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In the e ent the law or regulations are effectively amended to increase or decrease <br /> the annual amount nec ssary to require this clause, the amount set forth herein shall be deemed <br /> amended accordingly. otwithstanding the presence of this clause in this Agreement, this clause <br /> shall only be applicable if the actual dollar amount paid during any twelve month period equals or <br /> exceeds that governmental threshold amount. <br /> 7. Insurance. <br /> 7.1 Insurance Maintained By Vera. Throughout the Term, Vera and Vera PC shall <br /> ensure that professional liability insurance is maintained for all licensed healthcare Providers with <br /> minimum coverage of a least$1 million per claim, and $5 million in the aggregate,or$5 million <br /> per claim and $9 millio in the aggregate, or higher limits, the determination of which will be at <br /> the sole discretion of E ployer, provided a minimum of 30 days advance notice is given to Vera <br /> of such determination. era and Vera P.C. shall maintain commercial general liability insurance <br /> in the amount of $1 million per claim, and $2 million in the aggregate. Vera will maintain <br /> commercial property insurance to insure its Clinic property at replacement value. Employer shall <br /> be named as an additiona insured under such commercial general liability insurance policies.Vera <br /> and Vera PC shall also maintain appropriate worker's compensation and employer's liability <br /> insurance coverage in ac ordance with at least the minimum amounts required by any applicable <br /> federal and state laws an regulations. Vera shall provide to Employer copies of these insurance <br /> policies upon request. Vdra shall notify Employer immediately of any change in Vera's and Vera <br /> PC's insurance status or coverage including, but not limited to, any insurance policy required <br /> hereunder being impaired, cancelled, or reduced by the insurance carrier or Vera and Vera PC for <br /> any reason. <br /> Vera and Vera P 's maintenance of insurance as required by this agreement shall not be <br /> construed to limit the liability of Vera to the coverage provided by such insurance or otherwise <br /> limit the Employer's recourse to any remedy available at law or in equity. Vera and Vera PC's <br /> insurance coverage shall be primary insurance as respects the Employer.Any insurance, self- <br /> insurance, or insurance p of coverage maintained by the Employer shall be excess of Vera's <br /> insurance and shall not co tribute with it. Insurance must be placed with insurers with a current <br /> A.M. Best rating of not les than A:VII. Vera shall furnish the Employer with original <br /> certificates and a copy of he amendatory endorsements, including but not necessarily limited to <br /> the additional insured endorsement, evidencing the insurance requirements of Vera have been <br /> met before commencement of the Services. <br /> Any policy of req fired insurance shall be written on an occurrence basis if available. If <br /> claims made coverage is o be used, the form of policy must be submitted to Employer City <br /> Attorney for pre-approva , which will not be unreasonably withheld. Vera and Vera P.C. <br /> acknowledge and agree that,among the other instances in which it would be reasonable to withhold <br /> approval of claim-made c9verage, it would be reasonable for Employer to withhold approval if <br /> provision is not made for it coverage for all Providers. <br /> 10 <br />