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SECOND WAIVER AND AMENDMENT TO NOTE PURCHASE AGREEMENTS

Waiver Agreement

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INVACARE CORP

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Title: SECOND WAIVER AND AMENDMENT TO NOTE PURCHASE AGREEMENTS
Governing Law: New York     Date: 12/19/2006
Industry: Medical Equipment and Supplies     Sector: Healthcare

SECOND WAIVER AND AMENDMENT TO NOTE PURCHASE AGREEMENTS, Parties: invacare corp
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                                                                    Exhibit 10.1

================================================================================








                              INVACARE CORPORATION




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

                           SECOND WAIVER AND AMENDMENT
                          Dated as of December 15, 2006

                                       to

                            NOTE PURCHASE AGREEMENTS
                           Dated as of February 27, 1998

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


















        Re: $80,000,000 6.71% Series A Senior Notes due February 27, 2008




================================================================================

<PAGE>

             SECOND WAIVER AND AMENDMENT TO NOTE PURCHASE AGREEMENTS

     THIS   SECOND   WAIVER AND   AMENDMENT,   dated as of   December   15, 2006 (this
"Waiver and   Amendment")   to the separate and several Note   Purchase   Agreements
dated   as of   February   27,   1998,   is   between   INVACARE   CORPORATION,   an Ohio
corporation (the "Company"),   and each of the institutions   which is a signatory
to this Waiver and is a Noteholder referred to below.


                                     RECITALS:

     A. The   Company has   previously   entered   into   separate   and several   Note
Purchase Agreements, each dated as of February 27, 1998, between the Company and
each of the institutions   identified on Schedule A thereto   (together with their
successors   and   assigns,    each   a    "Noteholder,"    and,    collectively,    the
"Noteholders"),   as amended by that certain First Amendment, dated as of October
1, 2003, to Note Purchase Agreements dated as of February 27, 1998, that certain
Second   Amendment,   dated as of September 29, 2005, to Note Purchase   Agreements
dated as of February 27, 1998, and that certain   Waiver and Amendment,   dated as
of November 14, 2006 (as amended,   restated or otherwise modified, the "Existing
NPA   Waiver"),   to Note   Purchase   Agreements   dated as of February 27, 1998 (as
amended,   restated or otherwise   modified from time to time,   collectively,   the
"Note   Purchase   Agreement"),   pursuant to which the Company issued and sold its
(i)   $80,000,000   6.71% Series A Senior Notes due February 27, 2008 (as amended,
restated,   supplemented,   replaced or otherwise   modified hereby or from time to
time,   collectively,   the   "Notes") and (ii)   $20,000,000   6.60% Series B Senior
Notes due February   27, 2005 (which   Series B Notes have since been paid in full
by the   Company).   The   Noteholders   are the   holders of all of the   outstanding
principal amount of the Notes.

     B. The Company has also   previously   entered into separate and several Note
Purchase   Agreements,   each dated as of October 1, 2003, between the Company and
each of the   institutions   identified on Schedule A thereto,   as amended by that
certain   First   Amendment,   dated as of   September   29, 2005,   to Note   Purchase
Agreement dated as of October 1, 2003, that certain Waiver and Amendment,   dated
as of November 14, 2006, to Note Purchase Agreements dated as of October 1, 2003
(as amended,   restated or otherwise   modified   from time to time,   the "Existing
2003 NPA Waiver"), and that certain Second Waiver and Amendment, dated as of the
date   hereof,   to Note   Purchase   Agreements   dated as of   October   1,   2003 (as
amended,   restated or otherwise   modified   from time to time,   the "New 2003 NPA
Waiver")   (such Note   Purchase   Agreements,   as amended,   restated or   otherwise
modified from time to time,   collectively,   the "2003 Note Purchase Agreement"),
pursuant   to   which   the   Company   issued   and sold to the   purchasers   named on
Schedule A thereto its (i)   $50,000,000   3.97% Series A Senior Notes due October
1, 2007, (ii)   $30,000,000   4.74% Series B Senior Notes due October 1, 2009, and
(iii)   $20,000,000   5.05% Series C Senior Notes due October 1, 2010 (all of such
notes, as amended, restated,   supplemented,   replaced or otherwise modified from
time to time, collectively, the "2003 Notes").

     C. The Company has also   previously   entered into separate and several Note
Purchase   Agreements,   each dated as of April 27, 2006,   between the Company and
each of the   institutions   identified on Schedule A thereto,   as amended by that
certain   Waiver and   Amendment,   dated as of November 14, 2006, to Note Purchase
Agreements   dated as of   April   27,   2006 (as   amended,   restated   or   otherwise
<page>
modified   from time to time,   the   "Existing   2006 NPA Waiver") and that certain
Second   Waiver   and   Amendment   dated as of the   date   hereof   to Note   Purchase
Agreements   dated as of   April   27,   2006 (as   amended,   restated   or   otherwise
modified   from time to time,   the "New 2006 NPA   Waiver")   (such   Note   Purchase
Agreements,   as   amended,   restated   or   otherwise   modified   from time to time,
collectively, the "2006 Note Purchase Agreement"), pursuant to which the Company
issued and sold to the purchasers   named on Schedule A thereto its   $150,000,000
6.15% Senior Notes due April 27, 2016 (all of such notes, as amended,   restated,
supplemented,   replaced or otherwise   modified from time to time,   collectively,
the "2006 Notes").

     D. The   Company   has also   previously   entered   into   that   certain   Credit
Agreement   dated as of   January   14,   2005,   among the   Company,   the   Borrowing
Subsidiaries   (as defined   therein),   JPMorgan   Chase Bank,   N.A., as agent (the
"Agent"),   and the other bank lenders party thereto (the "Banks"), as amended by
that certain Letter   Agreement,   dated as of March 31, 2005,   that certain First
Amendment to Credit Agreement,   dated as of August 12, 2005, that certain Second
Amendment to Credit   Agreement,   dated as of March 31, 2006, that certain Waiver
and Amendment Agreement,   dated as of November 14, 2006 (as amended, restated or
otherwise   modified from time to time,   the "Existing   Bank   Waiver"),   and that
certain Second Waiver and Amendment Agreement (as amended, restated or otherwise
modified from time to time, the "New Bank Waiver"),   dated as of the date hereof
(as amended,   restated or otherwise modified from time to time, the "Bank Credit
Agreement").

     E. The   Company is also a party to (i) that   certain   Receivables   Purchase
Agreement,   dated as of   September   30, 2005,   among the   Company,   as Servicer,
Invacare   Receivables   Corporation,   as Seller, Park Avenue Receivables Company,
LLC and   JPMorgan   Chase   Bank,   N.A.,   as Agent,   and the   purchasers   named on
Schedule A thereto   (the   "Securitization   Lenders")   as amended by that certain
Amendment No. 1 to   Receivables   Purchase   Agreement,   dated as of September 28,
2006 and that certain Omnibus Waiver, Amendment and Reaffirmation of Performance
Undertaking,   dated as of November 14, 2006 (as   amended,   restated or otherwise
modified from time to time,   the   "Existing   Securitization   Waiver"),   and that
certain   Second   Omnibus   Waiver,   Amendment and   Reaffirmation   of   Performance
Undertaking,   dated as of the date hereof (as   amended,   restated   or   otherwise
modified from time to time, the "New Securitization   Waiver",   and together with
the New 2003 NPA Waiver,   the New 2006 NPA Waiver and the New Bank   Waiver,   the
"Other December 2006 Waivers") (such Receivables Purchase Agreement, as amended,
restated or otherwise modified from time to time, the   "Securitization   Purchase
Agreement"), (ii) that certain Receivables Sale Agreement, dated as of September
30,   2005,   among the   Company,   Invacare   Receivables   Corporation,   Healthtech
Products,   Inc.   and   Invacare   Supply   Group,   Inc. as amended by the   Existing
Securitization Waiver and the New Securitization Waiver (as amended, restated or
otherwise modified from time to time, the   "Securitization   Sale Agreement") and
(iii) that certain Performance   Undertaking,   dated as of September 30, 2005, in
favor of Invacare   Receivables   Corporation   (as amended,   restated or otherwise
modified from time to time, the "Performance Undertaking", and together with the
Securitization   Sale Agreement and the Securitization   Purchase   Agreement,   the
"Securitization Documents", and the Securitization Documents,   together with the
2003 Note   Purchase   Agreement,   the 2006 Note   Purchase   Agreement and the Bank
Credit Agreement,   collectively,   the "Other Primary Loan   Agreements",   and the

                                       2
<page>
Other   Primary   Loan   Agreements,   together   with the Note   Purchase   Agreement,
collectively,   the "Primary Loan   Agreements"   and the Primary Loan   Agreements,
together with the other   agreements,   documents and instruments   entered into in
connection   therewith   or pursuant   thereto,   collectively,   the   "Primary   Loan
Documents").

     F. Pursuant to (i) the Existing NPA Waiver,   the Noteholders have agreed to
waive,   through December 15, 2006 (subject to the terms and conditions   thereof)
certain   Defaults   and   Events of   Default   that   otherwise   would   exist and be
continuing   under   the Note   Purchase   Agreements   and   which   are set   forth on
Schedule A attached hereto   (collectively,   the "Existing   Defaults"),   (ii) the
Existing 2003 NPA Waiver, the holders of the 2003 Notes (the "2003 Noteholders")
have agreed to waive,   through December 15, 2006, certain defaults and events of
default   under the 2003 Note   Purchase   Agreement,   (iii) the Existing   2006 NPA
Waiver,   the holders of the 2006 Notes (the "2006   Noteholders")   have agreed to
waive,   through December 15, 2006,   certain defaults and events of default under
the 2006 Note Purchase Agreement,   (iv) the Existing Bank Waiver, the Banks have
agreed to waive,   through   December   15,   2006,   certain   defaults and events of
default   under the Bank Credit   Agreement   and (v) the   Existing   Securitization
Waiver,   the Securitization   Lenders have agreed to waive,   through December 15,
2006, certain "Termination Events" and "Potential Termination Events" under (and
as defined in) the   Securitization   Sale   Agreement   and   certain   "Amortization
Events"   and   "Potential   Amortization   Events"   under (and as   defined   in) the
Securitization    Purchase    Agreement    (all   of   such   events,    the   "Existing
Securitization   Defaults"   and together   with any other such events from time to
time existing under such documents, the "Securitization Defaults").

     G. The   Company   has   requested   that the   Noteholders   agree to extend the
waivers of the Existing   Defaults   under the Note   Purchase   Agreement,   and the
Noteholders   are agreeable to such request,   solely on the terms and   conditions
set forth herein,   including,   without limitation,   the amendments   described in
Section 2 hereof.

     H. The Company has likewise   requested that (i) the 2003 Noteholders   agree
to extend the waivers of the defaults and events of default   under the 2003 Note
Purchase   Agreement   pursuant to the terms of the New 2003 NPA Waiver,   (ii) the
2006   Noteholders   agree to extend   the   waivers of the   defaults   and events of
default under the 2006 Note Purchase   Agreement pursuant to the terms of the New
2006 NPA Waiver, (iii) the Banks agree to extend the waivers of the defaults and
events of default under the Bank Credit Agreement (and waive any new defaults or
events of default   thereunder)   pursuant to the terms of the New Bank Waiver and
(iv) the   Securitization   Lenders   agree to extend the   waivers of the   Existing
Securitization Defaults under the Securitization Documents pursuant to the terms
of the New Securitization Waiver.

     I. All requirements of law have been fully complied with and all other acts
and things   necessary   to make this   Waiver and   Amendment a valid,   legal,   and
binding instrument according to its terms for the purposes herein expressed have
been done or performed.

     NOW, THEREFORE,   upon the full and complete   satisfaction of the conditions
precedent to the effectiveness of this Waiver and Amendment set forth in Section

                                       3
<page>
4 hereof,   and in consideration of good and valuable   consideration   the receipt
and sufficiency of which is hereby acknowledged, the Company and the undersigned
Noteholders do hereby agree as follows:

SECTION 1. TEMPORARY WAIVER.

     (a) The Company   acknowledges   and agrees that, as a result of the Existing
Defaults under the Note Purchase   Agreement,   the   Noteholders   may, on or after
December 15, 2006, if they so elect,   proceed to enforce their respective rights
and   remedies   under   the Note   Purchase   Agreement   to   collect   the   Company's
obligations thereunder.

     (b) Subject to the terms and conditions of this Waiver and   Amendment,   the
Noteholders hereby agree to temporarily waive (collectively,   the "Waivers") the
Existing   Defaults   during the period (the "Waiver   Period")   commencing   on the
Effective   Date and   expiring on the   earliest to occur of (i) January 31, 2007,
unless   such   date has been   automatically   extended   to   February   15,   2007 as
provided in Section 1(c) below (the "Outside Waiver Termination Date"), (ii) any
Default   or Event of   Default   under   the Note   Purchase   Agreement   (including,
without limitation,   any Default or Event of Default arising out of a failure to
comply   with any   term,   covenant   or   condition   of the   Existing   NPA   Waiver,
including    Section   5   thereof   as   amended    hereby),    (iii)   the   breach   or
nonperformance   by the Company or any   Subsidiary of any covenant,   agreement or
condition   set forth in this Waiver and   Amendment   or the Other   December   2006
Waivers, (iv) any breach of, default, event of default or Securitization Default
under any Other Primary Loan   Agreement (or any amendment or waiver with respect
thereto) or any   termination or other   expiration of the waiver period set forth
in the Other December 2006 Waivers, and (v) the date on which any representation
or warranty in Section 3 hereof fails to be true and correct.

     (c) The Outside Waiver   Termination   Date shall be   automatically   extended
from January 31, 2007 to February 15, 2007,   without notice or any other action,
if (i) on or prior to December   22, 2006,   the Company has provided   each of the
Noteholders   with a fully executed   commitment   letter or letters (as amended or
otherwise modified from time to time,   collectively,   the "Commitment   Letters")
providing fully   underwritten   commitments from one or more reputable   financial
institutions and/or institutional   investors to provide financing to the Company
in an aggregate amount sufficient to pay in full all outstanding   obligations of
the Company and its Subsidiaries under the Primary Loan Documents on or prior to
February 15, 2007, in form and substance   satisfactory   to the Required   Holders
and (ii) the waiver   period   under each of the Other   December   2006 Waivers has
likewise   been (or shall   be,   concurrently   with the   extension   of the   Waiver
Period)   extended to February 15, 2007 on terms and conditions   satisfactory   to
the Required Holders;   provided, however if on or prior to January 31, 2007, (x)
any of the Commitment   Letters is terminated   (unless the commitments   under the
remaining   Commitment   Letters,   after giving effect to such termination and any
new   Commitment   Letter or   Commitment   Letters   entered   into by the Company in
replacement of such   terminated   Commitment   Letter and delivered to each of the
Noteholders   prior   to such   termination,   are   sufficient   to pay in   full   all
outstanding   obligations of the Company and its   Subsidiaries   under the Primary
Loan   Documents on or prior to February 15, 2007) or (y) the waiver period under
any of the Other   December   2006 Waivers shall have reverted to January 31, 2007
then,   in any such case,   the Outside   Waiver   Termination   Date shall revert to
January 31, 2007;   provided,   further that if any of the events described in the

                                       4
<page>
foregoing   clauses (x) or (y) occurs after   January 31, 2007,   the Waiver Period
shall expire as of the   occurrence of such event   without   notice or any further
action.

     (d) The waiver   contemplated   in this Section 1 shall be effective only for
the Existing Defaults and only for the Waiver Period,   and such waiver shall not
entitle the Company to any future waiver in similar or other   circumstances   and
shall   automatically   cease to be effective   upon the   expiration   of the Waiver
Period,   without   notice or other   action of any kind by the   Noteholders.   Such
waiver shall not prejudice or constitute a waiver of any right or remedies which
any   Noteholder   may have or be entitled to with   respect to any other breach of
any   provision   of   any   of the   Note   Purchase   Agreement   or   the   Notes.   The
Noteholders   reserve their respective   rights, in their discretion,   to exercise
any or all of their rights and remedies   under the Note   Purchase   Agreement and
Notes as a result of the Existing   Defaults   upon the   expiration   of the Waiver
Period.   Without   limiting   the   foregoing,   upon the   expiration   of the Waiver
Period,   an Event of Default   will   continue   to exist   under the Note   Purchase
Agreement, and the Noteholders may, without the need for the expiration of grace
periods,   if any, in connection   with the Existing   Defaults   (but   otherwise in
accordance   with the   terms   of the Note   Purchase   Agreement),   accelerate   the
payment   in full of the   obligations   owed to the   Noteholders   under   the   Note
Purchase   Agreement   and   Notes,   and   enforce   and   exercise   any or all of the
Noteholders'   rights under or in respect of the Note Purchase   Agreement and the
Notes and under applicable law.

     (e) For avoidance of doubt, it is hereby   acknowledged and agreed to by the
Company that the addition of the   agreements   and   covenants in Section 5 hereof
and their   continuance   beyond the Waiver   Period are not to be   construed as an
acquiescence or waiver of the Existing Defaults beyond the Waiver Period but are
added for additional   protection of the Noteholders,   and the Noteholders   shall
retain all their   rights and remedies   under or in respect of the Note   Purchase
Agreement   and Notes and   under   applicable   law with   respect   to the   Existing
Defaults upon the expiration or termination of the Waiver Period.

SECTION 2. AMENDMENTS.

     Section 2.1. Amendment and Restatement of the Notes.

          (a)   Amendment   and   Restatement.   Each Note is   hereby,   without   any
     further   action   required   on   the   part   of   any   Person,    deemed   to   be
     automatically   amended to conform to and have the terms provided in Exhibit
     2.1(a) to this Agreement (except that the principal amount and the payee of
     each such Note shall   remain   unchanged).   Any Note   issued on or after the
     Effective   Date shall be in the form of Exhibit   2.1(a) to this   Waiver and
     Amendment.

          (b) Replacement Notes. Upon the request of any Noteholder, the Company
     will issue a replacement   Note or Notes   (consistent with the terms hereof)
     in favor of such   Noteholder   in the   appropriate   form in exchange for the
     Note or Notes of such   Noteholder   delivered   to the Company at the time of
     such exchange.

     Section 2.2. Amendments of Existing NPA Waiver.

                                        5
<page>
          (a) Section 5 of the Existing NPA Waiver is hereby amended by deleting
     the phrase "and continuing   through April 15, 2007" in the third and fourth
     lines thereof.

          (b)   Section   5(b) of the   Existing   NPA Waiver is hereby   amended and
     restated in its entirety to read as follows:

               "(b)   the   Company   will   not,   and will   not   permit   any of its
          Subsidiaries   to, at any time,   directly   or   indirectly   (i)   create,
          incur, assume, guarantee, or otherwise become liable in respect of (A)
          any Debt of the   Company   other   than Debt   incurred   under the Credit
          Agreement, (B) any Debt of Subsidiaries other than Debt incurred under
          the   Credit   Agreement   by   Subsidiaries   that are party to the Credit
          Agreement   as of December 15, 2006 and (C) any   Securitization   except
          that one or more Special   Purpose   Subsidiaries   that are party to the
          Securitization   Documents as of December 15, 2006 may become liable in
          respect   of   a   Permitted   Receivables    Securitization    Program   not
          exceeding   $75,401,750 (not including   obligations in respect of fees,
          expenses,   indemnities and other reimbursement   obligations   permitted
          under   such   Permitted   Receivables   Securitization   Program)   in   the
          aggregate   at any time and (ii)   create,   incur,   assume   or suffer to
          exist,   any Lien securing any Debt of the Company or any Subsidiary or
          any Lien created, incurred, assumed or otherwise existing with respect
          to any Securitization,   except Liens incurred on receivables,   related
          assets and   collections of the Company or any Subsidiary in connection
           with such assets being   transferred   to a Special   Purpose   Subsidiary
          pursuant   to   a   Permitted   Receivables    Securitization    Program   as
          permitted in accordance   with Section 5(f) of this Waiver;   as used in
          this Section   5(b),   "Securitization"   means one or more   transactions
          wherein the Company and/or a Subsidiary transfers receivables, related
          assets and   collections   of the Company   and/or such   Subsidiary   to a
          special purpose Subsidiary which issues or incurs indebtedness secured
          by such receivables and all of its other assets;"

          (c)   Section   5(i) of the   Existing   NPA Waiver is hereby   amended and
     restated in its entirety to read as follows:

               "(i) the Company will not, and will not permit any Subsidiary to,
          (x) enter into any   agreement   restricting   the ability of the Company
          and its Subsidiaries to amend or modify the Note Purchase Agreement or
          Notes or any document or instrument executed in connection   therewith,
          except   as set   forth   in the   waiver/amendment   to   the   Bank   Credit
          Agreement   referred   to in Section   3(c)   hereof or (y) enter into any
          agreement or   arrangement   requiring any defeasance of the Bank Credit
          Agreement; and"

SECTION 3. REPRESENTATIONS AND WARRANTIES OF THE COMPANY.

     To induce the   Noteholders to execute and deliver this Waiver and Amendment
(which   representations   shall survive the execution and delivery of this Waiver
and Amendment), the Company represents and warrants to the Noteholders that:

                                       6
<page>
     (a) this   Waiver   and   Amendment   has been duly   authorized,   executed   and
delivered by it and this Waiver and Amendment   constitutes the legal,   valid and
binding obligation, contract and agreement of the Company enforceable against it
in   accordance   with   its   terms,   except   as   enforcement   may   be   limited   by
bankruptcy, insolvency, reorgan


 
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