DocuSign Envelope ID: B6B1ACA2-6E23-41F3-874C-69B73C1AA90D O FFICIAL DOCUMENTS Amendment to the Administration Agreement between the Bill & Melinda Gates Foundation and the International Bank for Reconstruction and Development and the International Development Association concerning the Multi-Donor Trust Fund for the Global Financing Facility (GFF) in Support of Every Woman Every Child (Original TF No. TFO70955, Parallel TF No. TFO 72645) 1. Reference is made to the Administration Agreement between the Bill & Melinda Gates Foundation (the "Donor") and the International Bank for Reconstruction and Development and the International Development Association (collectively, the "Bank" and together with the Donor, the "Parties" and each a "Party") regarding the Multi-Donor Trust Fund for the Global Financing Facility (GFF) in Support of Every Woman Every Child (the "Trust Fund"), effective as of November 30, 2015, (the "Administration Agreement"). The Trust Fund consists of TF No. TF070955 and TF No. TF072645. 2. The Donor and the Bank agree to amend section pertaining to expenditure categories for the recipient-executed activities under Section 4 of Annex 1 to the Administration Arrangement to read as follows: "For Recipient-executed activities, the Trust Fund funds may be used to finance eligible expenditures in accordance with the Bank's applicable policies and procedures." 3. All other terms of the Administration Agreement shall remain the same. 4. The Bank shall disclose this Amendment in accordance with the Bank's Policy on Access to Information. By entering into this Amendment, the Donor consents to such disclosure. [remainder of page intentionally left blank] DocuSign Envelope ID: B6B1ACA2-6E23-41F3-874C-69B73C1AA90D 5. Each of the Parties represents, by confirming its agreement below, that it is authorized to enter into this Amendment and act in accordance with these terms and conditions. The Parties are requested to sign and date this Amendment, and upon possession by the Bank of this fully signed Amendment, this Amendment shall become effective as of the last date of signature of the respective amendments signed by all donors contributing to the Trust Fund. INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT INTERNATIONAL DEVELOPMENT ASSOCIATION B y : _ _ _ _ _ _ _ _D a t e : 0 Timothy Grant Evans Senior Director Health, Nutrition and Population Global Practice BILL AND MELINDA GATES FOUNDATION DocuSigned by: B: kys fLsD$ November 17, 2016 By: ~c~AzDDA1..Date: ________________ Dr. Chris Elias President Global Development