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AMENDMENT to CREDIT AGREEMENT

Loan Agreement

AMENDMENT to
                                CREDIT AGREEMENT | Document Parties: DIALYSIS CORP OF AMERICA | KEYBANK NATIONAL ASSOCIATION You are currently viewing:
This Loan Agreement involves

DIALYSIS CORP OF AMERICA | KEYBANK NATIONAL ASSOCIATION

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Title: AMENDMENT to CREDIT AGREEMENT
Governing Law: Ohio     Date: 2/27/2009
Industry: Healthcare Facilities     Sector: Healthcare

AMENDMENT to
                                CREDIT AGREEMENT, Parties: dialysis corp of america , keybank national association
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                         DIALYSIS CORPORATION OF AMERICA
                                as the Borrower,

                                      and

                           KEYBANK NATIONAL ASSOCIATION,
                                 as the Lender

                               -----------------

                                AMENDMENT NO. 6
                                      to
                                CREDIT AGREEMENT
                                  dated as of
                               February 27, 2009

                               -----------------



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<PAGE>


     This AMENDMENT NO. 6 TO CREDIT AGREEMENT (this "Amendment"), dated as of
February 27, 2009, is entered into by and between DIALYSIS CORPORATION OF
AMERICA, a Florida corporation (herein, together with its successors and
assigns, the "Borrower"), and KEYBANK NATIONAL ASSOCIATION, a national
banking association (herein, together with its successors and assigns, the
"Lender").

     PRELIMINARY STATEMENTS:

     (1) The Borrower and the Lender entered into the Credit Agreement, dated
as of October 24, 2005 (as amended, the "Credit Agreement"; capitalized terms
used herein and not defined herein are used herein as defined in the Credit
Agreement).

     (2) The parties hereto desire to modify certain terms and provisions of
the Credit Agreement.

     NOW, THEREFORE, the parties hereto agree as follows:

     SECTION 1. AMENDMENTS.

     1.1. New Definition.  Section 1.1 of the Credit Agreement is hereby
          --------------
amended by inserting the following definition in the appropriate alphabetical
order:

          "Share Repurchase" means the repurchase or redemption or retirement
     of any capital stock or other equity interest of a Company by such
     Company.

     1.2. Consolidated Net Worth. Clause (ii)(B) of Section 6.1(d) of the
          ----------------------
Credit Agreement is hereby amended and restated in its entirety to read:

          (B) 100% of the proceeds from any equity offering by any Company or
     any debt offering of any Company to the extent actually converted into
     equity, and to the extent such proceeds do not result from the
     reissuance of equity interests that were previously repurchased,
     redeemed or retired pursuant to a Share Repurchase expressly permitted
     under Section 6.5(d) or otherwise consented to in writing by the Lender.

     1.3. Restricted Payments.  Section 6.5 of the Credit Agreement is hereby
          -------------------
amended by (i) deleting the word "and" at the end of clause (b) thereof, (ii)
replacing the period at the end of clause (c) thereof with "; and" and
inserting the following clause (d) after clause (c) thereof:

          (d) Borrower may make Share Repurchases, provided that (i) no
     Default or Event of Default shall have occurred and be continuing or
     would result therefrom, (ii) Borrower will be in compliance with the
     financial covenants set forth in Section 6.1 after giving pro forma
     effect to each such Share Repurchase and (iii) the aggregate amount of
     all Share Repurchases made by Borrower shall not exceed $3,000,000.

        SECTION 2. REPRESENTATIONS AND WARRANTIES.  The Borrower represents
and warrants to the Lender as follows:

<PAGE>

     2.1. Authorization, Validity and Binding Effect.  This Amendment has
          ------------------------------------------
been duly authorized by all necessary corporate action on the part of the
Borrower, has been duly executed and delivered by a duly authorized officer
or officers of the Borrower, and constitutes the valid and binding agreement
of the Borrower, enforceable against the Borrower in accordance with its terms.

     2.2. Representations and Warranties True and Correct.  The
          -----------------------------------------------
representations and warranties of the Borrower contained in the Credit
Agreement, as amended hereby, are true and correct on and as of the date
hereof as though made on and as of the date hereof, except to the extent that
such representations and warranties expressly relate to a specified date, in
which case such representations and warranties are hereby reaffirmed as true
and correct when made.

     2.3. No Event of Default.  After giving effect to this Amendment, no
          -------------------
condition or event has occurred or exists that constitutes or that, after
notice or lapse of time or both, would constitute a Default or an Event of
Default.

     2.4. No Claims.  The Borrower is not aware of any claim or offset
          ---------
against, or defense or counterclaim to, any of its obligations or liabilities
under the Credit Agreement or any other Credit Document.

     SECTION 3. RATIFICATIONS.  Except as expressly modified and superseded
by this Amendment, the terms and provisions of the Credit Agreement are
ratified and confirmed and shall continue in full force and effect.

     SECTION 4. CONDITIONS PRECEDENT.  The amendments set forth in Section 1
hereof shall become effective as of the date first written above if on or
before the date hereof, the following conditions have been satisfied:

     (a) this Amendment shall have been executed by the Borrower and the
Lender, and counterparts hereof as so executed shall have been delivered to
the Lender;

     (b) the Borrower shall have caused each Guarantor to consent and agree
to and acknowledge the terms of this Amendment by executing a Guarantor
Acknowledgment and Agreement substantially similar to the form attached
hereto as Exhibit A;

     (c) the Borrower shall have paid to the Lender an amendment fee in the
amount se                                  


 
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