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9 <br />October 2013 <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 /> <br />IN WITNESS WHEREOF, the Parties have executed this Agreement as of the day and year written <br />above. <br /> <br />COVERED ENTITY: BUSINESS ASSOCIATE: <br /> <br />By:_________________________________ By:___________________________________ <br /> <br />Title:________________________________ Title:__________________________________ <br />DocuSign Envelope ID: 821A7B86-02B6-408C-B9EB-774D5690963B <br />Dr. Orange County Health Director