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EXHIBIT A-2 <br /> CONTRACT ADMINISTRATOR <br /> Name: Patrice Atkinson <br /> Title: Recreation Supervisor <br /> Mailing Address: 400 10th Street NW,New Brighton MN 55112 <br /> Phone: (651)638-2143 <br /> Fax: (651)638-2135 <br /> Email: patrice.atkinsonAnewbrightommn.gov <br /> The Contract Administrator shall receive legal correspondence regarding the Agreement, shall have access to <br /> payment information for all Facilities in Exhibit A-1 to this Agreement, and shall be responsible for setting up <br /> Healthways Fitness Provider Portal accounts for Facility staff. <br /> BUSINESS INFORMATION <br /> Business Name: City of New Brighton <br /> O Individual/sole proprietor O Partnership <br /> O Corporation O Exempt from backup withholding <br /> ❑x Other Government/Municipal Corporation <br /> Business License No.: N/A <br /> Licensing Authority(i.e.,County/State): <br /> By signing this Agreement, under penalty of perjury I certify that: 1) all information provided above is true and <br /> correct to the best of my knowledge, 2) all Facilities in Exhibit A-1 to this Agreement are providing services under <br /> the above named business,and 3)in the event that the Business Name above differs from a Facility Name in Exhibit <br /> A-1 to this Agreement,then Facility is operating as a d/b/a of the above Business Name. <br /> Payment Address: 400 10th Street NW <br /> New Brighton,MN 55112 <br /> Attention: Patrice Atkinson/Accounts Receivable <br /> Who should Healthways contact to'coordinate the technical aspects of monthly utilization data reporting? <br /> Name: Heidi Sedlacek <br /> Phone: (651)638-2124 <br /> Email: heidi.sedlacek(2,,newbrightommn.gov <br /> C1A_FC_V2011-2 <br /> 386619v5 MJM NE136-111 <br />