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L>a2r^'Ti,^I'rii<=irl..m h^jTiTt^ji^'^pQaacno ^ (T]5ffiaaGnij RO'ctVn'n iiif'.Danbdftoonn.'RE&STRATioN n? mi(«.nt?ri,i3ArE T i-2J /O^- flCn- '?.(>?./!•a.y cj^iDnsaOdi/cERTiFfBDay. Ministry of Pefsiflfi Affalra of Ot TfSANSLATlON BUREAW a* mlernatiQnal Agr6em<;nt> ofGeorgia

THE WORLD BANK IBRD-IDA I WORLOBAKKGROUP South Caucasus Regional Office 08-Jun-2021 H.E. Lasha Khutsishvili Minister of Finance Ministry of Finance 16 Gorgasali Street Tbilisi, Georgia Re: GEORGIA: Loan No. 9113-GE (Emergency COVTD-19 Resnonsp Prnjpr^) Amendment No. 1 to the Loan Agreement Dear Minister, Agreement") for the above-referenced Loan between eorgia ( )and the International Bank for Reconstruction and Development ("Bank") for the rekSo''^. ("Project"), May 1,financing 2020. Weforalso the negotiations related to, andHagreedHMinutes of Negotiations for thedated additional therefer aboveto project between and^^^P^r' ^fh A ^^representatives discussed wi?h the tfp^HH ? i^ffinancing Loan Agreement ^ofthe Loan AgreementFinancing to bringLoan it up Agreement"). to date and make it consistent with additional ("Additional Based on these discussions, we propose to amend the Loan Agreement as follows (please note that fscrSn this letter ("Amendment Letter") and notLoan defined herein have the meaning ascribed to them in the Loan'"Agreement and the Additional Financing Agreement). 1. The following new sub-parts are added to Part 1ofSchedule 1(Emergency COVID-19 Response): Vac " health sector in the acquisition and deployment ofProject COVTD-19 (d) stren^hening Georgia's institutional fi-amework to enable safe and effective vaccine deployment including development of: (i) national policies surrounding prioritization of vaccine allocation; (n) regulatory standards for vaccination; (iii) standards and protocols surrounding cold Cham, supplies, storage, logistics, and training; and (iv) accountability, grievance, citizen and community engagement mechanisms; and (e) supporting the development of Georgia's vaccine-related infrastructure, immunization ptems, and service delivery capacity, including, inter alia, cold chain facilities, vehicles and logistics mfrastructure, assessment of vaccine management capacity and training of delivery 5A, Ramishvili Street Tbilisi 0179, Georgia Tel; +995 (32) 291 30 96 Fax: +995(32)291 34 78 1818 H Street, N.W, Washington, DC 20433, USA Tel: +1 (202) 473 7252 Fax: +1 (202) 522 3607 2. Paragraph 1of Section LA of Schedule 2is amended to read as foUows; Borrcwer shall vest responsibility for carrying out the overall Project with MoILHSA with information and support from the Revenue Service, State Procurement Agency, National CenterforDisease Control and the Public Health, and the Interagency Coordination Commission." 3. Paragraph 3 ofSection I.B ofSchedule 2is amended to read as follows: 3. The Borrower, through MoILHSA shall carry out the Project in accordance with this Agreement, the Project Operations Manual, the Global Budget and Reimbursements Manual, and the Vaccine Delivery and Distribution Manual. Except as the Bank shall other\vise agree the Borrower shall not assign, amend, abrogate, or waive the provisions of the Project Operations Manual or the Global Budget and Reimbursements Manual without prior approval ofthe Bank In the event ofany conflict between the provisions ofthe Project Operations Manual or Global Budget and Reimbursements Manual or the Vaccine Delivery and Distribution Manual and this Agreement, the provisions ofthis Agreement shall prevail." 4. Paragraph 2(a) ofSection l.D ofSchedule 2 is amended toread as follows: "2. Without limitation upon paragraph 1above, the Borrower shall ensure that the Project is implemented in accordance with the Environmental and Social Commitment Plan ("ESCP") in a manner acceptable tothe Bank. Tothis end, the Borrower shall ensure that: (a) the measures and actions specified in the ESCP are implemented with due diligence and efficiency, as providedin the ESCP;" 5. 6. Anew Section I.Eis added to Schedule 2 to read as follows: E. Standards for COVID-19 Vaccine Approval 1. All Project COVID-19 Vaccines shall satisfy the Vaccine Approval Criteria." Paragraph 2ofSection HLB ofSchedule 2is deleted in its entirety and replaced with the following: "The Closing Date is April 30, 2023." 7. The following new Sections are added to the Appendix. The remaining sections are renumbered accordingly. ""Interagency Coordination Commission" means the commission established by the Government Resolution N2459 "On Establishment of an Interagency Coordination Commission for the Implementation COVID-19 Vaccination in Georgia", dated December 15, 2020, or any successor thereto. "National Center for Disease Control and Public Health" means flie Legal Entity of Public Law National Center for Disease Control and Public Health established by the Law of Georgia on the Legal Entity ofthe Public Law and Resolution No. 122 ofthe Govermnent ofGeorgia ofFebruary 6, 2014, or any successor thereto. "Project COVID-19 Vaccine" means avaccine for the prevention ofCOVID-19, authorized by the Borrower s national regulatory authority for distribution, marketing, and administration within the territory of the Borrower, and purchased, acquired or deployed under the Project; "Project COVID-19 Vaccines" means the plural thereof. "Project Implementing Unit" or "PIU" means the unit established within MoILHSA and referred to in Section LA (1) of Schedule 2 to this Agreement and Section I.A (2) of Schedule 2 to the Original Loan Agreement. "Project Operations Manual" means the manual acceptable to the Bank, referred to in Section I.B.1 to Schedule 2 of the Original Loan Agreement, and Section I.B.I to Schedule 2 of this Agreement, containing: detailed guidelines andprocedures forthe implementation of the Project, including with respect to: administration and coordination, monitoring and evaluation, financial management, procurement and accounting procedures, environmental and social safeguards, anti-corruption and fraud mitigation measiu-es, a grievance redress mechanism, provisions on Personal Data collection and processing in accordance with Law of Georgia on Personal Data Protection and good international practice, roles and responsibilities for Project implementation, including the specific roles and responsibilities of the agencies and units involved in Project implementation, and such other arrangements and procedures as shall be required for the effective implementation of the Project, in form and substance satisfactory to the Bank. "Stringent Regulatory Authority" means a National Regulatory Authority ("NRA") that is classified by WHO as a Stringent Regulatory Authority. "Vaccine Approval Criteria" means that the Project COVID-19 Vaccine: (a) has received regular or emergency licensure or authorization from at least one of the Stringent Regulatory Authorities identified by WHO for vaccines procured and/or supplied under the COVAX Facility, as may be amended from time to time by WHO; (b) has received the WHO Prequalification or WHO Emergency Use Listing; or (c) has met such other criteria as may be agreed in writing between the Borrower and the Bank. "Vaccine Delivery and Distribution Manual" means the Borrower's manual whichforms a part of the Project Operations Manual, referred to in Article 4.01 to this Agreement, as the same may be amended from time to time with the Bank's prior written approval, and which includes the following: (a) rules and procedures for prioritizing intra-country vaccine allocation following principles established in the WHO Fair Allocation Framework, including an action plan setting out the timeline and steps for implementing such rules; (b) rules and procedures establishing minimum standards for vaccine management and monitoring, including medical and technical criteria, communications and outreach plan, cold chain infrastructure, and other related logistics infrastructure; (c) rules and procedures for processing and collection of Personal Data in accordance with Law of Georgia on Personal Data Protection and good international practice; and (d) vaccine distribution plan, including action plan setting out timeline and steps for immunization. "WHO" means the World Health Organization. Listing means arisk-based procedure for assessing and listing by WHO ^ to people affected by adeclared diagnostics withhealth the aim of expediting the availabihty ot these products public emergency. WHO Fair Allocation Framework" means the rules which govern the allocation of vaccines to COV^Tacility^^^ the "^0 Prequalification" means aservice provided by WHO to assess the quality, safety, and efficacy of medical products for priority diseases, and which are intended for United Nations and international procurement to developing countries."" specifically amended in this Amendment Letter, all other provisions of the Loan hv^n r confirm yourLetter agreement to the amendments set (i) outreceipt above by co^^rsigning this Amendment Letter. This Amendment shall become effective upon: by the Bank of the countersigned and validated copy of tiiis Amendment Letter through DocuSign- (11) receipt by ^e Bank ofthe Borrower's confirmation of completion of ratification procedures under the aws ofGeorgia and confirmation that no other internal steps under the laws of Georgia are pending; and (ill) notification by the Bank ofthe effectiveness ofthis Amendment Letter. Very truly yours, INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT Sebastian Molineus Regional Director for the South Caucasus AGREED; GEORGIA By: xi Name: Lasha Khutsishvili jjjjg. Minister Date: