Letter Amendment



 EXHIBIT 10.10.2 
  
 LETTER AMENDMENT DATED FEBRUARY 5, 2004 TO CAPITAL EQUIPMENT SUPPLIER AGREEMENT 
 DATED JUNE 25, 1999 BETWEEN THE REGISTRANT AND NOVATION, LLC 
  
 Novation 
 The
Supply Company of VHA & UHC 
  
 125 East John Carpenter Freeway

 Suite 1500 
 Irving, TX 75062-2324

 P.O. Box 140909 
 Irving, TX
75014-0909 
 972/581-5000 
 February 5, 2004 
  
 MaryAnne McGinn

 Director, Corporate Accounts 
 Natus Medical Inc. 
 1501 Industrial Road 
 San Carlos, CA 94070 
  
 RE: Extension of Agreement (CE 90270) - Infant Hearing Screening Equipment and Accessories 
  
 Dear MaryAnne: 
  
 Natus Medical Inc. and Novation, LLC agree to extend the above-referenced Agreement from
February 1, 2004 through October 31, 2004. All other terms and conditions of the current Agreement will remain in full force and effect, except as identified below. 
  
 “2c. Market Competitive Pricing and Terms. 
  

	 	•	Pricing. Supplier will lower the Award Prices or increase any discount applicable to the purchase of the Products as necessary to promote market competitiveness for [***] or [***]
with [***] in the event Supplier [***] at a [***] to any [***] of such [***] or [***] in their [***]. However, this shall only apply if, at the time of sale, the [***] or [***] and [***] are equal to that of the [***] or [***] and will not apply to
Supplier’s [***]. 

  

	 	•	[***]. Supplier will [***], of [***] as necessary to promote market competitiveness for a [***] or [***] with [***] in the event Supplier [***] at [***] to any [***] of such [***]
or [***] in their [***]. However, this shall only apply if, at the time of sale, the [***] or [***] and [***] are equal to that of the [***] or [***] and will not apply to Supplier’s [***]. 

  
 If at any time during the Term Novation receives credible information that shows conclusively
that Supplier’s pricing or non-price terms to members violates this Agreement, Novation may provide written notices of such information to Supplier, which shall include all such credible information received by Novation and the detailed basis
for Novation’s conclusion that Supplier’s pricing violates this Agreement, and Supplier will, within five (5) business days for Novation’s private label products and within twenty (20) business days for all other Products, advise
Novation in writing of the reasons for the apparent discrepancy. If Novation does not accept the reasons for the discrepancy, they shall provide written notice of non-acceptance to Supplier within ten (10) days of receipt of Supplier’s written
reasons and then Supplier and Novation shall have ten (10) days to mutually resolve the dispute, to mutually agree to arbitrate or to mutually agree to terminate the Agreement without penalty within sixty (60) days written notice. The party
prevailing in any such arbitration shall be entitled to an award of fees and costs, including reasonable attorney’s fees, incurred in connection with such arbitration. If no mutual resolution is completed, the issue will become moot and no
action shall be taken. In addition, the parties agree that the following language shall be added to the existing Agreement: 
  
 “2f. Underutilized Businesses. Certain Members may be required by law, regulation and/or internal policy to do business with underutilized businesses
such as Minority Business Enterprises (MBE), Disadvantaged Business Enterprises (DBE), Small Business Enterprises (SBE), Historically Underutilized Businesses (HUB) and/or Women-owned Business Enterprises (WBE). To assist Novation in helping Members
meet these requirements, Supplier will comply with all Novation policies and programs with respect to such businesses and will provide, on request, Novation or any Member with statistical or other information with respect to Supplier’s
utilization of such businesses as a vendor, distributor, contractor or subcontractor. Novation, in its discretion, may make an award and/or negotiate another agreement with a HUB in addition to any sole or multi-source award.” 
  
 “4f. New Technology. (a) During the Term, Supplier will disclose to
Novation new technology developed by Supplier and made commercially available in the United States and which provides the same function as the Products or Equipment or any component thereof. Upon introduction of the new technology by Supplier, each
Member will be provided the option to purchase the new technology Equipment and receive Supplier’s standard trade-in credit for the older technology Equipment. In the event Supplier fails to provide such option to the members, (i) Novation will
have the right to terminate any or al of the Products which have been superseded by such new technology providing the same function as the Products or Equipment and (ii) Novation may elect at its discretion to contract with one or more additional
suppliers of comparatively similar new technology. 
  
 (b) If at
anytime during the Term, Novation determines that a third party vendor has developed new technology which provides substantially improved benefits over technology currently available, Novation shall provide written notice of such information to
Supplier, and may, within thirty (30) days, elect to contract with such third party vendor. Such action will not constitute a breach of this Agreement by Novation. However, Supplier will have the option to terminate this Agreement with sixty (60)
days notice and without penalty. 
  
 Please indicate your acceptance of this
extension to the Agreement as amended by signing in the space provided below, and returning one signed original to John Engles at your earliest convenience. A copy is provided for your records. 
  
 Sincerely, 
  
 /s/    Larry Dooley 
 Larry Dooley 
 Vice President 
 Contract and Program Services 
  
 AGREED TO AND ACCEPTED this 12th day of February, 2004. 
  

			
	 Natus Medical Inc.

		
	By:	 	 /s/    Steven J. Murphy        

	 	 	



							
		
	Printed Name:	 	 Steven J. Murphy


		
	Title:	 	 V.P. Finance