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XII Agreement <br />I have read the aforementioned Agency Agreement and waiver for use of technology of the LAIOC FlMSS, <br />Equipment and Services (Vapplicab(e), and thoroughly understand that this technology is for LA/OC <br />HMIS purposes only, <br />This Agreement is executed between the Agency and the Orange County Continuum of Gare and upon <br />execution the Agency will be given access to the HMY& This agreement will be signed by the Executive <br />Director at the Participating Agency, <br />kn ep { �l�in� <br />Contint wn Represontative'sName (print) <br />A&ntative"s Si orate <br />rg COun COC <br />CominuumK—Me <br />1L 2 —� <br />Date of Signature <br />ffbffsAgencpAgrsement Page 5afS Revised02101108 <br />