THE WORLD BANK
IBRD IDA I WORLDBANKGROUP FFICIAL         p  v    1O
DOCUMENTS
December 7, 2015
H.E. Sim6n Lizardo M6zquita
Minister of Finance
Ministry of Finance
Av. Mexico No. 45
Gazcue
Santo Domingo, Dominican Republic
Re:    Dominican Republic
Health Sector Reform Second Phase APL (PARSS 2)
Loan No. 7777-DO
Amendment to the Loan Agreement
Excellency:
We refer to the above-referenced Loan Agreement between the Dominican Republic
("Borrower") and the International Bank for Reconstruction and Development ("Bank") dated
October 30, 2009 ("Loan Agreement"). We also refer to your letter dated October 7, 2015 requesting
a reallocation of funds of the above-mentioned Project.
In view of the above and our recent discussions relative to the percentage of the Borrower's
counterpart funds, the Bank proposes to amend the Loan Agreement to (a) reduce counterpart funding;
and (b) reallocate funds from Category 1 to Category 3.
Accordingly, the Loan Agreement is amended as follows: The table under Section IV.A.2 of
Schedule 2 to the Loan Agreement is hereby amended and replaced in its entirety to read as follows:
Amount of the Loan       Percentage of Expenditures
Category                    Allocated                 to be financed
(expressed in USD)          (inclusive of Taxes)
(1) Capitation Transfers             8,670,658                     100%
under Part A of the Project
(2) Goods, Non-consultant            7,000,000                     83%
Services, consultants'
services, Training and
Operating Costs under Part B
of the Project
(3) Goods, Non-consultant           14,653,092                     85%
Services, consultants'
services (including audits),
Training and Operating
Costs under Part C of the
Project
(4) Goods, Non-consultant            100,000                      100%
Services, consultants'
services, Training and
Operating Costs under Part D
of the Project


H.E. Sim6n Lizardo Mzquita             - 2 -                      December 7, 2015
Amount of the Loan      Percentage of Expenditures
Category                   Allocated                 to be financed
(expressed in USD)          (inclusive of Taxes)
(5) Front-end Fee                    76,250            Amount payable pursuant to
Section 2.03 of this
Agreement in accordance
with Section 2.07 (b) of the
General Conditions
(6) Premia for Interest Rate            0              Amount payable pursuant to
Caps and Interest Rate                                 Section 2.07 (c) of this
Collars                                                Agreement
TOTAL AMOUNT                        30,500,000
All other terms and conditions of the Loan Agreement remain in full force and effect.
Please confirm your agreement with the foregoing amendment, on behalf of the Borrower,
by signing and dating this letter in the spaces provided below. This amendment letter shall be
executed in two counterparts each of which shall be an original and one of which shall be returned
to us.
In order to use the proceeds of the Loan Agreement to finance expenses that had been
originally planned to be financed by counterpart funds from the Borrower from January 19, 2010
(the Effective Date of the Loan Agreement), the provisions set forth in this amendment letter shall
become effective as of January 19, 2010, upon receipt by the Bank of one fully executed original
of this letter.
Please also note that the Restructuring Paper dated December 4, 2015, a copy of which is
enclosed herewith, will be disclosed on the Bank's external website as per the Bank's policy on
Access to Information.
Very truly yours,
INTERNATIONAL BANK FOR RECONSTRUCTION
AND DEVELOPMENT
By _
Karin Kemper
Acting Country Director
Caribbean Country Management Unit
Latin America and the Caribbean Region
AGREED:
DOMINICAN IEPUBLIC
By:
Title:             Of 4 O r44-Ce
Date:        t*YL03, 1
Enclosure