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ACORD 101 (2008/01) <br />The ACORD name and logo are registered marks of ACORD <br />© 2008 ACORD CORPORATION. All rights reserved. <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER:FORM TITLE: <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE Page of <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY <br />CARRIER NAIC CODE <br />POLICY NUMBER <br />NAMED INSURED <br />EFFECTIVE DATE: <br />Nursefinders Acquisitions, LLC�� <br />Locum Leaders, LLC�� <br />Nursefinders Restorative Care Services, Inc.�� <br />Med Travelers, Inc. (MTI)�� <br />Onward Healthcare Staffing�� <br />Nursefinders, LLC�� <br />Medefis, Inc.�� <br />National Healthcare Staffing, LLC�� <br />NF Holdings Corporation�� <br />Merritt, Hawkins & Associates�� <br />Onward Healthcare of New Jersey LLC�� <br />4 <br />Onward Healthcare Staffing, LLC�� <br />O' Grady-Peyton International (Australia) (Proprietary) Ltd.�� <br />O' Grady-Peyton International Recruitment U.K. Ltd.�� <br />Origin, Inc. DBA Shiftwise�� <br />3 <br />Josem Holdings, Inc.�� <br />Jim Kendall and Associates, LLC�� <br />San Francisco <br />FKA MedPartners HIM, LLC�� <br />DBA: Worldview Healthcare, Inc�� <br />Healthsource Global Staffing Corporation�� <br />HealthSource Global Staffing�� <br />DBA: Rx Pro Health of New Jersey Limited Liability Company�� <br />�� <br />DBA: Rx Pro Health of Tennessee, LLC�� <br />DBA: Rx Pro Health of Pennsylvania, LLC�� <br />Certificate of Liability Insurance <br />Peak Government Services, LLC�� <br />Merritt, Hawkins & Associates, Inc.�� <br />CN103083106 <br />O' Grady-Peyton International (Europe) Ltd.�� <br />Kendall & Davis�� <br />Nursefinders Acquisition Corporation�� <br />Linde Healthcare Staffing, Inc.�� <br />Nursefinders of Vermont, LLC�� <br />M&E Affiliates, Inc. DBA: TVL Healthcare�� <br />Medfinders�� <br />Med Travelers, LLC�� <br />O' Grady-Peyton International (India) Ltd.�� <br />NF Investors, Inc.�� <br />NF Acquisition Corporation�� <br />Merritt, Hawkins & Associates of New Jersey, Limited Liability Company�� <br />Onward Healthcare of Missouri, LLC�� <br />O' Grady-Peyton International (USA), Inc. (OGP)�� <br />MillicanSolutions�� <br />Onward Healthcare, LLC�� <br />MARSH RISK & INSURANCE SERVICES <br />O' Grady-Peyton International (SA) (Proprietary) Ltd.�� <br />Onward Healthcare, Inc.�� <br />12400 High Bluff Drive��AMN Healthcare, Inc.�� <br />�� <br />San Diego,CA 92130-3077�� <br />�� <br />�� <br />�� <br />Merritt Hawkins & Associates, LLC�� <br />Nursefinders, Inc.�� <br />MillicanSolutions, LLC�� <br />NF Services, Inc.�� <br />25 <br />O' Grady-Peyton International (USA), Inc. (Singapore Branch)�� <br />Leaders for Today, LLC�� <br />DocuSign Envelope ID: 1DA2E3C9-2103-4259-9AB2-7F86E8F05F9D