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DocuSign Envelope ID: 1D078E61-3408-4B43-8758-39AO9lBlBE00 <br /> executing this Agreement Provider affirms that Provider and any subcontractors of Provider are and <br /> shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By <br /> executing this Agreement Provider certifies that Provider has not been identified,and has not utilized <br /> the services of any agent or subcontractor,on the list created by the State Treasurer pursuant to G.S. <br /> 147-86.58. By executing this Agreement Provider certifies that Provider has not been <br /> identified, and has not utilized the services of any agent or subcontractor identified, on the <br /> 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 comply <br /> 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 /> aaPehalf of the Provider <br /> -" -1 tA&U1 1/22/2021 <br /> Larry Lac ey,New Destinations,Inc. Date <br /> ,a&)§ehalf of Orange County Government <br /> b61aW'(I 1/25/2021 <br /> Bonnie Hammersley, County Manager Date <br /> ((Agencys_Name») <br /> Orange County Cardinal Managed Care Fund Performance Agreement Page 6 of 9 <br /> Rev. 112021 <br />