Document:

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                                                                  Exhibit 10(dd)

                                                                  EXECUTION COPY

                           AMENDMENT TO SUBORDINATED
                               SECURITY AGREEMENT

     THIS AMENDMENT (this "Amendment"), dated as of April 13, 2000, is by and
between A M Medica Communications, Ltd. (the "Debtor") and Ann M. Holmes (the
"Secured Party").

                                   WITNESSETH

     WHEREAS, the Debtor and the Secured Party have entered into that certain
Subordinated Security Agreement dated as of October 24, 1998 (the "Security
Agreement");

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

     NOW, THEREFORE, for good and valuable consideration, the receipt and
sufficiency of which is hereby acknowledged by each of the Debtor and the
Secured Party, the Security Agreement is hereby amended as follows:

                                  DEFINITIONS

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

                                   AMENDMENTS

     1.  Amendment to Section 6.   A new subsection (c) is hereby added to
         ----------------------
Section 6 of the Security Agreement and shall read as follows:

          (c) Notwithstanding anything contained in this Section 6 or any other
     provision of this Agreement, the Secured Party shall not exercise any of
     her rights or remedies with respect to the Collateral prior to the payment
     in full of the Superior Indebtedness by Access Worldwide Communications,
     Inc., formerly known as CulturalAccessWorldwide, Inc.  No amendment shall
     be made to this Section 6(c) without prior written consent of Bank of
     America, N.A., formerly known as NationsBank, N.A., as agent with respect
     to the Superior Indebtedness.

     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 Access Worldwide Communications, Inc. (the "Borrower"),
certain subsidiaries of the Borrower,
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including the Debtor, Bank of America, N.A. as agent and the lenders party to
that certain Credit Agreement among the foregoing, dated as of March 12, 1999.

     2.  Representations and Warranties of the Debtor.  The Debtor hereby
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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 the Debtor.

     3.  Representations of the Secured Party. The Secured Party hereby
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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
         --------------------
Security 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 between the Debtor and the Secured Party.

     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]

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     IN WITNESS WHEREOF, the A M Medica Communications, Ltd. 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:

_______________________________           ________________________________(SEAL)
Witness                                   Ann M. Holmes

                                       3<PAGE>

                                                               Exhibit 10(ee)

         AMENDMENT TO 6% CONVERTIBLE SUBORDINATED PROMISSORY NOTE DUE
                               JANUARY 15, 2000

     THIS AMENDMENT (this "Amendment"), dated as of April 13, 2000, is by and
between TLM Holdings Corp. (the "Maker") and Lee Edelstein (the "Payee"), as
assignee of TeleManagement Services, Inc. ("TMS"). (Unless otherwise defined
herein, capitalized terms used in this Amendment have the meanings provided in
the Subordinated Note.)

                                   WITNESSETH

     WHEREAS, the Maker executed that certain 6% Convertible Subordinated
Promissory Note (the "Subordinated Note") due January 15, 2000 in the original
principal amount of $1,300,000 payable to TMS dated as of January 15, 1997; and

     WHEREAS, on January 27, 1997, TMS assigned the Subordinated Note to the
Payee, who currently owns and holds the Subordinated Note, and on December 9,
1997, TMS was voluntarily dissolved;

     WHEREAS, pursuant to Section 2.5 of the Subordinated Note and due to the
existence of a Senior Debt default, the Maker has not made the payment of
principal and interest due on the Subordinated Note on January 15, 2000 to the
Payee; and

     WHEREAS, the Maker and the Payee have agreed to amend the Subordinated
Note.

     NOW, THEREFORE, for good and valuable consideration, the receipt and
sufficiency of which is hereby acknowledged by the Maker and the Payee, the
Subordinated Note is hereby amended as follows:

     1.  Amendment to Section 1.  Section 1 of the Subordinated Note is amended
         ----------------------
and restated in its entirety to read as follows:

     Section 1.  Payment.
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          Section 1.1  General.  FOR VALUE RECEIVED, TLM Holdings Corp., a
                       -------
     Delaware corporation (the "Maker"), hereby promises to pay to the order of
     Lee Edelstein (the "Payee"), at the offices of the Maker (except that the
     Payee may require that payments shall be made to the Payee by mail at such
     address as the Payee shall from time to time designate in writing to the
     Maker), the principal sum of One Million Three Hundred Thousand Dollars
     ($1,300,000) in lawful money of the United States of America.

          The Maker hereby also promises to pay interest on the unpaid principal
     amount hereof in like money at such place, from the date hereof until
     payment of the principal amount hereof has been made in full, at the rate
     of six percent (6%) per annum (the "Non-
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     Default Rate") payable annually on the 15th day of January each year,
     commencing on January 15, 1998, which first payment shall include interest
     accrued from the date hereof; provided that, the accrued and unpaid
                                   --------
     interest outstanding on January 15, 2000, shall be paid by the Maker to the
     Payee on May 31, 2000. Any accrued and unpaid interest outstanding on the
     date the Final Installment is paid (as defined below) shall be due and
     payable in full on such date .

          The principal amount shall be payable in two (2) equal annual
     installments of Four Hundred Thirty Three Thousand Three Hundred Thirty
     Three Dollars ($433,333) on January 15, 1998, and January 15, 1999, and in
     one final installment of Four Hundred Thirty Three Thousand Three Hundred
     Thirty Four Dollars ($433,334) (the "Final Installment") on the date which
     is 10 days following the payment in full of all amounts and obligations
     owed by Access Worldwide Communications, Inc. (the "Borrower"), pursuant to
     that certain Credit Agreement (the "Credit Agreement") among the Borrower,
     the  guarantors party thereto, Bank of America, N.A. (the "Agent"), as
     agent and the lenders party thereto, dated as of March 12, 1999 and amended
     as of April 13, 2000.  All accrued and unpaid interest then outstanding
     shall be due and payable at the time that the Final Installment is due and
     payable.

     2.  Amendment to Section 4.  The second paragraph of Section 4 of the
         ----------------------
Subordinated Note is amended and restated in its entirety to read as follows:

          If the indebtedness evidenced by this Note shall not be paid on the
     date when due, thereafter the unpaid principal balance of such indebtedness
     shall bear interest at the rate of ten percent (10%) per annum until the
     past due portion of the indebtedness (including all accrued and unpaid
     interest) is paid, but in no event shall such rate of interest exceed the
     highest rate permitted by applicable law.  Notwithstanding the foregoing or
     any other provisions of this Note, no interest in excess of the Non-Default
     Rate shall be paid on the unpaid principal balance evidenced by this Note
     prior to the payment in full by the Borrower of all amounts and obligations
     owed pursuant to the Credit Agreement.  Rather, if the Default Rate is
     properly invoked by the Payee prior to the payment of all amounts and
     obligations due under the Credit Agreement by the Borrower, any and all
     interest amounts in excess of the Non-Default Rate shall accrue, but shall
     not be paid until the date the Final Installment is paid.

                                 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 in connection with the Credit Agreement among the Borrower, certain
subsidiaries of the Borrower, including the Maker and the Payee, Bank of
America, N.A., as agent, and the lenders party to the Credit Agreement.

     2.  Representations and Warranties of the Maker and the Payee.  Each of the
         ---------------------------------------------------------
Maker and the Payee hereby represents and warrants that each:  (i) has the
requisite corporate and
<PAGE>

individual 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 Maker or the Payee, and (iii),
as to Payee, the second recital set forth above is true and correct.

    3.  Limited Modification.  Except as specifically amended hereby, the
        --------------------
Subordinated Note shall remain in full force and effect in accordance with its
terms.

    4.   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 Maker and the Payee.

    5.   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.

   6.   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 FLORDIA.

  7.    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, TLM Holdings Corp. and TeleManagement Services, Inc. have
caused this Amendment to be duly executed on the date first above written.

                                      TLM HOLDINGS, CORP.

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

                                      By:
                                         ----------------------------------
                                          Lee Edelstein

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