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СОГЛАШЕНИЕ МЕЖДУ РОССИЙСКОЙ ФЕДЕРАЦИЕЙ И МЕЖДУНАРОДНЫМ БАНКОМ РЕКОНСТРУКЦИИ И РАЗВИТИЯ О ЗАЙМЕ ДЛЯ ФИНАНСИРОВАНИЯ ПРОЕКТА "МЕДИЦИНСКОЕ ОБОРУДОВАНИЕ" (LOAN NUMBER 4033 RU) [АНГЛ.] (ЗАКЛЮЧЕНО В Г. ВАШИНГТОНЕ 27.08.1996)

(по состоянию на 20 октября 2006 года)

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                                                   Loan Number 4033 RU
   
                            LOAN AGREEMENT
                      (MEDICAL EQUIPMENT PROJECT)
           BETWEEN RUSSIAN FEDERATION AND INTERNATIONAL BANK
                  FOR RECONSTRUCTION AND DEVELOPMENT
                                   
                      (Washington, 27.VIII.1996)
   
       Agreement,  dated  August 27, 1996, between Russian  Federation
   (the  Borrower)  and  International  Bank  for  Reconstruction  and
   Development (the Bank).
       Whereas  the  Borrower,  having  satisfied  itself  as  to  the
   feasibility and priority of the Project described in Schedule 2  to
   this  Agreement, has requested the Bank to assist in the  financing
   of the Project; and
       Whereas the Bank has agreed, on the basis, inter alia,  of  the
   foregoing,  to extend the Loan to the Borrower upon the  terms  and
   conditions set forth in this Agreement;
       Now therefore the parties hereto hereby agree as follows:
   
                               Article I
                                   
                    General Conditions; Definitions
   
       Section  1.01. The "General Conditions Applicable to  Loan  and
   Guarantee Agreements for Single Currency Loans" of the Bank,  dated
   May  30, 1995, (the General Conditions) constitute an integral part
   of this Agreement.
       Section  1.02.  Unless  the  context  otherwise  requires,  the
   several   terms  defined  in  the  General  Conditions   have   the
   respective  meanings therein set forth and the following additional
   terms have the following meanings:
       (a)  "Special Account" means the account referred to in Section
   2.02 (b) of this Agreement; and
       (b) "Project Preparation Advance" means the project preparation
   advance  granted  by  the  Bank to the  Borrower  pursuant  to  two
   exchanges  of  letters dated August 2, 1995 and September  6,  1995
   and  dated March 4, 1996 and April 2, 1996 between the Borrower and
   the Bank;
       (c) "MOHMI" means the Borrower's Ministry of Health and Medical
   Industry;
       (d)  "PPIU"  means  the Project Preparation and  Implementation
   Unit,  established and operating within the Borrower's Ministry  of
   Finance  pursuant to a Regulation signed by the Deputy Minister  of
   Finance, the Deputy Minister of Economy and the Deputy Minister  of
   Health and Medical Industry, dated March 15, 1996;
       (e)  "Working  Group" means the Interministerial Working  Group
   for  the  Establishment  of the National  Health  Accounts  System,
   established pursuant to the Order signed by the First Deputy  Prime
   Minister, dated March 23, 1996 and headed by MOHMI;
       (f) "Participating Oblast" means any oblast of the Borrower  in
   whose  territory health facilities are located which are  included,
   under Part A of the Project; and
       (g)  "Participating  Oblast Commitment"  means  the  letter  of
   commitment  received  by  the  Borrower,  from  each  Participating
   Oblast according to the provisions of paragraph 2 of Schedule 5  to
   this Agreement.
   
                              Article II
                                   
                               The Loan
   
       Section 2.01. The Bank agrees to lend to the Borrower,  on  the
   terms  and  conditions  set  forth  or  referred  to  in  the  Loan
   Agreement  an  amount equal to two hundred seventy million  dollars
   (270,000,000 USD).
       Section 2.02. (a) The amount of the Loan may be withdrawn  from
   the  Loan  Account in accordance with the provisions of Schedule  1
   to  this Agreement for expenditures made (or, if the Bank shall  so
   agree,  to be made) in respect of the reasonable cost of goods  and
   services required for the Project described in Schedule 2  to  this
   Agreement and to be financed out of the proceeds of the Loan.
       (b) The Borrower may, for the purposes of the Project, open and
   maintain in Dollars a special deposit account in a commercial  bank
   on  terms  and  conditions  satisfactory  to  the  Bank,  including
   appropriate  protection  against set-off,  seizure  or  attachment.
   Deposits  into, and payments out of, the Special Account  shall  be
   made  in  accordance  with the provisions of  Schedule  5  to  this
   Agreement.
       (c)  Promptly  after  the Effective Date, the  Bank  shall,  on
   behalf  of the Borrower, withdraw from the Loan Account and pay  to
   itself  the  amount required to repay the principal amount  of  the
   Project  Preparation Advance withdrawn and outstanding as  of  such
   date  and  to  pay  all  unpaid charges  thereon.  The  unwithdrawn
   balance  of  the  authorized  amount  of  the  Project  Preparation
   Advance shall thereupon be canceled.
       Section  2.03. The Closing Date shall be June 30, 1999 or  such
   later  date  as  the Bank shall establish. The Bank shall  promptly
   notify the Borrower of such later date.
       Section  2.04. The Borrower shall pay to the Bank a  commitment
   charge at the rate of three-fourths of one percent (3/4 of 1%)  per
   annum  on the principal amount of the Loan not withdrawn from  time
   to time.
       Section  2.05.  (a)  The Borrower shall  pay  interest  on  the
   principal  amount of the Loan withdrawn and outstanding  from  time
   to  time,  at a rate for each Interest Period equal to  LIBOR  Base
   Rate plus LIBOR Total Spread.
       (b) For the purposes of this Section:
       (i)  "Interest  Period"  means  the  initial  period  from  and
   including  the date of this Agreement to, but excluding, the  first
   Interest  Payment Date occurring thereafter, and after the  initial
   period,  each  period from and including an Interest  Payment  Date
   to, but excluding the next following Interest Payment Date.
       (ii)  "Interest  Payment  Date" means  any  date  specified  in
   Section 2.06 of this Agreement.
       (iii)  "LIBOR Base Rate" means, for each Interest  Period,  the
   London  interbank  offered rate for six-month deposits  in  Dollars
   for  value the first day of such Interest Period (or, in  the  case
   of  the  initial  Interest Period, for value the  Interest  Payment
   Date  occurring on or next preceding the first day of such Interest
   Period),  as reasonably determined by the Bank and expressed  as  a
   percentage per annum.
       (iv) "LIBOR Total Spread" means, for each Interest Period:
       (A) one half of one percent (1/2 of 1%);
       (B)  minus  (or  plus) the weighted average  margin,  for  such
   Interest  Period, below (or above) the London inter-  bank  offered
   rates,  or  other  reference  rates,  for  six-month  deposits,  in
   respect  of  the Bank's outstanding borrowings or portions  thereof
   allocated  by  the Bank to fund single currency loans  or  portions
   thereof  made by it that include the Loan; as reasonably determined
   by the Bank and expressed as a percentage per annum.
       (c)  The Bank shall notify the Borrower of LIBOR Base Rate  and
   LIBOR  Total  Spread for each Interest Period,  promptly  upon  the
   determination thereof.
       (d)  Whenever, in light of changes in market practice affecting
   the  determination  of  the  interest rates  referred  to  in  this
   Section  2.05,  the Bank determines that it is in the  interest  of
   its  borrowers  as  a whole and of the Bank to apply  a  basis  for
   determining  the interest rates applicable to the  Loan,  the  Bank
   may  modify the basis for determining the interest rates applicable
   to  the  Loan  upon  not less than six (6) months'  notice  to  the
   Borrower of the new basis. The basis shall become effective on  the
   expiry  of the notice period unless the Borrower notifies the  Bank
   during  said  period of its objection thereto, in which  case  said
   modification shall not apply to the Loan.
       Section 2.06. Interest and other charges shall be payable April
   15 and October 15 in each year.
       Section 2.07. The Borrower shall repay the principal amount  of
   the Loan in accordance with the amortization schedule set forth  in
   Schedule 3 to this Agreement.
   
                              Article III
                                   
                       Execution of the Project
   
       Section 3.01. (a) The Borrower declares its commitment  to  the
   objectives  of  the  Project as set forth in  Schedule  2  to  this
   Agreement, and, to this end, shall carry out Part A of the  Project
   through the PPIU and Part B, under the overall coordination of  the
   PPIU,  through the Working Group with due diligence and  efficiency
   and  in  conformity with appropriate administrative, financial  and
   public  health  practices, and shall provide, promptly  as  needed,
   the  funds,  facilities, services and other resources required  for
   the Project.
       (b) Without limitation upon the provisions of paragraph (a)  of
   this  Section  and  except  as  the Borrower  and  the  Bank  shall
   otherwise  agree, the Borrower shall cause the PPIU  to  carry  out
   Part  A  of  the  Project  in accordance  with  the  Implementation
   Program set forth in Schedule 5 to this Agreement.
       Section  3.02.  Except  as  the  Bank  shall  otherwise  agree,
   procurement  of  the goods and consultants' services  required  for
   the  Project  and to be financed out of the proceeds  of  the  Loan
   shall  be  governed  by  the  provisions  of  Schedule  4  to  this
   Agreement.
       Section  3.03. For the purposes of Section 9.08 of the  General
   Conditions and without limitation thereto, the Borrower shall:
       (a) prepare, on the basis of guidelines acceptable to the Bank,
   and  furnish  to the Bank not later than six (6) months  after  the
   Closing  Date or such later date as may be agreed for this  purpose
   between  the Borrower and the Bank, a plan for the future operation
   of the Project; and
       (b)  afford the Bank a reasonable opportunity to exchange views
   with the Borrower on said plan.
   
                              Article IV
                                   
                          Financial Covenants
   
       Section  4.01. (a) The Borrower shall maintain or cause  to  be
   maintained  records and accounts adequate to reflect in  accordance
   with  sound  accounting  practices the  operations,  resources  and
   expenditures  in  respect  of the Project  of  the  departments  or
   agencies  of the Borrower responsible for carrying out the  Project
   or any part thereof.
       (b) The Borrower shall:
       (i)  have the records and accounts referred to in paragraph (a)
   of  this Section, including those for the Special Accounts for each
   fiscal  year  audited,  in  accordance  with  appropriate  auditing
   principles   consistently   applied,   by   independent    auditors
   acceptable to the Bank;
       (ii)  furnish to the Bank as soon as available, but in any case
   not  later than six (6) months after the end of each such year, the
   report  of such audit by said auditors, of such scope and  in  such
   detail as the Bank shall have reasonably requested; and
       (iii)  furnish  to  the Bank such other information  concerning
   said  records and accounts and the audit thereof as the Bank  shall
   from time to time reasonably request.
       (c) For all expenditures with respect to which withdrawals from
   the  Loan  Account  were  made  on  the  basis  of  statements   of
   expenditure, the Borrower shall:
       (i)  maintain  or  cause to be maintained, in  accordance  with
   paragraph  (a)  of  this Section, records and  accounts  reflecting
   such expenditures;
       (ii)  retain,  until  at  least one year  after  the  Bank  has
   received  the  audit report for the fiscal year in which  the  last
   withdrawal  from the Loan Account was made. all records (contracts,
   orders,  invoices, bills, receipts and other documents)  evidencing
   such expenditures;
       (iii)  enable  the  Bank's  representatives  to  examine   such
   records; and
       (iv) ensure that such records and accounts are included in  the
   annual audit referred to in paragraph (b) of this Section and  that
   the  report  of  such  audit contains a separate  opinion  by  said
   auditors  as  to  whether the statements of  expenditure  submitted
   during  such fiscal year, together with the procedures and internal
   controls  involved  in their preparation, can  be  relied  upon  to
   support the related withdrawals.
   
                               Article V
                                   
                         Remedies of the Bank
   
       Section  5.01.  Pursuant to Section 6.02  (1)  of  the  General
   Conditions,  the  following additional event is specified,  namely,
   that  a  Participating  Oblast  has  failed  to  comply  with   the
   provisions of the respective Participating Oblast Commitment.
       Section  5.02.  Pursuant to Section 7.01  (h)  of  the  General
   Conditions,  the  following additional event is  specified,  namely
   that  the  event specified in Section 5.01 of this Agreement  shall
   occur  and  shall  continue for a period of 30  days  after  notice
   thereof shall have been given by the Bank to the Borrower.
   
                              Article VI
                                   
                              Termination
   
       Section 6.01. The date ninety (90) days after the date of  this
   Agreement is hereby specified for the purposes of Section 12.04  of
   the General Conditions.
   
                              Article VII
                                   
               Representative of the Borrower; Addresses
   
       Section 7.01. The Minister of Finance or the Deputy Minister of
   Finance  of  the  Borrower is designated as representative  of  the
   Borrower  for  the  purposes  of  Section  11.03  of  the   General
   Conditions.
       Section  7.02.  The following addresses are specified  for  the
   purposes of Section 11.01 of the General Conditions:
   
       For the Borrower:
       Ministry of Finance
       Ilyinka Street 9
       103097 Moscow
       Russian Federation
                                                       Telex:
                                                       112008
   
       For the Bank:
       International Bank for
       Reconstruction and Development
       1818H Street, N.W.
       Washington, D.C. 20433
       United States of America
       Cable address:                                  Telex:
       INTBAFRAD                                       197688 (TRT),
       Washington, D.C.                                248423 (RCA),
                                                       64145 (WUI) or
                                                       82987 (FTCC)
   
       In  witness  whereof, the parties hereto, acting through  their
   duly  authorized representatives, have caused this Agreement to  be
   signed  in  their  respective names in the  District  of  Columbia,
   United  States  of  America, as of the day  and  year  first  above
   written.
   
   
   
   
   
                              SCHEDULE 1
                                   
                WITHDRAWAL OF THE PROCEEDS OF THE LOAN
   
       1.  The  table below sets forth the Categories of items  to  be
   financed  out  of the proceeds of the Loan, the allocation  of  the
   amounts  of  the  Loan  to  each Category  and  the  percentage  of
   expenditures for items so to be financed in each Category:
   
   --------------------------T------------------T-------------------¬
   ¦         Category        ¦  Amount of the   ¦       % of        ¦
   ¦                         ¦  Loan Allocated  ¦   Expenditures    ¦
   ¦                         ¦  (Expressed in   ¦  to be Financed   ¦
   ¦                         ¦Dollar Equivalent)¦                   ¦
   +-------------------------+------------------+-------------------+
   ¦(1) Medical              ¦   254,000,000    ¦100% of foreign    ¦
   ¦    equipment under      ¦                  ¦expenditures,      ¦
   ¦    Part A of the        ¦                  ¦100% of local      ¦
   ¦    Project and          ¦                  ¦expenditures       ¦
   ¦    computer equipment   ¦                  ¦(ex-factory        ¦
   ¦    under Part B         ¦                  ¦cost) and 70%      ¦
   ¦    of the Project       ¦                  ¦local expenditures ¦
   ¦                         ¦                  ¦for other items    ¦
   ¦                         ¦                  ¦procured locally   ¦
   ¦                         ¦                  ¦                   ¦
   ¦(2) Consolidation        ¦     2,000,000    ¦100% of foreign    ¦
   ¦    and forwarding       ¦                  ¦expenditures       ¦
   ¦    services             ¦                  ¦                   ¦
   ¦                         ¦                  ¦                   ¦
   ¦(3) Consultants'         ¦     6,000,000    ¦100%               ¦
   ¦    services and         ¦                  ¦                   ¦
   ¦    training,            ¦                  ¦                   ¦
   ¦    including            ¦                  ¦                   ¦
   ¦    fellowships          ¦                  ¦                   ¦
   ¦    and study            ¦                  ¦                   ¦
   ¦    tours                ¦                  ¦                   ¦
   ¦                         ¦                  ¦                   ¦
   ¦(4) Operating cost       ¦     1,000,000    ¦100%               ¦
   ¦    of the PPIU          ¦                  ¦                   ¦
   ¦                         ¦                  ¦                   ¦
   ¦(5) Refunding of         ¦     2,000,000    ¦Amount due         ¦
   ¦    Project Preparation  ¦                  ¦pursuant to        ¦
   ¦    Advance              ¦                  ¦Section 2.02 (c)   ¦
   ¦                         ¦                  ¦of this Agreement  ¦
   ¦                         ¦                  ¦                   ¦
   ¦(6) Unallocated          ¦     5,000,000    ¦                   ¦
   ¦                         ¦                  ¦                   ¦
   ¦    TOTAL                ¦   270,000,000    ¦                   ¦
   L-------------------------+------------------+--------------------
   
       2. For the purposes of this Schedule:
       (a)  the term "foreign expenditures" means expenditures in  the
   currency  of any country other than that of the Borrower for  goods
   or  services supplied from the territory of any country other  than
   that of the Borrower;
       (b)  the  term "local expenditures" means expenditures  in  the
   currency  of  the Borrower or for goods or services  supplied  from
   the territory of the Borrower;
       (c)  the  term  "medical  equipment" means  medical  equipment,
   including spare parts and supplies financed out of the proceeds  of
   the   Loan  and  being  subject  to  the  applicable  certification
   requirements   of  the  institutes  authorized  for   certification
   purposes;
       (d) the term "operating cost of the PPIU" means expenditures on
   account   of   the  Project  of  the  PPIU  for  salaries,   office
   accommodations,  supplies  and minor  equipment,  utilities,  staff
   travel, and training; and
       (e)  the  term  "consolidation and forwarding  services"  means
   services  pertaining to the provision of warehouse  space,  receipt
   and  inspection  of goods, insurance in the Borrower's  territories
   and transport to health facilities included in the Project.
       3.  Notwithstanding  the provisions of paragraph  1  above,  no
   withdrawals  shall  be  made  in  respect  of  payments  made   for
   expenditures prior to the date of this Agreement.
       4. The Bank may require, under such terms and conditions as the
   Bank  shall  specify  to the Borrower, withdrawals  from  the  Loan
   Account  to  be made on the basis of statements of expenditure  for
   expenditures:
       (i)  under Category (1) under contracts for goods costing  less
   than 300,000 USD equivalent;
       (ii)  under Category (3) under contracts for technical services
   and  the  employment of consulting firms costing less than  100,000
   USD equivalent;
       (iii) under Category (3) under contracts for the employment  of
   individual  consultants  costing less than 50,000  USD  equivalent;
   and
       (iv)  for  operating  cost of the PPIU  under  such  terms  and
   conditions as the Bank shall specify.
   
   
   
   
   
                              SCHEDULE 2
                                   
                      DESCRIPTION OF THE PROJECT
   
       The objectives of the Project are to:
       (i) increase the availability and range of services provided by
   primary  and secondary health facilities in Participating  Oblasts;
   and
       (ii)  improve  the  analytical framework of the  health  sector
   through the establishment of national health accounts.
       The  Project consists of the following parts, subject  to  such
   modifications thereof as the Borrower and the Bank may  agree  upon
   from time to time to achieve such objectives:
   
                                Part A
   
       Provision  of  medical equipment, related supplies,  and  spare
   parts  and  related  training  to  selected  primary  (polyclinics,
   women's  clinics  and  feldsher  stations)  and  secondary   (raion
   hospitals and maternity homes) health care facilities in  about  34
   oblasts   to   enable  such  facilities  to  provide  primary   and
   preventive  health care and to diagnose and treat more  effectively
   cardiovascular  disease, trauma and cancer and to strengthen  their
   prenatal care program.
   
                                Part B
   
       Development  and implementation of a system of national  health
   accounts  and  provision  of  consultants  services,  study  tours,
   computer equipment and software therefor.
       The Project is expected to be completed by December 31, 1998.
   
   
   
   
   
                              SCHEDULE 3
                                   
                         AMORTIZATION SCHEDULE
   
   ------------------------------------T----------------------------¬
   ¦        Date Payment Due           ¦   Payment of Principal     ¦
   ¦                                   ¦(expressed in Dollars) <*>  ¦
   +-----------------------------------+----------------------------+
   ¦On each April 15 and October 15    ¦                            ¦
   ¦                                   ¦                            ¦
   ¦   beginning October 15, 2001      ¦                            ¦
   ¦   through April 15, 2013          ¦          11,250,000        ¦
   L-----------------------------------+-----------------------------
   
   --------------------------------
       <*>  The figures in this column represent the amount in Dollars
   to  be  repaid,  except  as provided in Section  4.04  (d)  of  the
   General Conditions.
   
   
   
   
   
                              SCHEDULE 4
                                   
                 PROCUREMENT AND CONSULTANTS'SERVICES
   
        Section I. PROCUREMENT OF GOODS AND TECHNICAL SERVICES
                                   
                                Part A
                                   
                                General
   
       Goods  shall  be procured in accordance with the provisions  of
   Section  I of the "Guidelines for Procurement under IBRD Loans  and
   IDA  Credits" published by the Bank in January 1995 and revised  in
   January 1996 (the Guidelines) and the following provisions of  this
   Section, as applicable.
   
                                Part B
                                   
                   International Competitive Bidding
   
       1.  Except  as  otherwise provided in Part C of  this  Section,
   goods shall be procured under contracts awarded in accordance  with
   the  provisions of Section II of the Guidelines and paragraph 5  of
   Appendix 1 thereto.
       2. The following provisions shall apply to goods to be procured
   under  contracts  awarded  in accordance  with  the  provisions  of
   paragraph 1 of this Part B:
       (a) Preference for domestically manufactured goods
       The  provisions  of paragraphs 2.54 and 2.55 of the  Guidelines
   and  Appendix  2 thereto shall apply to goods manufactured  in  the
   territory of the Borrower.
       (b) Notification and Advertising
       The invitation to prequalify or bid for each contract estimated
   to  cost  10,000,000 USD equivalent or more shall be advertised  in
   accordance with the procedures applicable to large contracts  under
   paragraph 2.8 of the Guidelines.
   
                                Part C
                                   
                     Other Procurement Procedures
   
       1. Limited International Bidding
       Specialized  equipment,  including  endoscopic  and  ultrasonic
   medical  equipment  up  to  an  aggregate  amount  not  to   exceed
   19,400,000   USD  equivalent,  and  consolidation  and   forwarding
   services,  up to an aggregate amount of 13,500,000 USD  equivalent,
   which  the  Bank agrees can only be obtained from a limited  number
   of  suppliers,  regardless  of the cost thereof,  may  be  procured
   under  contracts  awarded  in accordance  with  the  provisions  of
   paragraph 3.2 of the Guidelines.
       2. National Competitive Bidding
       Sets  of specialized medical instruments estimated to cost less
   than  300,000  USD  equivalent per contract,  up  to  an  aggregate
   amount  not  to  exceed 3,400,000 USD equivalent, may  be  procured
   under  contracts  awarded  in accordance  with  the  provisions  of
   paragraphs 3.3 and 3.4 of the Guidelines.
       3. International and National Shopping
       (a)  Goods  estimated to cost less than 300,000 USD  equivalent
   per  contract,  up  to an aggregate amount not to exceed  4,300,000
   USD  equivalent,  may be procured under contracts  awarded  on  the
   basis  of international shopping procedures in accordance with  the
   provisions of paragraphs 3.5 and 3.6 of the Guidelines.
       (b) Goods estimated to cost less than 50,000 USD equivalent per
   contract,  up  to an aggregate amount not to exceed 2,000,000  USD,
   may  be  procured under contract awarded on the basis  of  national
   shopping   procedures,  in  accordance  with  the   provisions   of
   paragraphs 3.5 and 3.6 of the Guidelines.
       4. Direct Contracting
       Goods  which  are of a proprietary nature and must be  procured
   from  a  particular supplier may, with the Bank's prior  agreement,
   up  to  an  aggregate  amount  of 7,100,000  USD,  be  procured  in
   accordance with the provisions of paragraph 3.7 of the Guidelines.
       5. Procurement from UN Agencies
       Medical  equipment and supplies may be procured from UNICEF  or
   other  UN  Agencies in accordance with the provisions of  paragraph
   3.9 of the Guidelines.
   
                                Part D
                                   
              Review by the Bank of Procurement Decisions
   
       1. Procurement Planning
       Prior  to  the  issuance of any invitations to  prequalify  for
   bidding or to bid for contracts, the proposed procurement plan  for
   the  Project  shall  be furnished to the Bank for  its  review  and
   approval,  in  accordance with the provisions  of  paragraph  1  of
   Appendix  1  to the Guidelines. Procurement of all goods  shall  be
   undertaken  in accordance with such procurement plan as shall  have
   been  approved  by  the  Bank,  and with  the  provisions  of  said
   paragraph 1.
       2. Prior Review
       With  respect  to  each contract processed in  accordance  with
   Parts  B,  C.1,  C.4  and C.5 of this Schedule and  the  first  two
   contracts  processed in accordance with Parts C.2 and  C.3  (a)  of
   this  Schedule, the procedures set forth in paragraphs 2 and  3  of
   Appendix 1 to the Guidelines shall apply.
       3. Post Review
       With  respect to each contract not governed by paragraph  2  of
   this  Part,  the procedures set forth in paragraph 4 of Appendix  1
   to the Guidelines shall apply.
   
                 Section II. EMPLOYMENT OF CONSULTANTS
   
       1.  Consultants'  services  shall be procured  under  contracts
   awarded  in  accordance with the provisions of the "Guidelines  for
   the  Use  of Consultants by World Bank Borrowers and by  The  World
   Bank  as  Executing Agency" published by the Bank  in  August  1981
   (the  Consultant Guidelines). For complex, time-based  assignments,
   such contracts shall be based on the standard form of contract  for
   consultants'  services issued by the Bank, with such  modifications
   thereto  as  shall have been agreed by the Bank. Where no  relevant
   standard  contract documents have been issued by  the  Bank,  other
   standard forms acceptable to the Bank shall be used.
       2.  Notwithstanding  the  provisions of  paragraph  1  of  this
   Section,  the  provisions  of the Consultant  Guidelines  requiring
   prior  Bank  review or approval of budgets, short lists,  selection
   procedures, letters of invitation, proposals, evaluation reports
       and  contracts,  shall  not  apply to  (a)  contracts  for  the
   employment of consulting firms estimated to cost less than  100,000
   USD  equivalent  each  or  (b)  contracts  for  the  employment  of
   individual  consultants  estimated to cost  less  than  50,000  USD
   equivalent  each.  However, said exceptions to  prior  Bank  review
   shall  not  apply to (a) the terms of reference for such contracts,
   (b)  single-source selection of consulting firms,  (c)  assignments
   of  a  critical nature, as reasonably determined by the  Bank,  (d)
   amendments  to  contracts for the employment  of  consulting  firms
   raising  the contract value to 100,000 USD equivalent or above,  or
   (e)  amendments  to  contracts  for the  employment  of  individual
   consultants raising the contract value to 50,000 USD equivalent  or
   above.
   
   
   
   
   
                              SCHEDULE 5
                                   
                        IMPLEMENTATION PROGRAM
   
       1. During execution of the Project, the Borrower shall:
       (i)  maintain the PPIU with adequate authority to carry out its
   responsibilities under the Project; and
       (ii)  employ, at all times, a director as head of the PPIU with
   adequate qualifications and experience assisted by competent  staff
   in adequate numbers.
       2.  The  PPIU  shall,  in  consultation  with  MOHMI  and  each
   Participating  Oblast, establish the list of medical equipment  and
   other  goods  to  be provided under Part A of the Project,  specify
   the  training  to  be provided in relation to such  equipment,  and
   promptly  inform  the Bank prior to the initiation  of  procurement
   actions  in accordance with the provisions of Schedule  4  of  this
   Agreement  in respect of any such goods or initiation of  any  such
   training.
       3.  The  PPIU shall initiate procurement actions in  accordance
   with  the provisions of Schedule 4 of this Agreement in respect  of
   health  facilities  in  any  Participating  Oblast,  only  if   the
   Borrower  has  received a letter of commitment  (the  Participating
   Oblast  Commitment) from the respective Participating Oblast  which
   shall  be  acceptable to the Bank and include the  undertakings  of
   the  respective Participating Oblast to take all necessary measures
   to:
       (a)  assure  that  the medical equipment and supplies  provided
   under  the  Project  shall be installed at the intended  facilities
   and be used exclusively for the purposes of the Project;
       (b)  ensure  participation of the beneficiary health facilities
   in ordering equipment;
       (c)  provide additional clinical training for staff  using  the
   equipment provided under the Project, where needed;
       (d)  provide  adequate resources for supplies needed  to  fully
   utilize  the equipment provided under the Project after the initial
   stock has been consumed;
       (e)  contribute  at  least  10 percent  of  the  Project  costs
   applicable   to  the  activities  carried  out  in  the  respective
   Participating   Oblast  in  counterpart  funds  and   finance   all
   applicable customs duties and taxes;
       (f)  appoint an oblast-level project coordinator to liaise with
   the PPIU; and
       (g)  submit periodic reports as requested by the PPIU)  on  the
   status of project implementation and utilization of equipment.
       4.  The  Borrower shall take all necessary measures  to  assure
   that  the  institutes authorized for the certification  of  medical
   equipment   shall   review   the  requests   from   suppliers   for
   certification  of medical equipment and supplies  financed  out  of
   the  proceeds  of  the Loan on a priority basis and  in  conformity
   with a time frame agreed upon by the Borrower and the Bank.
   
   
   
   
   
                              SCHEDULE 6
                                   
                            SPECIAL ACCOUNT
   
       1. For the purposes of this Schedule:
       (a) the term "eligible Categories" means Categories (1) through
   (4)  set  forth in the table in paragraph 1 of Schedule 1  to  this
   Agreement;
       (b)  the  term  "eligible expenditures" means  expenditures  in
   respect  of the reasonable cost of goods and services required  for
   the  Project  and to be financed out of the proceeds  of  the  Loan
   allocated  from  time  to  time  to  the  eligible  Categories   in
   accordance  with  the provisions of Schedule 1 to  this  Agreement;
   and
       (c) the term "Authorized Allocation" means an amount equivalent
   to  1.5  million  USD  to be withdrawn from the  Loan  Account  and
   deposited into the Special Account pursuant to paragraph 3  (a)  of
   this  Schedule,  provided,  however, that  unless  the  Bank  shall
   otherwise agree, the Authorized Allocation shall be limited  to  an
   amount  equivalent  to 500,000 USD until the  aggregate  amount  of
   withdrawals  from  the Loan Account plus the total  amount  of  all
   outstanding  special commitments entered into by the Bank  pursuant
   to  Section  5.02 of the General Conditions shall be  equal  to  or
   exceed the equivalent of 2.5 million USD.
       2.   Payments  out  of  the  Special  Account  shall  be   made
   exclusively  for  eligible  expenditures  in  accordance  with  the
   provisions of this Schedule.
       3. After the Bank has received evidence satisfactory to it that
   the  Special  Account  has  been duly opened,  withdrawals  of  the
   Authorized  Allocation and subsequent withdrawals to replenish  the
   Special Account shall be made as follows:
       (a)  For withdrawals of the Authorized Allocation, the Borrower
   shall  furnish to the Bank a request or requests for  deposit  into
   the  Special  Account of an amount or amounts which do  not  exceed
   the aggregate amount of the Authorized Allocation. On the basis  of
   such  request  or  requests,  the Bank  shall,  on  behalf  of  the
   Borrower,  withdraw  from the Loan Account  and  deposit  into  the
   Special  Account such amount or amounts as the Borrower shall  have
   requested.
       (b)  (i) For replenishment of the Special Account, the Borrower
   shall  furnish to the Bank requests for deposits into  the  Special
   Account at such intervals as the Bank shall specify.
       (ii) Prior to or at the time of each such request, the Borrower
   shall  furnish  to  the  Bank  the  documents  and  other  evidence
   required  pursuant to paragraph 4 of this Schedule for the  payment
   or  payments in respect of which replenishment is requested. On the
   basis  of  each  such request, the Bank shall,  on  behalf  of  the
   Borrower,  withdraw  from the Loan Account  and  deposit  into  the
   Special  Account such amount as the Borrower shall  have  requested
   and  as  shall have been shown by said documents and other evidence
   to  have  been  paid  out  of  the  Special  Account  for  eligible
   expenditures.  All  such deposits shall be withdrawn  by  the  Bank
   from  the  Loan  Account under the respective eligible  Categories,
   and  in  the  respective equivalent amounts,  as  shall  have  been
   justified by said documents and other evidence.
       4.  For  each  payment made by the Borrower out of the  Special
   Account,  the  Borrower  shall, at such  time  as  the  Bank  shall
   reasonably  request, furnish to the Bank such documents  and  other
   evidence  showing  that  such  payment  was  made  exclusively  for
   eligible expenditures.
       5.  Notwithstanding  the  provisions of  paragraph  3  of  this
   Schedule,  the Bank shall not be required to make further  deposits
   into the Special Account:
       (a)  if,  at any time, the Bank shall have determined that  all
   further  withdrawals should be made by the Borrower  directly  from
   the Loan Account in accordance with the provisions of Article V  of
   the  General Conditions and paragraph (a) of Section 2.02  of  this
   Agreement;
       (b)  if the Borrower shall have failed to furnish to the  Bank,
   within  the  period of time specified in Section 4.01 (b)  (ii)  of
   this  Agreement, any of the audit reports required to be  furnished
   to  the  Bank pursuant to said Section in respect of the  audit  of
   the records and accounts for the Special Account;
       (c)  if, at any time, the Bank shall have notified the Borrower
   of  its  intention to suspend in whole or in part the right of  the
   Borrower to make withdrawals from the Loan Account pursuant to  the
   provisions of Section 6.02 of the General Conditions; or
       (d) once the total unwithdrawn amount of the Loan allocated  to
   the  eligible Categories, minus the total amount of all outstanding
   special  commitments entered into by the Bank pursuant  to  Section
   5.02  of the General Conditions with respect to the Project,  shall
   equal  the  equivalent  of  twice  the  amount  of  the  Authorized
   Allocation.
       Thereafter,  withdrawal from the Loan Account of the  remaining
   unwithdrawn   amount  of  the  Loan  allocated  to   the   eligible
   Categories  shall follow such procedures as the Bank shall  specify
   by  notice to the Borrower. Such further withdrawals shall be  made
   only  after  and  to  the  extent that the  Bank  shall  have  been
   satisfied  that  all  such  amounts remaining  on  deposit  in  the
   Special  Account as of the date of such notice will be utilized  in
   making payments for eligible expenditures.
       6.  (a) If the Bank shall have determined at any time that  any
   payment out of the Special Account:
       (i)  was  made for an expenditure or in an amount not  eligible
   pursuant to paragraph 2 of this Schedule; or
       (ii)  was not justified by the evidence furnished to the  Bank,
   the Borrower shall, promptly upon notice from the Bank:
       (A)  provide such additional evidence as the Bank may  request;
   or
       (B) deposit into the Special Account (or, if the Bank shall  so
   request, refund to the Bank) an amount equal to the amount of  such
   payment  or  the  portion  thereof not so  eligible  or  justified.
   Unless  the Bank shall otherwise agree, no further deposit  by  the
   Bank into the Special Account shall be made until the Borrower  has
   provided such evidence or made such deposit or refund, as the  case
   may be.
       (b)  If  the  Bank shall have determined at any time  that  any
   amount  outstanding in the Special Account will not be required  to
   cover  further  payments  for eligible expenditures,  the  Borrower
   shall, promptly upon notice from the Bank, refund to the Bank  such
   outstanding amount.
       (c)  The Borrower may, upon notice to the Bank, refund  to  the
   Bank  all  or  any portion of the funds on deposit in  the  Special
   Account.
       (d)  Refunds to the Bank made pursuant to paragraphs 6 (a), (b)
   and  (c) of this Schedule shall be credited to the Loan Account for
   subsequent  withdrawal or for cancellation in accordance  with  the
   relevant  provisions  of  this  Agreement,  including  the  General
   Conditions.
   
   

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