STERIS LIMITED (formerly known as STERIS plc) FIRST AMENDMENT Dated as of March 19, 2021 to AMENDED AND RESTATED NOTE PURCHASE AGREEMENT Dated as of March 5, 2019 RE: $50,000,000 3.93% SENIOR NOTES, SERIES A-1, DUE FEBRUARY 27, 2027 €60,000,000 1.86%...

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