Lilia Burunciuc Country Director Latin America and the Caribbean Region December 4, 2023 Dr. Felix Holiday Medical Director Sint Maarten Medical Center Foundation Sint Maarten Re: Grant No. C2387-SX (Second Additional Financing for Sint Maarten Hospital Resiliency and Preparedness Project) Additional Instructions: Disbursement and Financial Information Letter Dr. Holiday: I refer to the Grant Agreement (“Agreement”) between the International Bank for Reconstruction and Development (“World Bank”), acting as administrator of Sint Maarten: Hurricane Irma Reconstruction, Recovery and Resilience Trust Fund and Sint Maarten Medical Center Foundation (the “Recipient”) for the above-referenced project. The Agreement provides that the World Bank may issue additional instructions regarding the withdrawal of the proceeds of Grant C2387-SX (“Grant”). This letter (“Disbursement Letter”), as revised from time to time, constitutes the additional instructions. I. Disbursement Arrangements, Withdrawal and Reporting of Grant Proceeds . The Disbursement Guidelines for Investment Project Financing, dated February 2017 (“Disbursement Guidelines”), are available on the Bank's public website at https://www.worldbank.org and are an integral part of the Disbursement and Financial Information Letter. The manner in which the provisions in the Disbursement Guidelines apply to the Grant is specified below. (i) Disbursement Arrangements The table in Schedule 1 sets out the disbursement methods which may be used by the Recipient, information on registration of authorized signatures, processing of withdrawal applications (including minimum value of applications and processing of advances), instructions on supporting documentation, and frequency of reporting on the Designated Account. (ii) Electronic Delivery. The World Bank may permit the Recipient to electronically deliver applications (with supporting documents) through the World Bank’s web-based portal (https://clientconnection.worldbank.org) “Client Connection”. This option may be effected if the officials designated in writing by the R ecipient who are authorized to sign and deliver Applications have registered as users of “Client Connection”. The designated officials may deliver Applications electronically by completing the Form 2380, which is accessible through “Client Connection”. By signing the Authorized Signatory Letter, the Recipient confirms that it is 2 authorizing such persons to accept Secure Identification Credentials (SIDC) and to deliver the Applications and supporting documents to the World Bank by electronic means. The Recipient may continue to exercise the option of preparing and delivering Applications in paper form. The World Bank reserves the right and may, in its sole discretion, temporarily or permanently disallow the electronic delivery of Applications by the Recipient. By designating officials to use SIDC and by choosing to deliver the Applications electronically, the Recipient confirms through the authorized signatory letter its agreement to: (a) abide by the Terms and Conditions of Use of Secure Identification Credentials in connection with Use of Electronic Means to Process Applications and Supporting Documentation, available in the World Bank's public website at https://worldbank.org and “Client Connection”; and (b) to cause such official to abide by those terms and conditions. II. Financial Reports and Audits 7/ Section 2.07 (a) and (b) of the Standard Conditions. (i) Financial Reports. The Recipient must prepare and furnish to the Bank not later than forty-five (45) days after the end of each calendar quarter, interim unaudited financial reports (“IFR”) for the Project covering the quarter. (ii) Audits. Each audit of the Financial Statements must cover the period of one fiscal year of the Recipient, commencing with the fiscal year in which the first withdrawal was made. The audited Financial Statements for each such period must be furnished to the Bank not later than six (6) months after the end of such period. III. Other Important Information For additional information on disbursement arrangements, please refer to the Loan Handbook available on the Bank’s website (http://www.worldbank.org/) and “Client Connection”. The World Bank recommends that you register as a user of “Client Connection”. From this website you will be able to prepare and deliver Applications, monitor the near real-time status of the Grant, and retrieve related policy, financial, and procurement information. For more information about the website and registration arrangements, please contact the World Bank by email at clientconnection@worldbank.org. If you have any queries in relation to the above, please contact askloans@worldbank.org using the above reference. Yours sincerely, INTERNATIONAL BANK FOR DEVELOPMENT AND RECONSTRUCTION By ______________________________ Lilia Burunciuc Country Director 3 Attachments 1. Form of Authorized Signatory Letter Cc with copies: Hon. Omar Ottley Minister of Health, Labour and Social Affairs (VSA) omar.ottley@sintmaartengov.org 4 Schedule 1: Disbursement Arrangements Basic Information Country Sint Maarten Closing Date Section III B.2 of Schedule Recipient Sint Maarten Medical Center Foundation 2 of the Grant Agreement Grant TF C2387 Name of Second Additional Financing for the Sint Disbursement Deadline Four months after the Number the Project Maarten Hospital Resiliency and Date Closing Date Preparedness Project Subsection 3.7 ** Disbursement Methods, and Supporting Documentation Disbursement Methods Methods Available Supporting Documentation Section 2 (**) Subsections 4.3 and 4.4 (**) Direct Payment Yes Copy of Records Reimbursement Yes Interim unaudited Financial Report (IFR) in the format currently being used for TFs A8176-SX and B3788-SX Designated Account: Yes Interim unaudited Financial Report (IFR) in the format currently being used for TFs A8176-SX and B3788-SX Special Commitments Yes Copy of Letter of Credit Designated Account (Section 5 and 6 **) Pooled – grant proceeds may be comingled with advances from Variable Type Ceiling grants A8176 and B3788 Windward Island Bank USD Financial Institution - Name Currency Frequency of Reporting, Quarterly 06 months forecast of Eligible Expenditure Amount Subsection 6.3 (**) as approved by the Bank Minimum Value of Applications (subsection 3.5) The Minimum Value of Applications for Direct Payment and Special Commitment is USD 100,000 equivalent. Authorized Signatures (Subsection 3.1 and 3.2 **) The form for Authorized Signatories Letter is provided in Attachment 1 of this letter Withdrawal and Documentation Applications (Subsection 3.3 and 3.4 **) The form for Authorized Signatory Letter is provided in Attachment 1 of this letter. The ASL and all Withdrawal Applications with their supporting documentation will be submitted electronically via the Bank’s “Client Connection” system. In the case the Borrower does not have internet access, the Bank may permit the delivery of ALS and Withdrawal Applications for withdrawal, with their supporting documents, to the following address: Banco Mundial SCES Trecho 3, Lote 05, S/N, Asa Sul, 5 CEP 70200-003, Brasília – DF. Brazil Attention: Loan Operations Additional [Information][Instructions] ** Sections and subsections indicated relate to the Disbursement Guidelines for Investment Project Financing dated February 2017 6 Attachment 1 Form of Authorized Signatory Letter [Letterhead] Saint Maarten Medical Center Foundation [Street address] [City] [Country] [DATE] The World Bank 1818 H Street, N.W. Washington, D.C. 20433 United States of America Attention: [Country Director] Dear [Country Director]: Re: Grant No. C2387-SX (____________ Project) I refer to the Grant Agreement (“Agreement”) between the [International Bank for Reconstruction and Development (“World Bank”)], acting as acting as administrator of Sint Maarten: Hurricane Irma Reconstruction, Recovery and Resilience Trust Fund and [name of recipient] (the “Recipient”), dated _______, providing the above Grant. For the purposes of Section 3.04 (b) of the Standard Conditions, as defined in the Agreement, any [1one] of the persons whose authenticated specimen signatures appear below is authorized on behalf of the Recipient to sign applications for withdrawal [and applications for a special commitment] under this Grant. For the purpose of delivering Applications to the World Bank, 2[each] of the persons whose authenticated specimen signatures appears below is authorized on behalf of the Recipient, acting 3[individually] 4[jointly], to deliver Applications, and evidence in support thereof on the terms and conditions specified by the World Bank. 5[Thisconfirms that the Recipient is authorizing such persons to accept Secure Identification Credentials (SIDC) and to deliver the Applications and supporting documents to 1 Instruction to the Recipient when sending this letter to the World Bank: Stipulate if more than one person needs to sign Applications, and how many or which positions, and if any thresholds apply. Please delete this footnote in final letter that is sent to the World Bank. 2 Instruction to the Recipient: Stipulate if more than one person needs to jointly sign Applications, if so, please indicate the actual number. Please delete this footnote in final letter that is sent to the World Bank. 3 Instruction to the Recipient: Use this bracket if any one of the authorized persons may sign; if this is not applicable, please delete. Please delete this footnote in final letter that is sent to the World Bank. 4 Instruction to the Recipient: Use this bracket only if several individuals must jointly sign each Application; if this is not applicable, please delete. Please delete this footnote in final letter that is sent to the World Bank. 7 the World Bank by electronic means. In full recognition that the World Bank shall rely upon such representations and warranties, including without limitation, the representations and warranties contained in the Terms and Conditions of Use of Secure Identification Credentials in connection with Use of Electronic Means to Process Applications and Supporting Documentation (“Terms and Conditions of Use of SIDC”), the Recipient represents and warrants to the World Bank that it will cause such persons to abide by those terms and conditions.] This Authorization replaces and supersedes any Authorization currently in the World Bank records with respect to this Agreement. [Name], [position] Specimen Signature: ____________________ [Name], [position] Specimen Signature: ____________________ [Name], [position] Specimen Signature: ____________________ Yours truly, / signed / ______________ [Position] 5 Instruction to the Recipient: Add this paragraph if the Recipient wishes to authorize the listed persons to accept Secure Identification Credentials and to deliver Applications by electronic means; if this is not applicable, please delete the paragraph. Please delete this footnote in final letter that is sent to the World Bank.