27-Jul-2020 Dr. Joy St. John Executive Director Caribbean Public Health Agency 16-18 Jamaica Boulevard Federation Park Port of Spain Trinidad and Tobago Ref.: OECS Regional Health Project Grant No. D512-LC Amendment to the Financing Agreement Excellency: We refer to the Financing Agreement (the “Financing Agreement”) between the International Development Association (the “Association”) and the Caribbean Public Health Agency (the “Recipient”), dated October 22, 2019 for the above referred Project. Please note that capitalized terms used in this letter (“Amendment Letter”) and not defined herein have the meaning ascribed to them in the Financing Agreement. Due to the activation of the Contingency Emergency Response Component under the Project for the Commonwealth of Dominica, Grenada and Saint Vincent and the Grenadines, we are pleased to inform you that the objective of the Project set forth in the first paragraph of Schedule 1 to the Financing Agreement has been updated as set forth below: “The objectives of the Project are to: (a) improve preparedness capacities of health systems for public health emergencies in the OECS region; and (b) provide a response in the event of eligible crises or emergencies.” All other provisions of the Financing Agreement, except as herein amended, shall remain in full force and effect. 2 Please confirm your agreement with the foregoing, on behalf of the Recipient, by signing and dating two originals of this Amendment Letter and returning one fully signed original to us. The amendment set forth in this Amendment Letter will become effective as of the date of your countersignature, upon receipt by the Association of one fully countersigned original of this Amendment Letter. Very truly yours, INTERNATIONAL DEVELOPMENT ASSOCIATION By__________________________________ Tahseen Sayed Country Director AGREED AND CONFIRMED: CARIBBEAN PUBLIC HEALTH AGENCY By: _________________________ (Authorized Representative) Joy St. John Name: _________________________ Executive Director Title: _________________________ 27-Jul-2020 Date: _________________________