OFFICIAL                   hn
DOCUMENTS
AMENDMENTTO THE AGREEMENT FOR REIMBURSABLE ADVISORY SERVICES TO
PROVIDE TECHNICAL ASSISTANCE IN DEVELOPING POLICY PROPOSALS FOR THE
DESIGN OF A LONG TERM CARE SYSTEM IN ESTONIA
This amendment is made the _  day of                2017, between the GOVERNMENT
OFFICE OF THE REPUBLIC OF ESTONIA (the "Client") and the INTERNATIONAL BANK FOR
RECONSTRUCTION AND DEVELOPMENT (the "Bank") (jointly referred to as the "Parties") to the
Agreement for Reimbursable Advisory Services to provide technical assistance in developing policy
proposals for the design of a Long-Term Care (LTC) system for Estonia between the Parties dated 9h of
May 2016 (the "Agreement"). This amendment is made in accordance with Article 12 of the Annex to the
Agreement.
The Parties agree to amend the Agreement as follows (revisions are included in italics):
1. Component 4 of Activity 2 of the Schedule to the Agreement is amended to read as follows:
"4. LTC integration and coordination: Assess appropriateness of current LTC delivery systems
given that much LTC is being delivered in the health sector unnecessarily because social services
are not available. This activity includes merging anonymized data provided by the Estonia Health
Insurance Fund, the Ministry of Social Affairs and Labour, the Social Insurance Board, and the
Unemployment Insurance Fund to create a single database with anonymized data using a secure
FTP (sFTP) server. Estonia Ministry of Social Affairs, the Social Insurance Board, Estonia
Health Insurance Board and Unemployment Insurance Fund will login to WBG sFTP. Only Bank
Personnel will have access to the database during the implementation of this Agreement and for
the purposes of this component. The Bank will take all reasonable measures to protect the
confidentiality of the datasets and database and will destroy them one month after the end of the
RAS agreement. Upon request, the database will be transferred to the Government of Estonia
before it is destroyed by the Bank. "
2. Article 5 of the Annex to the Agreement is amended to read as follows:
"5.    Confidentiality. The Parties agree that this Agreement and the outputs set out in the
Schedule to this Agreement shall only be made available to the public after the Client has given
its written consent to such disclosure. For this purpose, the Client hereby authorizes the Bank to
publicly disclose this Agreement and the outputs set out in the Schedule to this Agreement in
their final form. With respect to underlying information (other than the final outputs) provided by
the Bank in support of the Reimbursable Advisory Services, the Bank reserves the right to
designate said information as confidential. The Client may publicly disclose such information
only after the Bank has given its prior consent. With respect to the anonymized datasets and
database referred to under component 4 ofActivity 2 described in the Schedule to this Agreement,
the Client hereby instructs the Bank to treat the datasets and database confidential. "
3. Paragraph (b) Article 8 of the Annex to the Agreement is amended to read as follows:
"(b)    Without limitation to the immunities and privileges of the Bank under its Articles of
Agreement and other applicable rules of law, the Bank shall not be liable to the Client or other third
party for any loss, cost, damage or liability that the Client shall incur as a result of the
Reimbursable Advisory Services, unless those resulting from the gross negligence or willful
misconduct of the Bank or Bank Personnel (such as failing to take all reasonable measures to
protect the confidentiality of the datasets and database described in component 4 of Activity 2 of


the Schedule to this Agreement). Notwithstanding anything herein, the Bank's liability, if any, to
the Client hereunder shall not extend to any indirect, punitive or consequential damage, loss of
profit or loss of opportunity, nor shall it exceed the amount of the professional fees received by the
Bank for its account under this Agreement."
4.     Except as amended herein, all the other articles and provisions of the Agreement shall remain in
full force and effect.
5.     This Amendment shall become effective as of the day and year first above written, once it has
been duly signed by both Parties.
IN Witness WHEREOF, the parties hereto, acting through their duly authorized representatives,
have caused this Agreement to be signed in their respective names as of the day and year indicated below.
GOVERNMENT         OFFICE     OF    THE         INTERNATIONAL BANK FOR
REPUBLIC OF ESTONIA                                REC    STRUCTION AND
B                                          By:EVELOPMENT
Authorized Representative                  Authorized    esentative
(Government Office,
represented under clause 3.3
point 2 and clause 3.6 of the Directive No. I
of the State Secretary of 5 January 2010,
by Henry Kattago)
Date:            ukOA     C"v   O/9        Date: