Document:

Exhibit 10.4

    
      

    

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    Exhibit
      10.4

     

    

      APPENDIX
        X

      [Amendment
        Number 2]

      

      
        	
                Agency
                  Code 12000

              	
                Contract
                  Number C021236

              
	
                Period
                  4/1/07 - 12/31/08

              	
                Funding
                  Amount for Period Based
                  on approved capitation rates

              

      

      

      

      This
        is
        an AGREEMENT between THE STATE OF NEW YORK, acting by and through The
        New York State Department of Health,
        having
        its principal office at Corning
        Tower, Room 2001, Empire State Plaza, Albany NY 12237, (hereinafter
        referred to as the STATE), and WellCare
        of New York, Inc., (hereinafter
        referred to as the CONTRACTOR), to modify Contract
        Number C021236, as
        set
        forth below as set forth below and to extend the contract period through
        December 31, 2008. The effective date of these modifications is April 1,
        2007.

      

      1.
        Amend
        Section 5.1 (a) “Eligible to Enroll in the Medicaid Advantage Program” to read
        as follows:

      

      5.1
        Eligible to Enroll in the Medicaid Advantage Program

      

      a)
        Except
        as specified in Section 5.2, persons meeting the following criteria shall
        be
        eligible to enroll in the Contractor’s Medicaid Advantage Product:

      

      i)
        Must
        have full Medicaid coverage;

      

      ii)
        Must
        have evidence of Medicare Part A & B coverage; or be enrolled in Medicare
        Part C Coverage;

      

      iii)
        Must
        reside in the service area as defined in Appendix M of this
        agreement;

      

      iv)
        Must
        be 18 years of age or older; and

      

      v)
        Must
        enroll in the Contractor’s Medicare Advantage Product as defined in Section 1
        and Appendix K-1 of this agreement

      

      2.
        Add
        a Section 14 “Provisions Related to New York State Information Security Breach
        and Notification Act” to Appendix R “Additional Specifications for the Medicaid
        Advantage Agreement” to read as follows:

      

      14.
        Provisions Related to New York State Information Security Breach and
        Notification Act

      

      Contractor
        shall comply with the provisions of the New York State Information Security
        Breach and Notification Act (General Business Law Section 899-aa; State
        Technology Law Section 208). Contractor shall be liable for the costs associated
        with such breach if caused by the Contractor’s negligent or willful acts or
        omissions, or the negligent or willful acts or omissions of the Contractor’s
        agents, officers, employees or subcontractors.

      

      All
        other
        provisions of said AGREEMENT shall remain in full force and effect

      

      Appendix
        X

      Medicaid
        Advantage Contract Amendment

      April
        1,
        2007

      Page
        1

      

      

      In
        WITNESS WHEREOF, the parties hereto have executed this AGREEMENT as of the
        dates
        appearing under their signatures.

      

      
        	
                CONTRACTOR
                  SIGNATURE

              	
                STATE
                  AGENCY SIGNATURE

              
	
                By:
                  /s/
                  Todd S. Farha        

              	
                By:
                  /s/
                  Donna Frescatore       

              
	
                Todd
                  S. Farha

              	
                Donna
                  Frescatore

              
	
                Title:
                  President and CEO

              	
                Title:
                  Deputy Director

              
	
                Date:
                  2/26/2007

              	
                Date:
                  3/2/2007

              
	 	
                State
                  Agency Certification:

                In
                  addition to the acceptance of this contract, I also certify that
                  original
                  copies of this signature page will be attached to all exact copies
                  of this
                  contract

              

      

      

      

      STATE
        OF
        FLORIDA

      

      COUNTY
        OF
        HILLSBOROUGH

      

      On
        the
        26th
        day of
        February 2007, before me personally appeared Todd S. Farha, to me known,
        who
        being by me duly sworn, did depose and say that he/she resides at Tampa,
        Florida, that he is the President and CEO of WellCare of New York, Inc. the
        corporation described herein which executed the foregoing instrument; and
        that
        he/she signed his/her name hereto by order of the board of directors of said
        corporation

      

      

      Notary

      

      

      

      

      

      

      Appendix
        X

      Medicaid
        Advantage Contract Amendment

      April
        1,
        2007

      Page
        2EX-10.1

FIRST SUPPLEMENTAL INDENTURE

THIS FIRST SUPPLEMENTAL INDENTURE (“First Supplemental Indenture”) is made this 29th day of
March, 2007, among IKON OFFICE SOLUTIONS, INC., an Ohio corporation (the “Company”) and THE BANK OF
NEW YORK (the “Trustee”).

WHEREAS, the Company has issued its 7 3/4% Senior Notes due 2015 in the original aggregate
principal amount of $225,000,000 (herein the “Notes”).

WHEREAS, the Notes were issued under the Indenture dated as of September 21, 2005 among the
Company and the Trustee (the “Indenture”).

WHEREAS, having received the written approval of the holders of at least a majority in
principal amount of the Notes (not including any Notes owned by the Company, or by any Person
directly or indirectly controlling or controlled by or under direct or indirect common control with
the Company) pursuant to Section 9.02 of the Indenture, the Company and the Trustee desire to amend
the Indenture as provided hereinafter.

NOW, THEREFORE, in consideration of the premises and of the mutual covenants and agreements
contained in this First Supplemental Indenture, the parties agree as follows for the benefit of
each other and for the equal and ratable benefit of the Holders of the Notes:

1. The Indenture is hereby amended by replacing the phrase “(excluding Restricted
Payments permitted by clauses (1), (3), (4), (5), (6), (7), (8), (9), (10) and (11) of subsection
4.07(b) hereof)” in Section 4.07(a)(C) with the phrase “(excluding Restricted Payments permitted by
clauses (1), (3), (4), (5), (6), (7), (8), (9), (10), (11) and (12) of subsection 4.07(b) hereof)”.

2. The Indenture is hereby amended by deleting “and” at the end of Section 4.07(b)(10),
replacing the “•” at the end of Section 4.07(b)(11) with “; and” and adding the following clause
(12) to Section 4.07(b):

“(12) the redemption, repurchase, retirement or other acquisition of Capital
Stock of the Company or, so long as no Default has occurred and is continuing or
would be caused thereby, the declaration and payment of dividends on the Company’s
issued and outstanding Common Stock (other than Disqualified Stock), in an
aggregate amount not to exceed $350.0 million during the life of the notes, if (i)
the Net Leverage Ratio determined as of the end of the Company’s most recently
ended fiscal quarter preceding the date of such proposed redemption, repurchase,
retirement or other acquisition or such declaration or payment of dividends for
which financial statement are available would have been no greater than 2.0:1 and
(ii) the Company has filed its quarterly report on Form 10-Q or any applicable
successor form for the quarter ended March 31, 2007.

3. The Indenture is hereby amended by replacing “$10.0 million” in Section 4.09(b)(4)
with “$20.0 million”.

4. This First Supplemental Indenture shall be effective upon execution hereof by the Company
and the Trustee; provided, however, that the amendments to the Indenture set forth in Sections 2, 3
and 4 of this First Supplemental Indenture shall not become operative until the Payment Date (as
defined in the Consent Solicitation Statement dated March 16, 2007 (the “Solicitation Statement”)).

5. All capitalized terms used in this First Supplemental Indenture and not defined herein
shall have the meanings assigned to them in the Indenture.

6. Upon the execution and delivery of this First Supplemental Indenture, the Indenture shall
be modified and amended in accordance with this First Supplemental Indenture, and all the terms and
conditions of both shall be read together as though they constitute one instrument, except that, in
case of conflict, the provisions of this First Supplemental Indenture will control. The Indenture,
as modified and amended by this First Supplemental Indenture, is hereby ratified and confirmed in
all respects and shall bind every Holder of Notes. In case of conflict between the terms and
conditions contained in the Notes and those contained in the Indenture, as modified and amended by
this First Supplemental Indenture, the provisions of the Indenture, as modified by this First
Supplemental Indenture, shall control. In case any provision in this First Supplemental Indenture
shall be invalid, illegal or unenforceable, the validity, legality and enforceability of the
remaining provisions shall not in any way be affected or impaired thereby.

7. If any provision of this First Supplemental Indenture limits, qualifies or conflicts with
any provision of the Trust Indenture Act that is required under the Trust Indenture Act to be part
of and govern any provision of this First Supplemental Indenture, the provision of the Trust
Indenture Act shall control. If any provision of this First Supplemental Indenture modifies or
excludes any provision of the Trust Indenture Act that may be so modified or excluded, the
provision of the Trust Indenture Act shall be deemed to apply to the Indenture as so modified or to
be excluded by this First Supplemental Indenture, as the case may be.

8. All agreements of the Company in this First Supplemental Indenture shall bind its
successors. Nothing in this First Supplemental Indenture or the Notes, express or implied, shall
give to any Person, other than the parties hereto and thereto and their successors hereunder and
thereunder and the Holders of Notes, any benefit of any legal or equitable right, remedy or claim
under the Indenture, this First Supplemental Indenture or the Notes.

9. In entering into this First Supplemental Indenture, the Trustee shall be entitled to the
benefit of every provision of the Indenture relating to the conduct or affecting the liability or
affording protection to the Trustee, whether or not elsewhere herein so provided. The Trustee
shall not be responsible in any manner whatsoever for or in respect of the recitals contained
herein, all of which recitals are made solely by the Company.

10. This First Supplemental Indenture shall be construed in accordance with the laws of the
State of New York without reference to its conflict of laws provisions, and the obligations, rights
and remedies of the parties hereunder shall be determined in accordance with such laws.

11. All parties may sign any number of copies or counterparts of this First Supplemental
Indenture. Each signed copy or counterpart shall be an original, but all of them together shall
represent the same agreement.

[Signature Page Follows]

1

IN WITNESS WHEREOF, this First Supplemental Indenture has been executed by a duly authorized
officer of the Company and the Trustee.

Dated as of March 29, 2007.

	 	 	 
	IKON OFFICE SOLUTIONS, INC.,

	 
	 	 
	
 
	 	By: /s/ Richard J. Obetz
	
 
	 	 
	
 
	 	Name: Richard J. Obetz
	
 
	 	Title: Vice President and Treasurer

	 	 	 
	

THE BANK OF NEW YORK,                      }
                       By: /s/ Mary LaGumina

                       Name: Mary LaGumina
                       Title: Vice President
THE BANK OF NEW YORK,
	By: /s/ Mary LaGumina
	Name: Mary LaGumina
	Title: Vice President

2

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