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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 />Merritt, Hawkins & Associates, LLC��� <br />Jim Kendall and Associates, LLC��� <br />HealthSource Global Staffing, Inc.��� <br />DBA: Rx Pro Health of Pennsylvania, LLC��� <br />DBA: Rx Pro Health of New Jersey Limited Liability Company��� <br />DRWanted.com dba DRW Healthcare Staffing�� <br />DBA: Rx Pro Health of Tennessee, LLC�� <br />DBA: Nursefinders of Verona��� <br />�� <br />Peak Provider Solutions, Inc. ��� <br />DBA: Nursefinders of Wisconsin, LLC��� <br />Origin, Inc. DBA: ShiftWise��� <br />Med Travelers, Inc. (MTI)��� <br />O' Grady-Peyton International (USA), Inc. (Singapore Branch)��� <br />Linde Health Care Staffing, Inc.��� <br />NF Holdings Corporation��� <br />Josem Holding, Inc.��� <br />MSI Systems Corp. dba Medical Search International�� <br />Nursefinders Acquisitions, LLC��� <br />Medpartners HIM LLC��� <br />Radiologic Enterprises, Inc. DBA: Resources On Call, LLC��� <br />Nursefinders Acquisition Corporation��� <br />MillicanSolutions, LLC�� <br />4 <br />San Francisco <br />Certificate of Liability Insurance <br />�� <br />Pharmacy Choice, Inc.��� <br />O' Grady Peyton International (India) Private Limited��� <br />�� <br />Med Travelers, LLC��� <br />Onward Healthcare Staffing ��� <br />Locum Leaders, Inc.��� <br />NF Investors, Inc.��� <br />O' Grady Peyton International (Europe) Ltd.��� <br />National Healthcare Staffing, LLC��� <br />Nursefinders of Vermont, LLC��� <br />Pharmacy Choice, LLC��� <br />Kendall & Davis��� <br />Medefis, Inc.��� <br />O' Grady-Peyton International (SA) (Proprietary) Ltd.��� <br />NF Services, Inc.��� <br />Peak Government Services, LLC��� <br />O' Grady Peyton International Recruitment U.K. Ltd.��� <br />25 <br />Nursefinders Restorative Care Services, Inc.��� <br />DBA: Rx Pro Health of Michigan, LLC ��� <br />Peak Health Solutions, Inc.��� <br />Onward Healthcare, LLC��� <br />M&E Affiliates, Inc. DBA: TVL Healthcare��� <br />Leaders for Today, LLC��� <br />2999 Olympus Blvd., Suite 500��AMN Healthcare, Inc.�� <br />Phillips DiPisa & Associates, Inc.��� <br />Dallas,TX 75019�� <br />�� <br />Medfinders��� <br />O' Grady-Peyton International (USA), Inc. (OGP)��� <br />3 <br />CN103083106 <br />�� <br />O' Grady-Peyton International (Australia) (Proprietary) Ltd.��� <br />NF Acquisition Corporation��� <br />Nursefinders, LLC��� <br />DocuSign Envelope ID: 7B7CECB8-9158-4350-B902-CEF8A2FB9C9B