Document:

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                                                                 Exhibit 10(bb)

                                                                  EXECUTION COPY

                     AMENDMENT NO. 2 TO CONTINGENT PAYMENT
                            SUBORDINATION AGREEMENT

     THIS AMENDMENT NO. 2 (this "Amendment"), dated as of April 13, 2000, is by
                                 ---------
and among Access Worldwide Communications, Inc., formerly known as,
CulturalAccessWorldwide, Inc. (the "Purchaser"), Ann M. Holmes (the "Seller")
                                    ---------                        ------
and Bank of America, N.A., formerly known as NationsBank, N.A. (the "Agent"), as
                                                                     -----
agent, under that certain Credit Agreement (as amended from time to time, the

"Credit Agreement") among the Purchaser, the Agent and the Lenders (as defined
-----------------
in the Credit Agreement) party thereto dated as of March 12, 1999.  The Lenders,
the Agent and any of their successors and assigns are hereinafter referred to
collectively as the "Superior Lender."
                     ---------------

                                   WITNESSETH

     WHEREAS, the Purchaser, the Seller and the Agent have entered into that
certain Contingent Payment Subordination Agreement dated as of October 24, 1998
(the "Payment Subordination Agreement");
      -------------------------------

     WHEREAS, the Purchaser, the Seller and the Agent have also entered into
that certain Amendment No. 1 to the Payment Subordination Agreement dated as of
March 12, 1999 (the "First Amendment");
                     ---------------

     WHEREAS, the parties hereto desire to further amend the Payment
Subordination Agreement;

     NOW, THEREFORE, for good and valuable consideration, the receipt and
sufficiency of which is hereby acknowledged by each of the Purchaser, the Seller
and the Agent, the Payment Subordination Agreement is hereby amended as follows:

                                  DEFINITIONS

     Definitions.  Unless otherwise defined herein, capitalized terms used in
     -----------
this Amendment have the meanings provided in the Payment Subordination
Agreement, as amended.

                                   AMENDMENTS

     1.  Amendment to Section 1(c).  Section 1(c) of the Payment Subordination
         -------------------------
Agreement is amended in its entirety to read as follows:

     (c) So long as any part of the Superior Indebtedness remains outstanding
     and until the Credit Agreement shall have been terminated and the Notes (as
     defined in the Credit Agreement) shall have been fully and finally paid and
     satisfied, the Seller will
<PAGE>

     neither accept payment of the Subordinated Obligations in any manner
     whatsoever or take any action (i) to accelerate any of the Subordinated
     Obligations, (ii) to collect payment of any of the Subordinated
     Obligations, nor (iii) to foreclose, take any action or otherwise realize
     (whether by judicial action, under power of sale or by self-help
     repossession or otherwise) on any security or guaranty given by any person
     to secure or guarantee any of the Subordinated Obligations including
     without limitation any actions or remedies of the Seller set forth in the
     Purchase Agreement.

     2.  Amendment to Section 1(e).  Section 1(e) of the Payment Subordination
         -------------------------
Agreement is amended in its entirety to read as follows:

        (e) In the event of any distribution, division or application, partial
     or complete, voluntary or involuntary, by operation of law or otherwise, of
     all or any part of the assets of the Obligor or the proceeds thereof to
     creditors of the Obligor or upon any indebtedness of the Obligor, by reason
     of the liquidation, dissolution or other winding up of the Obligor or any
     of their business, or in the event of any sale, receivership, insolvency or
     bankruptcy proceeding, or assignment for the benefit of creditors, or any
     proceeding by or against the Obligor for any relief under any bankruptcy or
     insolvency law or laws relating to the relief of debtors, readjustment of
     indebtedness, reorganizations, compositions or extensions, then and in any
     such event any payment or distribution of any kind or character, either in
     cash, securities or other property, which shall be payable or deliverable
     upon or with respect to any or all of the Subordinated Obligations shall be
     paid or delivered directly to the Superior Lender for application on any
     Superior Indebtedness, due or not due, until such Superior Indebtedness of
     the Obligor to the Superior Lender shall have been finally and fully paid
     and satisfied and the Note shall have been canceled. The Seller agrees that
     she will not file any claim in bankruptcy or an involuntary proceeding,
     receivership or other similar action without expressly acknowledging and
     agreeing in writing in any filing or proceeding that its claim is
     subordinate in all respect to the Superior Indebtedness.

     3.  Amendment to Section 1(f).  Section 1(f) of the Payment Subordination
         -------------------------
Agreement is amended in its entirety to read as follows:

     (f) Should any payment or distribution or security or proceeds thereof be
     received by the Seller upon or with respect to any of the Subordinated
     Obligations prior to the full and final payment and satisfaction of all
     Superior Indebtedness and cancellation of the Note, such party will
     forthwith deliver the same to the Superior Lender in precisely the form
     received (except for the endorsement or assignment of such party where
     necessary) for application on any Superior Indebtedness, due or not due,
     and, until so delivered, the same shall be held in trust by such party as
     property of the Superior Lender and shall not be commingled with any other
     funds or property such party or any other person.  In the event of the
     failure of the Seller to make any such endorsement or assignment, the
     Superior Lender, or any of its officers or employees on behalf of the
     Superior Lender, is hereby irrevocably authorized and appointed attorney-
     in-fact to make the same.
<PAGE>

     4.  Amendment to Section 2.  Section 2 of the Payment Subordination
         ----------------------
Agreement is amended and restated in its entirety to read as follows:

     2.  Permitted Payments.
         ------------------

     (a) So long as part of the Superior Indebtedness remains outstanding,
     the Obligor may not make, and the Seller may not receive, payments pursuant
     to the terms of the Subordinated Debt.

     (b) The Seller, prior to the final payment and satisfaction in full in cash
     of the Superior Indebtedness and the termination of all financing
     arrangements between the credit parties and the Superior Lender in
     connection with the Credit Agreement (including letters of credit), shall
     have no right to enforce any payment with respect to the Subordinated
     Obligations, or to otherwise take any action against any Subordinated
     Obligations credit party or any of their respective assets in connection
     therewith.

     (c) It is understood and agreed by the Seller that payments of the
     Subordinated Obligations other than as expressly permitted in this Section
     2 shall not be permitted.

                                 MISCELLANEOUS

     1.  Condition Precedent.  The execution of this Amendment is a condition
         -------------------
precedent to the effectiveness of that certain Amendment Agreement and Waiver to
be executed among  the Purchaser, certain subsidiaries of the Purchaser, the
Agent, and the lenders party to the Credit  Agreement.

     2.  Representations and Warranties of the Agent and the Purchaser.  The
         -------------------------------------------------------------
Purchaser and the Agent hereby each represents and warrants that it:  (i) has
the requisite corporate power and authority to execute, deliver and perform this
Amendment, as applicable; and (ii) is duly authorized to, and has been
authorized by all necessary corporate action, to execute, deliver and perform
this Amendment, and this Amendment does not violate any law, rule, regulation,
contract or agreement otherwise enforceable by or against either of the
Purchaser or the Agent.

     3.   Representations of the Seller.  The Seller hereby represents and
          -----------------------------
warrants that she: (i) has had the opportunity to obtain the assistance of legal
counsel in carefully reviewing, discussing and considering all terms of this
Amendment; (ii) executes this Amendment as a free and voluntary act, without any
duress, coercion or undue influence exerted by or on behalf of any other party;
and (iii) has full and complete authorization and power to execute this
Amendment in the capacities herein stated, and this Amendment does not violate
any law, rule, regulation, contract or agreement otherwise enforceable by or
against her.

     4.   Limited Modification.  Except as specifically amended by the First
          --------------------
Amendment and hereby, the Contingent Payment Subordination Agreement shall
remain in full force and effect in accordance with its terms.
<PAGE>

     5.   No Oral Agreements.  This Amendment may not be contradicted by
          ------------------
evidence of prior, contemporaneous or subsequent oral agreements among the
parties. There are no unwritten agreements among the Purchaser, the Agent and
the Seller.

     6.   Counterparts.  This Amendment may be executed by the parties hereto in
          ------------
several counterparts (including facsimile counterparts), each of which shall be
deemed to be an original and all of which shall constitute together but one and
the same agreement. Delivery of an executed counterpart of this Amendment by
telecopy shall be effective as an original and shall constitute a representation
that an original shall be delivered.

     7.   Governing Law.  THIS AMENDMENT AND THE RIGHTS AND OBLIGATIONS OF THE
          -------------
PARTIES HEREUNDER SHALL BE GOVERNED BY AND CONSTRUED AND INTERPRETED IN
ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK.

     8.  Successors and Assigns.  This Amendment shall be binding upon
         ----------------------
and inure to the benefit of the parties hereto and their respective successors
and assigns.

  IN WITNESS WHEREOF, Access Worldwide Communications, Inc., Bank of America,
N.A. and Ann M. Holmes have caused this Amendment to be duly executed on the
date first above written.

                                  BANK OF AMERICA, N.A.

                                  By:
                                     ---------------------------
                                  Name:
                                  Title:

                                  ACCESS WORLDWIDE COMMUNICATIONS, INC.

                                  By:
                                     ---------------------------
                                  Name:
                                  Title:

                                                                        (SEAL)
----------------------                     ------------------------------------
Witness                                    Ann M. Holmes<PAGE>

                                                                  Exhibit 10(cc)

                                                                  EXECUTION COPY

                             AMENDMENT TO AGREEMENT
                              OF PURCHASE AND SALE

     THIS AMENDMENT (this "Amendment"), dated as of April 13, 2000 is by and
                           ---------
among A M Medica Communications, Ltd. (the "Company"), Ann M. Holmes (the
                                            -------
"Shareholder") and Access Worldwide Communications, Inc., formerly known as
------------
CulturalAccessWorldwide Inc. (the "Purchaser").
                                   ---------

                                   WITNESSETH

     WHEREAS, the Company, the Shareholder and the Purchaser have entered into
that certain Agreement of Purchase and Sale dated as of October 24, 1998 (the
"Purchase Agreement");
-------------------

     WHEREAS, the parties hereto desire to amend the Purchase Agreement;

     NOW, THEREFORE, for good and valuable consideration, the receipt and
sufficiency of which is hereby acknowledged by each of the Company, the
Shareholder and the Purchaser, the Purchase Agreement is hereby amended as
follows:

                                  DEFINITIONS

     Definitions.  Unless otherwise defined herein, capitalized terms used in
     -----------
this Amendment have the meanings provided in the Purchase Agreement.

                                   AMENDMENTS

     1.  Amendment to Section I(D).  Section I(D) of the Purchase Agreement is
         -------------------------
amended and restated in its entirety to read as follows:

          D. Contingent Payments. Subject to the conditions set forth herein and
             -------------------
     in Schedule I hereto, within ten (10) days after the date upon which all
     loans and obligations due from the Purchaser in its capacity as the
     borrower pursuant to that certain Credit Agreement among the Purchaser,
     Bank of America, N.A., formerly known as NationsBank, N.A. (the "Agent"),
     as agent, and the lenders party thereto dated as of March 12, 1999 (as
     amended from time to time, the "Credit Agreement"), have been paid in full
     and the commitments thereunder have been terminated, the Purchaser shall
     deliver to the Shareholder the portion of the Contingent Payments, if any,
     payable in cash payable with respect to the twelve-month periods ending
     December 31, 1999, and December 31, 2000, respectively. Subject to the
     conditions set forth herein and in Schedule I hereto, within ninety (90)
     days after December 31, 1999 and within ninety (90) days after December 31,
     2000, the Purchaser shall deliver to the Shareholder the
<PAGE>

     portion of the Contingent Payments, if any, payable in stock payable with
     respect to the twelve-month periods ending December 31, 1999 and December
     31, 2000, respectively. Subject to the conditions set forth herein and in
     Schedule I hereto, within ninety (90) days after December 31, 2001,
     December 31, 2002, and December 31, 2003, the Purchaser shall deliver to
     the Shareholder the Contingent Payments, if any, payable with respect to
     the twelve-month periods ending December 31, 2001, December 31, 2002, and
     December 31, 2003, respectively. The amount of the Contingent Payments
     payable to the Shareholder with respect to each such period (each, a
     "Contingent Period") shall be calculated based upon the EBITA (as defined
     below) achieved by the Contingent Payment Business (as hereinafter defined)
     during such Contingent Period. Each of the Contingent Payments, if any,
     shall be made by delivery to the Shareholder of (i) a certified official
     bank check payable to the order of the Shareholder or a wire transfer in
     immediately available funds to an account designated by the Shareholder and
     (ii) a certificate representing shares of Purchaser Common Stock,
     registered in the name of the Shareholder, in each case, in such amounts of
     cash and in such numbers of shares as are determined in accordance with
     Schedule I hereto.

     2.  Amendment to Section IV(F).  Section IV(F) of the Purchase Agreement is
         --------------------------
amended and restated in its entirety to read as follows:

          F. Superior Indebtedness. The Credit Agreement (as defined in Section
             ---------------------
     I(D) and all other documents executed in connection therewith constitute
     the only "Superior Indebtedness" of the Purchaser as that term is used in
     the Note Subordination Agreement (as hereinafter defined) and the
     Contingent Payment Subordination Agreement (as hereinafter defined).

     4.  Amendment to Section XII(C).  Section XII(c) of the Purchase Agreement
         ---------------------------
is amended and restated in its entirety to read as follows:

          C.  Entire Agreement.  This Agreement, as amended by the Amendment,
              ----------------
     and the documents referred to herein contain the entire agreement among the
     parties hereto with respect to the transactions contemplated hereby, and no
     modification hereof shall be effective unless in writing and signed by the
     party against which it is sought to be enforced.  Notwithstanding the
     foregoing or any other provisions of this Agreement or the documents
     referred to herein, no amendment to any of: (i) Section I(D); (ii) Section
     IV(F); or (iii) Section XII(C) of this Agreement shall be effective without
     the prior written consent of the Agent.

                                 MISCELLANEOUS

     1.  Condition Precedent.  The execution of this Amendment is a condition
         -------------------
precedent to the effectiveness of that certain Amendment Agreement and Waiver to
be executed among the Purchaser, certain subsidiaries of the Purchaser,
including the Company, the Agent and the lenders party to the Credit Agreement.

                                       2
<PAGE>

     2.  Representations and Warranties of the Purchaser and the Company.  Each
         ---------------------------------------------------------------
of the Purchaser and the Company hereby represents and warrants that each:  (i)
has the requisite corporate power and authority to execute, deliver and perform
this Amendment, as applicable; and (ii) is duly authorized to, and has been
authorized by all necessary corporate action, to execute, deliver and perform
this Amendment, and this Amendment does not violate any law, rule, regulation,
contract or agreement otherwise enforceable by or against either of Purchaser or
the Company.

     3.  Representations of the Shareholder. The Shareholder hereby represents
          ----------------------------------
and warrants that she: (i) has had the opportunity to obtain the assistance of
legal counsel in carefully reviewing, discussing and considering all terms of
this Amendment; (ii) executes this Amendment as a free and voluntary act,
without any duress, coercion or undue influence exerted by or on behalf of any
other party; and (iii) has full and complete authorization and power to execute
this Amendment in the capacities herein stated, and this Amendment does not
violate any law, rule, regulation, contract or agreement otherwise enforceable
by or against her.

     4.  Limited Modification. Except as specifically amended hereby, the
         --------------------
Purchase Agreement shall remain in full force and effect in accordance with its
terms.

     5.  No Oral Agreements. This Amendment may not be contradicted by evidence
         ------------------
of prior, contemporaneous or subsequent oral agreements among the parties. There
are no unwritten agreements among the Company, the Purchaser and the
Shareholder.

     6.  Counterparts.  This Amendment may be executed by the parties hereto in
         ------------
several counterparts (including facsimile counterparts), each of which shall be
deemed to be an original and all of which shall constitute together but one and
the same agreement. Delivery of an executed counterpart of this Amendment by
telecopy shall be effective as an original and shall constitute a representation
that an original shall be delivered.

     7.  Governing Law.  THIS AMENDMENT AND THE RIGHTS AND OBLIGATIONS OF THE
         -------------
PARTIES HEREUNDER SHALL BE GOVERNED BY AND CONSTRUED AND INTERPRETED IN
ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK.

     8.  Successors and Assigns. This Amendment shall be binding upon and inure
         ----------------------
to the benefit of the parties hereto and their respective successors and
assigns.

                  [Remainder of page left intentionally blank]

                                       3
<PAGE>

  IN WITNESS WHEREOF, the A M Medica Communications, Ltd., Access Worldwide
Communications, Inc. and Ann M. Holmes have caused this Amendment to be duly
executed on the date first above written.

                                          A M MEDICA COMMUNICATIONS, LTD.

                                          By: __________________________
                                          Name:
                                          Title:

                                          ACCESS WORLDWIDE COMMUNICATIONS, INC.

                                          By: __________________________
                                          Name:
                                          Title:

________________________________          __________________________(SEAL)
Witness                                   Ann M. Holmes

                                       4

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