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I have read the aforementioned Agency Agreement and waiver for im of technology of the LA/0C HMIS, <br />Equipment and Sarvices (�appllvable), and thoroughly understand that this technology is for LA OC <br />HMIS puxposes only. <br />This Agreement is executed between the Agency and the Orange County Condinium of Cxe and upox, <br />"mutlon the Agency will be glven access to the HMS. This moment will be signed by the Execuove <br />bi rwtor at the Participating Agency, <br />�� <br />Executive 4 a (Print) <br />Agoney <br />ate of Sipat re <br />eel-� 1�11 111 <br />Conic uum Representative's Name (Pint) <br />C�uFm�Represenwve's Sl afore <br />Cnntlnurrrrt ane <br />bate o Signature <br />HXHS Agreement Pulte 5 of 5 Revised 02/01818 <br />