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AGENCY CUSTOMER ID: HEALMAN-01 <br />LOC #: I <br />Page 1 of 1 <br />AGENCY <br />Thompson Flanagan Executive Liability Group <br />POLICY NUMBER <br />3EE PAGE 1 <br />CARRIER <br />'EE PAGE I <br />NAMED INSURED <br />Health Management Associates, Inc. <br />120 N. Washin, ton Square, #705 <br />Lansing, MI4A33 <br />NAIL CODE <br />'EE P 1 �EFFECTIVE DATE, <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certi-ficate, of Liability insurance <br />Description of Operations/ Location s/Veh 1 cles. <br />The Consultant hereby grant to Grantee a waiver of any right to subrogation which any insurer of said Consultant may acquire <br />against City by virtue of the payment of any loss under such insurance.Consultant agrees to obtain any endorsement that may be <br />necessary to affect this waiver of subrogation, but this provision applies regardless of whether or not the City has received a <br />waiver of subrogation endorsement from the insurer. <br />Additional Named Insured(s): <br />HMA Holding Corporation <br />Health Management Associates, Inc, <br />HMA Public Advocates, LLC <br />HMA Medicaid Market Solutions, Inc. <br />HMA international, LLC <br />HMA Advisors, LLC <br />Leavitt Partners, LLC <br />Leavitt Partners Solutions, LLC <br />Leavitt Partners Collaborative Advocates, LLC <br />LPCA-SDOH, LLC <br />Health Management Associates Holdings, Inc, <br />Health Management Associates Superholdings, Inc. <br />Actuarial Holdings, LLC <br />Wilson Strategic Communications, Inc. <br />Wakely Consulting Group, LLC <br />Care Integration Partners <br />Cirdan Health Systems, Inc., DBA Cirdan Health Systems and Consulting <br />K= MOUgffMMt VMSjon <br />A2008 ACORD CC CORD 101 (2008101) RE)AeWED & APPROVED BY; <br />srof <br />Af, AXa <br />J <br />The ACORD name and logo are registered marks of ACORD 61 <br />;�� Ruk 10,111ageillent.Speciali.st <br />