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A PatagoniaHealth <br />http://www.patagoniahealth.com <br />4.lnsuranceOrange County will be listed on the Patagonia Health Certificate of Insurance as an additional insured <br />for General Liability, Auto, Umbrella Coverage. This will be noted on the COi by an "X" marked in the Additional <br />Insured Box or noting it in the Comment section. The Certificate of Insurance will be furnished after the execution <br />of this Agreement. <br />Orange County Health Department - NC <br />Signature: ___________ _ <br />Date: <br />Name: Bonnie Hammersley <br />Title: County Manager <br />Phone:919-245-2306 <br />Email: bhammersley@orangecountync.gov <br />Please send invoices to: <br />Name: Sally Kadle and Kimberlee Quatrone <br />Email: skadle@orangecountync.gov <br /> kquatrone@orangecountync.gov <br />Patagonia Health, Inc. <br />Signature: ___________ _ <br />Date: ____________ _ <br />Name: Amos Slaymaker <br />Title: Director of Sales & Marketing <br />Phone:919-439-0964 <br />Email: amos@patagoniahealth.com <br />We appreciate your partnership and look forward to supporting you! <br />Page 2 of 2 <br />Confidential. Copyright© 2024 Patagonia Health, Inc. <br />15100 Weston Parkway, Suite 204, Cary, NC 27513 I 919.238.4780 I Email: info@patagoniahealth.com <br />DocuSign Envelope ID: DA2EF093-C4D3-45EE-8D0D-4482321D9D24 <br />6/21/20247/2/2024