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2016-553-E Health - Cynthia Gamble, DDS for dental services
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2016-553-E Health - Cynthia Gamble, DDS for dental services
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Last modified
10/7/2016 11:16:07 AM
Creation date
10/4/2016 1:55:21 PM
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Template:
BOCC
Date
10/4/2016
Meeting Type
Work Session
Document Type
Agreement
Agenda Item
Manager signed
Amount
$5,600.00
Document Relationships
R 2016-553-E Health - Cynthia Gamble, DDS for dental services
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2016
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DocuSign Envelope ID:52078629-0005-490E-B927-912B1A72FEB1 <br /> generate documents, items or things that are specific to this Project such <br /> documents, items or things shall become the property of the County and may be <br /> used on any other project without additional compensation to the Provider. The <br /> use of the documents, items or things by the County or by any person or entity for <br /> any purpose other than the Project as set forth in this Agreement shall be at the full <br /> risk of the County. <br /> h. Notices. Any notice required by this Agreement shall be in writing and delivered <br /> by certified or registered mail,return receipt requested to the following: <br /> Orange County Provider's Name <br /> Attention: Colleen Bridger Cynthia Gamble, DDS <br /> P.O. Box 8181 114 Oakmist Dr. <br /> Hillsborough, NC 27278 Cary,NC 27513 <br /> i. Independent Contractor: The Provider shall operate as an independent Provider, and <br /> the County shall not be responsible for any of the Provider's acts or omissions. The <br /> Provider shall not be treated as an employee with respect to the Services performed <br /> hereunder for federal or state tax, unemployment or workers' compensation purposes. <br /> j. Priority: In determining the basic services to be provided, should any documents be <br /> referenced in this Agreement, the terms herein shall have priority in any conflict <br /> between the terms of referenced documents and the terms of this Agreement, except <br /> the Business Associate Agreement. <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 /> DocuSigned by: DocuSigned by: <br /> LtUtk, t'e.wttwtt,rStt <br /> BY: 0637gg4R755F477 By: FAR3A06115F8F4F6 <br /> Bonnie Hamrnersley, County Manager <br /> Cynthia <br /> Printed Name and Title <br /> Federal Tax ID #: <br /> Rev. 6/16 7 <br />
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