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2016-352-E Health - Family Centered Healthcare, PA - primary care for uninsured males of OC
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2016-352-E Health - Family Centered Healthcare, PA - primary care for uninsured males of OC
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Last modified
8/9/2016 11:09:02 AM
Creation date
7/14/2016 1:48:43 PM
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Template:
BOCC
Date
7/13/2016
Meeting Type
Work Session
Document Type
Agreement
Agenda Item
Manager signed
Amount
$30,000.00
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R 2016-352-E Health - Family Centered Healthcare, PA - primary care for uninsured males of Orange County
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2016
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DocuSign Envelope ID:977F9724-0D69-4F35-BE42-796A38945969 <br /> WC 99 06 03 <br /> Worker's Compensation and Employer's Liability Policy Payment Schedule <br /> Policy Number: MWC0071930-02 <br /> Issued to: Family Centered Healthcare INC <br /> Effective Date: 11/17/2015 <br /> Month Payment <br /> 11/17/2015 $210.00 <br /> If you elect a payment plan,then you will be subject to installment fees for each payment ranging from$3-$10 depending on <br /> the state. If you elect electronic funds transfer,these fees will not apply. <br /> ©1991 National Council on Compensation Insurance. 6 of 6 <br />
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