Supplemental Agreement between The Bloomberg Family Foundation Inc. and the International Bank for Reconstruction and Development and the International Development Association regarding the Tobacco Control Program Multi-Donor Trust Fund (Trust Fund No. 073251 parallel to original Trust Fund No. 072332) 1. Reference is made to the Administration Agreement between The Bloomberg Family Foundation Inc. (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 Tobacco Control Program Multi-Donor Trust Fund (Trust Fund No. 072332) (the "Trust Fund") effective as of December 12, 2014, as amended (the "Administration Agreement"). 2. In connection with the Administration Agreement, and in support of the Tobacco Control Program Multi-Donor Trust Fund, the Bank acknowledges that the Donor agrees to provide a contribution in the amount of one million United States Dollars (USD 1,000,000) (the "Contribution") in accordance with the terms of this Supplemental Agreement (the "Supplemental Agreement"). 3. In order to apply the Bank's new cost recovery provisions, the Bank has established a new parallel trust fund account (Trust Fund No. 073251) (the "Parallel Account") for purposes of receiving contributions for the Tobacco Control Program Multi-Donor Trust Fund, which will be administered in parallel with the original trust fund account (Trust Fund No. 072332) (the "Original Account"), both of which accounts constitute the Tobacco Control Program Multi-Donor Trust Fund. 4. The Donor shall deposit the Contribution in accordance with the following schedule and in the currency specified in paragraph 2 above into such bank account designated by the Bank (each amount deposited hereinafter referred to as an "Installment") upon submission of a payment request by the Bank: (A) By January 31, 2019 - USD 503,000. (B) By February 28, 2020 - USD 497,000 5. The Contribution is being provided in Installments on the basis of financial needs of the Trust Fund, such that if the speed of the implementation of the activities to be financed by the Trust Fund makes it necessary either to bring Installments forward or to delay them, the Installments schedule may be amended as agreed by the Bank and the Donor. 6. When making a deposit, the Donor shall instruct its bank to include in its deposit details information (remittance advice) field of its SWIFT deposit message, information indicating: the amount deposited, that the deposit is made by the Donor for Trust Fund No. 073251 (the Tobacco Control Program Multi-Donor Trust Fund), and the date of the deposit (the "Deposit Instructions"). In addition, the Donor shall provide a copy of the Deposit Instructions to the Bank's Accounting Trust Funds Division by e-mail sent to tfremitadvice@worldbank.org or by fax sent to (202) 614-1315. 7. The Parallel Account, including with respect to the Contribution funds and any other funds contributed thereto, shall be governed by the terms of the Administration Agreement, except that the revisions specified in the Schedule attached to this Supplemental Agreement shall apply. I 8. The Parties agree that the End Disbursement Date for purposes of the Parallel Account is April 30, 2021. 9. For clarity, (a) subject to paragraphs 7 and 8 above, all other terms of the Administration Agreement, as such terms may be amended from time to time, shall apply to the funds in the Parallel Account; and (b) all funds in the Original Account shall be governed by the terms of the Administration Agreement, as such terms may be amended from time to time, without regard to this Supplemental Agreement. 10. At the date of Bank's signature of this Supplemental Agreement, the Indirect Rate (as defined in the Schedule to this Supplemental Agreement) is 17%. i1. The Bank shall disclose this Supplemental Agreement in accordance with the Bank's Policy on Access to Information. By entering into this Supplemental Agreement, the Donor consents to such disclosure. 12. Each of the Parties represents, by confirming its agreement below, that it is authorized to enter into this Supplemental Agreement and act in accordance with these terms and conditions. The Parties are requested to sign and date this Supplemental Agreement, and upon possession by the Bank of this fully signed Supplemental Agreement, this Supplemental Agreement shall become effective as of the date of the last signature. NTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT INTERNATIONAL DEVELOPMENT ASSOCIATION By: __ _ _ _ _ _ _ _ Olusoji Adeyi Acting Senior Director Health, Nutrition and Population Date: 14-Dec-2018 THE BLOOMBERG FAMILY FOUNDATION INC. By: ___ Patricia E. Harns CEO, Bloomberg Family Foundation Date: .__2-11_____ 2 Schedule Revisions to the Administration Agreement for Purposes of the Parallel Account Only (A) Section 3 (Trust Fund Fees and Costs) of Annex 2 of the Administration Agreement is hereby eliminated. (B) Section 3.1 of Annex 1 of the Administration Agreement is hereby substituted with the following terms: "(a) The following eligible expenditures categories may be used to finance Bank-executed activities: (i) staff costs (excluding short term consultants and temporaries, and also excluding extended term consultants and temporaries (ii) extended term consultants and temporaries (iii) short-term consultants and temporaries (iv) contractual services (v) media, workshops, conferences and meetings (vi) travel expenses (vii) equipment and office premises lease cost (b) For purposes of the above expenditure categories: (i) "staff costs (excluding short term consultants and temporaries, and also excluding extended term consultants and temporaries)" includes salaries, benefits and Indirect Rate charged to the Trust Fund as applicable under Bank policies and procedures; (ii) "extended term consultants and temporaries" includes fees, benefits and Indirect Rate charged to the Trust Fund as applicable under Bank policies and procedures; and (iii) "short term consultants and temporaries" includes fees and Indirect Rate charged to the Trust Fund as applicable under Bank policies and procedures. (c) The "Indirect Rate" means the indirect rate, defined as a percentage of personnel costs and available at the Development Partner Center website, as such rate may be revised from time to time by the Bank and applied to this Trust Fund, in accordance with its policies and procedures." (C) The following activities description is added under paragraph 2. I of Annex I to the Administration Agreement: "6. Program management and administration activities for the Trust Fund, including but not limited to, supporting any program governance arrangements and Trust Fund related meetings; planning and executing work plans and budgets; managing communications and conducting outreach; disseminating lessons learned; reporting on progress; and monitoring and evaluating the program." 3