Conformed Copy - L4396 - Health Project - Amendment 2

Page 1 RCA 248423. \09 WUI 64145 \09 FAX (202) 477-6391 The World Bank 1818 H Street N.W. (202) 477-1234 INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT Washington, D.C. 20433 Cable Address: INTBAFRAD I NTERNATIONAL DEVELOPMENT ASSOCIATION U.S.A. Cable Address: INDEVAS CONFORMED COPY December 27, 2002 H.E. M. B. Nurmuratov Minister of Finance Ministry of Finance Tashkent Republic of Uzbekistan Re: Health Project (Loan Number 4396 UZ) Amendment to the Loan Agreement Excellency: We refer to the Loan Agreement (Health Project) dated November 16, 1998, between the Republic of Uzbekistan (the Borrower) and the International Bank for Reconstruction and Development (the Bank), as amended. We also refer to the letter from Mr. Mannapbekov, Department Chief, Department for External Economic Relations and Foreign Investments, Cabinet of Ministers, dated October 3, 2002, requesting that the regions of Khorezm and Karakalpakstan be added to the Participating Regions under the Project. We hereby confirm the Bank