Common use of SPECIAL REMARKS Clause in Contracts

SPECIAL REMARKS. There are no adjustments in the fiscal year 2023- 24 Cost Allocation Plan. County of Lake - 4 - August 15, 2023 SECTION IV: ACCEPTANCE COUNTY OF LAKE BY Original signed by Xxxxxxxx Xxxxxxxxxx Name Auditor-Controller/Clerk Title 08-15-2023 Date cc: State and Federal Agencies Attachment: Summary Schedule XXXXX X. XXXXX CALIFORNIA STATE CONTROLLER BY Original signed by XXXXXXX XXXXX Manager Local Government Policy Section Local Govt Programs and Services Division 08-16-2023 Date Negotiated by Xxxxx Xxxx

SPECIAL REMARKS. There are no adjustments in the fiscal year 2023- 24 2019-20 Cost Allocation Plan. County of Lake - 4 - August 15, 2023 SECTION IV: ACCEPTANCE COUNTY OF LAKE BY Original signed by Xxxxxxxx Xxxxxxxxxx Xxxxx Xxxxxxxxx Name Auditor-Controller/Clerk Controller Title 088-157-2023 2019 Date cc: State and Federal Agencies Attachment: Summary Schedule XXXXX X. XXXXX XXX CALIFORNIA STATE CONTROLLER BY Original signed by XXXXXXX XXXXX XXXXX, Manager Local Government Policy Section Local Govt Programs and & Services Division 088-1620-2023 2019 Date Negotiated by Xxx Xxxxx XxxxTelephone (000) 000-0000

SPECIAL REMARKS. There are no adjustments in the fiscal year 2023- 24 2020-21 Cost Allocation Plan. County of Lake - 4 - August 15, 2023 SECTION IV: ACCEPTANCE COUNTY OF LAKE BY Original signed by Xxxxxxxx Xxxxxxxxxx Xxxxx Xxxxxxxxx Name Auditor-Controller/Clerk Controller Title 086-1529-2023 2020 Date cc: State and Federal Agencies Attachment: Summary Schedule XXXXX X. XXXXX XXX CALIFORNIA STATE CONTROLLER BY Original signed by XXXXXXX XXXXX XXXXX, Manager Local Government Policy Section Local Govt Programs and & Services Division 086-1629-2023 2020 Date Negotiated by Xxx Xxxxx XxxxTelephone (000) 000-0000

SPECIAL REMARKS. There are no adjustments in the fiscal year 2023- 24 2018-19 Cost Allocation Plan. County of Lake - 4 - August 15, 2023 SECTION IV: ACCEPTANCE COUNTY OF LAKE BY Original signed by Xxxxxxxx Xxxxxxxxxx Xxxxx Xxxxxxxxx Name Auditor-Controller/Clerk Controller Title 085-1525-2023 2018 Date cc: State and Federal Agencies Attachment: Summary Schedule XXXXX X. XXXXX XXX CALIFORNIA STATE CONTROLLER BY Original signed by XXXXXXX XXXXX Xxx Xxxxxxxxx, Manager Local Government Policy Section Local Govt Programs and & Services Division 086-165-2023 2018 Date Negotiated by Xxx Xxxxx XxxxTelephone (000) 000-0000

SPECIAL REMARKS. There are no adjustments in the fiscal year 2023- 24 2021-22 Cost Allocation Plan. County of Lake - 4 - August 15, 2023 SECTION IV: ACCEPTANCE COUNTY OF LAKE BY Original signed by Xxxxxxxx Xxxxxxxxxx Xxxxx Xxxxxxxxx Name Auditor-Controller/Clerk Controller Title 087-1520-2023 2021 Date cc: State and Federal Agencies Attachment: Summary Schedule XXXXX X. XXXXX XXX CALIFORNIA STATE CONTROLLER BY Original signed by XXXXXXX XXXXX XXXXX, Manager Local Government Policy Section Local Govt Programs and & Services Division 087-1620-2023 2021 Date Negotiated by Xxx Xxxxx XxxxTelephone (000) 000-0000

SPECIAL REMARKS. There are no adjustments in the fiscal year 2023- 24 2022-23 Cost Allocation Plan. County of Lake - 4 - August 15, 2023 SECTION IV: ACCEPTANCE COUNTY OF LAKE BY Original signed by Xxxxxxxx Xxxxxxxxxx Xxxxx Xxxxxxxxx Name Auditor-Controller/County Clerk Title 089-1512-2023 2022 Date cc: State and Federal Agencies Attachment: Summary Schedule XXXXX X. XXXXX XXX CALIFORNIA STATE CONTROLLER BY Original signed by XXXXXXX XXXXX XXXXX, Manager Local Government Policy Section Local Govt Programs and & Services Division 089-1613-2023 2022 Date Negotiated by Xxxxx XxxxXxxx Telephone (000) 000-0000