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IN WITNESS WHEREOF,the Orange County and the Provider have signed this <br /> Agreement,effective on the last date this Agreement is signed by both parties as indicated by <br /> the dates set forth under signatures below. <br /> For and on behalf of the Provider <br /> Insert Name Date <br /> For and on behalf of Or a County Government <br /> Bernadette Pelissier, Chair Date <br /> ATTEST <br /> I L_ 1d 12-2-,11 Z <br /> Donna Baker, Clerk Date <br /> Approved as t to Z ntent <br /> Gw H ey,A s nt ou y ager Date <br /> Appftvas to form and legal sufficiency <br /> 10 � lZ. <br /> Ann tte M. Moore, Staff Attorney Date <br /> This instrument has been pre-audited in the manner required by the Local Government <br /> Budget and Fiscal Control Act <br /> A� w . 1'7/ ZYt lz <br /> Clarence Grier,Assistant County Manager—CFO Date <br /> The ARC of Orange County <br /> 2012-13 Orange County Outside Agency Performance Agreement <br /> Page 7 <br />