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? this Agreement is for an affiliation agreement with hospitals and other <br /> health care providers required for University of Hawaii clinical <br /> programs; <br /> ? this Agreement is for the services of psychiatrist, or psychologists in <br /> criminal or civil proceedings as required by a court order or by the <br /> rules of the court; <br /> ? this Agreement is for a transaction covered by a written exemption <br /> from the Chief Procurement Officer for the STATE dated <br /> g, The STATE is in need of the health and human services described in this <br /> Agreement -and its exhibits (the "Required Services"). The PROVIDER is agreeable to <br /> providing the Required Services. <br /> C. Money has been appropriated for the purchase of the Required Services by: <br /> (I) (identify state sources) Act 177 Item F- 5 2002, SLH , or <br /> (2) (identify federal sources) Juvenile Justice and Delinquency Act of 1974 , 07 both, <br /> as amended, PL 93-4 5; IISC 5601 et. seq; Title O, CFDA #16.548 <br /> in the following amounts: <br /> State: $ -o- <br /> Federal: $ 103,550.00 <br /> D. Pursuant to (legal authority for Agreement) section 346-63 alts , <br /> the STATE is authorized to enter into this Agreement. <br /> E. The undersigned representative of the PROVIDER represents, and the <br /> STATE relies upon such representation, that he or she has authority to sign this Agreement <br /> <br /> by virtue of (check any or all that apply): <br /> ? corporate resolutions of the PROVIDER or other authorizing <br /> documents such as partnership resolutions; <br /> ? corporate by-laws of the PROVIDER, or other similaz operating <br /> documents of the PROVIDER, such as a partnership agreement, or an <br /> limited liability company operating agreement; <br /> EXEMPT TRANSACTIONS <br /> Page 2 Form AG3-Exom(4/99) <br /> <br />