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XII. Agreement <br />I have head the aforementioned Agency Agreement and waiver for use of teclurology of the LA/OC RM1S, <br />Equipment and Services (if applicable), and thoroughly understand that this technology is for LA/OC <br />FIMIS 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 />Nancy T. Edwards <br />Executive Director's Name (Print) <br />ExeeutiveC <br />I is ignatoce <br />City of SUta Ana <br />Agency Name <br />July 13, 2012 <br />Date of Signature <br />ec <br />Con I'mm Representative's Name (Print) <br />n <br />Continuum Representative's Si atu e <br />Orange C?t uji�, (� C <br />Continuum Name <br />ti (J <br />Date of Signature <br />HMIS,lgengi tgreeinent Page 5 af.5 Revised 02; 01/08 <br />