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. <br /> � EQBM OP-4 (Page 9 of 13) <br /> 502 Frin�e Benefits • <br /> .O1 FICA or Railroad Retirement � <br /> .02 Pension Plans (Including Long- � <br /> term disability insurance) <br /> .03 Hospital, Medical & Surgical Plans <br /> .04 Dental Plans . <br /> .OS Life Insurance Plans <br /> .06 Short-term Disabilit <br /> yInsurance <br /> .07 Unemployment Insurance <br /> . , . <br /> .08 Workmen s Compensation Insurance <br /> .13 Uniform and Work <br /> Clothin Allowance <br /> g <br /> .14 Other Fringe Benefits* <br /> CATEGORY TOTAL 502 <br /> *Please explain <br /> 503 ice <br /> .Ol �1ana`ement Services Fees * <br /> .02 Advertising Fees <br /> .03 Professional and Technical Services <br /> .04 Temporary Help <br /> .OS Contract Maintenance Services <br /> .06 Custodial Services <br /> .07 Security Services <br /> .99 Other Services ** <br /> CATEGORY TOTAL �03 <br /> *Please explain and submit copy of most recent management service contract. <br /> **Please Explain: <br /> 13 <br />