Laserfiche WebLink
III. Agreement <br />I have read the aforementioned Agency Agreement and waiver for use of technology of the LA/OC HMIS, <br />Equipment and Services (if applicable), 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 Care and upon <br />execution the Agency will be given access to the HMIS. This agreement will be signed by the Executive <br />Director at the Participating Agency, <br />CONNIE J. JONES A m bp-(' t, 0 1 Aqe- -r <br />Executive Director's Name (Print) Continuum Representatives Name (Print) <br />Executive Director's Signature 6mumuumRepresentative 'sS[7ignature <br />SOUIRWEST MINORITY ECONOMIC DEVELOPMENT ASSOCIATION oNf\me Cf1GtAt� <br />AgencyName Continuum Nane <br />l <br />JUNE 8 2012 d lit l ( z- <br />Date of Signature Date of Signatuie <br />HMISAgencyAgreement Page 5 of R(W.Yed 03 101108 <br />