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Docusign Envelope lD: CEBC6B3C-DFA1-4BOC-AFE8-6A4A634400B6 <br />E><srsrr D <br />AcT<xOwT.noGEMENT oF REvIEw oF PRovIDER MANUAL <br />Contractor hereby acknowledges review of CHPW's Provider Manual and acknowledges that the <br />Provider Mamtal was made available to Contractor for review prior to Contractor's decision to <br />enter into this Agreement. Ttre Provider Manual is available at CHPW's website at <br />www.CHPW.ors. <br />Date of Review: <br />Initials of Contractor's Authorized Representative: <br />EffectiveDate: 71112025 <br />(cilPtyTo 00MPLETE) <br />2020 Facility Agmt - Template Page 50 of5l Contract #{Contract #}-{PRC Agreement ID}