Laserfiche WebLink
018 <br />r <br />SEE ATTACHED "DISCOUNTS ELIGIBILITY" PAGE FOR INFORMATION <br />ON ADDITIONAL DISCOUNTS AVAILABLE <br />Payment Plan Available: <br />For your convenience, we have two payment plans. If your contribution is paid in full on or before August 1, an additional <br />2.00% discount will apply. If you elect not to pay in full, a quarterly payment plan is available as outline below: <br />Annual Payment Plan (due on or before August 1 2% discount) $388,719 <br />Quarterly Payment Plan: 4 equal installments of approximately $99,163 <br />(Due on July 1, 2008, October 1, 2008, January 1, 2009 and April 1, <br />2009) <br />• I understand that changes made to exposures subsequent to submission of the renewal application may result in <br />changes to the Estimated Contribution. <br />Accepted by: <br />Signature <br />Printed Name and Title <br />Date <br />This instrument has been preaudited in the manner required by the Government Budget and Fiscal Control Act. <br />Financial Officer: <br />• <br />Signature Date <br />Date Issued: 0411412008 Page 2 of 5 <br />QUOTE# 35424 <br />