' equ te 07 AU1l OFFId(IXL The World Bank DO (202)473-1000 INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT Washington, D.C. 20433 Cable Address: INTBAFRAD INTERNATIONAL DEVELOPMENT ASSOCIATION U.S.A. Cable Address: INDEVAS " , 2017 H.E. Mohammed Boussaid Minister of Economy and Finance Minist&re de l'Economie et des Finances Avenue Mohammed V Quartier Administratif Rabat, Morocco RE: Kingdom of Morocco: Improving Primary Health in Rural Areas Program (Loan No. 8507-MA) Amendment to the Loan Agreement Excellency: 1. We refer to the Loan Agreement ("Agreement"), dated July 2, 2015, for the Improving Primary Health in Rural Areas Program ("Program") between the Kingdom of Morocco ("Borrower") and the International Bank for Reconstruction and Development ("Bank"). We also refer to the Borrower's letters dated August 1, 2016 and May 16, 2017, requesting some amendments the Agreement. 2. The Borrower and the Bank hereby agree to amend the Agreement as follows: Paragraph 24 of Section I to the Appendix is deleted and replaced with the following: "24. "Program Area" means the Borrower's regions of Tanger-Tetouan-Al Hoceima, Oriental, F&s-Meknbs, B6ni Mellal-Kh6nifra, Marrakech-Safi, Drda-Tafilalet, and Souss- Massa." 3. DLR #7.1 in the table in Section IV.A.2 of Schedule 2 is amended to read as follows: "DLR#7. 1: Urbanization' process complete" 4. Section IV.B. 1.(c) is modified to read as follows: "(c) for any DLR under Categories (1) through (5), until and unless the Borrower provides to the Bank the updated CY 2014 baseline value for each DLI for the Program Area in a manner satisfactory to the Bank." 1 5. The following sub-paragraph (d) is added to Section IV.B. 1: "(d) for any DLR under Category (6), until and unless the Borrower provides to the Bank the updated CY 2013 baseline value for each DLI for the Program Area in a manner satisfactory to the Bank." 6. All other provisions of the Agreement, as amended hereby, shall remain in full force and effect. 7. Please confirm your agreement to the foregoing by signing, dating and returning to us one fully executed original of this amendment letter and retaining one original of the letter for your records. This amendment letter shall become effective as of the date of the countersignature. Very truly yours, INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT Sincerely, Marie-Frangoise Marie-Nelly Country Director for the Maghreb Middle East and North Africa Region AGREED: toriz dRepresentative Name: * LWj ) Title: a 4 Z Date: 2