STATE OF LOUISIANA PARISH OF EAST BATON ROUGE ADDENDUM TO MEMORANDUM OF UNDERSTANDING THIS ADDENDUM TO MEMORANDUM OF UNDERSTANDING is made and entered into this _____ day of March, 2006, by THE DEPARTMENT OF HEALTH AND HOSPITALS/OFFICE OF PUBLIC HEALTH and ______________________ HOSPITAL. RECITALS A. In 2004, DHH and certain hospitals in Louisiana entered into a Memorandum of Understanding (the “MOU”), for the purpose of establishing an improved and coordinated response to an emergency or a disaster, as contemplated by the Louisiana Hurricane Shelter Operations Plan, Annex X (Special Needs Sheltering Plan); the terms and conditions of the MOU are incorporated by reference and for all purposes; and B. DHH has agreed to apply to the Federal Emergency Management Agency (“FEMA”) to seek payment for qualifying sheltering expenses which have been incurred by Louisiana hospitals that entered into the MOU in areas catastrophically impacted by Hurricanes Katrina and Rita or areas of refuge for Louisiana residents evacuating from the catastrophically impacted locations (the “Qualifying Sheltering Expenses”); and C. Although not a signatory to the MOU, Hospital furnished Qualifying Sheltering Expenses, and Hospital wishes to be reimbursed by FEMA for its Qualifying Sheltering Expenses, to the extent applicable law and regulations permit such reimbursement; and D. Hospital wishes to enter into an MOU, in order that it might be eligible to receive reimbursement from FEMA for its Qualifying Sheltering Expenses,. 1 677789-1 NOW, THEREFORE, DHH agrees to amend the MOU to permit Hospital to be a party thereto, and Hospital agrees to and does hereby become a party to the MOU. In all other respects, DHH and Hospital agree that the terms and conditions of the MOU shall apply. IN WITNESS WHEREOF, the parties have executed this Addendum to Memorandum of Understanding on the day, month and year first written above. WITNESSES: DEPARTMENT OF HEALTH AND HOSPITALS __________________________ Print Name: ________________ BY: ______________________________ Name: ________________________ Title: ________________________ __________________________ Print Name: ________________ _________________ HOSPITAL __________________________ Print Name: ________________ BY: __________________________ Print Name: ________________ 2 677789-1 ______________________________ Name: ________________________ Title: ________________________