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XH. Agreement <br />I have read the aforementioned Agency Agreement and waiver for use of technology of the LA/OC HMIS, <br />Equipment and Services (Ifapplicable), and thoroughly understand that this technology is for LA/OC <br />HMIS purposes only. <br />j 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 />F cu ive Director's N Tnt) <br />� a '' Contin um Representative s N e oe <br />%� - - <br />Exec five Director's , ignature Continuum Representative's Signa re _±r"T ry <br />� <br />—�. `,l• t'n,� <br />Agency Name 7 rlt? tfC Continuum Mame <br />(? I agl <br />Date of Signature — / / '- <br />Date of Signature <br />HMIS Agency Agreement Page 5 of S Revised 02,'01108 <br />