Finance Committee - Agenda - 10/4/2017 - P163

ACKNOWLEDGMENT AND APPROVAL

The undersigned duly authorized officer of Plan Sponsor hereby acknowledges, understands, and
agrees, on behalf of Plan Sponsor, to this Exhibit A, which shall, upon execution of the parties
hereto, become an integral part of the Agreement for Part D Subsidy Services made by and between
PDA and Plan Sponsor as currently in effect.

PART D ADVISORS, INC. City of Nashua, on behalf of itself and
the City of Nashua Health Plan

By: By:
Name: Name:
Title: Title:
Date: Date:

City of Nashua 10 SA Revised March 2016