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AGENCY CUSTOMER ID: HEALMAN-01 <br />LOC #: 1 <br />KBUCHER <br />ACORLY <br />ADDITIONAL REMARKS SCHEDULE <br />Page 1 of 1 <br />AGENCY <br />Thompson Flanagan Executive Liability Group <br />NAMED INSURED <br />Health Management Associates Inc. <br />120 N. Washington Square, #706 <br />Lansing, MI 48033 <br />POLICY NUMBER <br />SEE PAGE 1 <br />CARRIER <br />SEE PAGE 1 <br />NAIC CODE <br />SEE P 1 <br />EFFECTIVE DATE: SEE PAGE 1 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />Description of Operations/Locations/Vehicles: <br />any right to subrogation which any insurer of said Consultant may acquire against City by virtue of the payment of any loss under <br />such insurance. Consultant agrees to obtain any endorsement that may be necessary to affect this waiver of subrogation, but this <br />provision applies regardless of whether or not the City has received a waiver of subrogation endorsement from the insurer. <br />Additional Named Insured(s): <br />HEALTH MANAGEMENT ASSOCIATES <br />HMA PUBLIC ADVOCATES LLC <br />HMA INTERNATIONAL LLC <br />HMA HOLDING CORPORATION <br />CARE INTEGRATION PARTNERS (CIP) <br />HMA MEDICAID MARKET SOLUTIONS <br />HMA ADVISORS LLC LEAVITT PARTNERS LLC <br />HEALTH MANAGEMENT ASSOCIATES HOLDING INC. <br />LEAVITT PARTNERS LLC <br />LEAVITT EQUITY PARTNERS MANAGEMENT LLC <br />LEAVITT PARTNERS INSIGHT LLC <br />WILSON STRATEGIC COMMUNICATIONS INC <br />.,Wek M.wbmnntUhifion <br />�+' �g5 neneetf>:o 6yArrxov®ar. <br />_^�i I6YG YfP/IQOK <br />AGURD 1U1 (20081(11) ©2008 ACORD COR RM.M.,mgen it Gniw[Aide q <br />The ACORD name and logo are registered marks of ACORD <br />