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Title:
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THE PRESIDENT OF THE BOARD TO EXECUTE AN AMENDMENT NO. 1 TO THE AGREEMENT WITH DIXON HUGHES GOODMAN, LLP (FORMERLY KNOWN AS DIXON HUGHES, PLLC) TO PROVIDE INDEPENDENT REVIEW ORGANIZATION SERVICES, INCREASING THE AMOUNT BY $130,000 TO A MAXIMUM OBLIGATION OF $230,000 AND EXTENDING THE TERM BY THREE YEARS FOR A NEW TERM OF MAY 1, 2010 THROUGH APRIL 30, 2015; AND B) CHIEF OF THE HEALTH SYSTEM OR DESIGNEE TO EXECUTE CONTRACT AMENDMENTS WHICH MODIFY THE COUNTY'S MAXIMUM FISCAL OBLIGATION BY NO MORE T
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