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SECOND LIEN SECURITY AGREEMENT SUPPLEMENT

Security Agreement

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Title: SECOND LIEN SECURITY AGREEMENT SUPPLEMENT
Governing Law: New York     Date: 2/8/2008

SECOND LIEN SECURITY AGREEMENT SUPPLEMENT, Parties: msc-medical services company
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EXHIBIT 4.11

EXECUTION VERSION

SECOND LIEN SECURITY AGREEMENT SUPPLEMENT

February 5, 2008

To: U.S. Bank National Association, as Trustee

and Collateral Agent for the benefit of the

Secured Parties referred to in the Second Lien

Security Agreement referred to below.

Re: MSC-Medical Services Company – Creation of New Subsidiary

Ladies and Gentlemen:

MSC-Medical Services Company, a Florida corporation (“Issuer”) has entered into (i) an Indenture dated as of June 21, 2005 (as may be amended, amended and restated, supplemented or otherwise modified from time to time, being the “Indenture” ) with U.S. Bank National Association (the “Trustee” or “Collateral Agent”), (ii) a Revolving Credit Agreement dated as of March 31, 2005 (as amended, amended and restated, supplemented or otherwise modified from time to time, the “ Revolving Credit Agreement ”), among Issuer (as the surviving entity of the Merger), as the Borrower, the Lenders party thereto, Bank of America, N.A., as administrative agent (together with any successor Administrative Agent appointed pursuant to Article XI of the Revolving Credit Agreement, the “ Administrative Agent ”) and L/C Issuer, (iii) a Security Agreement dated March 31, 2005 (as amended, amended and restated, supplemented or otherwise modified from time to time, the “ First Lien Security Agreement ”) made by the Grantors from time to time party thereto in favor of the Administrative Agent for the Secured Parties and (iv) a Second Lien Security Agreement dated June 21, 2005 (as amended, amended and restated, supplemented or otherwise modified from time to time, the “ Second Lien Security Agreement ”) among Issuer, MCP-MSC Acquisition, Inc. (“Holdings”, and, together with Issuer, collectively, the “Grantors”), to Trustee, as indenture trustee and collateral agent for the benefit of Trustee and the holders from time to time of the Second Lien Notes (such holders, together with the Trustee and the Collateral Agent, each a “Secured Party” and, collectively, the “Secured Parties”). Terms defined in the Indenture or the Second Lien Security Agreement and not otherwise defined herein are used herein as defined in the Indenture or the Second Lien Security Agreement.

SECTION 1. Grant of Security . Subject to the rights and obligations described in the Intercreditor Agreement which sets forth the relative rights, interests and priorities of the Secured Parties (as defined therein) with respect to the Collateral, the undersigned hereby grants to the Trustee, for the ratable benefit of the Secured Parties, a security interest in all of its right, title and interest in and to the following, in each case whether now owned or hereafter acquired by the undersigned, wherever located and whether now or hereafter existing or arising (collectively, the undersigned’s “ Collateral ”): all Equipment, Inventory, Receivables,

 

ZoneCare 2d Lien Security Agreement

 

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Related Contracts, Security Collateral (including, without limitation, the shares of stock and other Equity Interests set forth on Part I of Schedule I hereto, the indebtedness set forth on Part II of Schedule I hereto and the securities and securities/deposit accounts set forth on Schedule II hereto), Agreement Collateral (including, without limitation, each of the agreements listed on Schedule III hereto), Account Collateral (including, without limitation, the deposit accounts set forth on Schedule IV hereto), Intellectual Property Collateral, Commercial Tort Claims Collateral (including, without limitation, the commercial tort claims described in Schedule V hereto), all books and records (including, without limitation, subject to applicable law, customer lists, credit files, printouts and other computer output materials and records) of the undersigned pertaining to any of the undersigned’s Collateral, and all proceeds of, collateral for, income, royalties and other payments now or hereafter due and payable with respect to, and supporting obligations relating to, any and all of the undersigned’s Collateral (including, without limitation, proceeds, collateral and supporting obligations that constitute property of the types described in this Section 1 ) and, to the extent not otherwise included, all (A) payments under insurance (whether or not the Administrative Agent is the loss payee thereof), or any indemnity, warranty or guaranty, payable by reason of loss or damage to or otherwise with respect to any of the foregoing Collateral, and (B) cash.

Notwithstanding the foregoing provisions of this Section 1 , in no event shall the security interest granted hereunder attach to any contract, license, permit or franchise to which the undersigned is a party or any of its rights or interests thereunder, or any property or assets subject to any contract, license, permit or franchise, if and for so long as the grant of such security interest shall constitute or result in (x) the abandonment, invalidation or unenforceability of any right, title or interest of the undersigned therein or (y)&nbs


 
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