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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 />MARSH RISK & INSURANCE SERVICES <br />2 4 <br />AMN Healthcare, Inc.12400 High Bluff DriveSan Diego,CA 92130-3077 <br />25 Certificate of Liability Insurance <br />CN103083106 <br />San Francisco <br />Full Named Insured Schedule: <br />AMN Allied Services, LLC <br />AMN Healthcare Allied, Inc. <br />AMN Healthcare Services, Inc. (AHS) <br />AMN Healthcare, Inc. (AMN) <br />AMN Language Services <br />AMN Leadership Solutions, Inc. <br />AMN Services of New Hampshire, LLC <br />AMN Services of Ohio, Inc. <br />AMN Services, LLC <br />AMN Staffing Services of Alabama, LLC <br />AMN Staffing Services, LLC <br />AMN Vision Services, LLC <br />AMN Workforce Solutions, LLC <br />Avantas, LLC <br />B.C.P., Inc. (divested 01/30/2012) <br />B.E. Smith Interim Services, Inc. <br />B.E. Smith Interim Services, LLC <br />B.E. Smith International <br />B.E. Smith, Inc. <br />B.E. Smith, Inc. of Kansas <br />B.E. Smith, LLC <br />B4Health, LLC <br />Club Staffing, LLC <br />Connetics Communications LLC <br />DBA: Advanced Medical Personnel Service, Inc. <br />DBA: Advanced Medical Personnel Services LLC <br />DBA: American Mobile Healthcare <br />DBA: AMN Healthcare Recruitment Process Outsourcing <br />DBA: AMN Services of Arizona <br />DBA: AMN Services of New Jersey Limited Liability Company <br />DBA: AMN Staffing Services of New Jersey <br />DBA: F/K/A Worldview Healthcare, Inc. <br />DBA: Intech Staffing <br />DBA: Medical Express <br />DBA: Merritt, Hawkins and Associates of New York, LLC <br />DBA: MTI Staffing <br />DBA: NurseChoice <br />DBA: Nursefinders of Alabama, LLC <br />DBA: Nursefinders of Arizona, LLC <br />DBA: Nursefinders of Cherry Hill <br />DBA: Nursefinders of Missouri, LLC <br />DBA: Nursefinders of New York, LLC <br />DBA: Nursefinders of Rhode Island, LLC <br />DBA: Nursefinders of Verona <br />DBA: Nursefinders of Wisconsin, LLC <br />DBA: Preferred Healthcare Staffing <br />DocuSign Envelope ID: 76B817AA-FF3F-46C9-905E-8E74304FD146