0001624899-17-000010 Sample Contracts

GUARANTY SUPPLEMENT
Steris PLC • November 7th, 2017 • Orthopedic, prosthetic & surgical appliances & supplies
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GUARANTOR JOINDER AGREEMENT
Guarantor Joinder Agreement • November 7th, 2017 • Steris PLC • Orthopedic, prosthetic & surgical appliances & supplies • New York

This Guarantor Joinder Agreement (this “Agreement”) dated as of August 8, 2017 is made by Synergy Health AST, LLC, a Delaware limited liability company, Synergy Health US Holdings, Inc., a Delaware corporation, and Synergy Health North America, Inc., a Florida corporation (each, an “Additional Guarantor” and collectively, the “Additional Guarantors”) in favor of JPMorgan Chase Bank, N.A., as Administrative Agent (in such capacity, the “Administrative Agent”) for the Lenders under the Credit Agreement referred to below.

GUARANTY SUPPLEMENT
Steris PLC • November 7th, 2017 • Orthopedic, prosthetic & surgical appliances & supplies

WHEREAS, in order to obtain funds for the purposes set forth in Schedule 5.14 to the Note Purchase Agreement, the Company entered into that certain Note Purchase Agreement dated as of January 23, 2017 (the “Note Purchase Agreement”) among the Company and each of the Holders as defined therein providing for, inter alia, the issue and sale by the Company of (a) $50,000,000 aggregate principal amount of its 3.93% Senior Notes, Series A‑1, due February 27, 2027 (the “Series A‑1 Notes”); (b) €60,000,000 aggregate principal amount of its 1.86% Senior Notes, Series A‑2, due February 27, 2027 (the “Series A‑2 Notes”); (c) $45,000,000 aggregate principal amount of its 4.03% Senior Notes, Series A‑3, due February 27, 2029 (the “Series A‑3 Notes”); (d) €20,000,000 aggregate principal amount of its 2.04% Senior Notes, Series A‑4, due February 27, 2029 (the “Series A‑4 Notes”); (e) £45,000,000 aggregate principal amount of its 3.04% Senior Notes, Series A‑5, due February 27, 2029 (the “Series A‑5 N

GUARANTY SUPPLEMENT
Steris PLC • November 7th, 2017 • Orthopedic, prosthetic & surgical appliances & supplies

cause the undersigned, Synergy Health AST, LLC, a limited liability company organized under the laws of Delaware, Synergy Health US Holdings, Inc., a corporation organized under the laws of Delaware, and Synergy Health North America, Inc., a corporation organized under the laws of Florida (the “Additional Guarantors”), to join in the Guaranty. In accordance with the requirements of

GUARANTY SUPPLEMENT
Guaranty Supplement • November 7th, 2017 • Steris PLC • Orthopedic, prosthetic & surgical appliances & supplies

cause the undersigned, Synergy Health AST, LLC, a limited liability company organized under the laws of Delaware, Synergy Health US Holdings, Inc., a corporation organized under the laws of Delaware, and Synergy Health North America, Inc., a corporation organized under the laws of Florida (the “Additional Guarantors”), to join in the Guaranty. In accordance with the requirements of the Guaranty, the Additional Guarantors desire to amend the definition of Guarantor (as the same may have been heretofore amended) set forth in the Guaranty attached hereto so that at all times from and after the date hereof, the Additional Guarantors shall be jointly and severally liable as set forth in the Guaranty for the obligations of the Company under the Note Purchase Agreement and Notes to the extent and in the manner set forth in the Guaranty.

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