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ADOPTING RESOLUTION The undersigned Principal of Cass County Government (the Employer) hereby c rtifies that.lJ1e following resolutions were duly adopted by the Employer on . (In 1 , and that such resolutions have not been modified or rescinded as of the date h reof: RESOLVED, that the form of amended Cafeteria Plan including a Dependent Care Flexible Spending Account and Health Flexible Spending Account effective January 1. 2006, presented to this meeting is hereby approved and adopted and that the duly authorized agents of the Employer are hereby authorized and directed to execute and deliver to the Administrator of the Plan one or more counterparts of the Plan. RESOLVED, that the Administrator shall be instructed to take such actions that are deemed necessary and proper in order to implement the Plan, and to set up adequate accounting and administrative procedures to provide benefits under the Plan. RESOLVED, that the duly authorized agents of the Employer shall act as soon as possible to notify the employees of the Employer of the adoption of the Cafeteria Plan by delivering to each employee a copy of the summary description of the Plan in the form of the Summary Plan Description presented to this meeting, which form is hereby approved. The undersigned further certifies that attached hereto as Exhibits A and S, respectively, are true copies of Cass County Government Cafeteria Plan as amended and restated and the Summary Plan Description ap' roved a adopted in the foregoing resolutions. Principal Date: JQ,nLtaig 1., d,OOt,