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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 a Provider <br /> - <br /> Insert Name Date <br /> For and on behalf of Orange County Government <br /> Bernadette Pelissier, Chair Date <br /> ATTEST <br /> Donna Baker, Clerk Date <br /> Approved as to techn c 1 c n nt <br /> D--' 2.— — <br /> Gw Harve` to Cou ty Manager Date <br /> joed a form and legal sufficiency } <br /> An ette 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 /> �j- to- q,l 2- <br /> Cla nce Grier, Assistant County Manager—CFO Date <br /> EmPOWBRment Inc. <br /> 2012-13 Orange County Outside Agency Performance Agmement <br /> Page 7 <br />