Request for Proposals for banking institutions to operate an Automated Teller Machine in Wayne County.

PO-28 ATM PROPOSAL FORM

(Must be submitted before the deadline for proposal to be accepted)

Name:

Firm Name:

Address:

Telephone:

Email:

Lease term _________ years (3 years minimum) effective ____________________, or a date satisfactory to the State plus ___________(# of renewal periods) renewal period(s) of _______________ year(s) each (# of years in each renewal period) upon mutual agreement to by both parties.

I. Rental: I propose the following minimum annual rental during year one (1) of the lease. Rental for the year must be expressed as a flat rate. The annual rental increases will begin in year 2 of the agreement.

Year 1 _______________

Annual increases of ___% beginning in Year 2 for the term and renewals (2% minimum).

II. The selected proposer must register as a legal entity, if applicable, under North Carolina Law before the transaction is placed on the Council of State agenda. Failure to register may result in a delay in the approval process or rejection of the proposal.

III. I have read and accepted the request for proposals (specifications) on pages 2. through 7. and all attachments and stipulate that this proposal is made in keeping with the requirements therein. I understand that this proposal will be evaluated on the basis of the desirability of the proposal as to how it will complement the total operation of the Cherry Hospital, the demonstrated ability of the proposer(s) to execute the proposal submitted, demonstration of sufficient funds for the execution of the proposal submitted, the amount of rent offered, and all relevant factors that might affect the public interest. I further realize that the State may reject this proposal for any reason it deems warranty.

Signature________________________________ Date ______________________

Signature________________________________ Date ______________________

SPECIAL NOTE: To be considered, this proposal must be submitted electronically to

Deadline: October 21, 2026, 4:00 P. M. EST. MAILED, EMAILED, AND FAXED PROPOSALS NOT ACCEPTABLE