Document:

<PAGE>
                                                                    Exhibit 4.11

                              NOTATION OF GUARANTEE

         For value received, each Guarantor (which term includes any successor
Person under the Indenture) has, jointly and severally, unconditionally
guaranteed, to the extent set forth in the Indenture and subject to the
provisions in the Indenture dated as of February 10, 2005 (the "Indenture")
among AMR HoldCo, Inc., EmCare HoldCo, Inc., (together, the "Issuers"), the
Guarantors party thereto and U.S. Bank Trust National Association, as trustee
(the "Trustee"), (a) the due and punctual payment of the principal of, premium,
if any, and interest on the Notes (as defined in the Indenture), whether at
maturity, by acceleration, redemption or otherwise, the due and punctual payment
of interest on overdue principal and premium, and, to the extent permitted by
law, interest, and the due and punctual performance of all other obligations of
the Issuers to the Holders or the Trustee all in accordance with the terms of
the Indenture and (b) in case of any extension of time of payment or renewal of
any Notes or any of such other obligations, that the same will be promptly paid
in full when due or performed in accordance with the terms of the extension or
renewal, whether at stated maturity, by acceleration or otherwise. The
obligations of the Guarantors to the Holders of Notes and to the Trustee
pursuant to the Guarantee and the Indenture are expressly set forth in Article
11 of the Indenture and reference is hereby made to the Indenture for the
precise terms of the Guarantee. Each Holder of a Note, by accepting the same,
(a) agrees to and shall be bound by such provisions, (b) authorizes and directs
the Trustee, on behalf of such Holder, to take such action as may be necessary
or appropriate to effectuate the subordination as provided in the Indenture and
(c) appoints the Trustee attorney-in-fact of such Holder for such purpose.

                            [Signature pages follow]
<PAGE>
                IN WITNESS WHEREOF, each Guarantor has caused its Notation of
Guarantee to be executed.

Date:  February 10, 2005

                              EMERGENCY MEDICAL SERVICES L.P.

                                By:  Emergency Medical Services Corporation, its
                                general partner

                                By:      /s/ William A. Sanger
                                   ---------------------------------------------
                                Name:    William A. Sanger
                                Title:   Chairman and Chief Executive Officer

                              AMERICAN MEDICAL RESPONSE, INC.
                              HANK'S ACQUISITION CORP.
                              FOUNTAIN AMBULANCE SERVICE, INC.
                              MEDLIFE EMERGENCY MEDICAL SERVICE, INC.
                              AMERICAN MEDICAL RESPONSE NORTHWEST, INC.
                              AMERICAN MEDICAL RESPONSE WEST
                              METROPOLITAN AMBULANCE SERVICE
                              AMERICAN MEDICAL RESPONSE OF INLAND EMPIRE
                              DESERT VALLEY MEDICAL TRANSPORT, INC.
                              SPRINGS AMBULANCE SERVICE, INC.
                              AMERICAN MEDICAL RESPONSE OF COLORADO, INC.
                              INTERNATIONAL LIFE SUPPORT, INC.
                              MEDEVAC MIDAMERICA, INC.
                              MEDEVAC MEDICAL RESPONSE, INC.
                              AMERICAN MEDICAL RESPONSE OF OKLAHOMA, INC.
                              AMERICAN MEDICAL RESPONSE OF TEXAS, INC.
                              KUTZ AMBULANCE SERVICE, INC.
                              AMERICAN MEDICAL RESPONSE HOLDINGS, INC.
                              AMERICAN MEDICAL RESPONSE MANAGEMENT, INC.
                              A1 LEASING, INC.
                              FLORIDA EMERGENCY PARTNERS, INC.
                              MOBILE MEDIC AMBULANCE SERVICE, INC.
                              METRO AMBULANCE SERVICE, INC.
                              METRO AMBULANCE SERVICE (RURAL), INC.
                              MEDIC ONE AMBULANCE SERVICES, INC.
                              AMERICAN MEDICAL RESPONSE OF SOUTH
                                CAROLINA, INC.
                              AMERICAN MEDICAL RESPONSE OF NORTH
                                CAROLINA, INC.
                              AMERICAN MEDICAL RESPONSE OF GEORGIA, INC.
                              TROUP COUNTY EMERGENCY MEDICAL SERVICES,
                                INC.
                              RANDLE EASTERN AMBULANCE SERVICE, INC.
                              MEDI-CAR SYSTEMS, INC.
<PAGE>
                              MEDI-CAR AMBULANCE SERVICE, INC.
                              AMERICAN MEDICAL RESPONSE OF TENNESSEE, INC.
                              PHYSICIANS & SURGEONS AMBULANCE SERVICE,
                                INC.
                              AMERICAN MEDICAL RESPONSE OF ILLINOIS, INC.
                              MIDWEST AMBULANCE MANAGEMENT COMPANY
                              PARAMED, INC.
                              MERCY AMBULANCE OF EVANSVILLE, INC.
                              TIDEWATER AMBULANCE SERVICE, INC.
                              AMERICAN MEDICAL RESPONSE OF CONNECTICUT,
                                INCORPORATED
                              AMERICAN MEDICAL RESPONSE OF
                                MASSACHUSETTS, INC.
                              AMERICAN MEDICAL RESPONSE MID-ATLANTIC, INC.
                              AMBULANCE ACQUISITION, INC.
                              METRO AMBULANCE SERVICES, INC.
                              BROWARD AMBULANCE, INC.
                              ATLANTIC AMBULANCE SERVICES ACQUISITION, INC.
                              ATLANTIC/KEY WEST AMBULANCE, INC.
                              ATLANTIC/PALM BEACH AMBULANCE, INC.
                              SEMINOLE COUNTY AMBULANCE, INC.
                              LIFEFLEET SOUTHEAST, INC.
                              AMERICAN MEDICAL PATHWAYS, INC.
                              ADAM TRANSPORTATION SERVICE, INC.
                              ASSOCIATED AMBULANCE SERVICE, INC.
                              PARK AMBULANCE SERVICE INC.
                              FIVE COUNTIES AMBULANCE SERVICE, INC.
                              SUNRISE HANDICAP TRANSPORT CORP.
                              STAT HEALTHCARE, INC.
                              LAIDLAW MEDICAL TRANSPORTATION, INC.
                              MERCY, INC.
                              AMERICAN INVESTMENT ENTERPRISES, INC.
                              LIFECARE AMBULANCE SERVICE, INC.
                              TEK, INC.
                              MERCY LIFE CARE
                              HEMET VALLEY AMBULANCE SERVICE, INC.
                              AMERICAN MEDICAL RESPONSE OF SOUTHERN
                                CALIFORNIA
                              MEDIC ONE OF COBB, INC.
                              PUCKETT AMBULANCE SERVICE, INC.
<PAGE>
                              AMERICAN MEDICAL RESPONSE DELAWARE VALLEY,
                                LLC
                              By:  American Medical Response Mid-Atlantic, Inc.,
                                its sole member

                              REGIONAL EMERGENCY SERVICES, LP
                              By:  Florida Emergency Partners, Inc., its general
                                partner

                              PROVIDACARE, L.L.C.
                              By:  American Medical Pathways, Inc., its sole
                                member

                              By:/s/ Randel G. Owen
                                 -----------------------------------------------
                                 Name:  Randel G. Owen
                                 Title: Vice President

                              EMCARE HOLDINGS INC.
                              EMCARE, INC.
                              EMCARE OF ALABAMA, INC.
                              EMCARE CONTRACT OF ARKANSAS, INC.
                              EMCARE OF ARIZONA, INC.
                              EMCARE OF CALIFORNIA, INC.
                              EMCARE OF COLORADO, INC.
                              EMCARE OF CONNECTICUT, INC.
                              EMCARE OF FLORIDA, INC.
                              EMCARE OF GEORGIA, INC.
                              EMCARE OF HAWAII, INC.
                              EMCARE OF INDIANA, INC.
                              EMCARE OF IOWA, INC.
                              EMCARE OF KENTUCKY, INC.
                              EMCARE OF LOUISIANA, INC.
                              EMCARE OF MAINE, INC.
                              EMCARE OF MICHIGAN, INC.
                              EMCARE OF MINNESOTA, INC.
                              EMCARE OF MISSISSIPPI, INC.
                              EMCARE OF MISSOURI, INC.
                              EMCARE OF NEVADA, INC.
                              EMCARE OF NEW HAMPSHIRE, INC.
                              EMCARE OF NEW JERSEY, INC.
                              EMCARE OF NEW MEXICO, INC.
                              EMCARE OF NEW YORK, INC.
                              EMCARE OF NORTH CAROLINA, INC.
                              EMCARE OF NORTH DAKOTA, INC.
                              EMCARE OF OHIO, INC.
                              EMCARE OF OKLAHOMA, INC.
                              EMCARE OF OREGON, INC.
                              EMCARE OF PENNSYLVANIA, INC.
                              EMCARE OF RHODE ISLAND, INC.
                              EMCARE OF SOUTH CAROLINA, INC.
                              EMCARE OF TENNESSEE, INC.
<PAGE>
                              EMCARE OF TEXAS, INC.
                              EMCARE OF VERMONT, INC.
                              EMCARE OF VIRGINIA, INC.
                              EMCARE OF WASHINGTON, INC.
                              EMCARE OF WEST VIRGINIA, INC.
                              EMCARE OF WISCONSIN, INC.
                              EMCARE PHYSICIAN PROVIDERS, INC.
                              EMCARE PHYSICIAN SERVICES, INC.
                              EMCARE SERVICES OF ILLINOIS, INC.
                              EMCARE SERVICES OF MASSACHUSETTS, INC.
                              EMCARE ANESTHESIA SERVICES, INC.
                              ECEP, INC.
                              COORDINATED HEALTH SERVICES, INC.
                              EM-CODE REIMBURSEMENT SOLUTIONS, INC.
                              EMERGENCY MEDICINE EDUCATION SYSTEMS, INC.
                              EMERGENCY SPECIALISTS OF ARKANSAS, INC. II
                              FIRST MEDICAL/EMCARE, INC.
                              HEALTHCARE ADMINISTRATIVE SERVICES, INC.
                              OLD STAT, INC.
                              REIMBURSEMENT TECHNOLOGIES, INC.
                              STAT PHYSICIANS, INC.
                              THE GOULD GROUP, INC.
                              TIFTON MANAGEMENT SERVICES, INC.
                              TUCKER EMERGENCY SERVICES, INC.
                              HELIX PHYSICIANS MANAGEMENT, INC.
                              NORMAN BRUCE JETTON, INC.
                              PACIFIC EMERGENCY SPECIALISTS MANAGEMENT,
                                INC.
                              AMERICAN EMERGENCY PHYSICIANS MANAGEMENT,
                                INC.
                              PHYSICIAN ACCOUNT MANAGEMENT, INC.
                              PROVIDER ACCOUNT MANAGEMENT, INC.
                              CHARLES T. MITCHELL, INC.

                              EMCARE OF MARYLAND LLC
                              By:  EmCare Holdings Inc. and EmCare, Inc., its
                                members

                              EMS MANAGEMENT LLC
                              By:  AMR HoldCo, Inc. and EmCare HoldCo, Inc., its
                                members

                              By:        /s/ William A. Sanger
                                 -----------------------------------------------
                                 Name:  William A. Sanger
                                 Title: Chief Executive Officer
<PAGE>
                              AMR BROCKTON, L.L.C.
                              By:  American Medical Response of Massachusetts,
                                Inc., its sole member

                              By:/s/ Randel G. Owen
                                 -----------------------------------------------
                                 Name:  Randel G. Owen
                                 Title: Vice PresidentEXHIBIT 4.1

 

Exhibit 4.1

DIAMOND TRIUMPH AUTO GLASS, INC.

as Issuer

and

U.S. BANK NATIONAL ASSOCIATION

(AS SUCCESSOR IN INTEREST TO STATE STREET BANK AND TRUST COMPANY)

as Trustee

 

SECOND SUPPLEMENTAL INDENTURE

Dated as of October 7, 2005

to the

INDENTURE

Dated as of March 31, 1998

as supplemented by that

FIRST SUPPLEMENTAL INDENTURE

Dated as of August 11, 2005

 

91/4% Senior Notes due 2008

 

 

     This SECOND SUPPLEMENTAL INDENTURE, dated as of October 7, 2005 (this “Second Supplemental
Indenture”), to the Indenture (as defined below) is entered into by and between DIAMOND TRIUMPH
AUTO GLASS, INC., a Delaware corporation (the “Company”) and U.S. BANK NATIONAL ASSOCIATION
(as successor in interest to State Street Bank and Trust Company), as Trustee (the
“Trustee”). Defined terms used herein and not otherwise defined herein shall have the
meanings given in the Indenture.

RECITALS

     WHEREAS, the Company and the Trustee have heretofore executed and delivered that certain
Indenture, dated as of March 31, 1998 (the “Indenture”), as supplemented by that First
Supplemental Indenture, dated as of August 11, 2005 (the “First Supplemental Indenture”),
pursuant to which the Company’s 9.25% Senior Notes due 2008 (the “Notes”) were originally
issued;

     WHEREAS, the Company has solicited consents from the Holders of Notes to a certain proposed
amendment to the Indenture, in accordance with the terms and conditions of an Offer to Purchase and
Consent Solicitation Statement, dated August 11, 2005, as amended by that Amendment and Supplement
to the Offer to Purchase and Consent Solicitation Statement, dated September 1, 2005 (collectively,
the “Statement”);

     WHEREAS, the Company desires to amend Section 4.08 of the Indenture to eliminate the
requirement that the Company file annual, quarterly and current reports with the Securities and
Exchange Commission and to require the Company to make available to Holders quarterly and annual
reports;

     WHEREAS, Section 9.02 of the Indenture provides that, with the consent of the Holders of at
least a majority in aggregate principal amount of the Notes then outstanding, the Company, when
authorized by a resolution of its Board of Directors, and the Trustee, upon the receipt of an
Officers’ Certificate and an Opinion of Counsel, may enter into a supplemental indenture for the
purpose of amending or supplementing the Indenture;

     WHEREAS, the Holders of at least a majority in aggregate principal amount of the Notes
outstanding have duly consented to the proposed amendment set forth in this Second Supplemental
Indenture in accordance with Section 9.02 of the Indenture;

     WHEREAS, the Company has, pursuant to Sections 9.02, 9,06 and 11.04 of the Indenture,
heretofore delivered or is delivering contemporaneously herewith to the Trustee (i) a copy of the
resolutions adopted by the Company’s Board of Directors authorizing the execution and delivery of
this Supplemental Indenture; (ii) evidence of the written consent of the Holders set forth in the
immediately preceding paragraph, and (iii) an Opinion of Counsel and an Officers’ Certificate, each
containing the information required by the Indenture, and therefore the Company and the Trustee are
authorized to execute and deliver this Second Supplemental Indenture;

     WHEREAS, the Company’s Board of Directors has taken the necessary actions required to
authorize the Company’s execution and delivery of this Second Supplemental Indenture; and

 

 

     WHEREAS, all other acts, conditions precedent and proceedings required by law and the
Indenture necessary to authorize the execution and delivery of this Second Supplemental Indenture
and to make this Second Supplemental Indenture, when duly executed and delivered, a valid and
binding agreement for the purposes expressed herein, enforceable in accordance with its terms, and
all of the applicable conditions and requirements set forth in the Indenture, have been in all
respects duly authorized, performed and fulfilled.

     NOW, THEREFORE, in consideration of the foregoing and notwithstanding any provision of the
Indenture which, absent this Second Supplemental Indenture, might operate to limit such action, the
parties hereto have executed and delivered this Second Supplemental Indenture, and each of the
Company does hereby covenant and agree with the Trustee for the benefit of the Holders as follows:

ARTICLE ONE

AMENDMENTS

     Section 1.01. Amendment to the Indenture. Section 4.08 of the Indenture entitled
“Commission Reports” is hereby renamed “Reports” and amended to read in its entirety as follows
(the “Amendment”):

     (a) Whether or not the Company is subject to the reporting requirements of
Section 13 or 15(d) of the Exchange Act, so long as any Notes are outstanding
(unless defeased in a Legal Defeasance), the Company will have its annual
consolidated financial statements audited, and its interim financial statements
reviewed, by a nationally recognized firm of independent accountants and will
furnish to the Holders of Notes (i) as soon as available and, in any event, not
later than forty-five days after the end of each of the first three quarters of each
fiscal year, a report that shall contain all information, including, but not limited
to, quarterly financial statements, required to be set forth in a quarterly report
on Form 10-Q if the Company was required to file such report with the Commission
pursuant to Section 13 or 15(d) of the Exchange Act, and (ii) as soon as available
and, in any event, not later than ninety days after the end of each fiscal year, a
report that shall contain all information, including, but not limited to, financial
statements, required to be set forth in an annual report on Form 10-K if the Company
was required to file such report with the Commission pursuant to Section 13 or 15(d)
of the Exchange Act; provided that with respect to the annual information only, such
annual financial statements shall also include a report on the annual financial
statements by the Company’s certified independent accountants; provided, further,
that no certifications or attestations concerning the financial statements or
disclosure controls and procedures or internal controls over financial reporting
that would otherwise be required pursuant to the Sarbanes-Oxley Act of 2002 will be
required to be included in or accompany any such reports or financial statements.

     The Company will distribute such information and such reports electronically to
the trustee under this Indenture, and shall make available such information to any
Holder of the Notes and to any Beneficial Owner of the Notes,

2

 

and will make such information readily available to any prospective investor,
any securities analyst or any market maker in the Notes, by posting such information
on the Company’s website or on IntraLinks or any comparable password protected
online data system; provided that if such information is provided by means of
IntraLinks or a comparable password protected online data system, then the Company
shall make readily available any password or other login information to any such
Holder, Beneficial Owner, prospective investor, securities analyst or market maker.

     (b) For so long as any Notes remain outstanding, the Company will furnish to
the Holders of the Notes and to prospective investors, upon their request, the
information required to be delivered pursuant to Rule 144A(d)(4) under the
Securities Act.

ARTICLE TWO

MISCELLANEOUS

     Section 2.01. Confirmations. Except as expressly amended by this Second Supplemental
Indenture, the Indenture and the Notes are ratified and confirmed in all respects; all of the
terms, provisions and conditions shall be and remain in full force and effect; and the Indenture as
so amended shall be read, taken and construed as one and the same instrument.

     Section 2.02. Effectiveness and Operation of Amendment. Upon the execution and
delivery of this Second Supplemental Indenture by the Trustee and the Company, the Amendment
contained herein shall become effective as of the date hereof.

     Section 2.03. Reference to and Effect on the Indenture. On and after the date hereof,
each reference in the Indenture to “this Indenture,” “hereunder,” “hereof” or “herein” shall mean
and be a reference to the Indenture as supplemented by this Second Supplemental Indenture unless
the context otherwise requires. The Indenture, as supplemented by this Second Supplemental
Indenture, shall be read, taken and construed as one and the same instrument. Except as
specifically amended above, the Indenture shall remain in full force and effect and is hereby
ratified and confirmed.

     Section 2.04. Corresponding Amendment to Notes. Each Note shall be amended to make
the terms of such Note consistent with the terms of the Indenture, as amended by this Second
Supplemental Indenture. To the extent of any conflict between the terms of the Notes and the terms
of the Indenture, as supplemented by this Second Supplemental Indenture, the terms of the
Indenture, as supplemented by this Second Supplemental Indenture, shall govern and be controlling.

     Section 2.05. Concerning the Trustee. The Trustee accepts the trust created by the
Indenture, as supplemented by this Second Supplemental Indenture, and agrees to perform the same,
but only upon the terms and conditions set forth in the Indenture, as supplemented by this Second
Supplemental Indenture, to which the parties hereto and the Holders, from time to time, of the
Notes agree and, except as expressly set forth in the Indenture, shall incur no liability or
responsibility in respect thereof. Without limiting the generality of the foregoing, the Trustee

3

 

assumes no responsibility for the correctness of the recitals herein contained, which shall be
taken as the statements of the Company. The Trustee makes no representation and shall have no
responsibility as to the validity or the sufficiency of this Second Supplemental Indenture.

     Section 2.06. Trust Indenture Act Controls. No modification of any provisions of the
Indenture effected by this Second Supplemental Indenture is intended to eliminate or limit any
provision of the Indenture that is required to be included therein by Trust Indenture Act of 1939,
as amended (the “TIA”), as in force as of the effectiveness of this Second Supplemental
Indenture. If and to the extent that any provision of this Second Supplemental Indenture limits,
qualifies or conflicts with another provision included in this Second Supplemental Indenture or in
the Indenture, which is required to be included in this Second Supplemental Indenture or the
Indenture by the TIA, such required provision of the TIA shall control.

     Section 2.07. Governing Law. This Second Supplemental Indenture shall be deemed to be
governed by, and construed in accordance with, the internal laws of the State of New York, but
without giving effect to applicable principles of conflicts of law thereof to the extent that the
application of the laws of another jurisdiction would be required thereby.

     Section 2.08. Conflicts. To the extent of any inconsistency between the terms of the
Indenture and this Second Supplemental Indenture, the terms of this Second Supplemental Indenture
will control.

     Section 2.09. Successors and Assigns. All agreements of the Company in this Second
Supplemental Indenture shall bind its successors and assigns. All agreements of the Trustee in
this Second Supplemental Indenture shall bind its successors and assigns.

     Section 2.10. Section Titles and Headings. The titles and headings of the sections of
this Second Supplemental Indenture are for convenience purposes only and shall not affect the
construction hereof.

     Section 2.11. Counterparts. This Second Supplemental Indenture may be executed in any
number of counterparts, each of which shall be an original, but such counterparts together shall
constitute but one and the same instrument.

     Section 2.12. Severability. In case any provision of this Second Supplemental
Indenture shall be held to be invalid, illegal or unenforceable, the validity, legality and
enforceability of the remaining provisions hereof or of the Indenture shall not in any way be
affected or impaired thereby.

     Section 2.13. Entire Agreement. This Second Supplemental Indenture constitutes the
entire agreement of the parties hereto with respect to the amendments to the Indenture set forth
herein.

(Signature Page Follows)

4

 

     IN WITNESS WHEREOF, the parties have caused this Second Supplemental Indenture to be duly
executed as of the date first written above.

	 	 	 	 	 	 	 
	 	 	DIAMOND TRIUMPH AUTO GLASS,	 	 
	 	 	INC., a Delaware corporation	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ Douglas Boyle
 

	 	 
	 	 	Name: Douglas M. Boyle	 	 
	 	 	Title: Chief Financial Officer	 	 
	 
	 	 	 	 	 	 
	 	 	U.S. BANK NATIONAL ASSOCIATION,	 	 
	 	 	as Trustee	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ Michael Hopkins	 	 
	 

	 	 	 	 	 	 
	 	 	Name: Michael M. Hopkins	 	 
	 	 	Title: Vice President	 	 

S-1

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