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• <br /> 4 <br /> 6 . Standard Report Form . Attached hereto as Exhibit E , <br /> Standard Employer Report Form, is the standard form which will be <br /> used for reporting to Employer under this Agreement , unless HAI and <br /> Employer agree to a different form . <br /> 7 . Exhibits Incorporated into Agreement. Attached <br /> hereto and by this reference incorporated into and made part of this <br /> Agreement are the following exhibits : <br /> ( 1 ) Exhibit A - Scope of Services <br /> ( 2 ) Exhibit B - Geographic Area of Service <br /> ( 3 ) Exhibit C - Schedule of Payments and <br /> Adjustments <br /> ( 4 ) Exhibit D - General Provisions <br /> ( 5 ) Exhibit E - Standard Employer Report Form <br /> ( 6 ) Exhibit F - Other Provisions <br /> IN WITNESS WHEREOF , HAI and Employer have affixed their <br /> signatures to this Agreement with the intention of being bound <br /> thereby . <br /> HAI : EMPLOYER: <br /> HUMAN AFFAIRS INTERNATIONAL, ORANGE COUNTY <br /> INCORPORATED <br /> By : By : <br /> 1//' <br /> James A. Plack Title :C �///HAIR, C.'+AVCS C•7 U�TY <br /> Chief Operating Officer BOARD OF D=NIM:SSIONERS <br /> Date : <br /> ZA\--( \\ Date : - 7 - °/ <br /> W' ness : (� Witness : <br /> T , 0 _ ! • <br /> • <br /> • <br /> 2 <br />