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I;( r. <br /> o <br /> I NCACC Risk Management Pools <br /> Liability and Property <br /> Payment Plan Available: Liability & Property Pool Quoted on: 5/18/2021 <br /> County or Entity: Lee County <br /> Annual Payment Plan: <br /> $439,387 <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 /> Signature <br /> Printed Name J©J7 j4 ( iufIci <br /> Print Title (X2Ay/ 1i44V <br /> Date (Q - F - <br /> This instrument has been pre-audited in the manner required by the Government Budget and Fiscal Control <br /> Act. <br /> Financial Officer: <br /> Signature _ t; <br /> Date C.2 - <br /> Please sign and return the accepted proposal by June 15th, 2021. <br /> NCACC 5/18/2021 <br />