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PART III <br />GHP affirms that all authorization forms that may be required from GHP's participants authorizing the use <br />and/or release of protected or other confidential personal health information by BlueCross and BlueShield of <br />Florida or its Designated Agent in order to perform its obligations under the Agreement have been obtained. <br />To be signed and dated by a representative of the GHP who has the authority to sign contracts. <br />_Suzanne M. Boyll <br />Print Name <br />Signatu e <br />Human Resources Director <br />Title <br />a/a <br />Date updated and signed <br />