Document:

<PAGE>

                                                                 EXHIBIT 10.19

                       FIRST AMENDMENT TO LEASE AGREEMENT

         This First Amendment to Lease Agreement (the "First Amendment") is made
this 9th day of February 2004 by and between BURTON HILLS IV PARTNERS, a
Tennessee general partnership (hereinafter called "Landlord") and SYMBION, INC.,
a Delaware corporation, successor by merger to Symbion Inc., a Tennessee
corporation (hereinafter called "Tenant").

                              W I T N E S S E T H:

         Whereas, the parties entered into that certain Lease Agreement dated
June 20, 2001, as modified by that certain Commencement Date Agreement dated
December 19, 2002 (collectively, the "Original Lease"), whereby Landlord leased
to Tenant the space described therein consisting of 39,852 rentable square feet
on the fourth and fifth floors (the "Original Leased Premises") in Burton Hills
IV Office Building, 40 Burton Hills Boulevard, Nashville, Tennessee (the
"Building");

         Whereas, Tenant has given notice that it requires additional space
within the Building and has proposed to include within the Leased Premises the
balance of the vacant space on the 4th floor of the Building (consisting of
3,920 rentable square feet) and has agreed to commence payment of rent of such
additional space on April 1, 2004.

         Whereas, Landlord has agreed to proceed to rent such additional space
to Tenant subject to the terms and conditions hereinafter set forth.

         Whereas the parties desire to enter into this First Amendment in order
to set forth the specific terms and conditions by which the Original Lease shall
be amended in order to effectuate the foregoing;

         Now, therefore in consideration of the premises and mutual covenants
herein contained and other good and valuable consideration the receipt and
sufficiency of which are hereby acknowledged, the parties do hereby agree to
amend the Original Lease as follows:

1.       Revision of Basic Lease Provisions. Effective April 1, 2004, Section
         1.02 of the Original Lease shall be deemed amended and restated as
         follows:

         Section 1.02. Basic Lease Provisions.

         A.       Building Name:    Burton Hills IV
                  Address:          40 Burton Hills Boulevard
                                    Nashville, TN 37215

         B.       Rentable Area of Leased Premises: 43,772 square feet;

<PAGE>

         C.       Building Expense Percentage: 32.57% (43,772/134,379);

         D.       Minimum Annual Rent:

<TABLE>
<CAPTION>

                  Lease Year                             Minimum Annual Rental
                  ----------                             ---------------------
                  <S>                                    <C>
                  1 (Jan. 1 - Dec. 31, 2003)                   $956,448.00
                  2 (Jan. 1 - Dec. 31, 2004)                   $991,728.00
                  3 (Jan. 1 - Dec. 31, 2005)                 $1,038,768.00
                  4 (Jan. 1 - Dec. 31, 2006)                 $1,138,072.00
                  5 (Jan. 1 - Dec. 31, 2007)                 $1,138,072.00
                  6 (Jan. 1 - Dec. 31, 2008)                 $1,181,844.00
                  7 (Jan. 1 - Dec. 31, 2009)                 $1,181,844.00
                  8 (Jan. 1 - Dec. 31, 2010)                 $1,225,616.00
                  9 (Jan. 1 - Dec. 31, 2011)                 $1,225,616.00
                  10 (Jan. 1 - Dec. 31, 2012)                $1,225,616.00
</TABLE>

         E.       Monthly Rental Installments:

<TABLE>
<CAPTION>

                                                               Monthly Rental
                         Lease Year                             Installments
                         ----------                             ------------
                  <S>                                          <C>
                  1 (Jan. 1 - Dec. 31, 2003)                     $79,704.00
                  2 (Jan. 1 - Dec. 31, 2004)                     $82,644.00*
                  3 (Jan. 1 - Dec. 31, 2005)                     $86,564.00**
                  4 (Jan. 1 - Dec. 31, 2006)                     $94,839.33
                  5 (Jan. 1 - Dec. 31, 2007)                     $94,839.33
                  6 (Jan. 1 - Dec. 31, 2008)                     $98,487.00
                  7 (Jan. 1 - Dec. 31, 2009)                     $98,487.00
                  8 (Jan. 1 - Dec. 31, 2010)                    $102,134.67
                  9 (Jan. 1 - Dec. 31, 2011)                    $102,134.67
                  10 (Jan. 1 - Dec. 31, 2012)                   $102,134.67

</TABLE>

                  *$79,704.00 per month from January thru March 2004 and
                  $83,624.00 per month from April thru December 2004.

                  **$83,624 per month from January thru March 2005 and
                  $87,544.00 per month from April thru December 2005.

         F.       Term: Ten (10) years

         G.       Commencement Date: January 1, 2003;

<PAGE>

         H.       Security Deposit: $90,000

         I.       Broker: Rita M. Cox, Broker, The Martin Companies and Alex S.
                  Palmer & Company;

         J.       Permitted Use: General office purposes;

         K.       Space Plan Approval Date: March 1, 2002 (See Exhibit B);

         L.       Options: Right of First Refusal (See Special
                  Stipulations-Exhibit G) and Five Year Extension Options (See
                  Section 2.07);

         M.       Expiration Date: December 31, 2012

         N.       Address for payments and notices:

                  Landlord:         Burton Hills IV Partners
                                    c/o Alex S. Palmer & Company
                                    Palmer Plaza, Suite 1600
                                    1801 West End Avenue
                                    Nashville, TN 37203

                  Tenant:           Symbion, Inc.
                                    40 Burton Hills Boulevard, Suite 500
                                    Nashville, TN 37215

         O.       Delinquency Interest Rate: An annual percentage rate of
                  interest equal to three percentage points (3%) in excess of
                  the "Prime Rate" from time to time published in the Money
                  Rates section of The Wall Street Journal, which rate as
                  published on the last publication day in any month shall be
                  deemed to be the appropriate reference rate for the entire
                  next succeeding calendar month; provided, however, that in no
                  event shall the Delinquency Interest Rate exceed the maximum
                  contract rate of interest from time to time allowed to be
                  charged under applicable law. Should The Wall Street Journal
                  cease publication of its Prime Rate, the Landlord shall have
                  the right to designate a comparable reference rate.

         P.       Lease Month: The calendar month or partial calendar month in
                  which the Commencement Date occurs, and each subsequent
                  calendar month during the Term.

         Q.       Lease Year: The period ending on the last day of the twelfth
                  (12th) month after the month in which the Commencement Date
                  occurs, and the successive annual period(s), if any, ending on
                  each subsequent anniversary of said date.

2.       Allowance for Additional Space. Landlord shall provide an allowance not
         exceeding $21.50 per rentable square foot for the 3,920 rentable square
         feet of

<PAGE>

         additional space added to the Leased Premises by this First Amendment,
         all as provided for in Section 2.1(c) of the Work Letter Agreement
         attached as Exhibit F to the Original Lease.

3.       Controlling Provisions. To the extent the provisions of this First
         Amendment are inconsistent with the Original Lease, the terms of this
         First Amendment shall control.

4.       Authority. Landlord and Tenant affirm and covenant that each has the
         authority to enter into this First Amendment and to abide by the terms
         hereof, and that the signatories hereto are authorized representatives
         of their respective entities empowered by their respective entities to
         execute this First Amendment.

5.       Force and Effect. Except as if expressly amended and modified herein,
         all other terms, covenants and conditions of the Original Lease shall
         remain in full force and effect.

6.       Successors and Assigns. The conditions, covenants and agreements
         contained herein shall be binding upon the parties hereto and their
         respective successors and assigns.

         In witness whereof, the parties hereto have executed this First
Amendment to Lease Agreement as of the day and year first above written.

                                              LANDLORD:

                                              BURTON HILLS IV PARTNERS

                                              By: /s/  Alex S. Palmer
                                                 ------------------------------
                                                    Alex S. Palmer,
                                                    Managing General Partner

                                              TENANT:

                                              SYMBION, INC.

                                              By: /s/ Kenneth C. Mitchell
                                                 ------------------------------
                                                Title: Chief Financial Officer
                                                      -------------------------<PAGE>
                                                                   EXHIBIT 10.1

                                PROMISSORY NOTE

                                    3-12-04
                          --------------------------
                                     (DATE)

FOR VALUE RECEIVED, BOYD BROS. TRANSPORTATION INC. a corporation located at the
address stated below ("MAKER") promises, jointly and severally if more than
one, to pay to the order of GENERAL ELECTRIC CAPITAL CORPORATION or any
subsequent holder hereof (each, a "PAYEE") at its office located at 1000
WINDWARD CONCOURSE SUITE 403, ALPHARETTA, GA 30005 or at such other place as
Payee or the holder hereof may designate, the principal sum of ONE MILLION FIVE
FORTY ONE THOUSAND THREE HUNDRED AND 00/100 DOLLARS ($1,541,300.00), with
interest on the unpaid principal balance, from the date hereof through and
including dates of payment, at a floating per annum simple interest rate
("Contract Rate") as hereinafter calculated.

The Contract Rate for any given period ("Effective Period") following the first
Effective Period shall be equal to the sum of (i) two and seventy two
hundredths percent (2.72%) per annum plus (ii) a variable per annum interest
rate ("Current LIBOR"), which shall be equal to the rate under the column
indicating the one month Eurodollar Deposits (London) ("LIBOR") as stated in
the Federal Reserve Statistical Release H.15 (519) published on the first
Business Day of the current month in which the applicable Effective Period
ends. If, for any reason whatsoever, the Federal Reserve Statistical Release
H.15 (519) is no longer published, the Current LIBOR shall be equal to the
rate listed for LIBOR which is published in the Money Rates Column of the Wall
Street Journal, Eastern Edition (or, in the event such rate is not so
published, in such other nationally recognized publication as Payee may
specify) on the first Business Day of the calendar month in which the
applicable Effective Period ends. As used herein, the term "Business Day" shall
mean and include any calendar day other than a day on which all commercial
banks in the City of New York, New York are required or authorized to be
closed.

The first Effective Period shall begin on the date hereof, and shall continue
through the earlier of (w) the date the first Periodic Installment (or part
thereof) is received by Payee and (x) the date on which the first Periodic
Installment is due. Each subsequent Effective Period shall begin on the day
after the last day of the previous Effective Period and shall continue through
the earlier of (y) the date the earliest due and unpaid Periodic Installment
(or part thereof) is received by Payee and (z) the date on which the next
Periodic Installment is due. The Contract Rate for the first Effective Period
shall be equal to the sum of (i) two and seventy two hundredths percent (2.72%)
per annum plus (ii) a variable per annum interest rate, which shall be equal to
the rate listed for LIBOR under the column indicating the such rate as stated
in the Federal Reserve Statistical Release H.15 (519) published as of the
first Business Day of the month in which the Effective Period ends.

Subject to the other provisions hereof, the principal and interest on this Note
is payable in lawful money of the United States in Sixty (60) consecutive
monthly installments as follows:

<TABLE>
<CAPTION>
             Periodic
            Installment                Amount
            -----------              ----------
            <S>                      <C>
             1 thru 59               $28,265.92
</TABLE>

each ("Periodic Installment") and a final installment which shall be in the
amount of the total outstanding unpaid principal and interest. The first
Periodic Installment shall be due and payable on___________and the following
Periodic Installments shall be due and payable on the same day of each
succeeding period (each, a "Payment Date"). All payments shall be applied first
to interest and then to principal. The acceptance by Payee of any payment which
is less than payment in full of all amounts due and owing at such time shall
not constitute a waiver of Payee's right to receive payment in full at such
time or at any prior or subsequent time. Interest shall be calculated on the
basis of a 365 day year (366 day leap year) and will be charged at the Contract
Rate for each calendar day on which any principal is outstanding.

The amount and number of the Periodic Installments will not change with
fluctuations in the Contract Rate. Any increase in the Contract Rate shall be
reflected by a corresponding decrease in the portion of the Periodic
Installment credited to the remaining unpaid principal balance. Any decrease in
the Contract Rate shall be reflected as a corresponding increase in the portion
of the Periodic Installment credited to the remaining unpaid principal balance.
Notwithstanding the foregoing, at the end of each three (3) month period
commencing with the first Payment Date hereof, Maker agrees to pay to Payee
forthwith an additional sum ("Quarterly Payment") sufficient to amortize the
unpaid principal over the balance of the original term hereof at the Contract
Rate applicable for the first Periodic Installment.

If, and for so long as, the amount of interest due exceeds the amount of the
Periodic Installment, Maker agrees to pay forthwith, in addition to (i) any
Periodic Installment then due and (ii) any Quarterly Payment, the amount by
which said interest exceeds the Periodic Installment. In the event interest
only is required to be paid during any period, the interest for such period
shall be due and payable monthly as it accrues and shall be calculated on the
unpaid principal balance existing at the commencement of such period.

The Maker hereby expressly authorizes the Payee to insert the date value is
actually given in the blank space on the face hereof and on all related
documents pertaining hereto.

This Note may be secured by a security agreement, chattel mortgage, pledge
agreement or like instrument (each of which is hereinafter called a "SECURITY
AGREEMENT").

Time is of the essence hereof. If any installment or any other sum due under
this Note or any Security Agreement is not received within ten (10) days after
its due date, the Maker agrees to pay, in addition to the amount of each such
installment or other sum, a late payment charge of five percent (5%) of the
amount of said installment or other sum, but not exceeding any lawful maximum.
If (i) Maker fails to make payment of any amount due hereunder within ten (10)
days after the same becomes due and payable; or (ii) Maker is in default under,
or fails to perform under any term or condition contained in any Security
Agreement, then the entire principal sum remaining unpaid, together with all
accrued interest thereon and any other sum payable under this Note or any
Security Agreement, at the election of Payee, shall immediately become due and
payable, with interest thereon at the lesser of eighteen percent (18%) per
annum or the highest rate not prohibited by applicable law from the date of
such accelerated maturity until paid (both before and after any judgment).

<PAGE>
The Maker may prepay in full, but not in part, its entire indebtedness
hereunder upon payment of the entire indebtedness plus an additional sum as a
premium equal to the following percentages of the original principal balance
for the indicated period:

Prior to the first annual anniversary date of this Note: three percent (3%)

Thereafter and prior to the second annual anniversary date of this Note: two
percent (2%)

Thereafter and prior to the third annual anniversary date of this Note: one
percent (1%)

and zero percent (0%) thereafter, plus all other sums due hereunder or under any
Security Agreement.

It is the intention of the parties hereto to comply with the applicable usury
laws; accordingly, it is agreed that, notwithstanding any provision to the
contrary in this Note or any Security Agreement, in no event shall this Note or
any Security Agreement require the payment or permit the collection of interest
in excess of the maximum amount permitted by applicable law. If any such excess
interest is contracted for, charged or received under this Note or any Security
Agreement, or if all of the principal balance shall be prepaid, so that under
any of such circumstances the amount of interest contracted for, charged or
received under this Note or any Security Agreement on the principal balance
shall exceed the maximum amount of interest permitted by applicable law, then
in such event (a) the provisions of this paragraph shall govern and control,
(b) neither Maker nor any other person or entity now or hereafter liable for
the payment hereof shall be obligated to pay the amount of such interest to the
extent that it is in excess of the maximum amount of interest permitted by
applicable law, (c) any such excess which may have been collected shall be
either applied as a credit against the then unpaid principal balance or
refunded to Maker, at the option of the Payee, and (d) the effective rate of
interest shall be automatically reduced to the maximum lawful contract rate
allowed under applicable law as now or hereafter construed by the courts having
jurisdiction thereof. It is further agreed that without limitation of the
foregoing, all calculations of the rate of interest contracted for, charged or
received under this Note or any Security Agreement which are made for the
purpose of determining whether such rate exceeds the maximum lawful contract
rate, shall be made, to the extent permitted by applicable law, by amortizing,
prorating, allocating and spreading in equal parts during the period of the
full stated term of the indebtedness evidenced hereby, all interest at any time
contracted for, charged or received from Maker or otherwise by Payee in
connection with such indebtedness; provided, however, that if any applicable
state law is amended or the law of the United States of America preempts any
applicable state law, so that it becomes lawful for the Payee to receive a
greater interest per annum rate than is presently allowed, the Maker agrees
that, on the effective date of such amendment or preemption, as the case may
be, the lawful maximum hereunder shall be increased to the maximum interest per
annum rate allowed by the amended state law or the law of the United States of
America.

The Maker and all sureties, endorsers, guarantors or any others (each such
person, other than the Maker, an "OBLIGOR") who may at any time become liable
for the payment hereof jointly and severally consent hereby to any and all
extensions of time, renewals, waivers or modifications of, and all
substitutions or releases of, security or of any party primarily or secondarily
liable on this Note or any Security Agreement or any term and provision of
either, which may be made, granted or consented to by Payee, and agree that
suit may be brought and maintained against any one or more of them, at the
election of Payee without joinder of any other as a party thereto, and that
Payee shall not be required first to foreclose, proceed against, or exhaust any
security hereof in order to enforce payment of this Note. The Maker and each
Obligor hereby waives presentment, demand for payment, notice of nonpayment,
protest, notice of protest, notice of dishonor, and all other notices in
connection herewith, as well as filing of suit (if permitted by law) and
diligence in collecting this Note or enforcing any of the security hereof, and
agrees to pay (if permitted by law) all expenses incurred in collection,
including Payee's actual attorneys' fees. Maker and each Obligor agrees that
fees not in excess of twenty percent (20%) of the amount then due shall be
deemed reasonable.

THE MAKER HEREBY UNCONDITIONALLY WAIVES ITS RIGHTS TO A JURY TRIAL OF ANY CLAIM
OR CAUSE OF ACTION BASED UPON OR ARISING OUT OF, DIRECTLY OR INDIRECTLY, THIS
NOTE, ANY OF THE RELATED DOCUMENTS, ANY DEALINGS BETWEEN MAKER AND PAYEE
RELATING TO THE SUBJECT MATTER OF THIS TRANSACTION OR ANY RELATED TRANSACTIONS,
AND/OR THE RELATIONSHIP THAT IS BEING ESTABLISHED BETWEEN MAKER AND PAYEE. THE
SCOPE OF THIS WAIVER IS INTENDED TO BE ALL ENCOMPASSING OF ANY AND ALL DISPUTES
THAT MAY BE FILED IN ANY COURT (INCLUDING, WITHOUT LIMITATION, CONTRACT CLAIMS,
TORT CLAIMS, BREACH OF DUTY CLAIMS, AND ALL OTHER COMMON LAW AND STATUTORY
CLAIMS.) THIS WAIVER IS IRREVOCABLE MEANING THAT IT MAY NOT BE MODIFIED EITHER
ORALLY OR IN WRITING, AND THE WAIVER SHALL APPLY TO ANY SUBSEQUENT AMENDMENTS,
RENEWALS, SUPPLEMENTS OR MODIFICATIONS TO THIS NOTE, ANY RELATED DOCUMENTS, OR
TO ANY OTHER DOCUMENTS OR AGREEMENTS RELATING TO THIS TRANSACTION OR ANY
RELATED TRANSACTION. IN THE EVENT OF LITIGATION, THIS NOTE MAY BE FILED AS A
WRITTEN CONSENT TO A TRIAL BY THE COURT.

This Note and any Security Agreement constitute the entire agreement of the
Maker and Payee with respect to the subject matter hereof and supercedes all
prior understandings, agreements and representations, express or implied.

No variation or modification of this Note, or any waiver of any of its
provisions or conditions, shall be valid unless in writing and signed by an
authorized representative of Maker and Payee. Any such waiver, consent,
modification or change shall be effective only in the specific instance and for
the specific purpose given.

Any provision in this Note or any Security Agreement which is in conflict with
any statute, law or applicable rule shall be deemed omitted, modified or
altered to conform thereto.

                                        BOYD BROS. TRANSPORTATION INC.

/s/ Raynell Pelham                      By: /s/ Richard Bailey
------------------------------------       ------------------------------------
(Witness)

Raynell Pelham                          Name: Richard Bailey
------------------------------------         ----------------------------------
(Print name)

3275 Hwy 30 Clayton AL 36016            Title: CFO
------------------------------------          ---------------------------------
(Address)
                                        Federal Tax ID #: 636006515

                                        Address: 3275 Highway 30, Clayton,
                                                 Barbour County, AL 36016

<PAGE>

                          COLLATERAL SCHEDULE NO. 006

THIS COLLATERAL SCHEDULE NO. 006 is annexed to and made a part of that certain
Master Security Agreement dated as of May 21, 2002 between General Electric
Capital Corporation, together with its successors and assigns, if any, as
Secured Party and BOYD BROS. TRANSPORTATION INC. as Debtor and describes
collateral in which Debtor has granted Secured Party a security interest in
connection with the Indebtedness (as defined in the Security Agreement)
including without limitation that certain Promissory Note dated 3-12-04 in the
original principal amount of $1,541,300.00.

<TABLE>
<CAPTION>
                                                                    YEAR/MODEL AND TYPE
QUANTITY       MANUFACTURER           SERIAL NUMBER                    OF EQUIPMENT
--------       -------------        -----------------           ---------------------------
<S>            <C>                  <C>                         <C>
1              International        2HSCNSBR54C020093           2004   9400i SBA    Tractor
1              International        2HSCNSBRX4C024267           2004   9400i SBA    Tractor
1              International        2HSCNSBR14C024268           2004   9400i SBA    Tractor
1              International        2HSCNSBR34C024269           2004   9400i SBA    Tractor
1              International        2HSCNSBRX4C024270           2004   9400i SBA    Tractor
1              International        2HSCNSBR14C024271           2004   9400i SBA    Tractor
1              International        2HSCNSBR34C024272           2004   9400i SBA    Tractor
1              International        2HSCNSBR54C024273           2004   9400i SBA    Tractor
1              International        2HSCNSBR74C024274           2004   9400i SBA    Tractor
1              International        2HSCNSBR94C024275           2004   9400i SBA    Tractor
1              International        2HSCNSBR04C024276           2004   9400i SBA    Tractor
1              International        2HSCNSBR24C024277           2004   9400i SBA    Tractor
1              International        2HSCNSBR44C024278           2004   9400i SBA    Tractor
1              International        2HSCNSBR64C024279           2004   9400i SBA    Tractor
1              International        2HSCNSBR24C024280           2004   9400i SBA    Tractor
1              International        2HSCNSBR44C024281           2004   9400i SBA    Tractor
1              International        2HSCNSBR64C024282           2004   9400i SBA    Tractor
1              International        2HSCNSBR84C024283           2004   9400i SBA    Tractor
1              International        2HSCNSBRX4C024284           2004   9400i SBA    Tractor
1              International        2HSCNSBR14C024285           2004   9400i SBA    Tractor
1              International        2HSCNSBR34C024286           2004   9400i SBA    Tractor
1              International        2HSCNSBR54C024287           2004   9400i SBA    Tractor
1              International        2HSCNSBR74C024288           2004   9400i SBA    Tractor
1              International        2HSCNSBR94C024289           2004   9400i SBA    Tractor
1              International        2HSCNSBR54C024290           2004   9400i SBA    Tractor
</TABLE>

Equipment immediately listed above is located at: 825 W. Leffel Lane,
Springfield, Clark County, OH 45506

and including all additions, attachments, accessories and accessions thereto,
and any and all substitutions, replacements or exchanges therefor, and all
insurance and/or other proceeds thereof.

Debtor is and will remain in full compliance with all laws and regulations
applicable to it including, without limitation, (i) ensuring that no person who
owns a controlling interest in or otherwise controls Debtor is or shall be (Y)
listed on the Specially Designated Nationals and Blocked Person List maintained
by the Office of Foreign Assets Control ("OFAC"), Department of the Treasury,
and/or any other similar lists maintained by OFAC pursuant to any authorizing
statute, Executive Order or regulation or (Z) a person designated under Section
l(b), (c) or (d) of Executive Order No. 13224 (September 23, 2001), any related
enabling legislation or any other similar Executive Orders, and (ii) compliance
with all applicable Bank Secrecy Act ("BSA") laws, regulations and government
guidance on BSA compliance and on the prevention and detection of money
laundering violations.

SECURED PARTY:                          DEBTOR:

GENERAL ELECTRIC CAPITAL CORPORATION    BOYD BROS. TRANSPORTATION INC.

By:                                     By: /s/ Richard Bailey
   ---------------------------------       ------------------------------------

Name:                                   Name: Richard Bailey
     -------------------------------         ----------------------------------

Title:                                  Title: CFO
      ------------------------------          ---------------------------------

Date:                                   Date: 3-12-04
     -------------------------------         ----------------------------------

<PAGE>

                              Date January 13,2004

General Electric Capital Corporation
1000 Windward Concourse Suite 403
Alpharetta, GA 30005

Gentlemen:

         You are hereby irrevocably authorized and directed to deliver and
apply the proceeds of your loan to the undersigned evidenced by that Note dated
3-12-04 and secured by that Security Agreement or Chattel Mortgage dated May 21,
2002, as follows:

         International Truck and Engine Corporation     $1,541,300.00

         This authorization and direction is given pursuant to the same
authority authorizing the above-mentioned borrowing.

                                    Very truly yours,

                                         BOYD BROS. TRANSPORTATION INC.

                                         By: /s/ Richard Bailey
                                            -----------------------------------
                                         Name: Richard Bailey
                                              ---------------------------------
                                         Title: CFO
                                               --------------------------------

<PAGE>

                                    ANNEX A
                                       TO
                          COLLATERAL SCHEDULE NO. 006
                          TO MASTER SECURITY AGREEMENT
                            DATED AS OF MAY 21, 2002

                      CERTIFICATE OF DELIVERY/INSTALLATION

To: General Electric Capital Corporation (together with its successors and
assigns, if any, "SECURED PARTY")

         Pursuant to the provisions of the above Collateral Schedule to the
above Master Security Agreement and the related Promissory Note (collectively,
the "LOAN"), the undersigned ("DEBTOR") hereby certifies and warrants that (a)
all Equipment listed below has been delivered and installed (if applicable);
(b) the Debtor has inspected the Equipment, and all such testing as it deems
necessary has been performed by Debtor, Supplier or the manufacturer; (c)
Debtor has found all such Equipment to be satisfactory and meets all applicable
specifications and is fully operational for its intended use; and (d) the
Equipment was first delivered to Debtor on________________and copies of the
Bill(s) of Lading or other documentation acceptable to Secured Party which show
the date of delivery are attached hereto.

<TABLE>
<CAPTION>
 NUMBER
OF UNITS       MANUFACTURER          SERIAL NUMBERS            MODEL AND TYPE OF EQUIPMENT

<S>            <C>                  <C>                        <C>
1              International        2HSCNSBR54C020093              9400i SBA    Tractor
1              International        2HSCNSBRX4C024267              9400i SBA    Tractor
1              International        2HSCNSBR14C024268              9400i SBA    Tractor
1              International        2HSCNSBR34C024269              9400i SBA    Tractor
1              International        2HSCNSBRX4C024270              9400i SBA    Tractor
1              International        2HSCNSBR14C024271              9400i SBA    Tractor
1              International        2HSCNSBR34C024272              9400i SBA    Tractor
1              International        2HSCNSBR54C024273              9400i SBA    Tractor
1              International        2HSCNSBR74C024274              9400i SBA    Tractor
1              International        2HSCNSBR94C024275              9400i SBA    Tractor
1              International        2HSCNSBR04C024276              9400i SBA    Tractor
1              International        2HSCNSBR24C024277              9400i SBA    Tractor
1              International        2HSCNSBR44C024278              9400i SBA    Tractor
1              International        2HSCNSBR64C024279              9400i SBA    Tractor
1              International        2HSCNSBR24C024280              9400i SBA    Tractor
1              International        2HSCNSBR44C024281              9400i SBA    Tractor
1              International        2HSCNSBR64C024282              9400i SBA    Tractor
1              International        2HSCNSBR84C024283              9400i SBA    Tractor
1              International        2HSCNSBRX4C024284              9400i SBA    Tractor
1              International        2HSCNSBR14C024285              9400i SBA    Tractor
1              International        2HSCNSBR34C024286              9400i SBA    Tractor
1              International        2HSCNSBR54C024287              9400i SBA    Tractor
1              International        2HSCNSBR74C024288              9400i SBA    Tractor
1              International        2HSCNSBR94C024289              9400i SBA    Tractor
1              International        2HSCNSBR54C024290              9400i SBA    Tractor
</TABLE>

Equipment immediately listed above is located at: 825 W. Leffel Lane,
Springfield, Clark County, OH 45506

                                    BOYD BROS. TRANSPORTATION INC.

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

<PAGE>

                                January 13, 2004

BOYD BROS. TRANSPORTATION INC.
3275 Highway 30
Clayton, AL 36016

RE: AMENDMENT ON SELF-INSURANCE

Gentlemen:

This letter is written in connection with our chattel mortgage, security
agreement or lease agreement ("CONTRACT"), dated as of May 21, 2002, and the
collateral or equipment described therein ("EQUIPMENT"). We hereby propose to
amend the Contract as follows:

Anything in the Contract to the contrary notwithstanding, it is agreed that you
shall have the right, at your sole risk and expense, to self-insure the
Equipment against the risk of loss or damage. However, if at any time the
undersigned shall reasonably deem itself insecure with such self-insurance,
then you agree, upon receipt of notice from the undersigned, to obtain
insurance against such risk from companies acceptable to the undersigned as
required by the Contract.

Except as expressly amended hereinabove, the Contract would remain in full
force and effect. Nothing in this letter shall be deemed to be a waiver of any
liability insurance coverage that may be required by the Contract and, to the
extent that such coverage is required by the Contract, it is agreed and
understood that you must, at your sole cost and expense, obtain such coverage
from companies acceptable to the undersigned.

If the foregoing is acceptable, please evidence your consent by executing in
the appropriate space provided below and returning the fully executed copy to
the undersigned.

                                    Very truly yours,

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

AGREED TO AND ACCEPTED
BOYD BROS. TRANSPORTATION INC.

By:
   ----------------------------------------
Name:
     --------------------------------------
Title:
      -------------------------------------
Date:
     --------------------------------------
<PAGE>
[GE LOGO]  GE Capital
           Commercial Equipment Financing
-------------------------------------------------------------------------------

Online Account Management
Access account information online, 24 hours a day, 7 days a week.

GE Capital Commercial Equipment Finance invites you to register today for
online account management. You'll have immediate access to your account
information from GE's secure website.

At WWW.GE-CEF.COM you can view:

-        General Account Information including the number of payments remaining
         on a loan or lease.

-        Historical Invoices that you can download and print from your own
         computer.

-        Current Outstanding Charges.

-        Payment History.

-        Late Charges (if any).

-        Equipment Detail.

-        Principal and Interest Calculations (on floating rate loans).

You can also: Request billing address changes; Browse Frequently Asked
Questions; Download Electronic Payment System (EPS) forms; and Email Customer
Service for rapid response.

It takes just a few minutes to sign up and add your accounts to your profile.
Your accounts will be automatically updated every night. You can check your
account information as often as you'd like -- the service is free!

The enclosed instructions will assist you in the first step to online account
management.

GE Capital Commercial Equipment Finance looks forward to continually growing
with and understanding our customers. With tools like "MANAGE ACCOUNTS" we
can more efficiently serve you.

<PAGE>
Online Account Management
Registration and Set-up Instructions.

Please go to www.ge-cef.com and select the "Manage Accounts" link.

YOU WILL NEED TO LOOK AT AN INVOICE FOR THE FOLLOWING INFORMATION:

-        BILLING ID

-        CUSTOMER NUMBER

-        ACCOUNT SCHEDULE NUMBER(S)

REGISTERING FOR ONLINE ACCOUNT MANAGEMENT:

         1.       You will need a GE Single Sign-On ID and password to register
                  for Online Account Management. Select "Register Now". This
                  will take you to the GE Single Sign-On User Registration.

         2.       Complete the required fields and select "Register" at the
                  bottom of the screen.

         3.       You will immediately be prompted to "Enter Network Password".
                  Enter your GE Single Sign-on USER ID and PASSWORD (that you
                  just picked) and press "OK". This will bring you to the
                  Online Account Management registration page.

         4.       Complete the User Registration form and press "SUBMIT".

This will complete the Online Account Management registration process and bring
you to the "Manage Accounts" menu page.

SETTING UP YOUR ACCOUNT LIST:

You will now need to add your Customer and Account numbers to your Personal
Account List:

         1.      At the Manage Accounts home page, select "UPDATE ACCOUNT
                 LIST".

         2.      Enter your CUSTOMER NUMBER in the space provided and select
                 "ADD CUST #". Your Customer Number will now appear at the top
                 of the page.

         3.      Enter your ACCOUNT NUMBER in the space provided and select
                 "ADD ACCOUNT". Your Account Number will now be added to the
                 list at the top of the page.

                 PLEASE LEAVE THE CUSTOMER # FIELD BLANK WHEN ADDING ACCOUNT #S.

         4.      Repeat step 3 to continue to add account schedules to your
                 profile, one at a time. Please note that you must add new
                 Customer Numbers to your profile before you can add any
                 corresponding Account Numbers.

         5.      When you are finished updating your account list, press
                 "RETURN TO MANAGE ACCOUNTS".

This completes your Online Account Management setup. Please note that newly
added account schedules may not be available for viewing until the following
day.

<PAGE>
[GE LOGO] General Electric Capital Corporation
-------------------------------------------------------------------------------

<TABLE>
                                        <S>            <C>              <C>
                                        Billing Id.     Invoice No.     Due Date
                                            006        4151193-001

                                                        Current Due     TOTAL DUE
                                                         $1,540.65      $1,540.65
</TABLE>

MAKE CHECKS PAYABLE AND REMIT TO:

GENERAL ELECTRIC CAPITAL CORPORATION
1000 WINDWARD CONCOURSE SUITE 403
ALPHARETTA, GA 30005
ATTN CAREY BROCK

                                                BOYD BROS. TRANSPORTATION INC.
                                                3275 Highway 30
                                                Clayton, AL 36016

To ensure proper credit-detach along dotted line and return upper portion
with payment.                                     Please do not staple or fold.
-------------------------------------------------------------------------------

[GE LOGO] General Electric Capital Corporation
-------------------------------------------------------------------------------

<TABLE>
             <S>            <C>              <C>                <C>
             Billing Id.    Customer No.     Office Id.         CUSTOMER SERVICE
                 006         031554033          8221             1-800-YES-GECC

             Invoice No.    Invoice Date      DUE DATE              TOTAL DUE
             4151193-001     01/13/2004                             $1,540.65
</TABLE>

BOYD BROS. TRANSPORTATION INC.
3275 Highway 30
Clayton, AL 36016

<TABLE>
  Account          Due Date             Description                Amount
<S>              <C>               <C>                           <C>
4151193-001      UPON RECEIPT      DOCUMENTATION FEE             $1,540.65

                                   TOTAL DUE                     $1,540.65

                                      RETAIN THIS PORTION
</TABLE>

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