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DocuSign Envelope ID: 5332467E-CBEF-4C5D-8BOE-61 E380BDAl 1 B <br />(1/2023 Version) <br />IN WITNESS WHEREOF, Client has caused this Exhibit A (Client Application) to be executed as of the <br />Addendum Effective Date. In the event this Client Application is amended by the Parties after the Addendum <br />Effective Date, the Parties may substitute such amended Client Application for the former Client Application, provided <br />the Parties set forth the date from and after which such amended Client Application shall be effective. Any such <br />amended Client Application must be signed by Client's authorized representative and acknowledged, agreed to, <br />accepted and dated by Administrator's authorized representative. •1GptittJi38% i, <br />CLIENT: <br />Indian River County Board of County Commissionegs <br />13}: <br />•'�'�Ri�iEA C0�`�w <br />Printed Name: Joseph H. Earman <br />Its: Cha i rman <br />Acknowledged. agreed to and accepted by: <br />ADMINISTRATOR: <br />RxBenefits, Inc. <br />By: �Docua4nw by: <br />�auYt to $iw�dn s <br />Printed Name: Lauren Simmons <br />Its <br />Attest: Ryan L. Butler, Clerk of <br />Circuit Court and Comptroller <br />C.. <br />23 <br />Vice President of Compliance & Leeal Affairs <br />,,%PPttOVED AE, , 0 FORIA <br />A ;C <br />L'--'-AL 8i;i`F11UIEN0Y <br />DYLAN REINGOLD <br />OGUNTY ATTORNEY <br />NOT FOR DISTRIBUTION. THE INFORIIIATION CONTAINED HEREIN IS CONFIDENTIAL, PROPRIETARY <br />AND CONSTITUTES TR4DE SECRETS OF ESI AND RXBENEFITS <br />