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IN WITNESS WHEREOF, OWNER and PROVIDER have signed this Agreement in Five (5) parts. <br />One counterpart each has been delivered to OWNER, PROVIDER and ENGINEER. All portions of the <br />Contract Documents have been signed, initialed or identified by OWNER and PROVIDER or <br />identified by ENGINEER on their behalf. <br />This Agreement will be effective on _ <br />Agreement). <br />ATTEST: <br />, 20 (which is the Effective Date of the <br />By <br />[CORPORATE SEAL] [CORPORATE SEAL] <br />Address for giving notices <br />License No. <br />Agent for service of process <br />(If PROVIDER is a corporation, attached <br />evidence of authority to sign). <br />02/06 00500 -7 03- 4122.E <br />