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HCA Amendment Signed
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2022
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07. July
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2022-07-19 10:00 AM - Commissioners' Agenda
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HCA Amendment Signed
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Last modified
7/25/2022 8:11:19 AM
Creation date
7/25/2022 8:10:52 AM
Metadata
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Template:
Meeting
Date
7/19/2022
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
d
Item
Request to Approve an Amendment to the Health Care Authority Access to Baby Dentistry
Order
4
Placement
Consent Agenda
Row ID
91496
Type
Agreement
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Electronic Record and Signature Disclosure created on: Sl22l201g 6:4g:33 AM <br />Parties agreed to: Chelsey Loeffers <br />ELECTRONIC RECORD AND SIGNATURE DISCLOSURE <br />From time to time, CloudPWR OBO Washington State Health Care Authority-Sub Account (we, <br />us or Company) may be required by law to provide to you certain written notices or disclosures. <br />Described below are the terms and conditions for providing to you such notices and disclosures <br />electronically through the DocuSign system. Please read the information below carefully and <br />thoroughly, and if you can access this information electronically to your satisfaction and agree to <br />this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by <br />selecting the check-box next to 'l agree to use electronic records and signatures' before clicking <br />'CONTINUE' within the DocuSign system. <br />Getting paper copies <br />At any time, you may request from us a paper copy of any record provided or made available <br />electronically to you by us. You will have the ability to download and print documents we send <br />to you through the DocuSign system during and immediately after the signing session and, if you <br />elect to create a DocuSign account, you may access the documents for a limited period of time <br />(usually 30 days) after such documents are first sent to you. After such time, if you wish for us to <br />send you paper copies of any such documents from our office to you, you will be charged a <br />$0.00 per-page fte. You may request delivery of such paper copies from us by following the <br />procedure described below. <br />Withdrawing your consent <br />If you decide to receive notices and disclosures from us electronically, you may at any time <br />change your mind and tell us that thereafter you want to receive required notices and disclosures <br />only in paper format. How you must inform us of your decision to receive future notices and <br />disclosure in paper format and withdraw your consent to receive notices and disclosures <br />electronically is described below. <br />Consequences of changing your mind <br />If you elect to receive required notices and disclosures only in paper format, it will slow the <br />speed at which we can complete certain steps in transactions with you and delivering services to <br />you because we will need first to send the required notices or disclosures to you in paper format, <br />and then wait untilwe receive back from you your acknowledgment of your receipt of such <br />paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to <br />receive required notices and consents electronically from us or to sign electronically documents <br />from us. <br />All notices and disclosures will be sent to you electronically
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