Method No. 4 ____ I elect a combination of the above methods, as follows (please describe):________________________________________________________________ ________________________________________________________________________ SIGNATURE OF PARTICIPANT:__________________________________________ Date:________________________
Method No. 1: By unit prices stated by the Contractor and subsequently agreed upon, subject to the provisions contained in Section 42.8 below;
Method No. 2: By mutual acceptance of a lump sum proposal, including overhead and profit, itemized and supported by sufficient substantiating data to permit evaluation;
Method No. 3: By mutual acceptance of a proposal for the performance of any changed Work on a time and materials basis with a “not to exceed” price, itemized and supported by sufficient substantiating data to permit evaluation; or
Method No. 4: On a time and materials basis to the extent provided for in Sections 42.4 and 42.5 hereof. The Contractor shall keep and present in a form as the Architect or the Owner may direct, an itemized accounting, together with supporting data and vouchers, of all costs associated with extra or changed Work.
Method No. 1 ____ I elect to pay the taxes due by tendering other shares of Company stock that I already own. Attached is a stock certificate, signed on the back to tender, or a stock power to authorize the transfer agent to transfer the shares that I think will be sufficient to pay the withholding, based on the actual market value of the shares at the close of the market on the vesting date, and a ___%1 withholding rate. If any more or less tax withholding is due, I authorize the Company to reconcile the value of the shares I have tendered and either issue me a check for the difference, or take the additional taxes due from my next paycheck. If the stock certificate is for more shares than needed, the certificate will reflect tender of only the whole number of shares sufficient for such withholding. Method No. 2 ____ I elect to pay withholding in cash. Attached is a check for __%2 of the value of the shares that are vesting as of the latest close of the market before I submitted this form. I understand that the Company will determine the actual market value of the shares at the close of the market on the vesting date, and if any more or less tax withholding is due, will reconcile that amount by either issuing me a check for the difference, or taking the additional taxes due from my next paycheck, and I authorize that deduction. Method No. 3 ____ I authorize the Company to withhold the taxes related to this vesting of RSUs from my next regular paycheck. I understand that, if one paycheck will not be large enough to cover these taxes and all other regular deductions, the Company will debit any difference by issuing to me fewer than the total number of vested shares (the number subtracted will depend on the amount of taxes still due and the Fair Market Value of the shares on the vesting date).
Method No. 3 1 Consult with the Bank’s payroll department regarding the required withholding rate in effect, at the time this election is made, and insert that percentage here 2 See prior footnote ____ I authorize the Bank to withhold the taxes related to this vesting of Restricted Stock from my next regular paycheck. I understand that, if one paycheck will not be large enough to cover these taxes and all other regular deductions, the Bank will debit any difference by issuing to me fewer than the total number of vested shares (the number subtracted will depend on the amount of taxes still due and the fair market value of the shares on the vesting date).
Method No. 2 - By placing a meter or measuring device on the effluent ------------ not discharging into the Wastewater System. The reading from this meter or measuring device will then be deducted from the total water meter readings, and the remainder will be used in computing the wastewater rentals.
Method No. 4 ____ I elect a combination of the above methods, as follows (please describe): ________________________________________________________________ ________________________________________________________________ SIGNATURE
Method No. 4 ____ I elect a combination of the above methods, as follows (please describe): ________________________________________________________________ ________________________________________________________________ SIGNATURE OF EMPLOYEE: __________________________________________ DATE: __________________________________________ 1 Consult with the Company's payroll department regarding the required withholding rate in effect, at the time this election is made, and insert that percentage here. 2 See footnote 1 Annex B FORM OF OPTION AWARD AGREEMENT INDUSTRIAL SERVICES OF AMERICA, INC. NON-INCENTIVE STOCK OPTION AGREEMENT Name of Employee: PARTICIPANT NAME (“Optionee”) Grant Date: GRANT DATE Number of Shares Subject to Options: NUMBER OF SHARES Option Price Per Share: $__________________ This agreement (this “Agreement”) is subject to the following terms and to all of the terms of the Industrial Services of America, Inc. 2009 Long Term Incentive Plan, as amended (the “Plan”). In the case of any conflict between this Agreement and the Plan, the Plan shall control. A copy of the Plan is attached, and any capitalized terms used but not defined in this Agreement shall have the meaning given them in the Plan.
