DocuSign Envelope ID: 691CFED2-C885-41A6-93BD-5C8A61E0267C




                 Amendment No. 2 to the Administration Agreement between the Rockefeller Foundation and the
                  International Bank for Reconstruction and Development and the International Development
                     Association regarding the Health and Economy Trust Fund (Trust Fund No. 071729)


            1.     Reference is made to the Administration Agreement between the Rockefeller Foundation (the
            “Donor”) and the International Bank for Reconstruction and Development and the International
            Development Association (collectively, the “Bank”) regarding the regarding the Health and Economy Trust
            Fund (Trust Fund No. 071729) (the “Trust Fund”) effective as of September 13, 2011 , as amended (the
            “Administration Agreement”).

            2.      The Donor and the Bank agree to amend paragraph 10.1 of the Administration Agreement to read
            as follows:

                     “10.1. It is expected that the Contributions will be fully disbursed by the Bank by
                     November 30, 2019. The Bank shall only disburse Contributions for the purposes of this
                     Agreement after such date with the written approval of the Donor.”

            3.       All other terms of the Administration Agreement shall remain the same.

            4.     The Bank shall disclose this Amendment in accordance with the Bank’s Policy on Access to
            Information. By entering into this Amendment, the Donor consents to such disclosure.

            5.       Each of the Donor and the Bank represents, by confirming its agreement below, that it is authorized
            to enter into this Amendment and act in accordance with these terms and conditions. The Donor and the
            Bank are requested to sign and date this Amendment, and upon possession by the Bank of this fully signed
            Amendment, this Amendment shall become effective as of the date of the last signature.


            INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT
            INTERNATIONAL DEVELOPMENT ASSOCIATION


            By: _______________________________                       Date: ______________________
            Name: Timothy Grant Evans
            Title: Senior Director
                   Health, Nutrition and Population Global Practice



            THE ROCKEFELLER FOUNDATION

            By: _______________________________                       Date: ______________________
            Name:_____________________________
            Title: _____________________________