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XII. Agreement <br />I have read the aforementioned Agency Agreement and waiver for use of technology of the LA/OC HMS, <br />Equipment and Services (tfapplicable), 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 acct to the HMIS. This agreement will be signed by the Executive <br />Director at the Participating Agency. <br /> <br />Executive yoww 37 "(Prim) <br />- ,- <br />Agency Nkfi <br />`?? It <br />Date of Signature <br />e r' Azzher i /! Zf7 <br />Conti um n Representative's N (Print) <br />Continuum Representative's S` <br />-Or-Oue Co"n r Coe <br />Continuum anise <br />Doi oftipat6 <br />HAOS Agency Agreement Page 5 of S Revhed 02101/08