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Docusign Envelope ID: 4C195600 -904A-41 DA-A041-3005C422FD42 <br />DocuSign Envelope ID: 7CEFA800-59DE-49DA-8CSB-D8DB41083547 <br />(112024 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. <br />APPROVED AS TO FORM <br />AWLEGWDEBRAAL B <br />COUNTY ATTORNEY <br />Attest: Ryan L. Butler, Clerk of <br />Circuit Court and Comptroller <br />• .h�lSSI0�jE9. <br />CLIENT: •V0 S'•• <br />may: � '• � �•: <br />Indian Riv oun . and of Cou Com ssio(s <br />•o: <br />By: a <br />Printed Name: Susan Adams <br />Its: Chairman <br />Acknowledged, agreed to and accepted by: <br />ADMINISTRATOR: <br />RxBenefits, Inc. Docusgnedby: <br />By: r <br />atuYt,ln, Si►Mwti'1k.S <br />Printed Name: Lauren Simmons <br />Its: Vice President of Compliance & Legal Affairs <br />24 <br />NOT FOR DISTRIBUTION. THE INFORMATION CONTAINED HEREIN IS CONFIDENTIAL, PROPRIETARY <br />AND CONSTITUTES TRADE SECRETS OF ESI AND RaBENEFITS <br />