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DocuSign Envelope ID: D37C6C9E-3CC6-4586-B782-34070527DC90 <br /> E <br /> I <br /> 17. Signature Warranty: The undersigned represent and warrant that they are authorized to bind their <br /> principals to the terms of this agreement. <br /> I <br /> J In witness whereof,the Grantee and the Agency have executed this Agreement with one original,which is I <br /> retained by Agency. i <br /> h <br /> Orange County,North Carolina Witness <br /> I' <br /> DocuSigned by: DocuSigned by: I:_ <br /> r <br /> BY: °Ubin In it t VStt <br /> A/LcLissa. itaiso k, <br /> �..—0637994B755E477... \ 588A2B9EFE87490... i <br /> I <br /> Bonnie Hammersley Melissa Allison I <br /> Printed Name Printed Name F <br /> I <br /> DATE: 12/15/2015 <br /> Division of SHIIP, <br /> BY: BY: <br /> i <br /> R. Van Braxton Carla Obiol <br /> Deputy Commissioner Senior Deputy Commissioner <br /> DATE: DATE: <br /> a <br /> r <br /> Contract is not executed until last signature is obtained. <br /> The Agency and the Grantee agree and understand that this contract is considered executed on the latest date of either <br /> the last signature on this agreement or the date of Department of Insurance's procurement electronic approval. <br /> I< <br /> i <br /> Page 4 of 16 <br />