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Orange County Health Department <br />January 23, 2025 <br />Page 4 <br /> <br /> <br />Except for the responses to routine requests by regulators, our engagement will <br />not include the submission of documentation to any third parties unless we are <br />separately engaged to do so. <br /> <br />Third-Party <br />Submissions <br />Our engagement will include submission of the Medicaid cost report to the state <br />of North Carolina on your behalf. We will not make submissions to any other third <br />parties on your behalf unless we are separately engaged to do so. <br /> <br />Docusign Envelope ID: 183D8F77-022B-48BA-9D7A-59C5C1C4FC1A