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DocuSign Envelope ID: BDC7A23B-0D7B-4786-8452-D97DA48C507E <br /> Homeland Security and other federal agencies, or any successor or equivalent program used to verify the <br /> work authorization of newly hired employees pursuant to federal law. Where applicable, failure to <br /> maintain compliance with the requirements of Article 2 of Chapter 64 of the North Carolina General <br /> Statutes shall constitute breach of this Agreement. If applicable, by executing this Agreement, Business <br /> Associate affirms that they are in compliance with Article 3 of Chapter 64 if the North Carolina General <br /> Statutes. <br /> IN WITNESS WHEREOF, the Parties have executed this Agreement as of the day and year written <br /> above. <br /> COVER PWITY: BU EuSi i OCIATE: <br /> Pr. 't.. <br /> By`--C9ED9DOFC6B545E... By: <br /> Title: orange county Health Director Title: Independent contractor dentist <br /> 9 <br /> October 2013 <br />