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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 />4 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 />Onward Healthcare, LLC <br />Origin, Inc. DBA Shiftwise <br />Peak Government Services, LLC <br />Peak Health Solutions, Inc. Of Louisiana <br />Pharmacy Choice, Inc. <br />Pharmacy Choice, LLC <br />Phillips DiPisa & Associates, LLC <br />Radiologic Enterprises, Inc. DBA: Resources On Call, LLC <br />Resources On Call, LLC <br />RN Demand, Inc. (RND) <br />Rx ProHealth, Inc. <br />Rx ProHealth, LLC <br />Shiftwise, Inc <br />Silversheet Inc. <br />SnapMD Healthcare, LLC <br />Staff Care, Inc. <br />Staffco Holdings, Inc. <br />Stratus Audio, Inc. <br />Stratus InDemand, Inc. <br />Stratus Interpreting, LLC. <br />Stratus OPI, Inc. <br />Stratus Video LLC <br />Synzi, LLC <br />The First String Healthcare <br />The MHA Group, Inc. (MHA Group) <br />DocuSign Envelope ID: 76B817AA-FF3F-46C9-905E-8E74304FD146