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Execution in Counterparts <br /> This Agreement shall be executed in counterparts, each of which shall be deemed an original, but all of which <br /> together shall constitute one and the same agreement. <br /> IN WITNESS WHEREOF, The U ©f l-pm-estead , 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 Clerk or Legal Representative. <br /> Co-Permittee selection of Activities detailed in Attachment "A": <br /> Activity I (Water Monitoring) <br /> 14 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 /> be] Yes, we wish to participate <br /> [ ] 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 /> [ ] Yes, we wish to participate <br /> N 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 otherwise <br /> modified by the Co-Permittee. Each Co-Permittee may elect to modify their selections shown above every <br /> fiscal year the Agreement remains in place. "These modifications must be formally requested between January <br /> I and February 28 in order to become effective for the following fiscal year and for the duration of the <br /> Agreement unless further modifications are made by executing a new "Execution in Counterparts" form. <br /> Gcorc q Gl( .I rJ <br /> .. <br /> Name of Unager(print) <br /> 1 1,27i 12_ <br /> Signature D to <br /> e"u'n,ror . <br /> Name 4 Clecic,/legal Represehtative (print) <br /> • <br /> b <br /> J1 �._, CS i <br /> / I1 .� <br /> ' ei `?`at?'( 1 <br /> Signat e --' x �' ^ . :T Date <br /> J. -,-.._--- __ .. <br /> 81,)113!!7111 1%1 <br />