBOX NO FORMCHECKBOX Will SIUE provide long-term assistance to the individual such as additional personnel, support, supplies or equipment?FINANCIAL CONTROL FORMTEXT      Explanation: If the University furnishes significant tools, materials, and other equipment, then the relationship tends to show the existence of an employer-employee relationship, whereas personal investment shows a lack of financial control of the University and represents independent contractor status.6.YES FORMCHECKBOX NO FORMCHECKBOX Is there a regular or on-going relationship with the individual? (The University is contracting with the individual for more than a one-time task.)RELATIONSHIP STATUS FORMTEXT &'(56  " $ & 0 2 4 6 P R f h j t v ĽĽērdĽēPdē'jWhWhhW CJU^JaJjhWCJU^JaJ'jhWhhW CJU^JaJhWhh}*CJ^JaJ!jhWhhW CJU^JaJhWhh}*5>*CJ^JhWhh}*CJ^J hWhh}*hWhh}*^Jh]ZDh}*CJ$aJ"h]ZDh}*5CJ$OJQJaJ" h~Lh}* jhy+fhUmHnHu'(5]H$$&P#$/Ifa$b$gdrkd$$IfV0*" 6P0*44 Vae4pyt0$$&P#$/Ifa$b$gdr56 o$&P#$/Ifb$gdr~kd$$IfV **  6P 0*44 Vae4p ytr p$$&P#$/Ifa$b$gdrykdq$$IfV** 6P0*2+44 Vae4p ytr 4 o]$&P#$/Ifb$gdW$&P#$/Ifb$gdr~kd7$$IfV**  6P 0*44 Vae4p ytr4 6 P x  8 r`N`N`N$&P#$/Ifb$gdW$&P#$/Ifb$gdrkdz$$IfV0 *  6P0*44 Vae4pyt0   & ( * 4 6 8 : R T h j l v x ηηtη`η'jhWhhW CJU^JaJ'jhWhhW CJU^JaJ'jhWhhW CJU^JaJ hWhh}*'j5hWhhW CJU^JaJhWhh}*^JjhWCJU^JaJ!jhWhhW CJU^JaJ'jhWhhW CJU^JaJhWhh}*CJ^JaJ%8 : kd$$IfVֈ =`!*)# .  6P0*2+44 Vae4p<yt0: R z $&P#$/Ifb$gdW$&P#$/Ifb$gdr kdo$$IfVֈ=`!0$*) # ^ 6P0*2+44 Vae4p<yt0 " : < P R T ^ ` v x  8:VXZnpҰҰҰt`'jhWhhW CJU^JaJ'jrhWhhW CJU^JaJ'jhWhhW CJU^JaJ'jhWhhW CJU^JaJjhWCJU^JaJ'jhWhhW CJU^JaJ!jhWhhW CJU^JaJhWhh}*CJ^JaJhWhh}*^J hWhh}*% " : b v lZHZHZH$&P#$/Ifb$gdW$&P#$/Ifb$gdr~kd$$IfV**  6P 0*44 Vae4p ytr$$&P#$/Ifa$b$gdr kd$$IfVֈ *8  6P0*2+44 Vae4p<yt08\n<dFf"$&P#$/Ifb$gd0$&P#$/Ifb$gdr  <>RTV`bdfᤛz_THTHhWhh}*>*CJ^JhWhh}*CJ^J4jhWhhWhCJOJQJU^JaJmHnHu'j(%hWhhW CJU^JaJhWhhWhCJ^JaJhWhh}*^J hWhh}*jh0CJU^JaJ'j hWhhW CJU^JaJ'jZ hWhhW CJU^JaJhWhh}*CJ^JaJ!jhWhhW CJU^JaJdfm[$&P#$/Ifb$gdrkd%$$IfV0*$ 6P0*2+44 Vae4pytK o$&P#$/Ifb$gdr~kdd&$$IfV **  6P 0*44 Vae4p ytri012567CFYw03G |nnj^UUht5CJ^Jhuhu5CJaJhuhuhu5>*CJ^Jhuh-Z 56CJ^Jhu5>*CJ^Jhuh-Z 5>*CJ^Jhu5CJ^Jh-Z 5CJ^JhWhhu5CJ^JhWhh-Z 5CJ^JhWhh}*5CJ^JhWhhT5CJ^J hWhh}*hWhh}*^JhWhh}*CJ^J!s$&P#$/Ifb$gdtykd%'$$IfV** 6P0*2+44 Vae4p yt}*BHlsssaasO$&P#$/Ifb$gdt$&P#$/Ifb$gdZ.$&P#$/Ifb$gdZ.ykd'$$IfV** 6P0*2+44 Vae4p ytk <>@HJfhjl"  𸪸qVMhWhhZ.^J4jhWhhXCJOJQJU^JaJmHnHu'j*hWhhW CJU^JaJ!jhWhhW CJU^JaJ hWhhXhWhhXCJ^JaJhWhhX5CJ^JaJhX5CJ^JaJj )hWhhW U^Jj(hWhhW U^JjhWhhW U^JhWhhX^J hWhh}*kd})$$IfV4Pֈ$R*^jh" 6P0*44 Vae4f4p<ytX  ^L$&P#$/Ifb$gdOkd<+$$IfV40*" 6P0*44 Vae4pytr$&P#$/Ifb$gdZ."(O #-cd~peZpZG$hWhhZ.6B*CJ^JaJphh-Z 5CJ^JaJhO5CJ^JaJhWhhWh5CJ^JaJjl-hWhhW U^Jj,hWhhW U^JjhWhhW U^JhWhhZ.^J hWhhZ.hXhZ.6B*^Jph$hXhX6B*CJ^JaJphhX6B*CJ^JaJph$hXhO6B*CJ^JaJphp^^^LL$&P#$/Ifb$gdZ.$&P#$/Ifb$gdZ.kd!,$$IfV40*" 6P0*44 Vae4pytX$&P#$/Ifb$gdOkd-$$IfV4ֈ$R*^jh`" 6P0*44 Vae4p<yt0^kd7/$$IfV40*" 6P0*44 Vae4pytX$&P#$/Ifb$gdZ.  ,.0DdҾߣߒl\l\I$hWhhWh6B*CJ^JaJphh-Z 6B*CJ^JaJph$hWhh-Z 6B*CJ^JaJph$hWhhWh6B*CJ^JaJph!hWhh0B*CJ^JaJph4jhWhh0CJOJQJU^JaJmHnHu'j0hWhhW CJU^JaJhWhh0CJ^JaJ!jhWhhW CJU^JaJ hWhh0hWhh0^Jp^L$&P#$/Ifb$gd-Z $&P#$/Ifb$gdZ.kd}0$$IfV40*" 6P0*44 Vae4pytWh(/NOPbcmnݰݢyh[Gh'j4hWhhW CJU^JaJhWhh6,CJ^JaJ!jhWhhW CJU^JaJ hWhh6,'hWhh6,56B*CJ^JaJphhWhhT5CJ^JaJhWhh6,5CJ^JaJj2hWhhW U^JjG2hWhhW U^JjhWhhW U^JhWhh6,^J hWhh0$hWhh06B*CJ^JaJphp^^^LL$&P#$/Ifb$gd0$&P#$/Ifb$gd0kdb1$$IfV40*" 6P0*44 Vae4pytkO$&P#$/Ifb$gdkOPkd/3$$IfV>ֈ*R*ddh" 6P0*44 Vae4p<ytDvPb; L:$&P#$/Ifb$gd>kd4$$IfV4M0*" 6P0*44 Vae4pytDv$&P#$/Ifb$gd6,$&P#$/Ifb$gd0  F$( : ; < = > ? @ A B I J X vovovofYfjhWhhW U^JhWhh#(^J hWhhv^hv^5CJ^JaJh>6B*CJ^JaJphhO6B*CJ^JaJphhX6B*CJ^JaJphhWhh6,^J hWhh6,$hWhh6,6B*CJ^JaJph!jhWhhW CJU^JaJ4jhWhh6,CJOJQJU^JaJmHnHu; < = p^$&P#$/Ifb$gda.kd5$$IfV4^0*" 6P0*44 Vae4pytv^= > ? x$&P#$/Ifb$gda.ukd6$$IfV** 6P0*44 Vae4p ytv^? @ A x$&P#$/Ifb$gda.ukd7$$IfV?** 6P0*44 Vae4p ytXA B E I [ ^ p xxxffx$&P#$/Ifb$gd#($&P#$/Ifb$gd#(ukdd8$$IfV6** 6P0*44 Vae4p ytOX Y Z ^ _ m n o p t !! ! !" " """"پnSLChWhha.^J hWhh6_4jhWhh6_CJOJQJU^JaJmHnHu'jv;hWhhW CJU^JaJhWhh6_CJ^JaJ!jhWhhW CJU^JaJhWhh6_^J hWhh#(ha.h#(5CJ^JaJh#(5CJ^JaJj9hWhhW U^JhWhh#(^JjhWhhW U^Jj/9hWhhW U^J kd :$$IfV=ֈ$R*^jh" 6P0*44 Vae4p<yt#( !"""#^kd;$$IfV40*" 6P0*44 Vae4pyt6_$&P#$/Ifb$gd0"T""####$#&#B#D#F#N#P#l#n#p#r#\$^$`$b$$$$$$úvkaZGZ$hWhh06B*CJ^JaJph hWhh0hWhh05^Jh 5CJ^JaJhWhh6,5CJ^JaJjH>hWhhW U^Jj=hWhhW U^JjhWhhW U^JhWhh0^JhWhhhT^J hWhha.$hWhha.6B*CJ^JaJphh6_6B*CJ^JaJph$h2Pha.6B*CJ^JaJph###$#H#N#r#p^^^LL$&P#$/Ifb$gd0$&P#$/Ifb$gd0kd<$$IfV4k0*" 6P0*44 Vae4pyt0r#`$$&P#$/Ifb$gd `$b$kd>$$IfV4 ֈ$R*^jh" 6P0*44 Vae4p<yt0b$$$$$$^kd!@$$IfV40*" 6P0*44 Vae4pyt0$&P#$/Ifb$gd0$$$$$$$$$$`&&&&&&&&&&&&&|i|`S`CS`S`j?ChWhhW U^JjhWhhW U^JhWhh>^J$hWhhhT6B*CJ^JaJph$hWhh6,6B*CJ^JaJphhWhh0^J hWhh0$hWhh06B*CJ^JaJph4jhWhh0CJOJQJU^JaJmHnHu'j AhWhhW CJU^JaJhWhh0CJ^JaJ!jhWhhW CJU^JaJ$$$&p^^$&P#$/Ifb$gd0kduA$$IfV40*" 6P0*44 Vae4pyt|&&&&&&&S'p^^^LL^$w&P#$/Ifb$gd>$w&P#$/Ifb$gd>kdZB$$IfV4!0*" 6P0*44 Vae4pyt0&&&&R'S'T'h'i'j'k'l'v'w'( 46DFbdfnp٭ٜxٺeUjHhWhhW U^J$hWhh>6B*CJ^JaJphjhK CJU^JaJU'jnFhWhhW CJU^JaJ!jhWhhW CJU^JaJhWhh>CJ^JaJ hWhh>hWhh>5^JhWhh>5CJ^JaJhWhh>^JjhWhhW U^JjChWhhW U^JS'T'kd'D$$IfV4ֈ*T*dhh" 6Pw0*44 Vae4p<yt>T'h'i'j'k'^L$w&P#$/Ifb$gdK kd~E$$IfV40* " 6Pw0*44 Vae4pyt>$w&P#$/Ifb$gd>     Explanation: Back-to-back, recurring contracts could be considered a continuing relationship rather than a separate, finite relationship. Also, any expectations or guarantees for a new contract after the current request would resemble an employer-employee relationship. 7.YES FORMCHECKBOX NO FORMCHECKBOX Does the individual currently perform similar work for the University as an employee?RELATIONSHIP STATUS FORMTEXT      Explanation: If an employee is to perform similar duties to that of their current job, they should be hired as an employee. Different duties may qualify the individual as an independent contractor; however, this alone does not constitute justification for independent contractor status.*If the response to any question is yes, forward this form to the Offices of Human Resources, Box 1040. You will be contacted to discuss the independent contractor classification. *If the responses to all questions are no, complete the signatures below and forward with the Purchase Requisition or Voucher.I attest that all information on this form is true and correct to the best of my knowledge. I understand that the services will be performed as an independent contractor and not as an employee. The University will not withhold any taxes from the payments made under this contract. The payments of the services will constitute self-employment income for income tax purposes and may be subject to reporting to the Internal Revenue Service on Form 1099. I also certify that I am eligible to perform services based on the following status: US. Citizen  FORMCHECKBOX  Permanent Resident  FORMCHECKBOX  Foreign National with proper work authorization  FORMCHECKBOX PROSPECTIVE PAYEE SIGNATURE:DATE: FORMTEXT      *I certify that the information on this form is true and correct to the best of my knowledge. I understand that should the IRS later determine that Independent Contractor status was incorrect and that this individual should have been classified as an EmployeeFISCAL OFFICER SIGNATURE:DATE: FORMTEXT      OFFICE USE ONLY:Reviewed by:DATE: FORMTEXT      STATUS:Regular FORMCHECKBOX Adjunct Term FORMCHECKBOX Civil Service Extra Help FORMCHECKBOX Student Worker FORMCHECKBOX Independent Contractor FORMCHECKBOX *Southern Illinois University Edwardsville acknowledges the Internal Revenue Service for the use of information presented in this form. **Ref.,  www.irs.gov/     09/01/09 24p^^^$w&P#$/Ifb$gd>kdF$$IfV40*" 6Pw0*44 Vae4pyt>46<Dhn>p^^^LL^$w&P#$/Ifb$gd>$w&P#$/Ifb$gd>kdG$$IfV480*" 6Pw0*44 Vae4pyt><>@hj~ؙ֙@B ٳqeXGX!jhWhhW CJU^JaJhWhh>CJ^JaJhWhh>5CJ^J$hWhh>6B*CJ^JaJphjhK CJU^JaJ'jJhWhhW CJU^JaJhWhh>CJ^JaJ!jhWhhW CJU^JaJ hWhh>hWhh>5CJ^JaJhWhh>^JjhWhhW U^JjIhWhhW U^J>@kdI$$IfV1ֈ*T*dhh" 6Pw0*44 Vae4p<yt>@h֙LkdCK$$IfV40*" 6Pw0*44 Vae4pytK $w&P#$/Ifb$gdK $w&P#$/Ifb$gd>ؙ֙B@p^^$w&P#$/Ifb$gd>kd(L$$IfV4&0*" 6Pw0*44 Vae4pyt>@Bx$w&P#$/Ifb$gd>ukdL$$IfVf** 6Pw0*44 Vae4p yt> ĠƠ "(*͹ͥ͞uaFu4jhWhh>CJOJQJU^JaJmHnHu'jPhWhhW CJU^JaJhWhh>CJ^JaJ!jhWhhW CJU^JaJhWhh>CJ^J hWhh>'jNhWhhW CJU^JaJ'j$NhWhhW CJU^JaJhWhh>CJ^JaJ!jhWhhW CJU^JaJ'jMhWhhW CJU^JaJx$w&P#$/Ifb$gd>ukdO$$IfV** 6Pw0*44 Vae4p yt> xxxx$w&P#$/Ifb$gd>ukdO$$IfV** 6Pw0*44 Vae4p yt> "$&(*B0000$w&P#$/Ifb$gd>kd Q$$IfVu\@ "* d* 6Pw0*44 Vae4p(yt>*,6B0$w&P#$/Ifb$gd>kdR$$IfV\@ "* d* 6Pw0*44 Vae4p(yt>*,68z| <>Z\^z|ïДÀДq_qq#jYhWhhW CJU^JjhWhhW CJU^J'jWhWhhW CJU^JaJ4jhWhh>CJOJQJU^JaJmHnHu'jThWhhW CJU^JaJhWhh>CJ^JaJ!jhWhhW CJU^JaJhWhh>CJ^JhWhh>CJ^JaJ hWhh>68lnzxxxx$w&P#$/Ifb$gd>ukd T$$IfVK** 6Pw0*44 Vae4p yt>B0$w&P#$/Ifb$gd>kd;U$$IfV\@ "* d* 6Pw0*44 Vae4p(yt>ʤxxxxx$w&P#$/Ifb$gd>ukdV$$IfV** 6Pw0*44 Vae4p yt>,*$w&P#$/Ifb$gd>kdX$$IfV?rT@ "*d* 6Pw0*44 Vae4p2yt>,<`zХ6dʧΧЧԧ֧ڧܧgd}*gdDvFf]$w&P#$/Ifb$gd>Хҥ024dfȧʧ̧Чҧ֧اӯӝӖ{uouf]UQUQUhrjhrUhWhhK ^JhK hK ^J h|^J hK ^JhWhhuI3^J"jhW U^JmHnHtHu hWhh>#j~[hWhhW CJU^J#j[hWhhW CJU^J#jZhWhhW CJU^JhWhh>CJ^JjhWhhW CJU^J#jZhWhhW CJU^JاܧާhWhhK ^JhW h]ZDh}*CJ aJ jhrUhr21h:pDv/ =!"#$% Dd   zA?logo_250_rbPicture 1logo_250_rbbҬ#*Rç:Ex7D nҬ#*Rç:Ex7PNG  IHDR4PLTEQQQ''vv ǸeeII77000WWmmmD tRNS\\bKGD  cmPPJCmp0712Hs IDAThCZ8`l̍HɒlyU=z߬Ȍ<$C7ޛ>fcou-~yS kYݶmeM|kW;|8om 6mu&[s|XǍ5,pjPgKh3;N9aW Z pR"ǔO_ེ[$/Iz׏b+ߊGirhbp 7XGkmXAǰ=ⵆ6l>ոkZCjmS珖"0%NG UMzsekC(BY8x/osܯCH. 1m6`vf͇\0Eu4#6ަF˛#mQ4{G δF`%Z" ȭ]7¼ac=LQ'W|QR2=& :xLCpGC\Y|H t@)Fjb8 9T^dZhkE t%% 3m.@i1>լq4i 0:174aP"hfx5ЕE ]b@ C+0oMAy(^5H'X rF &_1#D@BoOf-cS4p5.M "%4)A^0Gs~=!R!PCkpHq{8Zѹs(4ZtDB C?+z@oa*r@9b1ҭ0C)Nb:ž_C΄wt`f2;m30ҏÇ97%͑5k |Pb] ]p"MWVҍ vCd)mP'S'"M3RWP΀DO+)ƺ ElJ$5髠! Q0 e QUgs>)oZo`n8u uğ? ¾C FR8[l:[%"A pِPVXvRAȅVł!~'/=5:;mfM$VZ- k&ØDXq*8׆bj6M{>'tV{:gO5^ ~Vppt(r@ 434tA;1cNwn7&Z/FΞX G)~:X谳Q{o)r[;|:Czګ/~YE˽NБu!x]:yN~vh }pnХ_@nW'6tB,&m"+_/ĨM:& :@*dZz)xA_nZyt#[{jb40Oň8Ũ6yy`,6vE?nJmu"N&ԻC{mGF;tӞj2Q0z|Y׽b]?h>x]U61 ot<ʔC] }P`'Uؿ }ztNiuпhhxO{D.؋b$ۏN_Gᤍv!߅~+/4)scuhDMUt,243ER<-< Rk>/z f0\JLcI@=\sOXo~DkS}?ݥH n2N @^b]\{XGtHc Ү:z\Я;f_QAȤ[7EU t}Nt4 rd[5ghi @~wh`Gud- 8wIXP%K)N˽90}:zV ܽ淊= RiZ0\7. gߡچs+x`YGw'߼xwi(:med<$fnNCGK"wtGg<02 ]xuń[Efa9HuomצHo{'ٍϋϱbrq(6OS]ف^csbW3JKmҝ]mowЯ[QId;>fŁ~:>(.hz1Ogc_G61\k4jY]6ОmBr3 6 g~(-{Ԓe1tCmᬩR"hL:Y }]0^PBeKR g͛ nKu_>PEXR\V;Iud(p-B{3scϤv\pROpǝ;nt'+Ćj=m[4Hxw 1b -g&4vu)4KS$q4RXP:AtX,ZpYGo O&9rN#ukJcѧ=|SU4yW|ҩeFߥc i2ys)<DWإݝD&;+ɥ-GKs8șd .5SSN Aû ??!Qg +O/d2L.C!vCVIENDB`$$If!vh5"5#v"#v:V V 6P0*,5"5/  44 Ve4pyt0$$If!vh5*#v*:V V   6P 0*,5*/ 44 Ve4p ytr$$If!vh5*#v*:V V 6P0*,5*/ 2+44 Ve4p ytr$$If!vh5*#v*:V V  6P 0*,5*/  44 Ve4p ytrtDText4$$If!vh5 5#v #v:V V 6P0*,5 5/ 44 Ve4pyt0tD Text1jD tD Text1r$$If!vh5)5555# 5. #v)#v#v#v#v# #v. :V V 6P0*,5)5555# 5. / / 2+44 Ve4p<yt0tDText4tDText4jD r$$If!vh5)5 55# 55^#v)#v #v#v# #v#v^:V V 6P0*,5)5 55# 55^/ / 2+44 Ve4p<yt0$$If!vh5*#v*:V V  6P 0*,5*44 Ve4p ytrtDText5tDText5tDText4p$$If!vh555585 5#v#v#v#v8#v #v:V V 6P0*,,,555585 5/ 2+44 Ve4p<yt0tDCheck1tDCheck1tDCheck1tDText4$$If!vh5>5j55h55h55#v>#vj#v#vh#v#vh#v#v:V V 6P0*,,,5>5j55h55h552+44 Ve4pPyt0@kdB!$$IfVִR \V*>jhh 6P0*    2+44 Vae4pPyt0jDw$$If!vh55$#v#v$:V V 6P0*55$2+44 Ve4pytK $$If!vh5*#v*:V V   6P 0*,5*44 Ve4p ytr$$If!vh5*#v*:V V 6P0*,5*2+44 Ve4p yt}*$$If!vh5*#v*:V V 6P0*,5*2+44 Ve4p ytktDeCheck2tDeCheck3S$$If!vh5^55j55h5"#v^#v#vj#v#vh#v":V V4P 6P0*,5^55j55h5"44 Ve4f4p<ytXjDw$$If!vh55"#v#v":V V4 6P0*+,55"/ 44 Ve4pytr$$If!vh55"#v#v":V V4 6P0*+,55"44 Ve4pytXtDeCheck2tDeCheck3U$$If!vh5^55j55h5"#v^#v#vj#v#vh#v":V V4 6P0*+,5^55j55h5"44 Ve4p<yt0$$If!vh55"#v#v":V V4 6P0*++,55"44 Ve4pytXjDw$$If!vh55"#v#v":V V4 6P0*+,55"/ 44 Ve4pytWh$$If!vh55"#v#v":V V4 6P0*+,55"/ 44 Ve4pytktDeCheck2tDeCheck3[$$If!vh5d55d55h5"#vd#v#vd#v#vh#v":V V> 6P0*,5d55d55h5"/ 44 Ve4p<ytDvjDw$$If!vh55"#v#v":V V4M 6P0*+,55"/ / 44 Ve4pytDv$$If!vh55"#v#v":V V4^ 6P0*+,55"/ / 44 Ve4pytv^$$If!vh5*#v*:V V 6P0*,5*/ / 44 Ve4p ytv^$$If!vh5*#v*:V V? 6P0*,5*/ 44 Ve4p ytX$$If!vh5*#v*:V V6 6P0*,5*/  / 44 Ve4p ytOhDetDeCheck3i$$If!vh5^55j55h5"#v^#v#vj#v#vh#v":V V= 6P0*,5^55j55h5"/ / 44 Ve4p<yt#(jDw$$If!vh55"#v#v":V V4 6P0*+,55"/ / 44 Ve4pyt6_$$If!vh55"#v#v":V V4k 6P0*+,55"/  / / 44 Ve4pyt0tDeCheck2tDeCheck3c$$If!vh5^55j55h5"#v^#v#vj#v#vh#v":V V4  6P0*+,5^55j55h5"/  44 Ve4p<yt0$$If!vh55"#v#v":V V4 6P0*++,55"/  44 Ve4pyt0jDw$$If!vh55"#v#v":V V4 6P0*+,55"/  44 Ve4pyt|$$If!vh55"#v#v":V V4! 6P0*+,55"/  44 Ve4pyt0tDeCheck2tDeCheck3U$$If!vh5d55h55h5"#vd#v#vh#v#vh#v":V V4 6Pw0*+,5d55h55h5"44 Ve4p<yt>$$If!vh55"#v#v":V V4 6Pw0*++,,55"/ 44 Ve4pyt>jDw$$If!vh55"#v#v":V V4 6Pw0*+,55"/ 44 Ve4pyt>$$If!vh55"#v#v":V V48 6Pw0*+,55"/ 44 Ve4pyt>tDeCheck2tDeCheck3M$$If!vh5d55h55h5"#vd#v#vh#v#vh#v":V V1 6Pw0*,5d55h55h5"44 Ve4p<yt>jDw$$If!vh55"#v#v":V V4 6Pw0*+,55"/ 44 Ve4pytK $$If!vh55"#v#v":V V4& 6Pw0*+,55"44 Ve4pyt>$$If!vh5*#v*:V Vf 6Pw0*,5*44 Ve4p yt>vDeCheck17vDeCheck18vDeCheck19$$If!vh5*#v*:V V 6Pw0*,5*/ 44 Ve4p yt>$$If!vh5*#v*:V V 6Pw0*,5*/  / 44 Ve4p yt>tDText5$$If!vh5 5d5*5#v #vd#v*#v:V Vu 6Pw0*,5 5d5*5/  / / / / / / / /  44 Ve4p(yt>o$$If!vh5 5d5*5#v #vd#v*#v:V V 6Pw0*,5 5d5*5/ /  / / / /  / 44 Ve4p(yt>$$If!vh5*#v*:V VK 6Pw0*,5*/ 44 Ve4p yt>tDText5$$If!vh5 5d5*5#v #vd#v*#v:V V 6Pw0*,5 5d5*5/ /  / / / / /  / / 44 Ve4p(yt>$$If!vh5*#v*:V V 6Pw0*,5*/ / 44 Ve4p yt>tDText5$$If!vh555d5*5#v#v#vd#v*#v:V V? 6Pw0*,555d5*5/ / / / /  / / / 44 Ve4p2yt>vDeCheck20vDeCheck20vDeCheck20vDeCheck20vDeCheck20 $$If!v h5585h5F5h55h55 h5 5 #v#v8#vh#vF#vh#v#vh#v#v h#v #v :V V8 6Pw0*, 5585h5F5h55h55 h5 5 / /  44 Ve4pnyt>kd[$$IfV8 *bx(* 8 h F h  h  h   6Pw0*,,,,44 Vae4pnyt>j 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ OJPJQJ_HmH nH sH tH P`P }*Normal(CJOJPJQJ^J_HaJmH sH tH <@< }* Heading 2 P@&a$CJDA`D Default Paragraph FontRi@R 0 Table Normal4 l4a (k ( 0No List LL }*Heading 2 CharCJOJPJQJ^JaJDOD }* Section Titlea$ 5;aJ0O0 }*Centereda$(O"( }*Bold5F1F }* Bold Char5CJOJPJQJ^JaJ<B< }*0 Balloon Text^JaJRQR }*0Balloon Text CharCJOJPJQJ^JaJ6Ua6 K 0 Hyperlink >*B*ph4r4 Dv0Header H$FF Dv0 Header CharCJOJPJQJ^JaJ4 4 Dv0Footer H$FF Dv0 Footer CharCJOJPJQJ^JaJPK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3ڗP 1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g- eW )6-rCSj id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R3U~7+׸#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ptheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK]    X "$& *ا"%(+027<?DGV[`fg5 4 8 : dOP; = ? A #r#`$b$$&S'T'4>@֙@ *6, !#$&')*,-./1345689:;=>@ABCEFHITUWXYZ\]^_abcdeh)5;LX^gsy,7GUex  $ 4     \lq _ot#)jv|P\b(_o!':JYiFFFFFFFFFFG G G FFG G FG G FG G FG G FG G FG G FG G FG G G FFFG G G G G |H # AA@(  n  C 3" B S  ?&J6t*k7t Text4Text1Check1Check2Check3Check17Check18Check19Check20 % `;- 5 )pK3II)<L_gz-7HUfx $ 5     \mq _pt*RSj}Pc)_p(:KYjtt8j#8E}8 -Z 2 K }* Ar|X6,Z. /uI3}8>"BhTWv^k o*r<6_`w]t>?*#WhW ua.DvYS^0}9OjD#(0JTS&~TC@ Hj% $$$@  @0@8@@@"$L@UnknownG* Times New Roman5Symbol3. * Arial5. *aTahomaA BCambria Math7.{ @Calibri"1hۚۆۚۆۆ77n0r|2HX  $P}**!xxCrook, GregoryCrook, GregoryOh+'0   @ L X dpxCrook, Gregory ContractorCrook, Gregory2Microsoft Office Word@F#@"8i@ N=i@ N=i՜.+,0 hp  SIUE7r  Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghiklmnopqrstuvwxyz{|}~Root Entry F=iData j`1Tableg(WordDocument 4SummaryInformation(DocumentSummaryInformation8MsoDataStore0=iZ=iQW1DJEOGA==20=iZ=iItem  PropertiesUCompObj y   F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q