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9 <br />October 2013 <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: 7B35B062-B48C-4DC9-9505-A8B05270AB7D <br />Clinical SupervisorOrange County Health Director