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DocuSign Envelope ID:4250E623-7DB7-4E1 C-AF70-81 C64E3C944F <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 /> CO R gPI IT BUSE639' CI TE: <br /> (e(,(,u�k, I�►n v ,)un AA Crisp <br /> By:'.C9ED9DOFC6B545E... By: '-AA9CC3FA90AE4C4... <br /> Orange County Health Director General Dentist <br /> Title: Title: <br /> 9 <br /> October 2013 <br />