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(New Destinations) <br />Orange County Cardinal Managed Care Fund Performance Agreement Page 6 of 9 <br />Rev. 8/18 <br />executing this Agreement Provider affirms that Provider and any subcontractors of Provider are <br />and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General <br />Statutes. By executing this Agreement Provider certifies that Provider has not been identified, and <br />has not utilized the services of any agent or subcontractor, on the list created by the State Treasurer <br />pursuant to G.S. 147-86.58.By executing this Agreement Provider certifies that Provider <br />has not been identified, and has not utilized the services of any agent or subcontractor <br />identified, on the list created by the State Treasurer pursuant to G.S. 147-86.81. <br />19. Signatures.This Agreement together with any amendments or modifications may be executed <br />electronically. All electronic signatures affixed hereto evidence the intent of the Parties to <br />comply with Article 11A and Article 40 of North Carolina General Statute Chapter 66. <br />IN WITNESS WHEREOF, the Orange County and the Provider have signed this Agreement, effective on <br />the last date this Agreement is signed by both parties as indicated by the dates set forth under signatures <br />below. <br />For and on behalf of the Provider <br />_____________________________ _______________________ <br />Larry Lackey, Executive Director Date <br />For and on behalf of Orange County Government <br />_______________________________ ________________________ <br />Bonnie Hammersley, County Manager Date <br />DocuSign Envelope ID: AD9C9BE5-9A4D-4394-8476-901F7564FAF4 <br /> <br />