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DocuSign Envelope ID. 5B185859-5943-4C41-90BF-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 />Attest: Jeffrey R. Smith, Clerk of <br />Ck'ci Court and C troller <br />fir: <br />a. j <br />Deputy Fern <br />CLIENT: <br />Indian River Countyand of County Coln missionei5-' <br />By: <br />Pri ed ame: Joseph E. Flescher <br />Its: Chairman •�'Q�LFRC0Ut1r �• <br />Acknowledged, agreed to and accepted by: <br />ADMINISTRATOR: <br />RaBe 81"f1.ed by: <br />By: (AUYt,tti, St►Mw�DIti S <br />E4767705FOW432. <br />Printed Name: Lauren Simmons <br />Its: Sr. Director of Compliance & Legal Affairs <br />APPROVED Av TO FORPA <br />AND LF =DAL SUFFIOIE <br />BY....�,.� .,_„_ <br />40Wt~N1 V A'1"TQgFJF y <br />NOT FOR DISTRIBUTION. THE INFORMATION CONTAINED HEREIN IS CONFIDENTIAL, PROPRIETARY <br />AND CONSTITUTES TRADE SECRETS OF EXPRESS SCRIPPS AND RXBENEFITS <br />