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<br />1 <br /> <br /> <br />AMENDMENT NO. 4 <br />TO <br />VERA CLINIC AGREEMENT <br /> <br /> <br /> THIS AMENDMENT NO. 4 TO VERA CLINIC AGREEMENT (this “Amendment”), <br />dated as of last signature below (the “Effective Date”), amends the terms of the June 7, 2019 Vera <br />Clinic Agreement, as amended (the “Agreement”) by and among Vera Whole Health, Inc., Vera <br />Whole Health WA, P.C. (collectively “Vera”), and the City of Everett (previously “Employer”). <br />All capitalized terms not otherwise defined herein shall have the meanings set forth in the <br />Agreement. <br /> <br /> Pursuant to Section 10.10 of the Agreement, parties desire to amend the Agreement. Now, <br />therefore, for valuable consideration, all parties agree as follows: <br />1. Defined Terms. Unless otherwise defined in this Amendment, capitalized terms used <br />herein shall have the same meaning as they are given in the Agreement. <br />2. Amendment. Section 1.4 of the Agreement is hereby amended to add the underlined text <br />as follows: <br /> <br />1.4 “Participants(s)” are the employees and related family members and dependents <br />of the Employer whom Employer has designated as qualified to obtain the Services. <br />Participants include retired employees of the Employer and such retired employees’ <br />spouses/domestic partners whom Employer has designated as qualified to obtain the <br />Services. <br /> <br />3. Counterparts. This Amendment may be executed in counterparts, and signed counterparts <br />may be delivered by electronic transmission, such counterparts, when taken together, constituting <br />a single integrated agreement. <br />4. Ratification. Except as expressly modified by this Amendment, the Agreement is <br />reinstated and reaffirmed and remains in full force and effect. In the event of any conflict between <br />the Agreement and this Amendment, this Amendment shall control over the Agreement to the <br />extent necessary to give effect the intent of the parties hereunder. <br /> <br /> <br /> <br />[Remainder of this page intentionally left blank]