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• <br /> • <br /> Execution in Counterparts <br /> This Agreement shall be executed in counterparts, each of which shall be deemed an original, but all of <br /> which together shall constitute one and the same agreement. <br /> r <br /> IN WITNESS WHEREOF, VIt-I.A-6e OP Cit_- Po9,-rAL , FLORIDA, <br /> by its Commission / council attest, that this Agreement be executed in its name by the Manager or his <br /> designee, attested by the get or Legal Representative. <br /> Co-Permittee selection of Activities detailed in Attachment "A": <br /> Activity 1 (Water Monitoring) <br /> Yes, we wish to participate <br /> ] No, but we reserve the right to request participation in subsequent fiscal years <br /> Activity 2 (Best Management Practices, BMP) <br /> [)C] Yes, we wish to participate <br /> [[r ] No, but we reserve the right to request participation in subsequent fiscal years <br /> Activity 3 (Basin Management Action Plan/Walk the WBID, BMAP/WTW) <br /> 1C] Yes, we wish to participate <br /> [ ] No, but we reserve the right to request participation in subsequent fiscal years <br /> The Co-Permittee selections shown above remain in effect for the duration of the Agreement unless <br /> otherwise modified by the Co-Permittee. Each Co-Permittee may elect to modify their selections shown <br /> above every fiscal year the Agreement remains in place. These modifications must be formally requested <br /> between January 1 and February 28 in order to become effective for the following fiscal year and for the <br /> duration of the Agreement unless further modifications are made by executing a new "Execution in <br /> Counterparts" form. <br /> —3140t4 W q.4(-6 f2-- <br /> Name of Manager (print) <br /> 2/2-Io)12 <br /> Signature Date <br /> Ck-(2.ot_1-44. k VlON.TE4(,a.74QG <br /> Name of Clerk/ Legal Representative (print)1C11 (a <br /> Sig ure rjekr Date <br />