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DocuSign Envelope ID:4C485144-3EA1-4A86-8777-0808354A83DE <br /> ORANGE COUNTY <br /> AMENDMENT TO SERVICES AGREEMENT <br /> NORTH CAROLINA <br /> THIS AMENDMENT, made and entered into this the 30th day of November, 2015, by and between the County of <br /> Orange, a body politic and corporate of the State of North Carolina, ("County"), and The North Carolina Public <br /> Health Foundation("Provider"); <br /> WITNESSETH: <br /> WHEREAS, the County and Provider entered into a Services Agreement dated, May 1, 2014, to provide services to <br /> be rendered by Provider to County's Health Department("Original Agreement"); and <br /> WHEREAS, the County and Provider desire to amend the Original Agreement, while keeping in effect all terms <br /> and conditions of the Original Agreement not inconsistent with the terms and conditions set forth below. <br /> NOW THEREFORE, for and in consideration for the mutual covenants and agreements made herein, the parties <br /> agree to amend the Original Agreement as follows: <br /> Exhibit A: Cost Sharing Agreement for Quitline NC Comprehensive Services <br /> Pricing structure <br /> Nicotine Replacement Unit Costs 4 weeks 8 weeks <br /> Patches $48.00 per shipment $48.00 $96.00 <br /> Gum $30.00 per box $90.00 $150.00 <br /> Lozenges $38.00 per box $152.00 $190.00 <br /> Combination Therapy-4 weeks $108 per first 4 weeks $108.00 $156.00 <br /> patches and two boxes of gum $48 per second 4 weeks <br /> Combination Therapy-4 weeks $124 per first 4 weeks $124.00 $172.00 <br /> patches and two boxes of lozenges $48 per second 4 weeks <br /> Except for the changes made to Exhibit A, Cost Sharing Agreement for Quitline NC Comprehensive Services <br /> herein, the Original Agreement shall remain in full force and effect to the extent it is not inconsistent with this <br /> Amendment. In the event that there is a conflict between the Original Agreement and this Amendment, this <br /> Amendment shall control. <br /> IN WITNESS WHEREOF, Orange County and the Consultant have signed this Amendment, effective this <br /> the 30th day of November, 2015. <br /> FO' 0,' 4 iNGG:COUNTY Vag yap.VIDER: <br /> 1561Akuit, tka"mt-IrStui It f jv't ) A411 <br /> BY onn]9_94B75F477 By. <br /> `--- F6u5c 0,e,b64`E... <br /> County Manager uc Bridger, MA, Executive Director <br /> The North Carolina Public Health Foundation <br /> Revised July 2015 <br />