OFFICIAL Amendment No. 2 to the Supplemental Agreement between the Unite d Sta;ig for International Development and the International Development Association regarding the Tanzania Health Results-Based Financing Trust Fund Program Trust Fund (No. TFO 73002 parallel to original TF No. TFO 72444) Modification No.4 to USAID Agreement No. AID-621-IO-15-00002 1. Reference is made to the Supplemental Agreement between the United States Agency for International Development (the "Donor") and the International Development Association (collectively, the "Grantee" and the "Bank" and together with the Donor, the "Parties" and each a "Party"), regarding the Tanzania Health Results-Based Financing Trust Fund Program Single- Donor Trust Fund (Trust Fund No. TF073002) (the "Trust Fund") effective as of February 9, 2018 (the "Agreement"), as may have been amended. 2. The Parties agree to amend the Supplemental Agreement as follows: (a) Paragraph no. 2 is amended to read as follows: "2. In connection with the Agreement, and in support of the Tanzania Health Results- Based Financing Trust Fund Program, the Bank acknowledges that USAID agreed to provide a grant of twelve million one hundred and twenty-four thousand seven hundred and eighty-four United States Dollars ($12,124,784) (the "Grant") in accordance with the terms of this Supplemental Agreement (the "Supplemental Agreement"). The total amount obligated by USAID for the Tanzania Health Results-Based Financing Trust Fund Program through the Original Account and Parallel Account (as defined below) is $16,824,784." (b) Section A.4 (Grant Budget) is hereby deleted and replaced with the following: "Budget Cost Elements USAID Contribution 1. Recipient-Executed Activities: $ 11,221,525 2. World Bank-Executed Activities: $342,183 3. Trust Fund Fee (5%): $561,076 TOTAL Amount: $ 12,124,784 3. All other terms of the Supplemental Agreement shall remain the same. 4. 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 DEVELOPMENT ASSOCIATION By: Bella Bird Country Director for Tanzania Date: 'f 7 r) UNITED STATES AGENCY FOR INTERNATIONAL DEVELOPMENT By: Name: 14ro el+ Title: <4 Date: Zc .St& 2