Exhibit I Seismic Forms A - F with Instructions.pdf

PDF 353 KB Posted

Attached to
Vet Center in Helena MT
Solicitation number
36C24W26R0075
Issued by

About this file

This document is Exhibit J, which provides instructions and forms for seismic compliance certifications required as part of a federal lease or construction contract.

The exhibit establishes six seismic certification forms that offerors must submit depending on the project type. Form A applies to benchmark buildings (those designed and built or retrofitted to meet seismic standards per RP 8), requiring certification that the building meets RP 8 standards or, if seismicity has changed since the benchmark date, that it now meets current standards. Form B applies to existing buildings, requiring evaluation per RP 8 Chapter 3 and ASCE/SEI 31 to determine Life Safety Performance Level compliance, with documentation of structural, nonstructural, and geologic site hazard assessments. Form C addresses pre-award commitments for seismic retrofit or new construction, with Part 1 requiring identification of the engineer in charge and commitment that retrofit design and construction will meet ASCE/SEI 41 Basic Safety Objective requirements, supported by a Tier 1 report with narrative, scope, and schedule. Part 2 applies to new construction, requiring identification of the design engineer and specification of the applicable building code. Forms D, E, and F are post-award submittals: Form D permits offerors to claim exemptions from seismic compliance based on location in moderate seismicity areas (less than 10,000 ABOA SF) or high seismicity areas with one-story steel light frame or wood construction (less than 3,000 ABOA SF); Form E certifies that retrofitted leased buildings meet Basic Safety Objective standards per ASCE/SEI 41 and Seismic Rehabilitation of Existing Buildings; and Form F certifies that new building design and construction conform to applicable seismic provisions of the current building code. The forms require completion, stamping, and signature by a licensed professional engineer qualified in structural design.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

�������������������������������������������� !"#$%"&' !�('#��(()#'#*�+�,-.�/�01,�2�1�3� ,��4,�5 ,7�.28-900 :.;�3�4�<79<��24�<�01����,-=��901�,�01��>���,�,��,�01��>���,�,?.��<�9<��,�.1 ::�@�-4:�0�� <7�.9�<�01����,-�0��@�<�9,-�.�9.-9@�@�-4:9 <@��6901�A �B;�C1�<�01���<�9<��,��9::.��20� ���,-=�1���,�.1��9.� :.��,�D29,�7�0��.0 -4�90;�E1��>���,�,?.��<�9<��,�.1 ::�,�4,�.�<0�61�01�,�01��F29:79<��-��0.�A �B�.0 <7 ,7.=�2.9<��+�,-�/���,�F�<@1- ,G�F29:79<�.��,�+�,-�F���,��01�,��H9.09<��829:79<�.;�I��01���<�9<��,?.�@�,09�9@ 09�<�9<79@ 0�.�01 0�01��F29:79<��7��.�<�0�-��0�A �B�.0 <7 ,7.=�01��>���,�,�.1 �,���0��,�0,��90�01��829:79<��0��-��0�01��.0 <7 ,7.=�2.9<��+�,-�J=� ,0�K;�>���,�,.�4,�L979<��<�6�@�<.0,2@09�<�.1 ::�@�--90�0�� �7�.9�<�@�7�=�2.9<��+�,-�J=� ,0�M;�>���,�,.�- N�,�4,�.�<0�01 0�01�9,�829:79<��-��0.� <��H�-409�<�@,90�,9 =�2.9<��+�,-�3;�+�,-.�O� <7�+� ,��4�.05 ,7�.28-900 :.;�E1�N��<:N� 44:N�61�<�01��>���,�,�1 �,��7�0���901�,�,�0,��90�

<��H9.09<��829:79<��P2.��+�,-�OQ��,�9.�@�<.0,2@09<��

�<�6�829:79<��P2.��+�,-�+Q;� ,9�,�0��01��R�L�,<-�<0� @@�409<��:� .�7�.4 @�=�01��S�..�,?.��<�9<��,�.1 ::�@�-4:�0�=�.0 -4=� <7�.9�<�01�� 44,�4,9 0��,�4,�.�<0 09�<;�E1����,-.�-2.0�9<@:27��01��.244�,09<��7�@2-�<0 09�<�.0

0�7�9<�01��AS �

<7�S� .�;�F�:�6�9.� �7�0 9:�7��H4:

09�<����� @1����01����,-.;����������������������������������������������������T�������U�TV��W��X�/�8�<@1- ,G�829:79<��9.��<��01 0�6 .�7�.9�<�7� <7�829:0��,�,�0,��900�7�9<� @@�,7 <@��6901�.0,2@02, :�4,�L9.9�<.�01 0� ,��@�<.97�,�7�0��4,�L97�� @@�40 8:��:9��5.

��0N�4,�0�@09�<;�A �B=�Y�@09�<�K;Z=�E 8:��K5K�.1�6.�01��@�<.0,2@09�<�@�7�.�01 0�D2 :9�N� �829:79<�� �F�<@1- ,G�F29:79<�;�I�� �829:79<��D2 :9�9�.=�<�� 77909�< :�1 ,7.�<��7�8��@�<.97�,�7;�I��01��.�9.-9@90N���� �,��9�<�1 .�@1 <��7�.9<@��01��8�<@1- ,G�7 0�.�:9.0�7�9<�01��0 8:�=�01��829:79<��-2.0�8���L :2 0�7�9<� @@�,7 <@��6901�01��<�6�@2,,�<0��,��,� 0�,�.�9.-9@90N����01��,��9�<�0��8��@�-4:9 <0�6901�01��A �B�Y0 <7 ,7.;���������������T��������������������������������������\�����X�TV��W��X�E1���<�9<��,�.1 ::��L :2 0��01��829:79<��0��7�0�,-9<��@�-4:9 <@��6901�01��S9���Y ��0N� �,��,- <@��S�L�:;�]���,�.1��.1 ::�2.��A �B�J1 40�,�Z�

<7�/YJÔYOI�ZK�0��7�0�,-9<��@�-4:9

<@�;�E1���L :2 09�<�-2.0�9<@:27��01�� 44,�4,9 0��Y0,2@02, :=�_�<.0,2@02, <7�R��:��9@�Y90��] ,7� <7�+�2<7 09�<�J1�@G:9.0.�6901�8 @G24�@ :@2:

09�<.;�����������������̀�TV��W��X���������������a�������V�����������a��W������������ ,0�K��<:N� 44:9�.�0��4:

<<�7�,�0,��90���� <��H9.09<��829:79<�;�E1��>���,�,�.1 ::�97�<09�N�01���<�9<��,�9<�@1 ,������01��.�9.-9@�,�0,��90� <7�@�--90�01 0�01��,�0,��90?.�7�.9�<� <7�@�<.0,2@09�<�69::�@�<��,-�0��01��,�D29,�-�<0.����/YJÔYOI�bK=�F .9@�Y ��0N�>8c�@09L�;�E1��@�--90-�<0�-2.0� :.��9<@:27�� �E9�,�K�,�4�,0�6901�.244�,09<��7�@2-�<0 09�<=� 09L�=�.@�4�=� <7�.@1�72:�����01��4,�4�.�7�,�<�L 09�<.;� ,0�M��<:N� 44:9�.�0��<�6�@�<.0,2@09�<;�E1��>���,�,�.1 ::�97�<09�N�01���<�9<��,�9<�@1 ,������01��7�.9�<����01��829:79<�� <7�.4�@9�N�619@1�829:79<��@�7��1���,�.1��9.�2.9<��0��7�.9�<� <7�@�<.0,2@0;�

���
��������������������� !"�#$!% �!&��'� ()%�&���� �*�%* %#�#� ($%!&#��%����(��*�&)%&+�)�!)�)���������,�-.%$,%&+� ��)*��%)�������)�����$$�/%&+��'� ()%�&*0�1� 2&�!&�!��!���� �,��!)��*�%* %#%)"3�)���)�)!$�*(!#��$�!*�,�%&�)���-.%$,%&+�-"�)���4�,��!$�+�5��& �&)3�%&#$.,%&+�)���������,�*(!#�3�/%$$�-��$�**�)�!&�673777�89�8�:4�.(�&�#� �&#� �&)����)���$�!*��)�� ;�1� 2&�!&�!��!�����%+��)��5��"��%+��*�%* %#%)"3�)���������,�-.%$,%&+�%*�!��&�<*)��"�-.%$,%&+����*)��$�$%+�)���! �����/��,�#�&*)�.#)%�&�/%)��$�**�)�!&�=>7� =�?@3777�89�8�:4A;�
���

�B� ���C��� ��DE�C���F������&+%&����%&�#�!�+�����)���-.%$,%&+G*�*)�.#).�!$���)���%)����)���$�!*�,�-.%$,%&+�*�!$$�#��)%�"�)�!)�)���,�*%+&�*)!&,!�,�/!*�)���9!*%#�:!��)"��-H�#)%5��!*�*�)����)��%&�8:IJK:J2�L63�:�%* %#�M��!-%$%)!)%�&����J'%*)%&+�9.%$,%&+*3�!&,�)�!)�)���-.%$,%&+�/!*���)���%))�,�)��)�!)�*)!&,!�,;�� ��������B� ���C��� N�DE�C���F������&+%&����*�!$$�#��)%�"�)�!)�)���,�*%+&�!&,�#�&*)�.#)%�&����&�/�-.%$,%&+*����!,,%)%�&*�)���'%*)%&+�-.%$,%&+*�#�&��� *�)��)���*�%* %#�(��5%*%�&*����)���$!)�*)��,%)%�&����)���!(($%#!-$��:)!)�����$�#!$�+�5��& �&)�#�,�*�.&,���/�%#��%)�/!*�-.%$);���� �������� �B��OP�QRSSRTUVW�XPQUVUYURVZ�[\\S]�YR�YOP�̂R_\SPYURV�RQ�YOP�[̀RaPBbPQPbPV̂PX�QRb_Zc� 6;� VWUVPPb� �!&*�!�(����**%�&!$��&+%&����/���%*�$%#�&*�,�%&�I%5%$����:)�.#).�!$�J&+%&���%&+�!&,�d.!$%�%�,�%&�)���*)�.#).�!$�,�*%+&����-.%$,%&+*;����"� .*)�-��$%#�&*�,�%&�)���*)!)��/�����)���(��(��)"�%*�$�#!)�,;��=;�� e ��fg� �!&*�)���8 ��%#!&�:�#%�)"����I%5%$�J&+%&���*�*)!&,!�,3�:�%* %#�J5!$.!)%�&����J'%*)%&+�9.%$,%&+*;h�8:IJK:J2�@6�#!&�-��(.�#�!*�,���� �8:IJ�!)�?>77A�iL><=j=@3����-"�5%*%)%&+��))(0KK///;(.-*;!*#�;��+;���@;�� e ��kg� �!&*�8 ��%#!&�:�#%�)"����I%5%$�J&+%&���*�*)!&,!�,3�:�%* %#�M��!-%$%)!)%�&����J'%*)%&+�9.%$,%&+*;h�8:IJK:J2�L6�#!&�-��(.�#�!*�,���� �8:IJ�!)�?>77A�iL><=j=@3����-"�5%*%)%&+��))(0KK///;(.-*;!*#�;��+;��L;� PUZ_Û� PbYUQÛ[YP� �!&*�!�#��)%�%#!)���'�#.)�,�!&,�*)! (�,�-"�!&�J&+%&�����&�)���!((��(�%!)��I��)%�%#!)�����:�%* %#�I� ($%!&#����� �%&#$.,�,�/%)��)�%*�*�$%#%)!)%�&�)�+�)����/%)��!&"���d.%��,�!))!#� �&)*;��i;�����l� �!&*�m:)!&,!�,*����:�%* %#�:!��)"�����J'%*)%&+�4�,��!$$"��/&�,�!&,�n�!*�,�9.%$,%&+*�2I::I�M�#� �&,�,�o�!#)%#��>�?Mo�>A3h�%**.�,�-"�)���2&)��!+�&#"�I� %))����&�:�%* %#�:!��)"�%&�I�&*)�.#)%�&�!*�2I::I�Mo�>�!&,�)���p!)%�&!$�2&*)%).)�����:)!&,!�,*�!&,���#�&�$�+"�!*�p2:��qIM�66<r6j<6=;�s�.�#!&��-)!%&�Mo�>���� �)���9.%$,%&+�!&,�4%���M�*�!�#��n!-��!)��"3�p!)%�&!$�2&*)%).)�����:)!&,!�,*�!&,���#�&�$�+"3�q!%)���*-.�+3�tu�=7>rr3����,�/&$�!,�#�("�!)�))(0KK///;/-,+;��+K##-Kp2:�K&%*)v+#�66vr6jv6=;(,�;

������������������� �!!!!!!!!!!�"#$%��&&$'(%��#���!!!!!!!!!!!!!!!!!!!!!!!!�%�')�*��%��+,$+��'�$+�-#�',��.&��#��%�$%($-��)�/0��$.+�.&��#��10$/*$+,�/.-���*����!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!2��"#��10$/*$+,�#�%��#��&.//.3$+,�-#�'�-��'$%�$-% ��4567�80$/*$+,�"9:� �� ;.2�.&�5�.'$�% �� 4::'.<2�4'�� ��80$/*$+,���%$,+�6.*� �� =��'�.&���%$,+�6.*� �� =��'�.&�6.+%�'0-�$.+ ���>+��#��1�%$%�.&��#��10$/*$+,�-#�'�-��'$%�$-%��+*��.��#���<��+��:�'($���*�19��#$%�/�)�/�.&��)�/0��$.+?�$��$%�(9�.:$+$.+��#����#��%01@�-��80$/*$+,�A0�/$&$�%��%���8�+-#(�'B�80$/*$+,��%�$+*$-���*�$+�4567C57D�EF?�"�1/��FGF2�� � � � �HIIJK�LMNOP�NQR�LJSQ�TUVU�7+,$+��'W%�;�(� �X$'( ��4**'�%% �"�/�:#.+� ��Y$-�+%��;.2 �Y$-�+%��5���� �7<:$'��$.+����� ����

�� �������������������� �!"#$��%%#&'$��"��� �$�&(�)��$��*+#*��&�#*�,"�&+��-%��"��$�#$'#,��(�./��#-*�-%��"��0/#.)#*+�.-,���)���� 1�!"��0/#.)#*+�"�$��"��%-..-2#*+�,"�&�,��&#$�#,$���3456�7/#.)#*+�!89���� :-1�-%�4�-&#�$��� 399&-;1�3&�����7/#.)#*+���$#+*�5-)���� <��&�-%���$#+*�5-)���� <��&�-%�5-*$�&/,�#-*���=�"�(���(�./���)��"#$�0/#.)#*+�����"��>#%��4�%��8�?�&%-&'�*,��>�(�.��$�$���%-&�"�#*��"��=5445�@?�AB�4��*)�&)$�-%�4�#$'#,�4�%��8�%-&�6;#$�#*+�C�)�&�..8�D2*�)��*)�>��$�)�7/#.)#*+$E�/$#*+�3456F46=�GH�'��"-)-.-+8��� !#�&�H�6(�./��#-*�� !#�&�I�6(�./��#-*� !#�&�G�6(�./��#-*� D�"�&�J9.��$���;9.�#*�0�.-2K��LMNOPQRSRTLQ�LU�RVTW�PXSYNSRTLQ�ONWR�ZP�SRRSMVP[�RL�RVTW� P\RTUTMSRP1�D*��"��0�$#$�-%��"��0/#.)#*+�,"�&�,��&#$�#,$��*)��-��"���;��*��9�&'#���)�08��"#$�.�(�.�-%��(�./��#-*�#��#$�'8�-9#*#-*��"���$/0]�,��7/#.)#*+�Ĵ_̀ â�bc̀K� �)-�$�F� �)-�$�*-��'�����"��>#%��4�%��8�?�&%-&'�*,��>�(�.�-%�=5445�@?�A1�� � � � deefg�hijkl�jmn�hfom�pqrq�6*+#*��&s$�:�'���C#&'���3))&�$$��!�.�9"-*����>#,�*$��:-1��>#,�*$��4�������6;9#&��#-*�������� LOOPQRWt��3���,"��3456F46=�GH�5"�,u.#$�J$K�4�&/,�/&�.B�:-*$�&/,�/&�.B��*)�v�-.-+#,�4#���w�x�&)$��*)�C-/*)��#-*1

�������������������� !�""""""""""�#$%&��''%()&��$���"""""""""""""""""""""""""�&$�**�& (+ ��&��$ � ,-%, (�%,�.$�(- �/'��$ �& %&)%.�( �(/'%��/'��$ �01%*2%,-�*/.�� 2����""""""""""""""""""""""""3�#$ �( �(/'%��)1&��0 �2 &%-, 2��/�) ���$ ��4567� 489:;��<=97:6>9?���&�& ��'/(�$�%,�@ABCDACE�FG�A %&)%.�H $�0%*%���%/,�/'�CI%&�%,-�J1%*2%,-&3�E,��../(2�,. �K%�$��$ �( L1%( ) ,�&�/'��$%&�A��,2�(2��,2��$ �& %&)%.�M�(�-(�M$�%,��$ �H L1 &��'/(�N �& �O(/M/&�*&�PHNOQR�/1(�/'' (�%,.*12 &���./))%�) ,���/�( �(/'%���$ �01%*2%,-��/�&��%&'S��**�/'��$ �J�&%.�A�' �S�T0U .�%+ �( L1%( ) ,�&�/'�@ABCDACE�FG3�#$ �/'' (�%,.*12 &���#% (�G�( M/(��K%�$��**�&1MM/(�%,-�2/.1) ,�&R���,�((��%+ � IM*�%,%,-��$ �M(/. &&R�&./M �/'�( ,/+��%/,&R��,2���&.$ 21* �'/(��$ �& %&)%.�( �(/'%�3��/.1) ,���%/,�&$�**�0 �M(/+%2 2�0 '/( ��K�(2��$���2 )/,&�(�� &��$ �& %&)%.�( �(/'%��K%**�) ���$ �& %&)%.�&��,2�(2&��,2�0 �./)M* � 2�K%�$%,��$ ��%) �'(�) �( L1%( 23�������V��� ��������������� !�""""""""""�#$%&��''%()&��$���"""""""""""""""""""""""""�K%**�& (+ ��&��$ � ,-%, (�%,�.$�(- �/'��$ �&�(1.�1(�*�2 &%-,�/'��$ �01%*2%,-�*/.�� 2����""""""""""""""""""""""""3�#$ �.(%� (%��'/(�2 &%-,�)1&��0 ��$ �""""""� 2%�%/,�/'��$ �"""""""""""""""""""""�01%*2%,-�./2 3��E,��../(2�,. �K%�$��$ �( L1%( ) ,�&�/'��$%&�./2 R�K �M( M�( 2���L1�*%�S��&&1(�,. �M*�,��$���%,.*12 2�( L1%( ) ,�&�'/(�� &�%,-��,2�%,&M .�%,-�.(%�%.�*� * ) ,�&�/'��$ �&�(1.�1( ��,2��*&/�M (%/2%.�/0& (+��%/,�0S�/1(�&��''3�W �( +% K 2�&M .%�*�%,&M .�%/,��,2�� &�%,-�( M/(�&�M( M�( 2�0S��$ �%,&M .�%/,��- ,.S��,2�./,�(�.�/(�&10)%���*&3�T,��$ �0�&%&�/'��$%&R��,2��/��$ � I� ,��M ()%�� 2�0S��$%&�* + *�/'�./,&�(1.�%/,�&1(+ %**�,. R�%��%&�)S�/M%,%/,��$����$ �J1%*2%,-�K�&�2 &%-, 2��,2�./,&�(1.� 2�%,�./,'/()�,. �K%�$��$ �( L1%( ) ,�&�/'��$ ��0/+ �./2 3��#$ �01%*2%,-�$�&��$ �'/**/K%,-�.$�(�.� (%&�%.&!�J1%*2%,-�#SM !� J1%*2%,-��X %-$�!�� @MM(/I3�@( �!��J1%*2%,-�� &%-,�B/2 !� Y �(�/'�� &%-,�B/2 !�� Y �(�/'�B/,&�(1.�%/,!���� Z[[\]Z]�_̂̀abcde�� abf��gh�̂_̀a�e�

���
�������������������������������� ��!�"���#���$%�&'()*("+�(!��,�$ ��-�.$��#����/'(��$�"�!�.-�01�2�&�3�'!������ 4#��5'()*("+�(!�).3���*�("��"������.-�$�*('$�!�(!$(3(�%��"*��#��5'()*("+�6())�#�7��)�!!��#�"�89:999�;5<;�=>�.-�! �3��)��!�*��.��#��>�*���)�?.7��"$�"��' ."�3.$$�"3�$�"��.-��#��)��!�����$@���� 4#��5'()*("+�(!�).3���*�("��"������.-�#(+#��.�7��%�#(+#�!�(!$(3(�%:��"*�(��(!���."�A!�.�%�&'()*("+�6(�#���!���)�)(+#��-��$��.��6..*�3."!��'3�(."�6(�#�)�!!��#�"�B:999�;5<;�=>�.-�! �3��("��#��&'()*("+@��������������������������������������������������������������������������������������CDDEFCF�GHIJKLMN�� JKO��PQ�GHIJ�N�� �

����� !�""""""""""�#$%&��''%()&��$���"""""""""""""""""""""""""�& (* +��&��$ � ,-%, (�%,�.$�(- �/'��$ �&�(0.�0(�1�( �(/'%��/'��$ �20%1+%,-�1/.�� +����""""""""""""""""""""""""3�#$ �&��,+�(+�'/(�+ &%-,�4�&��$ �5�&%.�6�' �7�829 .�%* ��&�& ��'/(�$�%,�:6;<=6<>�?@�6 %&)%.�A $�2%1%���%/,�/'�<B%&�%,-�50%1+%,-&3�>,��../(+�,. �4%�$��$%&�6��,+�(+C�4 �D( D�( +���E0�1%�7��&&0(�,. �D1�,C�4$%.$�( E0%( &�&��''��/�/2& (* C�� &�C��,+�%,&D .���$ �& %&)%.�( �(/'%��4/(F3�G �$�* ��1&/�( *% 4 +�&D .%�1�%,&D .�%/,��,+�� &�%,-�( D/(�&�D( D�( +�27��$ �%,&D .�%/,��- ,.7��,+�./,�(�.�/(�&02)%���1&3�8,��$ �2�&%&�/'��$%&C��,+��/��$ � B� ,��D ()%�� +�27��$%&�1 * 1�/'�./,&�(0.�%/,�&0(* %11�,. C�%��%&�)7�/D%,%/,��$���20%1+%,-�4�&�+ &%-, +��,+�./,&�(0.� +��/�./,'/()�4%�$��$ �( E0%( ) ,�&�/'��$ �6��,+�(+�1%&� +��2/* 3��#$ �20%1+%,-�$�&��$ �'/11/4%,-�.$�(�.� (%&�%.&!��:6;<�50%1+%,-�#7D !�� H/3�/'�6�/(% &!�� :DD(/B3�:( �!��50%1+%,-�� &%-,�;/+ !�� I �(�/'�� &%-,�;/+ !�� I �(�/'�;/,&�(0.�%/,!��A �(/'%��� &%-,�6��,+�(+!� I �(�/'�A �(/'%��6��,+�(+!� I �(�/'�A �(/'%�!���JKLMNOPQPRJO�JS�PTRU�VNPVJSRP�MLUP�WN�QXQRYQWYN�PJ�� �Z��8,��$ �2�&%&�/'��$ ��2/* C�%��%&�)7�/D%,%/,��$���&029 .��50%1+%,-�"""�+/ &C�"""�+/ &�,/��) ���$ �5�&%.�6�' �7�829 .�%* �[�\ ('/()�,. �] * 1��&�& ��'/(�$�%,�:6;<=6<>�?@C�6 %&)%.�A $�2%1%���%/,�/'�<B%&�%,-�50%1+%,-&3��� � � � _̂_̀a�bcdef�dgh�b̀ig�jklk�<,-%, (m&�H�) !�n%()!��:++( &&!��# 1 D$/, !��]%. ,& �H/3!�6��� !�<BD%(��%/,���� !�� �

���� !"�##########�$%&'��((&)*'� %� �#########################�'!)+!,��'� %!�!-.&-!!)�&-�/%�).!�0(� %!�' )1/ 1)�2�,!'&.-�0(� %!�31&2,&-.�20/� !,�� �########################4�$%!�/)& !)&��(0)�,!'&.-�5!)!� %!�######�!,& &0-�0(� %!�#####################�/0,!4��6-��//0),�-/!�5& %� %!�)!71&)!*!- '8�5!�9)!9�)!,���71�2& :��''1)�-/!�92�-8�5%&/%�)!71&)!'�' �((� 0�03'!)+!8� !' 8��-,�&-'9!/ � %!�' )1/ 1)!;'�/)& &/�2�!2!*!- '4�<!�%�+!��2'0�)!+&!5!,�'9!/&�2�&-'9!/ &0-��-,� !' &-.�)!90) '�9)!9�)!,�3:� %!�&-'9!/ &0-��.!-/:��-,�/0- )�/ 0)�'13*& �2'4�=-� %!�3�'&'�0(� %&'8��-,� 0� %!�!> !- �9!)*& !,�3:� %&'�2!+!2�0(�/0-' )1/ &0-�'1)+!&22�-/!8�& �&'�*:�09&-&0-� %� � %!�31&2,&-.�5�'�,!'&.-!,��-,�/0-' )1/ !,� 0�/0-(0)*�5& %� %!�)!71&)!*!- '�0(� %!�/0,!�2&' !,��30+!4��$%!�31&2,&-.�%�'� %!�(02205&-.�/%�)�/ !)&' &/'"�?1&2,&-.�$:9!"�� ?2,.4�@!&.% "�� A99)0>4�A)!�"��?1&2,&-.��!'&.-�B0,!"� C!�)�0(��!'&.-�B0,!"�� C!�)�0(�B0-' )1/ &0-"���� � � � DEEFG�HIJKL�JMN�HFOM�PQRQ�S-.&-!!);'�T�*!"�U&)*"��A,,)!''"�$!2!9%0-!"��V&/!-'!�T04"�W � !"�S>9&)� &0-��� !"��

XYYZ[\]����

File details come from the government source that posted it. Updated .