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Attachment D Pricing Schedule
Base (Two Years)
| CLIN |
| DESCRIPTION |
| EST QTY |
| UOM |
| UNIT PRICE |
| TOTAL PRICE |
| 0001 |
| Implementation Fees - One-time Surcharge to initiate the plan |
| 1 |
| LS |
| $__________ |
| $__________ |
| 1 |
| YR |
| $__________ |
| $__________ |
| 0003 |
| Account Value Rate (point fee) |
| 1 |
| YR |
| __________% |
| 0004 |
| Fees for Distributions By Wire |
| 12 |
| MO |
| $__________ |
| $__________ |
| 0005 |
| Fees for Distributions by Check |
| 12 |
| MO |
| $__________ |
| $__________ |
| Base Year TOTAL |
| $__________ |
Option Year I
| CLIN |
| DESCRIPTION |
| QTY |
| UOM |
| UNIT PRICE |
| TOTAL PRICE |
| 1001 |
| Annual Trustee Fee |
| 1 |
| YR |
| $__________ |
| $__________ |
| 1002 |
| Account Value Rate (point fee) |
| 1 |
| YR |
| __________% |
| 1003 |
| Fees for Distributions By Wire |
| 12 |
| MO |
| $__________ |
| $__________ |
| 1004 |
| Fees for Distributions by Check |
| 12 |
| MO |
| $__________ |
| $__________ |
| Option Year I TOTAL |
| $__________ |
Option Year II
| CLIN |
| DESCRIPTION |
| QTY |
| UOM |
| UNIT PRICE |
| TOTAL PRICE |
| 2001 |
| Annual Trustee Fee |
| 1 |
| YR |
| $__________ |
| $__________ |
| 2002 |
| Account Value Rate (point fee) |
| 1 |
| YR |
| __________% |
| 2003 |
| Fees for Distributions By Wire |
| 12 |
| MO |
| $__________ |
| $__________ |
| 2004 |
| Fees for Distributions by Check |
| 12 |
| MO |
| $__________ |
| $__________ |
| Option Year II TOTAL |
| $__________ |
Option Year III
CLIN
| QTY |
| UOM |
| UNIT PRICE |
| TOTAL PRICE |
| 3001 |
| Annual Trustee Fee |
| 1 |
| YR |
| $__________ |
| $__________ |
| 3002 |
| Account Value Rate (point fee) |
| 1 |
| YR |
| __________% |
| 3003 |
| Fees for Distributions By Wire |
| 12 |
| MO |
| $__________ |
| $__________ |
| 3004 |
| Fees for Distributions by Check |
| 12 |
| MO |
| $__________ |
| $__________ |
| Option Year III TOTAL |
| $__________ |