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Docusign Envelope lD: 1 D7E1 DA74976-4BBD-9EFO-BEDF9FE584EB <br />6 <br />iavson.diaz@hca.wa.oov' <br />7. This Amendment will be effective as of July 1,2026 ("Effective Date")' <br />g. All capitalized terms not otherwise defined herein have the meaning ascribed to them in the contract' <br />g. All other terms and conditions of the Contract remain unchanged and in full force and effect' <br />The parties signing below warrant that they have read and understand this Amendment and have authority to <br />execute the Amendment. This nmenomeni *iir o" binding on HCA only upon signature by both parties' <br />F2EF7 1-E93FBC4W <br />Any reference on the contract for HCA Clinical Dental Program Manager Pixie Needham and email <br />address pixie.needham@hca.wa.sov, sn"ir no* be replacJd with Jaysbn Diaz and the email address <br />DATE SIGNED <br />412212026Chelsey Loeffers <br />Public Health Director <br />signed by; <br />DATE SIGNED <br />3t2712026 <br />PnltneO t'tnUE AND TITLE <br />Andria Howerton <br />Contracts Admin istratorHCA DeputY-L^S^^,2 <br />D@uSigned bY: <br />HCA Contract No. K7461-2 <br />Page 2 ol 14