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2024-063-E-Health Dept-North Carolina Alliance of Public Health Agencies-Staffing of Health positions
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2024-063-E-Health Dept-North Carolina Alliance of Public Health Agencies-Staffing of Health positions
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Last modified
2/13/2024 9:25:58 AM
Creation date
2/13/2024 9:25:33 AM
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Contract
Date
1/30/2024
Contract Starting Date
1/30/2024
Contract Ending Date
2/7/2024
Contract Document Type
Contract
Amount
$52,150.00
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9 <br />EXHIBIT A <br />BENEFITS WAIVER FOR ASSIGNED EMPLOYEES <br /> <br /> <br />AGREEMENT AND WAIVER <br /> <br />In consideration of my assignment to Client by NCAPHA, I agree that I am solely an employee <br />of NCAPHA for benefits plan purposes and that I am eligible only for such benefits as NCAPHA <br />may offer to me as its employee. I further understand and agree that I am not eligible for or <br />entitled to participate in or make any claim upon any benefit plan, policy, or practice offered by <br />Client, its parents, affiliates, subsidiaries, or successors to any of their direct employees, <br />regardless of the length of my assignment to Client by NCAPHA and regardless of whether I am <br />held to be a common-law employee of Client for any purpose; and therefore, with full knowledge <br />and understanding, I hereby expressly waive any claim or right that I may have, nor or in the <br />future, to such benefits and agree not to make any claim for such benefits. <br /> <br /> <br /> <br /> <br />EMPLOYEE <br /> <br /> <br />WITNESS <br /> <br /> <br />Signature <br /> <br />Signature <br /> <br />Printed Name <br /> <br />Printed Name <br /> <br />Date <br /> <br />Date <br /> <br /> <br /> <br />DocuSign Envelope ID: 78CB7A35-BD54-48BB-BDBB-5B6DA920511B
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