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IN WITNESS WHEREOF, the parties hereto certify that they have read and understand all the <br />terms and conditions contained herein and have duly authorized and caused this Agreement to be <br />executed as of the date stated below written. <br />Dated: <br />Dated: <br />Dated: <br />"COUNTY OF ORANGE a political subdivision of the <br />State of California" <br />By: <br />Chair, Orange County <br />Board of Supervisors ~~~~~ <br />"CONTRACTOR"* <br />By: <br />Title: <br />By: <br />Title: <br />"[Authorized signatures for corporations. Requirement of two signatures as follows: (1) One signature by the <br />Chairman of the Board, the President or any Vice President, and (2) one signature by the Secretary, any Assistant <br />Secretary, the Chief Financial Officer or an Assistant Treasurer. For contractors that are not corporations, a person <br />who has the authority to bind the contractor to a contract.] <br />APPROVED AS TO FORM: <br />COUNTY COUNSEL <br />County of Orange <br />Dated: <br />By: <br />Deputy <br />Signed and certified that a copy of this <br />document has been delivered to the Chair <br />of the Board per G.C. Sec. 25103, Reso 79-1535 <br />Attest: <br />Darlene J. Bloom <br />Clerk of the Board of Supervisors <br />Orange County, California~~~2~ <br />WIA COST REIMBURSEMENT CONTRACT- REV. 8-15-07 3$ <br />20D-40 <br />