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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 <br /> which together shall constitute one and the same aereement. <br /> IN WITNESS WHEREOF, Y,{ LAGS /rev eSC/1AAsr . 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 /> • <br /> Co-Permittee selection of Activities detailed in Attachment "A": <br /> • Activity 1 (Water Monitoring) <br /> [1,,Y.9 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 /> [ IV 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 /> [V,y 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 /> /or.tl n 6allunp Grnev <br /> Name of Manager (print) <br /> CO. 21 / Z <br /> Si azure / Date <br /> • <br /> S-d \n u4f <br /> Name of Clerk/ L •. ' - . • <br /> Si re Date <br />