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4 <br />unusable and with facilities substantially similar to the Clinic. If such replacement <br />Clinic is not so provided, Employer may terminate this Agreement, effective upon <br />written notice to Vera pursuant to Section 9.2 of the Agreement.” <br />5.2 (a) The introductory provisions of Section F are deleted in their entirety. <br />(b) Section F.1 shall be deleted in its entirety. <br />(c) Section F.2 shall be deleted in its entirety and replaced with the following: <br />“Vera and Employer agree that the Clinic will being as an “open clinic,” in <br />which participants of other employers may use the Clinic, and Employer’s <br />Participants may use the anchor clinics of other employers, as well as any <br />open network clinic in the Western Washington Market.” <br />5.3 All other Sections of Schedule 3 shall continue to be effective without modification. <br />6. Agreement Attachments Unchanged by Amendment 5. The following attachments to <br />the Agreement are unchanged by Amendment 5 and continue to be effective without modification: <br /> Exhibit 1 – Example – Enrollment File Data Specifications and Requirements <br /> Schedule 4 - Business Associate Agreement. <br />7. Order of Precedence. Should there be a discrepancy between the terms and conditions <br />of this Amendment 5 and the terms and conditions of the Agreement, the terms and conditions of <br />this Amendment 5 shall prevail. <br />8. 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. Electronic signatures are fully binding. <br />9. Ratification. Except as expressly modified by this Amendment 5, 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 5, this Amendment 5 shall control over the Agreement to the <br />extent necessary to give effect the intent of the parties hereunder. <br /> <br />[signature page to follow] <br />