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EMPI.OYEE BENEFITS <br />INTERNATIOleTAi. <br />The following will designate the Regional PartneY's intentions xegarding the level of service to be <br />pYOVided by Employee Benefits International: <br />? Basic we will agree to contract with EBI at a rate of $8.00 peY covered employee per <br />month to provide the Basic covered services as described in section 2 <br />? Enhaaiced we will agree to contract with EBI at a rate of $15.00 per coveYed employee per <br />month to pYOVide the Enhanced covexed services as described in section 2 <br />Accepted and Agreed: <br />Employee Benefits International Inc. <br />Consultant <br />Mayfield Vnllage <br />Regional PartneY <br />James Dustin, Principal <br />Printed Name, Title <br />Signature <br />Date <br />Brucec-G. Rinker, Mayor <br />Printed Name, Title <br />----r°-•_--.._ ^?. <br />? Signatuxe <br />f ! ? <br />Date J <br />William Buckholtz, Council Presidenh <br />Pri te Na e, T'tl <br />Signature <br />Ir 1-?;,LI4 <br />Da e <br />• <br />l: <br />% <br />EmDloyee Bene/i?s <br />INTEflNAiIONAL