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Contract # VDH-21-707-0156 VDH Page 29 Crossroads Software Maintenance and Enhancement Services
Signed by the undersigned authorized representatives of VDH and Supplier and effective as of the Effective Date set forth in the preamble of this Contract above.
SUPPLIER NAME Virginia Department of Health (VDH)
By:
By:
(Signature)
(Signature)
Name:
Name:
(Print)
(Print)
Title:
Title:
Date:
Date:
Address for Notice: Address for Notice:
Attention: Supplier Contact Attention: Contract Administrator DocuSign Envelope ID: D69B105E-7A47-46ED-8B09-C0071CE057F5 Lisa Mascolo CEO Columbia Maryland 21046 9175 Guilford Road lisa.mascolo@gcomsoft.com Lisa Mascolo 9/28/2023 | 5:56:35 PM EDT GCOM Software LLC DocuSign Envelope ID: 33024638-F519-4808-AF31-3DA182A2CE1E Richmond, VA 23219 arden.lynn@vdh.virginia.gov 109 Governor Street Megan Nason email: megan.nason@vdh.virginia.gov 9/29/2023 | 10:21:23 AM EDT State Health Commissioner Karen Shelton, MD