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CERTIFICATE OF EJ~ETIPT]ON FROI\7 CNIL SERV]CE <br /> 1. By Heads of Departments or Agencies as Delegated by the Director of Human <br /> Resources Development t. <br /> . Pursuant tosdelegationoftheouthoritybytheDuectorofNumanResourcesDevelopment,l <br /> certify that the services to be pro~~ideA under this Contract, and the person(s) providing the service <br /> <br /> • under this Contract are exempt from the civil service, pursuant to §76-] ti, Hawaii Revised Statutes . <br /> ~S)~ <br /> (Sigoattue) Date <br /> Chiyrnne Leinaala Fiildno, M.D. ' <br /> ..(Print Name) ~ . <br /> Director of Health . <br /> (Print 7'iile) <br /> t7Lis part of the form may be a~cd by at] deparunent heads and otbcn to wbom the Dirutor of Human ' <br /> Resource Development (DHRD) has dclcEsud avtlioriry to certify §761ti,HRS, city acrvia exemption. 7Lerpuifu <br /> pars p~xph(a) of §76-16, }DtS, upon which an cxen>ption is based sbould be noted in the contract S)a NOT6: Au~oriry <br /> to certify exemptions undo §§76-] 6(2), 7616(]2), and 7676(15), N3tS, bsa not been de]cgated; only the Dinctot of <br /> DHItD may certify f§76]6(2), 7616(12), and 7616(75) exemption. <br /> 2. By the Director of Humati Resources Deve]opmeat, State of liawail. <br /> I certify 4,a1 the services to be pto~~ded under this Contract, and the person(s) providing the <br /> services under t1-,is Contract are exempt from the civi] sen~ce,ptusuant to §7(r]6,1-]awaiiRevised <br /> Statutes (HI2S). <br /> (Signatwc) Dau <br /> (Print N:.me) . <br /> (Print Tiilc, if cc:i¢cc of the Dvcctor o! Dh'RD) <br /> ADMIN. SERV. OFFICE S AGffiFO FCr.M•Ktt)p:4•q <br /> LOG N0. 06-212 ~G/SPO `r'G'F,M-K(2) <br /> <br />