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UNCH # 92 <br />that they and any subcontractors of the parties are and shall remain in compliance with Article 2 of <br />Chapter 64 of the North Carolina General Statutes. By executing this Agreement the parties certify <br />that they have not been identified, and has not utilized the services of any agent or subcontractor, <br />on the list created by the State Treasurer pursuant to G.S. 147-86.58. <br /> <br />14. Notices. Any notice required by this Agreement shall be in writing and delivered by certified or <br />registered mail, return receipt requested to the following: <br /> <br /> Orange County Department of Social Services UNCHCS <br /> Nancy Coston Daryl Sams <br />Director HCS Director, Medicaid Eligibility <br /> 113 Mayo Street UNC Health Care System <br /> P.O. Box 8181 500 Eastowne Drive, 2nd Floor <br />Hillsborough, NC 27278 Chapel Hill, NC 27514 <br />Phone: (919) 245-2800 Phone: (984) 974-0935 <br /> <br /> <br />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 with <br />Article 11A and Article 40 of North Carolina General Statute Chapter 66. <br /> <br />IN WITNESS WHEREOF, the parties hereto have caused this contract to be signed by its duly authorized <br />officials. <br /> <br />FOR AND ON BEHALF OF: FOR AND ON BEHALF OF: <br />ORANGE COUNTY, NORTH CAROLINA THE UNIVERSITY OF NORTH CAROLINA <br />HOSPITALS <br /> <br />________________________________ ______________________________ <br /> <br /> <br /> <br />DATE:__________________________ DATE:___________________________ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />an <br />Tammy Scarborough (Dec 10, 2023 21:57 EST) <br />Tammy Scarborough <br />12/10/2023 <br />DocuSign Envelope ID: B4077D37-68C5-4E1B-808E-C88A9499D4DE <br />1/16/2024