Ghana Office INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT Independence Avenue Tel: (233-302) 214100, 220837 INTERNATIONAL DEVELOPMENT ASSOCIATION Plot # 3, Ridge Fax: (233-302) 227887 Accra, Ghana December 11, 2024 Honorable Dr. Mohammed Amin Adam Minister for Finance P.O. Box MB40 Accra Ghana Honorable Amin Adam: Re: Ghana COVID-19 Emergency Preparedness and Response Project (Additional Financing 1 – IDA 6795-GH; Additional Financing 2 – IDA 6923-GH; and Additional Financing 3 – IDA 7125-GH) Extension of Closing Date and Reallocation of Proceeds We refer to the Financing Agreements (“Agreements”) of the COVID -19 Emergency Preparedness and Response Project: Additional Financing 1 (IDA 6795-GH) dated November 12, 2020, Additional Financing 2 (IDA 6923-GH) dated July 13, 2021, and Additional Financing 3 (IDA 7125-GH) dated May 22, 2023, as amended, between the Republic of Ghana (“Recipient”) and the International Development Association (“Association”) for the above referenced Project. We also refer to your letter dated March 26, 2024, requesting the Association (i) to extend the Closing Date of the above captioned Credits, and (ii) to reallocate the proceeds of the Credits referenced above between the disbursement categories. Accordingly, we are pleased to inform you that the Association hereby (i) establishes June 16, 2025, as the later date for the purpose of Section III. B of Schedule 2 to the Agreements, and (ii) reallocates the proceeds of the Credits (IDA 6795-GH; IDA 6923-GH; IDA 7125-GH) allocated in the tables in Section III.A of Schedule 2 to the Financing Agreements for the first, second and third Additional Financings, as set out in the Annex to this letter. -2- Please indicate your agreement to the foregoing, on behalf of the Recipient, by countersigning and dating the form of confirmation on this letter. Upon receipt by the World Bank of the copy of this letter countersigned by the Recipient, this amendment shall become effective as of the date of its countersignature. Sincerely, _____________________________________ Robert R. Taliercio Country Director for Ghana, Liberia, and Sierra Leone Africa Western and Central Region CONFIRMED: REPUBLIC OF GHANA By: _________________________________ Authorized Representative Dr. Mohammed Amin Adam Name: ______________________________ Minister Title: _______________________________ 11-Dec-2024 Date: _______________________________ -3- Annex Revised Withdrawal of the Proceeds of the Credit, Additional Financing 1 – IDA 6795-GH Category Amount of the Credit Percentage of Allocated Expenditures to be (expressed in USD) Financed (inclusive of Taxes) MOH 22,100,000 0% until Category 1. Goods, works, non-consulting services, (3) of Credit consulting services, Operating Costs Number 6602-GH is and Training under Parts 1.1(a) to fully disbursed 1.1(c); 1.2(b) to 1.2(j); 1.3(c); 2.1; 4.1 and 4.2 of the Project MOH 79,952,570 100% 2. Goods, works, non-consulting services, consulting services, Operating Costs and Training under: Parts 1.1(f) and 1.1(g); 1.2(k) and 1.2(l); 1.4; and 4.3 of the Project GHS 19,447,430 100% 3. Goods, works, non-consulting services, consulting services, Operating Costs and Training under Parts 1.5; 2.2 and 4.4 of the Project GHS 8,500,000 100% 4. Vaccine preparedness under Parts 1.6 (a), (b), (c), (d) and (e) of the Project TOTAL AMOUNT 130,000,000 -4- Revised Withdrawal of the Proceeds of the Credit Additional Financing 2 – IDA 6923-GH Category Amount of the Percentage of Second Expenditures to be Additional Financed (inclusive of Financing Taxes) Allocated (expressed in USD) MOH 30,689,486 0% until Category (1) of 1. Goods, works, non-consulting Credit Number 6795-GH services, consulting services, is fully disbursed Operating Costs and Training under Parts 1.1(a) to 1.1(c); 1.2(b) to 1.2(j); 1.3(c); 2.1; 4.1 and 4.2 of the Project MOH 29,992,515 0% until Category (2) of 2. Goods, works, non-consulting Credit Number 6795-GH services, consulting services, is fully disbursed Operating Costs and Training under: Parts 1.1(f) and 1.1(g); 1.2(k) and 1.2(l); 1.4; and 4.3 of the Project GHS 0 3. Goods, works, non-consulting services, consulting services, Operating Costs and Training under Parts 1.5; and 2.2, 4.4 of the Project GHS 0 4. Vaccine preparedness under Parts 1.6 (a), (b), (c), (d) and (e) of the Project GHS 6,138,827 100% 5. Goods, works, non-consulting services, consulting services, Operating Costs and Training under Part 1. 6 (f) and (g), of the Project MOH 133,179,172 100% 6. Vaccine acquisition under Part 1.7 of the Project GHS 0 7. Goods, works, non-consulting services, consulting services, Operating Costs and Training under Part 3 TOTAL AMOUNT 200,000,000 -5- Revised Withdrawal of the Proceeds of the Credit Additional Financing 3 – IDA 7125-GH Category Amount of the Third Percentage of Expenditures Additional Financing to be Financed Allocated (inclusive of Taxes) (expressed in USD) MOH 0% until Category (1) of 1. Goods, works, non-consulting 19,996,653 Credit Number 6795-GH and services, consulting services, Category (1) of Credit Operating Costs and Training under Number 6923-GH are fully Parts 1.1(a) to 1.1(c); 1.2(b) to 1.2(j); disbursed 1.3(c); 2.1, 4.1 and 4.2 of the Project MOH 0% until Category (2) of 2. Goods, works, non-consulting 9,903,347 Credit Numbers 6795-GH and services, consulting services, 6923-GH are fully disbursed Operating Costs and Training under: Parts 1.1(f) to (g); 1.2(k) and 1.2(l); 1.4 and 4.3 of the Project GHS 0% until Category (7) of 3. Goods, works, non-consulting 7,000,000 Credit Number 6795-GH and services, consulting services, Category (3) of Credit Operating Costs and Training under Number 6923-GH fully Parts 1.5; 2.2 and 4.4 of the Project disbursed GHS 0 4. Vaccine preparedness under Parts 1.6 (a), (b), (c), (d) and (e) of the Project GHS 0 5. Goods, works, non-consulting services, consulting services, Operating Costs and Training under Part 1. 6(f) and (g) of the Project MoH 0 6. Vaccine acquisition under Part 1.7 of the Project MoH 20,700,000 100% 7. Goods, works, non-consulting services, consulting services and Operating Costs for Part 1.2 (m), (n) and (o) of the Project. MoH 3,000,000 100% 8. Goods, non-consulting services, consulting services, Training and Operating Costs under Part 2.3 of the Project GHS 0 100% 9. Goods, Consulting Services Non- Consulting Services, Training and Operating Costs under Part 3 of the Project 10. Unallocated 0 TOTAL AMOUNT 60,600,000