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XII. Agreement <br />i have read the aforementioned Agency Agreement and waiver for use of technology of the LA/OC MS, <br />Equipment and Services (lfappliaable), 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 access to the M& This agreement will be signed by the Executive <br />Director at the Participating Agency. �j <br />' a ,t. jf1� T11 � . t yAe- <br />Exe utive Dire a rint) Cantinuum Representative's Narne (Print) <br />Executive D' ector's Signature Continuum Representative's Sign tune ` — <br />c <br />AgencyN re Conti nuuuura a! me t U <br />Date of Si na a Da% <br />te of Signature <br />HUISAgency Agreement Page 5 of5 Revised 02101108 <br />