Amendment No. 5 to the Administration Agreement between the GAVI Alliance and the International Bank for Reconstruction and Development and the International Development Association regarding the Integrating Donor-Financed Health Programs Multi-Donor Trust Fund (No. 072602) 1. Reference is made to the Administration Agreement between the GAVI Alliance (the “Donor”) and the International Bank for Reconstruction and Development and the International Development Association (collectively, the “Bank” and together with the Donor, the “Parties” and each a “Party” regarding the Integrating Donor-Financed Health Programs Multi-Donor Trust Fund (Trust Fund No. 072602) (the “Trust Fund”) effective as of June 8, 2016, as amended (the “Administration Agreement”). 2. The Bank acknowledges that the Donor agrees to provide a supplemental contribution in the amount of one hundred thousand United States Dollars (US$100,000) (the “Contribution”) for the Trust Fund in accordance with the terms of the Administration Agreement. 3. The Donor shall deposit the Contribution in the currency specified in paragraph 2 above into such bank account designated by the Bank promptly following countersignature of this amendment (the “Amendment”) and submission of a payment request by the Bank. 4. When making a deposit, the Donor shall instruct its bank to include in its deposit details information (remittance advice) field of its SWIFT deposit message, information indicating: the amount deposited, that the deposit is made by the Donor for Trust Fund No. 072602 (the Integrating Donor-Financed Health Programs Multi-Donor Trust Fund), and the date of the deposit (the “Deposit Instructions”). In addition, the Donor shall provide a copy of the Deposit Instructions to the Bank’s Accounting Trust Funds Division by e-mail sent to tfremitadvice@worldbank.org or by fax sent to (202) 614-1315. 5. All other terms of the Administration Agreement shall remain the same. 6. Each of the Parties 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 Parties 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 09-Jul-2019 By: ____________________________________/s1/Date: _______________________________ Muhammad Ali Pate Name: ____________________________________/n1/ Title: /t1/ GP Global Director, Health, Nutrition and Population ____________________________________ /d1/ GAVI ALLIANCE 16-Jul-2019 By: ____________________________________/s2/Date: _______________________________ Anuradha Gupta Name: ____________________________________/n2/ Deputy CEO Title: ____________________________________/t2/ /d2/ 1