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2020-241A
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2020-241A
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Last modified
3/5/2021 2:03:08 PM
Creation date
12/7/2020 1:21:53 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Addendum
Approved Date
11/17/2020
Control Number
2020-241A
Agenda Item Number
8.H.
Entity Name
RxBenefits, Inc. f/k/a Prescription Benefits, Inc.
Subject
Addendum to administrative services agreement (originals w/ Suzanne Boyll)
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IN WITNESS WHEREOF, Client has caused this Client Application Exhibit A to the Agreement) to be <br />executed as of the Effective Date. In the event this Client Application is amended by the Parties after the Effective <br />Date, the Parties may substitute such amended Client Application for the former Client Application, provided the <br />Parties set forth the date from and after which such amended Client Application shall be effective (the "date" line at <br />the bottom of the Administrator's acknowledgment signature block on an amended Client Application shall be such <br />new effective date with respect to such amended Client Application). The Parties further agree that they will attach <br />such amended Client Application to this Agreement and provide a copy of this Agreement with the amended Client <br />Application (Exhibit A) to Administrator and Client for their respective records. Any such qt =4Vd Client <br />Application must be signed by Client's authorized representative and acknowledged, agreed to, } by <br />Administrator's authorized representative. : •' <br />CLIENT: <br />Attest: Jeffrey R. Smith, Clerk of Indian 'ver Coun Board of Co L o s r �� <br />u$X'mr>r <br />Circuit Court and Comptroller <br />By: <br />rint Name: Joseph E. Flescher <br />Deputy Clerk �` <br />Chairman <br />Acknowledged, agreed to and accepted by: <br />ADMINISTRATOR: <br />RxBe <br />By: <br />Printed Name: Lauren Simmons <br />Its: Director of Compliance and Legal Affairs <br />
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