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ILLUMINATION FOUNDATION (5) - 2015
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ILLUMINATION FOUNDATION (5) - 2015
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Last modified
5/26/2016 4:45:06 PM
Creation date
9/21/2015 11:28:14 AM
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Contracts
Company Name
ILLUMINATION FOUNDATION
Contract #
A-2015-060-03
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/21/2015
Expiration Date
6/30/2016
Insurance Exp Date
9/15/2016
Destruction Year
2021
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XII. Agreement <br />I Imvo read the aibrementioned Agency Agreement incl waiver Ibr use of technology of the LA/CC HMIS, <br />Equipment and Services (fopplicnhle), and thoroughly understand that this technology is far LA/OC <br />HMIS purposes only. <br />This Agreement is exeauied between. the Agency and the Orange County Continuum of Caro and open <br />execution the Agency will be given access to the IIMIS. This agreement will be aimed by the Bxecntive <br />Director at the Participating Agency, <br />L'P—U vti <br />0 <br />IN <br />Camurp mn Reprmentative's Name (Prin) <br />Continuum Representative's Signature <br />Continuum Namc <br />Date ofSignatna <br />XIII. Interagency Data Sharing Agrpercent <br />T e undersigning representatives from 2.13 and iltumination Foundation agree to sbaredata regarding <br />clients that are served by both agencies. Both program also have an agreement with the Orange County <br />CombruumofCare and have completed security procedures regarding the protection and sharing of client <br />data. <br />Agency Name <br />Executive Directors Name (Print) Fxecu o Di•toc's Signature <br />f,;� -cif-Irl/C) <br />Date of Signature <br />AgenayName <br />ecutive Director's Name(Print) ocutivo Dire tot's Signature <br />Ex <br />Date of Signature <br />RUTS Agency Agreement Page S of Revised 61WO09 <br />
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