Document B8NjGw45G6QmZzJ92kZJEnG44

UNITED STATES ENVIRONMENTAL PROTECTION AGENCY WASHINGTON, D.C. 20460 JUN 7 201? Dennis Forsgren, Jr. Ex. 6 Dear Mr, Forsgren: Congratulations! You have been selected for an appointment with the U.S. Environmental Protection Agency (EPA). This is to officially inform you o f your position as Deputy Assistant Administrator for Water, located in the Office o f Water; Washington, DC. This position is an Excepted Service Administratively Determined (AD) position. Pursuant to the authority vested in the Administrator under Public Law 95-190, your compensation for this position has been set at $161,900 per annum. Your acceptance o f this position means that: (1) your position is not in the competitive service; (2) you will serve at the pleasure o f the Administrator; and (3) termination of your appointment may occur at anytime upon notice thereof. During a change in Administration, each position is generally reviewed on a case-by-case basis to determine if they meet the needs o f the new Administration's goals and objectives for the Agency. Information About Your Position Your annual salary will be $161,900; Your immediate supervisor will be Michael Shapiro, Acting Assistant Administrator for Water; your second level supervisor will be E, Scott Pruitt, Administrator; You will work a full-time schedule; You will be subject to a pre-employment drug test. If your test results are not favorable, your appointment will be terminated; and Your position has been designated by our Personnel Security Office as a High Risk position. This designation will require your position to be subject to random drug testing procedures. The effective date of'your appointment is June 18, 201?. We ask that you report for employee orientation on Monday, June 19, 201? at 8:30 am. You will be met at the William Jefferson Clinton North guard station. When you arrive at the guard station, please call Charles Munoz on 202-564-3097 or Hayley Ford on 202-564-2022, One o f them wil l meet you at the guard's station in order to sign you into the building. You can reach the Agency by taking the .Metro Commuter Rail. Board the Blue. Orange or Silver line train and get o ffa l the Federal Triangle Metro Stop. Enter the U.S. Environmental Protection Agency William Jefferson Clinton North Building, on your immediate right. ddofccl A ddress: URL) WsVAsvsrcp.g./gov R asyclsdiRecyeia&s s Piloted said Vegsa&ie Qi! Sased W s on 100% Posktessurser. Process Chlorine fre e Recycled Paper Sierra Club v. EPA 18cv3472 NDCA Tier 2 ED 002061 00145359-00001 W hat to Bring on Y our First Day M onday, Jurte 19,2017 . You should go to the links below to access the forms. Please complete and bring the forms with you on Monday, June 19th. a. Optional Form 306, Declaration for 1edet il Employment https://www.opm.gov/forms/pdf fi11 oft)I(t6.pdf b. Standard Form 144. Statement o f Prior Federal Service https://www.opm.tan ft>rms/pdf 11ii/SF 44.pdf e. Standard Form 256, Self-identification o f Disability littps://www.opm.u,ov/fbrms/pd f fill/sS256.pdf d. Standard Form 181, Ethnicity and Race identification https://www.opm.HOv/ibrnis/pdf fili/sll 8 1.pdf' e. Forni 2231, FastStart Direct Deposit (need a voided check) https://mvw.fiscal .treasurv.gov/fsservices/aov/omt/efl/2231 .pdf f. Tax form (federal) - https://www.irs.Hov/pub/irs-pdfiTw4.pdf Documents) to establish your identity and employment eligibility (e.g., a current passport, certificate ofU .S. citizenship, and/or a current copy o f your driver's license) Social Security card issued by the Social Security Administration. Voided check (if you will be moving your direct deposit to another financial institution) If you are unable to produce the required document! si you must produce a receipt showing that you have applied for the documentes). You will have three dm s to bring the original document(s) to your local Human Resources Office, Benefits As a non-temporary appointee, you are entitled to the same Federal Benefits package provided to General Schedule employees including: 10 paid Federal Holidays per year 13 days o f sick leave each year based on the hours earned each pay period 13 to 26 days o f vacation, depending on your years o f employment based on the hours earned each pay period National recognized health insurance model that offers choice and flexibility along with substantial employer contributions to premiums. Employee share o f premiums can be paid with pre-tax dollars: hp://opm.ov/lnsure/heaUh/index.asp Sierra Club v. EPA 18cv3472 NDCA Tier 2 ED 002061 00145359-00002 Group 'Term Life Insurance Program .Long-term Care insurance Federal Employees Retirement System (FERS-FRAE) based on years o f service. If it is determined that you have creditable service to place you in another retirement system, we will do so after obtaining all previous service records. Thrift Savings Plan (TSP), a self-directed retirement savings program through multiple investment options similar to a 401 (K) plan After your orientation, please schedule an appointment with Karmel Ferebee, Executive Resources Division Benefits Specialist, on 202-564-4059 to discuss your employee benefits. It is very important that you make contact with Ms. Ferebee within your first week o f employment to establish your benefits We are pleased that you have chosen the U.S. Environmental Protection Agency as your place o f employment and look forward to welcoming you to the Agency. We hope that you wilt find your new assignment both challenging and rewarding, if you have questions or concerns, please feel free to call me. Sincerely yours. Howard Barnett i veutive Resources Staff <ftliee o f Human Resources Sierra Club v. EPA 18cv3472 NDCA Tier 2 ED 002061 00145359-00003 I, Dennis Forsgren, Jr., hereby accept an Administratively Determined position o f Deputy Assistant Administrator for Water, located in the Office o f Water; Washington, DC; under the conditions set forth as stated in this letter. Signature: Date: Please sign, date and return this page during your orientation session on June 19th, to Howard Barnett, Office of Human Resources, mail code: 3606A, room WJC North 4358. Sierra Club v. EPA 18cv3472 NDCA Tier 2 ED 002061 00145359-00004