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DocuSign Envelope ID: 262ABA18-5354-4F41-9508-9613C8ACBA6D <br />7. Except for transactions authorized under paragraph 6 of these instructions, if a participant in a covered <br />transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, <br />ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to <br />the Federal Government, HCA may terminate this transaction for cause or default. <br />CONTRACTOR SIGNATURE REQUIRED <br />SIGNATURE OF AUTHORIZED CERTIFYING UFFICIAL <br />Please also print or type name: <br />Tristen Lamb <br />TITLE <br />ORGANIZATION NAME: (if applicable) I DATE <br />Washington State Page 31 of 53 HCA IAA K4649 <br />Health Care Authority Revised 10/2020 <br />