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DocuSign Envelope ID: 58185859-5943-4C41-90BF-OCE5E90FDADD <br />(01/2021 Version) <br />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 amended Client <br />Application must be signed by Client's authorized representative and acknowledged, agreed to, accepted and dated by <br />Administrator's authorized representative. <br />Acknowledged, agreed to and accepted by: <br />ADMINISTRATOR: <br />RxBe tugred by: <br />By: <br />�,aUtY't,lA, Slw�w�Otn,S <br />eaenosFesea32... <br />Printed Name: Lauren Simmons <br />Its: Sr. Director of Compliance & Legal Affairs <br />Attest: Jeffrey R. Smith, Clerk of <br />Cir Court and Comptroller <br />sy: <br />Deputy Clerk <br />AF 'i 0VED AS TO FORM <br />AN1,0 Li,=t AL SUFFICIENCY <br />BY <br />NOT FOR DISTRIBUTION. THE INFORMATION CONTAINED HEREIN IS CONFIDENTIAL, PROPRIETARY <br />AND CONSTITUTES TRADE SECRETS OF EXPRESS SCRIPTS AND RXBENEFITS <br />