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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 /> functions, by state and/or federal legislative or regulatory action, which adversely affects <br /> County's authority to continue its obligations under this Agreement, then this Agreement <br /> shall automatically terminate without penalty to County upon written notice to Provider <br /> of such limitation or change in County's legal authority. <br /> i. Signatures. This Agreement together with any amendments or modifications may be <br /> executed electronically. All electronic signatures affixed hereto evidence the intent of <br /> the Parties to comply with Article 11A and Article 40 of North Carolina General Statute <br /> Chapter 66. <br /> j. Notices. Any notice required by this Agreement shall be in writing and delivered by <br /> certified or registered mail, return receipt requested to the following: <br /> Orange County Provider's Name <br /> Attention: Kimberlee Quatrone Family Centered Healthcare <br /> P.O. Box 8181 400 Millstone Dr., Suite 100 <br /> Hillsborough,NC 27278 Hillsborough,NC 27278 <br /> IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have <br /> hereunder set their hands and seal, all as of the day and year first above written. <br /> ORANGE COUNTY: PROVIDER: <br /> j5MAkuit,DocuSigned by: DocuSigned byy: <br /> r hoottt,V'S� ii �AAIiL f. vtliU St By 06479.94R7SSF477 By: EOEB08D538434B4 <br /> Bonnie Hammersley,County Manager <br /> Damn E. Vines, MD <br /> Printed Name and Title <br /> Revised 6/16 <br /> 7 <br />
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