HomeMy WebLinkAboutAgreement A-11-506-4 with California Health Collaborative.pdf1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment IV to the Agreement of
2 the day and year first hereinabove written.
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AITEST:
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8 Title: C£ C) ( fi'U.J ' ~ r
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Chairman, President or Vice President
Date:. __ _____:_l_l.J__{_Y:.J./_7..o_I__.S..J.__ ___ _
By: .i?fiCL ~~
Print Name: fl, d a Va re../clj ·,'a V1
Title: A-ccouYlfl'Vl~ Havta9er
Secretary (ofCorpora~n), Assistant Secretary,
Chief Financial Officer or Assistant Treasurer
18 Mailing Address:
1680 W. Shaw A venue
19 Fresno, CA 93 721
Contact: Executive Director
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-3-
Board of Supervisors
Date: ~ /Sj Ji)/5
BERNICE E. SEIDEL, Clerk
Board of Supervisors
By: ~~ ~sJoo-f
Date: ke.Q)cohgr J 6 > ()._[) 15
PLEASE SEE ADDITIONAL
SIGNATURE PAGE ATTACHED