Document:

Amendment to the Guarantee Fee, Reimbursement and Indemnification Agreement

 Exhibit 10.5 
 SECOND AMENDMENT TO GUARANTEE FEE, REIMBURSEMENT 
 AND INDEMNIFICATION AGREEMENT 

 This SECOND AMENDMENT dated as of May 18, 2007 (this “Second Amendment”) to the Guarantee Fee, Reimbursement
Agreement and Indemnification Agreement dated as of March 16, 2007, as amended on April 17, 2007 (as amended, the “Guarantee Fee Agreement”), by and between MEDICAL SOLUTIONS MANAGEMENT INC., a corporation organized
and existing under the laws of the State of Nevada (the “MSMI”), ORTHOSUPPLY MANAGEMENT, INC., a Delaware corporation (the “Guarantor”) and VICIS CAPITAL MASTER FUND, a sub-trust of Vicis Capital
Series Master Trust, a unit trust organized and existing under the laws of the Cayman Islands (the “Fund”). All capitalized terms used herein and not otherwise defined shall have the meaning ascribed to them in the Guarantee Fee
Agreement. 
 WITNESSETH: 
 WHEREAS, MSMI proposes to (i) enter into the amendment, in the form of Exhibit A attached hereto, to the Revolving Line of Credit Agreement dated as of March 16, 2007 by and between MSMI and Sovereign Bank
(“Sovereign”) (as amended and in effect from time to time, including pursuant to the Revolving Line of Credit Amendment (as hereinafter defined) the “Revolving Credit Agreement”) with Sovereign (the
“Revolving Line of Credit Amendment”) pursuant to and in connection with which it shall, among other things, (A) have the ability to borrow up to an additional principal amount of $1,500,000, for an original principal total of
$3,000,000, from Sovereign, (B) issue to Sovereign an amended and restated promissory note in the original principal amount of $3,000,000, and (ii) enter into an amendment, in the form of Exhibit B attached hereto, to the
Irrevocable Standby Letter of Credit No. 00034 in favor of the Bank (as amended and in effect from time to time, the “Letter of Credit”) to increase the maximum drawing amount from $1,530,000 to $3,060,000 (the “Letter
of Credit Amendment”). 
 WHEREAS, pursuant to the terms of the Guarantee Fee Agreement, MSMI may not amend the Revolving Credit
Agreement and the Letter of Credit without the prior written consent of the Fund; and 
 WHEREAS, as consideration for the Fund’s
consent to the Revolving Line of Credit Amendment and Letter of Credit Amendment, MSMI has agreed to issue to the Fund warrants, in the form attached hereto as Exhibit B (the “May 2007 Warrants”) to purchase an aggregate of
3,060,000 shares of Common Stock (the “May 2007 Warrant Shares”). 
 Accordingly, in consideration of the mutual promises
and covenants hereinafter set forth, the parties hereto agree as set forth below. 
 OPERATIVE PROVISIONS 
 1. Issuance of Warrants. Immediately upon execution of this Second Amendment, MSMI shall issue the May 2007 Warrants to the Fund. 
 2. Representations and Warranties. MSMI and Guarantor hereby, jointly and severally, represent and warrant to the Fund as of the date of this Second Amendment as
follows: 
  

 (a) Issuance of Securities. MSMI has authorized the issuance of the May 2007
Warrants, and the May 2007 Warrants have been validly issued, fully paid and nonassessable and are free from all taxes, Liens and charges with respect to the issue thereof. MSMI has authorized and reserved 3,060,000 shares of Common Stock for the
issuance upon exercise of the May 2007 Warrants. The May 2007 Warrant Shares, when issued and paid for upon exercise of the May 2007 Warrants, will be validly issued, fully paid and nonassessable and free from all taxes, Liens and charges with
respect to the issue thereof, with the holders being entitled to all rights accorded to a holder of the Common Stock. All actions by the board of directors of MSMI, MSMI, and its stockholders necessary for the valid issuance of the May 2007 Warrants
and the May 2007 Warrant Shares have been taken. 
 (b) Authorization; Enforcement; Validity. The Company has the
requisite corporate power and authority to enter into and perform its obligations under this Second Amendment, the May 2007 Warrants, and each of the other agreements or instruments entered into by the parties hereto in connection with the
transactions contemplated by this Second Amendment (collectively, the “Transaction Documents”). The Transaction Documents have been duly executed and delivered by MSMI, and constitute the legal, valid and binding obligations of the Company
enforceable against the Company in accordance with their respective terms, except (i) as such enforceability may be limited by general principles of equity or applicable bankruptcy, insolvency, reorganization, moratorium, liquidation or similar
laws relating to, or affecting generally, the enforcement of applicable creditors’ rights and remedies, and (ii) as any rights to indemnity or contribution hereunder may be limited by federal and state securities laws and public policy
consideration. 
 (c) No Conflicts. The execution, delivery and performance of the Transaction Documents by the
Company and the consummation by the Company of the transactions contemplated hereby and thereby (including, without limitation, the reservation for issuance of the May 2007 Warrant Shares) will not (i) result in a violation of any articles or
certificate of incorporation, any certificate of designations, preferences and rights of any outstanding series of preferred stock or bylaws of the Company or Guarantor or (ii) conflict with, or constitute a default (or an event which with
notice or lapse of time or both would become a default) under, or give to others any rights of termination, amendment, acceleration or cancellation of, any material agreement, indenture or instrument to which the Company or Guarantor is a party, or
(iii) result in a violation of any law, rule, regulation, order, judgment or decree (including federal and state securities laws and regulations) applicable to the Company or Guarantor or by which any property or asset of MSMI or Guarantor is
bound or affected, except in the case of clauses (ii) and (iii), for such breaches or defaults as would not be reasonably expected to have a Material Adverse Effect. 
  

 (d) Placement Agent’s Fees. Except for payments to Midtown
Partners & Co., LLC, no brokerage or finder’s fee or commission are or will be payable to any Person with respect to the transactions contemplated by this Second Amendment based upon arrangements made by the Company or any of its
affiliates. MSMI agrees that it shall be responsible for the payment of any placement agent’s fees, financial advisory fees, or brokers’ commissions (other than for persons engaged by Fund) relating to or arising out of the transactions
contemplated hereby. MSMI shall pay, and hold the Fund harmless against, any liability, loss or expense (including, without limitation, attorney’s fees and out-of-pocket expenses) arising in connection with any claim for any such fees or
commissions. 
 (e) Confirmation of Representation, Warranties, Covenants. Except as disclosed in the reports,
schedules, forms, statements and other documents filed by the Company since March 16, 2007 with the Securities and Exchange Commission (the “SEC”) pursuant to the reporting requirements of the Securities Exchange Act of 1934, as
amended (the “Exchange Act”) (the “SEC Documents”), (i) each representation and warranty made by MSMI or Guarantor in the Guaranty Fee Agreement is true and correct as if made as of the date hereof, and (ii) MSMI and
the Guarantor have fully complied with each covenant in the Guaranty Fee Agreement. 
 3. MSMI and Guarantor hereby agree that the increased drawing amount
of the Letter of Credit is subject to MSMI’s Reimbursement Obligations (as defined in Section 2.1(a) of the Guaranty Fee Agreement), the Guarantor’s guaranty referenced in Section 2.4 of the Guaranty Fee Agreement, and each
of the other provisions set forth in the Guaranty Fee Agreement, including, but not limited to, Section 2.1(c), related to the issuance of Additional Warrants and Additional Warrant Shares, Section 2.3 and Section 2.4, subjecting the
increased drawing amounts to the security interest granted by MSMI and the Guarantor. 
 4. Section 2.5(a); No Modification; Notice to Fund.
Section 2.5(a) of the Guarantee Fee Agreement is hereby deleted in its entirety and replaced with the following: 
 (a)
Without prior written consent executed by the Fund, MSMI agrees not to: (i) renew, extend, accelerate, or change the time for payment of, or otherwise amend, modify or change the terms of, the Loan or the Credit Agreement, (ii) renew,
compromise, extend, accelerate, change the time for payment of, or otherwise amend, modify or change the terms of, the L/C or L/C Agreement, (iii) use the Loan for any purpose other than for working capital, (iv) use the L/C for any
purpose other than to support repayment of the Loan, and (v) permit the principal amount owed to the Bank under the Credit Agreement and the Loan to exceed $3,000,000. 
 5. Section 8.5(d); Indebtedness. Section 8.5(d) of the Guarantee Fee Agreement is hereby deleted in its entirety and replaced with the following: 
  

 (d) indebtedness (i) to the Bank under the Credit Agreement and the other documents
executed in connection therewith up to an aggregate maximum principal amount of $3,000,000; (ii) to CTC under the L/C Agreement up to a maximum drawing amount of $3,060,000; (iii) owed to the Fund; (iv) under this Agreement; and
(v) arising under those certain 6% Convertible Senior Subordinated Secured Debentures Due April 17, 2009 issued to the Fund and Apogee in the original aggregate principal amount of $1,266,000, without duplication of the indebtedness owed
to the Fund under clause (iii) above. 
 6. Section 9.2(a); Remedies. Section 9.2(a) of the Guarantee Fee Agreement is hereby deleted
in its entirety and replaced with the following: 
 (a) Upon the occurrence and continuance of an Event of Default, the Fund
may at any time (unless all defaults shall theretofore have been remedied) at its option, by written notice or notices to MSMI (i) declare the Reimbursement Obligations to be due and payable, whereupon the same shall forthwith mature and become
due and payable, together with interest accrued thereon, without presentment, demand, protest or notice, all of which are hereby waived; and (ii) declare any other amounts payable to the Fund under this Agreement or as contemplated hereby to be
due and payable, whereupon the same shall forthwith mature and become due and payable, together with interest accrued thereon, without presentment, demand, protest or notice, all of which are hereby waived, (iii) declare any other amounts
payable to the Fund under any other agreement between the Fund and MSMI, or between the Fund and the Guarantor, to be due and payable, whereupon the same shall forthwith mature and become due and payable, together with interest accrued thereon,
without presentment, demand, protest or notice, all of which are hereby waived. 
 7. Ratification of Agreement. The terms and conditions of the
Guarantee Fee Agreement that have not been modified by this First Amendment shall remain in full force and effect against MSMI, Guarantor, and the Fund. 
 8. Counterparts. This Second Amendment may be executed in any number of counterparts, each of which shall be an original, but all of which together shall constitute one instrument. 
 IN WITNESS WHEREOF, this Second Amendment has been executed by the parties hereto the day and year first above written. 
  

			
	 MSMI:
  
 MEDICAL SOLUTIONS MANAGEMENT INC.,
 a Nevada Corporation

		
	By:	 	/s/ Brian Lesperance
		 	Brian Lesperance, Chief Executive Officer

  

			
	 GUARANTOR
  
 ORTHOSUPPLY MANAGEMENT, INC.,
 a Delaware corporation

		
	By:	 	/s/ Brian Lesperance
		 	Brian Lesperance, Chief Executive Officer

  

			
	 FUND:
  
 VICIS CAPITAL MASTER FUND,
 a sub-trust of Vicis Capital Series Master Trust

		
	By:	 	 Caledonian Bank and Trust Limited,
 Trustee of Vicis
Capital Series Master Trust

		
	By:	 	/s/ Keith W. Hughes
	Name:	 	Keith W. Hughes
	Title:	 	Chief Financial Officer, Vicis Capital, LLCAmendment to the Letter of Credit Reimbursement, Guarantee, Security and Pledge

 Exhibit 10.6 
 EXECUTION COPY 
 AMENDMENT NO. 1 (this “Amendment No. 1”) dated
as of May 18, 2007 to the LETTER OF CREDIT REIMBURSEMENT, GUARANTEE, SECURITY AND PLEDGE AGREEMENT dated as of March 16, 2007 (as amended hereby, the “Reimbursement Agreement”), between CUSTODIAL TRUST
COMPANY (“Bank”), a bank and trust company organized and existing under the laws of the State of New Jersey, MEDICAL SOLUTIONS MANAGEMENT INC., a corporation organized and existing under the laws of the State of Nevada
(“Applicant”), and VICIS CAPITAL MASTER FUND, a sub-trust of Vicis Capital Series Master Trust, a unit trust organized and existing under the laws of the Cayman Islands (“Guarantor”). 
 WHEREAS, in an original application dated March 16, 2007, Applicant requested that Bank issue its irrevocable standby letter of credit number
00034 (the “Letter of Credit”) as specified in said application; and 
 WHEREAS, Bank, with the permission of
Beneficiary, issued the Letter of Credit in accordance with said application and may be willing to amend the Letter of Credit from time to time in accordance with terms specified in succeeding applications and with Beneficiary’s consent;

 WHEREAS, in connection therewith, the parties hereto wish to amend the Reimbursement Agreement as set forth herein; 
 NOW, THEREFORE, the parties hereto hereby agree as follows: 
 1. DEFINITIONS. All capitalized terms not otherwise specifically defined in this Amendment No. 1 shall have the meanings set forth in the Reimbursement Agreement. 
 2. AMENDMENT. The first recital of the Reimbursement Agreement is hereby amended and restated in its entirety as follows: 
 “WHEREAS, in an application dated the date of this Agreement, which application is attached hereto as Exhibit A and made a
part hereof (as the same may be amended, restated, supplemented, replaced or otherwise modified from time to time, the “Application”), Applicant has requested that Bank issue an irrevocable standby letter of credit as specified in
the Application (as the same may be amended, restated, supplemented, replaced or otherwise modified from time to time, the “Letter of Credit”).” 
 3. RATIFICATION AND CONFIRMATION. Except as otherwise expressly set forth herein, the Reimbursement Agreement is, and shall continue to be, in full force and effect and is hereby ratified and confirmed
in all respects, except that on and after the date hereof all references in the Reimbursement Agreement to “this Agreement”, “hereto”, “hereof”, “hereunder” (or words of like import referring to the
Reimbursement Agreement) shall mean the Reimbursement Agreement as amended by this Amendment No. 1. 
  

 4. GOVERNING LAW. This Amendment No. 1 shall be governed by and construed in
accordance with the laws of the State of New York, without giving effect to the conflict of law principles thereof. 
 5.
COUNTERPARTS. This Amendment No. 1 may be executed in one or more counterparts, and by the parties hereto on separate counterparts, each of which shall be deemed an original but all of which together shall constitute but one and the
same instrument. 
 6. EFFECTIVE DATE. This Amendment No. 1 shall be effective as of the date hereinabove first written.

 [SIGNATURE PAGE FOLLOWS] 
  

 2 

 IN WITNESS WHEREOF, each of the parties hereto has caused this Amendment No. 1 to be executed
in its name and on its behalf by its representative thereunto duly authorized, all as of the day and year first above written. 
 APPLICANT: 
 MEDICAL SOLUTIONS MANAGEMENT INC. 
 By: /s/ Brian Lesperance           
 Name: 
 Title: 
 GUARANTOR: 
 VICIS
CAPITAL MASTER FUND, a sub-trust of 
 Vicis Capital Series Master Trust 
 By: CALEDONIAN BANK & TRUST 
 LIMITED, Trustee of Vicis Capital Series 
 Master Trust 
 By:_/s/ Keith W. Hughes             
 Name: Keith W. Hughes 
 Title: Chief
Financial Officer, Vicis Capital, LLC 
 BANK: 
 CUSTODIAL TRUST COMPANY 
 By:_/s/ Ben J.
Szwalbenest             
 Name: Ben J. Szwalbenest 
 Title: President 
  

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