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MSEPANSKI <br />/ 1 <br />ACORO' <br />`� <br />AGENCY CUSTOMER ID: HEALMAN-01 <br />LOC #: 1 <br />ADDITIONAL REMARKS SCHEDULE <br />AGENCY NAMED INSURED <br />Thompson Flanagan Executive Liability Group Health Management Associates, Inc. <br />120 N. Washington Square, #705 <br />POLICY NUMBER Lansing, MI 48933 <br />EE PAGE 1 <br />CARRIER NAIC CODE <br />EE PAGE 1 SEEP 1 EFFECTIVE DATE: SEE PAGE 1 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />Page 1 of 1 <br />Description of Operations/Locations/Vehicles: <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 />ACORD 101 (2008/01) 02008 <br />The ACORD mme and inaa-arenrenistarerl-mar sk eO A, - <br />REM EWED 6 APPROVED Sr. <br />A+-r &W44 <br />Risk Management Specialist <br />