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IN WITNESS WHEREOF, OWNER and PROVIDER have signed this Agreement in duplicate. One counterpart <br />each has been delivered to OWNER and PROVIDER. All portions of the Contract Documents have been <br />signed or identified by OWNER and PROVIDER or on their behalf. <br />This Agreement will be effective on October 11, 2022. <br />OWNER: PROVIDER: <br />INDIAN RIVER COUNTY <br />0 <br />Peter D. O'Bryan, Chairman <br />By: <br />Jason E. Brown, County Administrator <br />APPROVED AS TO FORM AND LEGAL SUFFICIENCY: <br />By: - — <br />Dylan Reingold, County Attorney <br />Jeffrey R. Smith, Clerk of Court and Comptroller <br />Attest: <br />Deputy Clerk <br />(SEAL) <br />Designated Representative: <br />Name: <br />Title: <br />Address: <br />Phone <br />Email <br />By: <br />(PROVIDER) <br />(CORPORATE SEAL) <br />Attest <br />Address for giving notices: <br />License No. <br />(Where applicable) <br />Agent for service of process: <br />Designated Representative: <br />Name: <br />Title: <br />Address: <br />Phone: <br />Email: <br />(If PROVIDER is a corporation or a partnership, attach <br />evidence of authority to sign.) <br />11 <br />20 <br />