AUL/Amended New Business Agreement /HR Amended Non-Registered (401/457) NEW BUSINESS AGREEMENT
Bundled-Full Plan Support(FS)/Institutional(Prig 11/15/12)/Takeover Yes
>American UnrtedLife tpsurance.Company® Contract Number: G36865 & G76040
P O Box 368i
India 7apohs ,Indiana 46206-0368 Amendment Effective Date: 1/01/2013
OneSolution 641D
AUL Retirement Services Representative's Name: Matthew E. Shanks
Contractholder: CITY OF CARMEL
Investment Option Selection - See your AUL representative for any limitations
PLAN-LEVEL DEFAULT INVESTMENT OPTIONS: The plan-level default option is the investment option into which we
will allocate participant contributions when we are missing the participant's investment option direction. Your plan-level
default investment option is: 100% American Century LIVESTRONG Target Date (L1 Series) -QDIA-compliant.
QUALIFIED DEFAULT INVESTMENT ALTERNATIVE: As Plan Sponsor, you may elect a plan-level default investment
option that is a "Qualified Default Investment Alternative" (QDIA) as defined under applicable law and regulations. If
certain conditions are satisfied, plan fiduciaries can rely on safe harbor relief from fiduciary liability related to investment
outcomes experienced in connection with contributions defaulted into the default investment option for those participants
who failed to provide investment direction. However, fiduciaries are not relieved of their obligation to prudently select and
monitor the default investment option, or from any liability that results from failure to do so. The investment options you
selected above has been reviewed by the related fund company and determined by it to meet the definition of a QDIA
under applicable law. If you intend for the plan-level default investment option you have chosen above for your plan to be
QDIA-compliant, please mark the box below.
x❑ I intend for my plan-level default investment option to be a Qualified Default Investment Alternative. As a non-ERISA
plan, I understand that ERISA Title I requirements do not apply and that an annual notice is not required.
Asset Transfer
Will all assets be transferred to AUL prior to plan year end? ❑x Yes ❑ No
Transfer to Future Investment Elections: Transferred assets will be immediately invested into the below selected fund at a
plan level. Once complete plan financial records are received and reconciled to participant balances, the transferred
assets will be allocated into participant accounts with any gain/loss into their current future investment elections on record
on the day the-allocation-occurs:-If there are no participant investment-elections on file at AUL-on-the-day the allocation
occurs, then transferred assets will be allocated to the plan's default investment. Forfeitures will be invested in the Fixed
Interest Account. The Plan Sponsor elects for transferred assets to be invested in the option selected below.
IJ 100%AUL Fixed Interest Account(12)
The transition time period is contingent upon the timing and completeness of the information received from the prior
recordkeeper.
We guarantee that once assets and financial records have transferred to OneAmerica in good order from your prior
provider, we will complete the reconciliation and deposit plan assets into participant accounts within forty-eight hours of
receipt. Should any error be the result of our doing, we commit to be responsible for the corrective action, making the plan
or participant whole. If the reason for any error and/or delay is accountable to the participant, the plan sponsor, or
discovered as a result of prior administrative efforts before the plan was with OneAmerica, we would provide services to
assist in any correction, however, any cost to make the plan whole would not be AUL's responsibility.
AdvicePlus - Participant Investment Advice
The Plan Sponsor has chosen to offer the services of MasteryPOINT's AdvicePlus to the participants of the retirement
plan. AdvicePlus offers education, guidance and investment advice to participants via a link on the Account Services
Website.
Select whether or not AdvicePlus is an available option: ET/Yes ❑ No
Fiduciary Acceptance
The Contractholder, Plan Administrator, and AUL hereby agree by signing below, that they will be bound by the terms of
this Amended New Business Agreement as of the date of AUL's acceptance. This agreement shall continue in effect from
the date it is accepted by AUL and from year to year thereafter, unless terminated by AUL or the Plan Administrator by
written notification to the other party at least 30 days prior to the date termination is effective. AUL will accept non-original
paper copies or faxed copies of the properly executed original Amended New Business Agreement. The Contractholder
hereby certifies that such non-original copies are true and accurate copies of the original document and that no changes
deviating from the language in the copies have been made or will be made to the original.
Provide the plan number of this plan 0O1 (three digit number).
CONTRACTHOLDER AUL RETIREMENT SERVICES SALES REPRESENTATIVE
and PLAN FIDUCIARY American United Life Insurance Company®
Signature: Signature:
Printed Name: James Brainard Printed Name. Matthew E.Shanks
Title: Mayor Title: Regional Sales Director, Retirement Services
Date. Date:
PLAN ADMINISTRATOR(if other than Applicant) SALES PRODUCER qqq
Signature. Signature: ( --/—
Printed Name: Printed Name: Peter Emigh
Title: Title:
Date: Date:
For licensing purposes, please indicate the state in which this agreement is being signed: Indiana.
Electronic acceptance of this Amended New Business Agreement by American United Life (AUL) Indianapolis, Indiana
indicates that AUL has reviewed its contents along with all other required materials and has accepted its terms, and is
equivalent to AUL's written signature.
Signature Page Attached
CITY OF CARMEL, INDIANA
By and through its Board of Public Works and Safety
/07
Jafficer Date
May An Burke, Board Member Date
9 �r3
Lori Watso , oard Member Date
ATTEST:
'j!/4/All tei4L-) Q-73
Diana Cordray, 'AMC/ lerk-Treasurer Date