Document:

exv10w9

 

Exhibit 10.9

TIME SHARING AGREEMENT

                           This Agreement is made on July 31, 2002 by and between Riggs Bank N.A.
(“Lessor”) and Perpetual Corporation/Lazy Lane Farms, Inc. and Allbritton
Communications Company (“Lessee”).

R E C I T A L S :

                           WHEREAS, Lessor is the owner of that certain civil aircraft known as one
(1) Gulfstream V model aircraft bearing manufacturer’s serial number 556 and
the United States Registration Number N556AR (“the Aircraft”);

                           WHEREAS, Lessor employs/contracts for the services of a fully qualified
flight crew to operate the Aircraft;

                           WHEREAS, Lessor and Lessee desire to lease said Aircraft and flight crew
on a time sharing basis as defined in Section 91.501 (c) (1) of the Federal
Aviation Regulations (“FAR”); and

                           NOW, THEREFORE, in consideration of the mutual covenants contained herein,
and for other good and valuable consideration, the parties agree as follows:

	1.	 	Lessor agrees to lease the Aircraft to Lessee, on as “as needed — as
available” basis, pursuant to the provisions of FAR 91.501 (c) (1) and to
provide a fully qualified flight crew for all operations for flights
scheduled from the date hereof until August 1, 2005. Notwithstanding the
foregoing, Lessee shall not be entitled to use the Aircraft more than one
hour for every two hours, on average, that Lessor uses any aircraft owned
by Lessee, under the terms of a separate Time Sharing Agreements. Credit
may be carried forward from previous use of Perpetual Corporation/Lazy
Lane Farms, Inc.’s aircraft by Lessor under Time Sharing Agreement
executed January 29, 2001.
	 
	2.	 	Lessee shall pay Lessor for each flight conducted under this Agreement
all or so much of the actual expenses of each specific flight as
authorized by FAR Part 91.501 (d) as may be requested for payment by
Lessor. These expenses include and are limited to:

	 	(1)	 	Fuel, oil, lubricants, and other additives;
	 
	 	(2)	 	Travel expenses of the crew, including food, lodging and ground
transportation;
	 
	 	(3)	 	Hangar and tie down costs away from, the Aircraft’s base of
operation;
	 
	 	(4)	 	Insurance obtained for the specific flight;
	 
	 	(5)	 	Landing fees, airport taxes and similar assessments including,
but not limited to, IRC Section 4261 and related excise taxes;
	 
	 	(6)	 	Customs, foreign permit, and similar fees directly related to
the flight;

 

 

	 	(7)	 	In-flight food and beverages;
	 
	 	(8)	 	Passenger ground transportation;
	 
	 	(9)	 	Flight planning and weather contract services; and
	 
	 	(10)	 	An additional charge equal to 100% of the expenses listed in
subparagraph (1) of this paragraph.

	3.	 	Lessor will pay all expenses related to the operation of the Aircraft
when incurred, and will provide an invoice and bill Lessee in accordance
with paragraph 2 above on the last day of the month in which any flight
for the account of Lessee occurs. Lessee shall pay Lessor for said
expenses within thirty days of receipt of the invoice and bill therefor.
	 
	4.	 	Lessee will provide Lessor with requests for flight time and proposed
flight schedules as far in advance of any given flight as possible, and in
any case, at least 3 hours in advance of Lessee’s planned departure.
Requests for flight time shall be in a form, whether written or oral,
mutually convenient to, and agreed upon by the parties and unless accepted
by Lessor, shall be deemed rejected. In addition to the proposed
schedules and flight times Lessee shall provide at least the following
information for each proposed flight at some time prior to scheduled
departure as required by the Lessor or Lessor’s flight crew:

	 	(a)	 	proposed departure point;
	 
	 	(b)	 	destination;
	 
	 	(c)	 	date and time of flight;
	 
	 	(d)	 	the number of anticipated passengers;
	 
	 	(e)	 	the nature and extent of luggage and/or cargo to be carried;
	 
	 	(f)	 	the date and time of return flight, if any; and
	 
	 	(g)	 	any other information concerning the proposed flight that may
be pertinent or required by Lessor or Lessor’s flight crew.

	5.	 	Lessor shall have final authority over the scheduling of the Aircraft,
provided, however, that Lessor will try to accommodate Lessee’s needs and
avoid conflicts in scheduling.
	 
	6.	 	Lessor shall be solely responsible for seeking maintenance, preventive
maintenance and required or otherwise necessary inspections on the
Aircraft, and shall take such requirements into account in scheduling the
Aircraft. No period of maintenance, preventative maintenance, or
inspection shall be delayed or postponed for the purpose of scheduling the
Aircraft, unless said maintenance or inspection can be safely conducted at
a later time in compliance with all applicable laws and regulations, and
with the sound discretion of the pilot in command. The pilot in command
shall have final and complete authority to cancel any flight for any
reason or condition which in his judgement would compromise the safety of
the flight.
	 
	7.	 	Lessor shall contract for or employ, pay for and provide to Lessee a
qualified flight crew for each flight undertaken under this Agreement.

 

 

	8.	 	In accordance with applicable Federal Aviation Regulations, the qualified
flight crew provided by Lessor will exercise all of its duties and
responsibilities in regard to the safety of each flight conducted
hereunder, Lessee specifically agrees that the flight crew, in its sole
discretion, may terminate any flight, refuse to commence any flight, or
take other action which in the considered judgement of the pilot in
command is necessitated by considerations of safety. No such action of
the pilot in command shall create or support any liability for loss,
injury, damage or delay to Lessee or any other person. The parties
further agree that Lessor shall not be liable for delay or failure to
furnish the Aircraft and crew pursuant to this Agreement when such failure
is caused by government regulation or authority, mechanical difficulty,
war, civil commotion, strikes or labor disputes, weather conditions, acts
of God or other unforeseen circumstances.
	 
	9.	 	Lessor will make its best efforts to provide such additional insurance
coverage as Lessee shall request or require, provided, however, that the
cost of such additional insurance shall be borne by Lessee as set forth in
paragraph 2(d) hereof.
	 
	10.	 	Lessee warrants that:

	 	(a)	 	Lessee will solely use the Aircraft for and on account of its
own personal or business use, and will not use the Aircraft for the
purpose of providing transportation of passengers or cargo for
compensation or hire;
	 
	 	(b)	 	Lessee shall refrain from incurring any mechanic’s or other
lien in connection with inspection, preventative maintenance,
maintenance or storage of the Aircraft, whether permissible or
impermissible under this Agreement, nor shall there be any attempt by
Lessee to convey, mortgage, assign, lease or any way alienate the
Aircraft or create any kind of lien or security interest involving
the Aircraft or do anything or take any action that might mature into
such a lien; and
	 
	 	(c)	 	during the term of this Agreement, Lessee will abide by and
conform to all such laws, governmental and airport orders, rules and
regulations, as shall from time to time be in effect relating in any
way to the operation and use of the Aircraft by a timesharing Lessee.

	11.	 	Neither this Agreement nor any party’s interest herein shall be
assignable to any other party whatsoever. This Agreement shall inure to
the benefit of and be binding upon the parties hereto, their heirs,
representatives and successors.
	 
	12.	 	TRUTH IN LEASING STATEMENT UNDER SECTION 91.23 OF THE FAR’s.

 

 

WITHIN THE TWELVE (12) MONTH PERIOD PRECEDING THE DATE OF THIS AGREEMENT,
EXCEPT TO THE EXTENT THE AIRCRAFT IS LESS THAN TWELVE (12) MONTHS OLD, THE
AIRCRAFT HAS BEEN INSPECTED AND MAINTAINED AND IN ACCORDANCE WITH THE FOLLOWING
PROVISIONS OF FAR:

CHECK ONE:

	 	 	 
	[ ]	 	
91.409 (f) (1): A continuous airworthiness inspection program that is part
of a continuous airworthiness maintenance program currently in use by a
person holding an air carrier operating certificate or an operating
certificate issued under FAR Part 121, 127, or 135 and operating that make
and model aircraft under FAR Part 121 or operating that make and model
under FAR Part 135 and maintaining it under FAR 135.411(a)(2).
	
	
	
	

	 	 	 
	
	
	
	

	[ ]	 	
91.409 (f) (2): An approved aircraft inspection program approved under FAR
135.419 and currently in use by a person holding an operating certificate
issued under FAR Part 135.
	
	
	
	

	 	 	 
	
	
	
	

	[ ]	 	
91.409 (f) (3): A current inspection program recommended by the
manufacturer.
	
	
	
	

	 	 	 
	
	
	
	

	[ ]	 	
91.409 (f) (4): Any other inspection program established by the registered
owner or operator of the Aircraft and approved by the Administrator of the
Federal Aviation Administration in accordance with FAR 91.409 (g).

THE PARTIES HERETO CERTIFY THAT DURING THE TERM OF THIS AGREEMENT AND FOR
OPERATIONS CONDUCTED HEREUNDER, THE AIRCRAFT WILL BE MAINTAINED AND INSPECTED
IN ACCORDANCE WITH THE PROVISIONS OF FAR:

CHECK ONE:

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	[ ]	 	
91.409(f)(1)
	 	[ ]
	 	91.409(f)(2)
	 	[ ]
	 	91.409(f)(3)
	 	[ ]
	 	91.409(f)(4)

         LESSOR SHALL HAVE AND RETAIN OPERATIONAL CONTROL OF THE AIRCRAFT DURING
ALL OPERATIONS CONDUCTED PURSUANT TO THIS LEASE. EACH PARTY HERETO CERTIFIES
THAT IT UNDERSTANDS THE EXTENT OF ITS RESPONSIBILITIES, SET FORTH HEREIN, FOR
COMPLIANCE WITH APPLICABLE FEDERAL AVIATION REGULATIONS.

         AN EXPLANATION OF FACTORS BEARING ON OPERATIONAL CONTROL AND PERTINENT
FEDERAL AVIATION REGULATIONS CAN BE OBTAINED FROM THE NEAREST FEDERAL AVIATION
ADMINISTRATION FLIGHT STANDARDS DISTRICT OFFICE, GENERAL AVIATION DISTRICT
OFFICE, OR AIR CARRIER DISTRICT OFFICE.

 

 

* * *

THE PARTIES HERETO CERTIFY THAT A TRUE COPY OF THIS AGREEMENT SHALL BE CARRIED
ON THE AIRCRAFT AT ALL TIMES, AND SHALL BE MADE AVAILABLE FOR INSPECTION UPON
REQUEST BY AN APPROPRIATELY CONSTITUTED IDENTIFIED REPRESENTATIVE OF THE
ADMINISTRATOR OF THE FAA.

                           IN WITNESS WHEREOF, the, parties have executed this Agreement as of the
date and year written below.

	 	 	 
	Lessor:	 	
Lessee:
	
	
	
	

	RIGGS BANK N.A.	 	
PERPETUAL CORPORATION

	 	 	 	 	 	 	 
	By:	 	
/s/ Robert C. Roane
	 	By:
	 	/s/ Stephen P. Gibson
	
	
	
	

	 	 	

	 	 	 	

	
	
	
	

	 	 	
Robert C. Roane
	 	 	 	Stephen P. Gibson
	
	
	
	

	Title:	 	
Executive Vice President and
	 	 	 	Title: Vice President
	
	
	
	

	 	 	
Chief Operating Officer	 	 	 	 

	 	 	 	 	 
		 	
	 	LAZY LANE
FARMS, INC.

	 	 	 	 	 
		 	
By:
	 	/s/ Stephen P. Gibson
	
	
	
	

	 	 	 	 	

	
	
	
	

	 	 	 	 	Stephen P. Gibson
	
	
	
	

	 	 	
Title:
	 	Vice President

	 	 	 
		 	
ALLBRITTON COMMUNICATIONS COMPANY

	 	 	 	 	 
		 	
By:
	 	/s/ Frederick J. Ryan, Jr.
	
	
	
	

	 	 	 	 	

	
	
	
	

	 	 	 	 	Frederick J. Ryan, Jr.
	
	
	
	

	 	 	
Title:
	 	President and Chief Operating Officer<PAGE>
                                                                    EXHIBIT 4.16

                                AMENDMENT NO. 14

     THIS AMENDMENT NO. 14, dated as of February 22, 2002 (the "AMENDMENT")
relating to the Credit Agreement referenced below, by and among NATIONAL MEDICAL
CARE, INC., a Delaware corporation, certain subsidiaries and affiliates party to
the Credit Agreement and identified on the signature pages hereto, and BANK OF
AMERICA, N.A., (formerly known as NationsBank, N.A.), as Paying Agent for and on
behalf of the Lenders. Terms used but not otherwise defined shall have the
meanings provided in the Credit Agreement.

                               W I T N E S S E T H

     WHEREAS, a $2.5 billion credit facility has been extended to National
Medical Care, Inc. and certain subsidiaries and affiliates pursuant to the terms
of that Credit Agreement dated as of September 27, 1996 (as amended and
modified, the "CREDIT AGREEMENT") among National Medical Care, Inc., the other
Borrowers, Guarantors and the Lenders identified therein, and NationsBank, N.A.,
as Paying Agent;

     WHEREAS, the Company has requested the modification of certain covenants
and certain other changes to the Credit Agreement more fully set forth herein;

     WHEREAS, the requested consents and modifications described herein require
the consent of the Required Lenders; and

     WHEREAS, the Required Lenders have consented to the requested modifications
on the terms and conditions set forth herein and have authorized the Paying
Agent to enter into this Amendment on their behalf to give effect to this
Amendment;

     NOW, THEREFORE, IN CONSIDERATION of these premises and other good and
valuable consideration, the receipt and sufficiency of which is hereby
acknowledged, the parties hereto agree, effective as of December 31, 2001, as
follows:

     1.   It is hereby understood and agreed that for purposes of clarification
     any amounts payable with respect to the litigation and other disputes with
     insurance companies relating to the business of the FMCH and its
     Subsidiaries in the period before the consummation of the Reorganization,
     which relate to the practices that were the subject of investigations by
     the OIG and other Governmental Authorities are Governmental Program
     Reimbursement Costs for all purposes under the Credit Agreement, and such
     Governmental Program Reimbursement Costs, any related costs or expenses,
     and any accounting charges taken by any member of the Consolidated Group as
     a result thereof or relating thereto or to the settlement of such disputes,
     shall be treated, for purposes of the Credit Agreement, in the same manner
     as the settlement with the OIG and the related costs and accounting
     charges.

     2.   It is hereby understood and agreed that any non-recurring charges
     taken by any member of the Consolidated Group at any time with respect to
     (i) any claims of Holdings or any of its Subsidiaries against WRG-Conn or
     its Affiliates, successors or assigns relating to the Reorganization or
     arising from the Reorganization Documents or (ii) any other costs relating
     directly or indirectly, or arising from, the Reorganization or the conduct
     of the business of FMCH or to its Subsidiaries before the consummation of
     the Reorganization, in each case, together with related costs and expenses,
     shall be excluded from the calculation of Consolidated Net Income for the
     purposes of computing the financial covenants set forth in Section 7.9.

<PAGE>

     3.   Except as modified hereby, all of the terms and provisions of the
     Credit Agreement (and Exhibits and Schedules) remain in full force and
     effect.

     4.   The Credit Parties hereby affirm (i) the representations and
     warranties set out in Section 6 of the Credit Agreement are true and
     correct as of the date hereof (except those which expressly relate to an
     earlier period) and (ii) no Default or Event of Default presently exists.

     5.   The Company agrees to pay all reasonable costs and expenses of the
     Paying Agent in connection with the preparation, execution and delivery of
     this Amendment, including without limitation the reasonable fees and
     expenses of Moore & Van Allen, PLLC.

     6.   This Amendment may be executed in any number of counterparts, each of
     which when so executed and delivered shall be deemed an original and its
     shall not be necessary in making proof of this Amendment to produce or
     account for more than one such counterpart.

     7.   The effectiveness of this Amendment is subject to receipt by the
     Paying Agent of an amendment fee of five basis points (0.05%) on the
     aggregate amount of the Commitments held by each of the Lenders consenting
     to this Amendment on or before February 22, 2002.

     8.   This Amendment, and the Credit Agreement as amended hereby, shall be
     governed by and construed and interpreted in accordance with the laws of
     the State of New York.

                  [remainder of page intentionally left blank]

                                       2
<PAGE>

     IN WITNESS WHEREOF, each of the parties hereto has caused a counterpart of
this Amendment to be duly executed and delivered as of the date first above
written.

BORROWERS:                    NATIONAL MEDICAL CARE, INC.,
                              a Delaware corporation

                              By /s/ Marc Lieberman
                                -----------------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

                              FRESENIUS MEDICAL CARE AG

                              By /s/ Dr. Emanuele Gatti
                                -----------------------------------------------
                              Name: Dr. Emanuele Gatti
                              Title: Management Board Member

                              By /s/ Roberto Fuste
                                -----------------------------------------------
                              Name: Roberto Fuste
                              Title: Management Board Member

                              NMC DO BRASIL LTDA.,
                              a Brazil corporation

                              By /s/ Horst Radtke/Armin Karch
                                -----------------------------------------------
                              Name: Horst Radtke/Armin Karch
                              Title: Manager

                              NATIONAL MEDICAL CARE OF SPAIN, S.A.,
                              a Spanish corporation

                              By /s/ Dr. Emanuele Gatti/Ricardo Arias Duval
                                -----------------------------------------------
                              Name: Dr. Emanuele Gatti/Ricardo Arias Duval
                              Title: Manager

                              NATIONAL MEDICAL CARE OF TAIWAN, INC.,
                              a Delaware corporation

                              By /s/ Marc Lieberman
                                -----------------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

                              NMC CENTRO MEDICO NACIONAL, LDA.,
                              a Portuguese corporation

                              By /s/ Ricardo Dasilva/John Allen
                                -----------------------------------------------
                              Name: Ricardo Da Silva/John Allen
                              Title: Manager

<PAGE>

                              FRESENIUS MEDICAL CARE ARGENTINA, S.A.,
                              as successor by merger to
                              NMC DE ARGENTINA, S.A.,
                              an Argentine corporation

                              By /s/ Dr. Guido Yagupsky/Horst Radtke
                                -----------------------------------------------
                              Name: Dr. Guido Yagupsky/Horst Radtke
                              Title: Manager

                              FRESENIUS USA, INC.,
                              a Massachusetts corporation

                              By /s/ Marc Lieberman
                                -----------------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

                              FRESENIUS MEDICAL CARE DEUTSCHLAND GmbH,
                              a German corporation

                              By /s/ Rolf Groos
                                -----------------------------------------------
                              Name: Rolf Groos
                              Title: Manager

                              By /s/ Norbert Weber
                                -----------------------------------------------
                              Name: Norbert Weber
                              Title: Manager

                              FRESENIUS MEDICAL CARE GROUPE FRANCE
                              (formerly known as Fresenius Groupe France S.A.),
                              a French corporation

                              By /s/ Udo Werle/Dr. Emanuele Gatti
                                -----------------------------------------------
                              Name: Udo Werle/Dr. Emanuele Gatti
                              Title: Manager

                              FRESENIUS MEDICAL CARE ITALIA, S.p.A.,
                              an Italian corporation

                              By /s/ Dr. Emanuele Gatti/Rolf Groos
                                -----------------------------------------------
                              Name: Dr. Emanuele Gatti/Rolf Groos
                              Title: Manager

                              FRESENIUS MEDICAL CARE ESPANA S.A.,
                              a Spanish corporation

                              By /s/ Dr. Emanuele Gatti/Ricardo Arias Duval
                                -----------------------------------------------
                              Name: Dr. Emanuele Gatti/Ricardo Arias Duval
                              Title: Manager

<PAGE>

                              FRESENIUS MEDICAL CARE MAGYAROSZA KfG,
                              a Hungarian corporation

                              By /s/ Norman Erhard
                                -----------------------------------------------
                              Name: Norman Erhard
                              Title: Manager

                              BIO-MEDICAL APPLICATIONS OF ALABAMA, INC.

                              By: /s/ Marc Lieberman
                                -----------------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

                              BIO-MEDICAL APPLICATIONS OF FLORIDA, INC.

                              By: /s/ Marc Lieberman
                                -----------------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

                              BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.

                              By: /s/ Marc Lieberman
                                  ----------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

                              BIO-MEDICAL APPLICATIONS OF INDIANA, INC.

                              By: /s/ Marc Lieberman
                                  ----------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

                              BIO-MEDICAL APPLICATIONS OF KENTUCKY, INC.

                              By: /s/ Marc Lieberman
                                  ----------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

                              BIO-MEDICAL APPLICATIONS OF LOUISIANA, INC.

                              By: /s/ Marc Lieberman
                                  ----------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

<PAGE>

                              BIO-MEDICAL APPLICATIONS OF MARYLAND, INC.

                              By: /s/ Marc Lieberman
                                  ----------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

                              BIO-MEDICAL APPLICATIONS OF MASSACHUSETTS, INC.

                              By: /s/ Marc Lieberman
                                  ----------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

                              BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA, INC.

                              By: /s/ Marc Lieberman
                                  ----------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

                              BIO-MEDICAL APPLICATIONS OF OHIO, INC.

                              By: /s/ Marc Lieberman
                                  ----------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

                              BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA, INC.

                              By: /s/ Marc Lieberman
                                  ----------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

                              BIO-MEDICAL APPLICATIONS OF SOUTH CAROLINA, INC.

                              By: /s/ Marc Lieberman
                                  ----------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

                              BIO-MEDICAL APPLICATIONS OF TEXAS, INC.

                              By: /s/ Marc Lieberman
                                  ----------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

<PAGE>

                              BIO-MEDICAL APPLICATIONS OF VIRGINIA, INC.

                              By: /s/ Marc Lieberman
                                  ----------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

                              LIFECHEM, INC.,
                              a Delaware corporation

                              By /s/ Marc Lieberman
                                  ----------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

GUARANTORS:                   FRESENIUS MEDICAL CARE HOLDINGS, INC.,
                              a New York corporation formerly known as WRG-NY

                              By /s/ Jerry Schneider
                                  ----------------------------------------
                              Name: Jerry Schneider
                              Title: Chief Financial Officer

                              NATIONAL MEDICAL CARE, INC.,
                              a Delaware corporation

                              By /s/ Marc Lieberman
                                  ----------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

                              BIO-MEDICAL APPLICATIONS MANAGEMENT CO., INC.,
                              a Delaware corporation

                              By /s/ Marc Lieberman
                                  ----------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

                              FRESENIUS MEDICAL CARE AG,
                              a German corporation

                              By /s/ Dr. Emanuele Gatti
                                 -----------------------------------------
                              Name: Dr. Emanuele Gatti
                              Title: Management Board Member

                              By /s/ Roberto Fuste
                                  ----------------------------------------
                              Name: Roberto Fuste
                              Title: Management Board Member

<PAGE>

                              FRESENIUS USA, INC.,
                              a Massachusetts corporation

                              By /s/ Marc Lieberman
                                  ----------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

                              FRESENIUS MEDICAL CARE DEUTSCHLAND
                              GmbH, a German corporation

                              By /s/ Rolf Groos
                                 -----------------------------------------
                              Name: Rolf Groos
                              Title: Manager

                              By /s/ Norbert Weber
                                  ----------------------------------------
                              Name: Norbert Weber
                              Title: Manager

                              FRESENIUS MEDICAL CARE GROUPE FRANCE,
                              a French corporation
                              (formerly known as Fresenius Groupe France S.A.)

                              By /s/ Udo Werle/Dr. Emanuele Gatti
                                 -----------------------------------------
                              Name: Udo Werle/Dr. Emanuele Gatti
                              Title: Manager

                              FRESENIUS SECURITIES, INC.,
                              a California corporation

                              By /s/ Marc Lieberman
                                 -----------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

                              NEOMEDICA, INC.,
                              a Delaware corporation

                              By /s/ Marc Lieberman
                                 -----------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

                              FMC FINANCE S.A.,
                              a Luxembourg corporation

                              By /s/ John Allen
                                 -----------------------------------------
                              Name: John Allen
                              Title: Manager

<PAGE>

                              FMC TRUST FINANCE S.a.r.l. LUXEMBOURG,
                              a Luxembourg corporation

                              By /s/ Andrea Stopper
                                 -----------------------------------------
                              Name: Andrea Stopper
                              Title: Manager

                              FMC TRUST FINANCE S.a.r.l. LUXEMBOURG III,
                              a Luxembourg corporation

                              By /s/ Gabriele Dux
                                 -----------------------------------------
                              Name: Gabriele Dux
                              Title: Manger

                              QCI HOLDINGS, INC.,
                              a Delaware corporation

                              By /s/ Marc Lieberman
                                 -----------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

                              SRC HOLDINGS, INC.,
                              a Delaware corporation

                              By /s/ Marc Lieberman
                                 -----------------------------------------
                              Name: Marc Lieberman
                              Title: Treasurer

<PAGE>

PAYING AGENT:                 BANK OF AMERICA, N.A. (formerly known as
                              NationsBank, N.A.), as Paying Agent for and on
                              behalf of the Lenders

                              By /s/ RICHARD L. NICHOLS, JR.
                                 -----------------------------------------
                              Name: Richard L. Nichols, Jr.
                              Title: Managing Director

<PAGE>

                              CONSENT TO AMENDMENT NO. 14

Bank of America, N.A. (formerly known as NationsBank, N.A.),
  as Paying Agent
101 N. Tryon Street, 15th Floor
NC1-001-15-04
Charlotte, North Carolina 28255
Attn:  Cassandra McCain
Ph: 415.436.3400
Fx: 415.503.5133

     Re:  Credit Agreement dated as of September 27, 1996 (as amended and
          modified, the "CREDIT AGREEMENT") among National Medical Care, Inc.,
          the other Borrowers, Guarantors and Lenders identified therein and
          NationsBank, N.A. (now known as Bank of America, N.A.), as Paying
          Agent. Terms used but not otherwise defined shall have the meanings
          provided in the Credit Agreement.

          Amendment No. 14 dated February 22, 2002 (the "SUBJECT AMENDMENT")
          relating to the Credit Agreement

Ladies and Gentlemen:

     This should serve to confirm our receipt of, and consent to, the Subject
Amendment. We hereby authorize and direct you, as Paying Agent for the Lenders,
to enter into the Subject Amendment on our behalf in accordance with the terms
of the Credit Agreement upon your receipt of such consent and direction from the
Required Lenders, and agree that Company and the other Credit Parties may rely
on such authorization.

                                   Sincerely,

                                   Bank of America, N. A.

                                   By: /s/ Richard L. Nichols, Jr.
                                      ----------------------------------------
                                   Name: Richard L. Nichols, Jr.
                                   Title: Managing Director

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