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NCACC Risk Management <br /> ;, ent Pools <br /> Liability and Property <br /> Payment Plan Available: Liability& Property Pool Quoted on: 5/10/2019 <br /> County or Entity: LEE COUNTY <br /> !Annual Payment Plan: <br /> $385,466 I <br /> We appreciate your participation. To insure effective, efficient operation of your Pool we <br /> must receive payment in full no later than August 1st. A two percent late payment fee will be <br /> assessed on all amounts received after that date. <br /> I understand that changes made to the exposures subsequent to submission of the <br /> renewal application may result in changes to the Estimated Contribution: <br /> Accepted by: <br /> Signature4746D <br /> Printed Name NM 1" . ak\ar'yVe <br /> Print Title ( V1\f, Ue 6 ?zaiii 4Conew6 <br /> Date U1\1\7,0` 1 <br /> This instrument has been pre-audited in the manner required by the Government Budget and Fiscal Control <br /> Act. <br /> Financial Officer: / <br /> • <br /> Signature 40- 'G Illik <br /> Date Lo I « 'C <br /> Please sign and return the accepted proposal by June 15th,2019. <br /> NCACC <br /> 5/10/2019 <br />