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ICMh',~:~.,. <br /> BniLlivg Nrri~rnunr5?rcviy <br /> Pease substitute and sign the ICMA•RCManaged Accounts Services Agreement signature page locnted in this packnye instead of signing <br /> this page. <br /> <br /> ' Please retain the entire bound copy of the Managed Accounts Services Agreement, including this copy of the signnture page, for your records. <br /> In Witness Whereof the parties hereto certify chat they have read and fully understand dte complete ICMA-RC <br /> Managed Accounts Services Agreement found in this package and Dave causeci the ICMA-RC Managed Accounts <br /> Services Agreement to be executed by their duly authorized officers as of dte Date below. <br /> EMPLOYER <br /> sy - <br /> Emp(oyer/Plan Name <br /> Employer Signature Date <br /> Name and Title (Please Print) <br /> ' Street Address City and State <br /> Applicable ICMA-RC Plan Number(s) <br /> INTERNATIONAL CITY COUNTY NIANAGEf~ENT ASSOCIATION RETIRENIEN I CORPORATION <br /> G~.~ c 5~~~,~~~ <br /> Angela Mauer. <br /> Assistant Secretnr}' <br /> Please rehutr Fully executed Signature page to: <br /> New Bnsu[ess Unit <br /> ICMA-RC <br /> 777 Noxtlt Capitol Street, NE <br /> Suite G00 <br /> Washington, DC 20002-42y0 <br /> BB0000-110-0609.3251-879 <br /> Managed Aceounes Service Agreemem 8 ]CMA'BC <br /> 14 <br /> <br />