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Dental Care Service Contract <br /> Amendment <br /> Contract Number 2021-01-00389-RC Amendment# 1 <br /> Contract Effective Date 1/1/2021 Amendment Effective Date 5/1/2022 <br /> Group Number(s): 00389 <br /> Group Name City of Everett <br /> WHEREAS, Group and Delta Dental of Washington (DDWA) entered into a Contract for Dental Care Services as <br /> indicated above, and <br /> WHEREAS, Group and DDWA wish to amend their Contract to add Conflict of Interest provision, and <br /> WHEREAS, Group and Delta Dental of Washington agree to amend the Contract as indicated with this <br /> Amendment, NOW THEREFORE, <br /> Effective 5/1/2022,the following provision is being added to the Dental Care Service Contract: <br /> Conflict of Interest <br /> Delta Dental declares that no conflict of interest with the City exists, nor do they have an <br /> affiliation with or involvement in any organization or entity which may pose a financial or non- <br /> financial conflict of interest with the City. <br /> Except to the extent that the Contract and any prior Amendments are modified by this Amendment,they shall <br /> remain in full force and effect and,together with this Amendment be the full Contract between the parties. <br /> Accepted By: Accepted By: <br /> City of Everett Delta Dental of Washington <br /> 2930 Wetmore Avenue, Floor 6 Post Office Box 75983 <br /> Everett,WA 98201-4067 Seattle,WA 98175-0983 <br /> Signed: __ Signed: <br /> Title: ,yoY' Title: Vice President <br /> Underwriting and Actuarial <br /> Date: u 1214 2�7� Date: May 24, 2022 <br /> e 7 APPROVED AS TO FORM <br /> ` OFFICE OF THE CITY ATTORNEY <br /> • <br /> EVERETT ii7- <br /> Clerk <br /> 2021-01-00389-A1 <br />