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Revised 01/24 <br />8 <br /> <br /> IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have <br />hereunder set their hands and seal, all as of the day and year first above written. <br /> <br /> <br />ORANGE COUNTY: PROVIDER: <br /> <br /> <br />By: _________________________________ <br /> <br />Erica Bryant, Director <br /> <br /> <br /> <br /> <br /> <br /> <br />By: __________________________________ <br /> Derrick Hensley,PLLC <br /> Printed Name and Title <br /> <br /> <br /> <br /> <br />Docusign Envelope ID: D93C5068-8EF6-4BC9-8D5A-4D4FF1A6FBEF <br />8/7/20258/8/2025