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IN WITNESS WHEREOF, the parties have hereunto set their hands. <br /> GROUP HEALTH PLAN, INC. <br /> By: ,12_ <br /> Its: Seri Or �ect aesAa <br /> STATE OF MINNESOTA } <br /> ).ss <br /> COUNTY OF kohevin ) <br /> On thisO day of , 2010, before me, a notary public w'thm and for <br /> said county, personally appe d k (� �, the .V+ -,es; of <br /> Group Health Plan, Inc., a Minnesota cor tion, and he/she executed the same on behalf of <br /> the company. <br /> otary Public u <br /> t;A1HLEE{ N OU <br /> _ FA]F.3 <br /> 3 <br />