Finance Committee - Agenda - 1/6/2021 - P116

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 Advisors Dependent Eligibility Verification 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 7 DEV SA Revised January 2020