This application is to be used for direct loan and guarantee transactions with financed amounts over $10 million (excluding
financed premium), typically with tenors over seven years. It is also to be used for certain Ex-Im Bank products and pro-
grams regardless of transaction size or tenor including: Large Aircraft, Limited Recourse and Structured Financing, and
Tied Aid. (To request a Credit Guarantee Facility, please complete the Medium-Term application.)
Additional information on how to apply for Ex-Im Bank long-term loans and guarantees can be found at Ex-Im Bank’s
web site http://www.exim.gov/tools/how_to_apply.html
Send this completed application to Ex-Im Bank, 811 Vermont Avenue, NW, Washington, DC 20571. Ex-Im Bank will
also accept e-mailed PDF and faxed applications. Please note that applications must be PDF scans of original applications
and all required application attachments. (Fax number 202.565.3380, e-mail exim.applications@exim.gov). Hard copies
of required supporting documentation may still be required for limited recourse and structured financing requests.
APPLICATION FORM
11..
COMMITMENT OR FINANCING TYPE REQUESTED
AA..
P
Prroodduuc
ctt
Comprehensive Guarantee
Political Risk Guarantee
Direct Loan
Preliminary Commitment - See Preliminary Commitment Fact Sheet for eligibility criteria.
A justification for a Preliminary Commitment is to be attached. (http://www.exim.gov/pub81.html)
BB
C
Co
onnvveerrssiioonn
ooff aa PPrreelli
im
mi
in
na
arryy CCoommmmi
it
tmmeen
ntt oor
r aa L
Leettt
teerr
ooff
IIn
nt
teerre
es
st
t
No
Yes. The Ex-Im Bank reference number is:
CC.
.
R
Rees
suubbm
miissssiioonn
Check if this is a resubmission of an application that was previously deemed
incomplete or was withdrawn for other reasons. The Ex-Im Bank reference
number is:
22..
PARTICIPANTS
::
Applicant name:
Duns #:
Contact person:
Phone #:
Position title:
Fax #:
Street address:
E-mail:
City:
State/Province:
Nine-digit zip code:
Country:
Taxpayer ID #:
Number of employees:
Is the applicant a minority-owned business? Yes No. A woman-owned business? Yes No
Applicant’s role in the transaction:
exporter
buyer/ borrower
lender
(
if lender is applicant, lenders mandate must be attached)
Primary contact point for Ex-Im Bank inquiries on this transaction:
exporter
lender
borrower
- 1-
APPLICATION
FOR LONG-TERM
LOAN OR GUARANTEE
Export-Import Bank
of the United States
EIB-95-10
1/07
OMB 3048-0013
Expires 3-312007
EExxppoorrtteerr
..
The exporter is the U.S. entity that contracts with the buyer for the sale of the U.S. goods and
services.
•
Check if the exporter is the applicant. Otherwise, complete the information below for each exporter,
including ancillary service providers.
Exporter name:
Duns #:
Contact person:
Phone #:
Position title:
Fax #:
Street address:
E-mail:
City:
State/Province:
Nine digit zip code:
Taxpayer ID #:
Number of employees:
SSuupppplliieerr
..
The supplier is the U.S. company that manufactures the goods and/or performs the services to
be exported.
•
Check if the supplier is also the exporter. Otherwise, complete the information below for each supplier,
including ancillary service providers.
Supplier name:
Duns #:
Contact person:
Phone #:
Position title:
Fax #:
Street address:
E-mail:
City:
State/Province:
Nine digit zip code:
Taxpayer ID #:
Number of employees:
BBoorrrroowweerr
..
The borrower is the entity that agrees to repay the loan.
Check if the borrower is the applicant. If not, complete the information below.
Borrower name:
Duns #:
Contact person:
Phone #:
Position title:
Fax #:
Street address:
E-mail:
City:
State/Province:
Postal code:
Taxpayer ID #:
Country:
- 2-
EIB-95-10
1/07
OMB 3048-0013
Expires 3-312007
Is the exporter a minority-owned business? Yes No. A woman-owned business? Yes No
Is the supplier a minority-owned business? Yes No. A woman-owned business? Yes No
GGuuaarraannttoorr..
The guarantor is the person or entity that agrees to repay the credit if the borrower does not.
Complete the information below for each guarantor if a guarantor is offered or required.
Guarantor name:
Duns #:
Contact person:
Phone #:
Position title:
Fax #:
Street address:
E-mail:
City:
State/Province:
Postal code:
Country
BBuuyyeerr..
The buyer is the entity that contracts with the exporter for the purchase of the U.S. goods and services.
Check if the buyer is also the • borrower or • guarantor. Otherwise, complete the information below.
Buyer name:
Duns #:
Contact person:
Phone #:
Position title:
Fax #:
Street address:
E-mail:
City:
State/Province:
Postal code:
Country:
EEnndd--uusseerr..
The end-user is the foreign entity that uses the U.S. goods and services.
Check if end-user is also the
borrower or
guarantor or
buyer. Otherwise, complete the
information below.
End-user name:
Duns #:
Contact person:
Phone #:
Position title:
Fax #:
Street address:
E-mail:
City:
State/Province:
Postal code:
Country:
LLeennddeerr..
The lender is the company that extends the Ex-Im Bank guaranteed or insured loan to the Borrower.
Check if the lender is the
applicant. Otherwise, complete the information below.
Lender name:
Duns #:
MGA#
Contact person:
Phone #:
Position title:
Fax #:
Street address:
E-mail:
City:
State/Province:
Nine digit zip code:
Country:
- 3-
EIB-95-10
1/07
OMB 3048-0013
Expires 3-312007
Foreign Currency Guarantee
(specify currency)
hhttttpp::////wwwwww..eexxiimm..ggoov
v//pprroodduuccttss/
/
g
guuaarraanntteeee//ffoorreeiiggnn__ccuurrrr..hhttmmll
Local Cost Support
hhttttpp::////wwwwww..eexxiimm..ggoovv//pprroodduuccttss//
ppoolliicciieess//llooccaall__ccoosstt..hhttmmll
Co-Financing with Foreign
Export Credit Agency
Attachment H required
hhttttpp::////wwwwww..eexxiimm..ggoovv//ppuubb//
ttxxtt//9955--1100hh..ddoocc
8
Used Equipment
Attachment E required
hhttttpp::////wwwwww..eexxiimm..ggoovv//pprroodduuccttss//
ppoolliicciieess//uusseedd__eeqquuiipp..hhttmmll
8
Nuclear
hhttttpp::////wwwwww..eexxiimm..ggoovv//pprroodduuccttss//
ppoolliicciieess//nnuucclleeaarr..hhttmmll
Nuclear-screening document
must be submitted with application
Environmental Exports Program
hhttttpp::////wwwwww..eexxiimm..ggoovv//pprroodduuccttss//
ssppeecciiaall//eennvviirroonnmmeenntt..hhttmmll
8
Ancillary Service Fees
hhttttpp::////wwwwww..eexxiimm..ggoovv//pprroodduuccttss//
eebbdd--mm--1133..hhttmmll
8
4-month interest rate hold
(Direct loans only)
Captialization of Interest
During Construction
Tied Aid Program
Attachment C required
Finance Lease Structure
hhttttpp::////wwwwww..eexxiimm..ggoovv//pprroodduuccttss//
iinnssuurraannccee//lleeaassiinngg..hhttmmll
Military/Security/Police
hhttttpp::////wwwwww..eexxiimm..g
goovv//pprroodduuccttss//
ppoolliicciieess//mmiilliittaarryy..hhttmmll
33..
DETAILS OF COVERAGE REQUESTED
AA..
..
SSppeecciiaall FFeeaattuurreess RReeqquueesstteedd
Check the boxes for the coverage that apply to the transaction. View the fact sheets describing the
coverage on Ex-Im Bank’s web site as noted below. Complete and attach the requested forms.
44..
TRANSACTION DESCRIPTION
aa))
Describe Goods and Services. Include make, model, manufacturer/supplier, SIC codes or NAICS (if known)
of goods and services, number of units, values, and estimated U.S. and foreign content. This section does not
need to be completed if the exporter attached a Content Report.
- 4-
b
b)
)
Describe the purpose of the transaction. Include answers to the following: Will the goods be used to create or
expand produc tion capacity for an exportable product? Are the goods and services destined for an identifiable project?
If so, provide information on the total estimated project cost in US dollars. Also provide information as to other sources
of financing for the project, including working capital.
EIB-95-10
1/07
Large Aircraft
Attachment A required
Project Finance
Attachment Frequired
Structured Finance
Attachment G required
Engineering Multiplier Program
hhttttpp::////wwwwww..eexxiimm..ggoovv//
eebbdd--mm--0033..hhttmmll
Other __________________
Other
OMB 3048-0013
Expires 3-312007
55.
.
REQUESTED FINANCING AMOUNTS AND STRUCTURE
Ex-Im Bank support is based on the value of the eligible goods and services in the exporter’s supply contract(s) or
purchase order(s). The total level of support will be the lesser of: 85% of the value of all eligible goods and services; or
100% of the U.S. content included in all eligible goods and services in the exporter’s supply contracts. In addition, Ex-
Im Bank may also finance certain local costs, ancillary services as approved, and the exposure fee/premium. Fill out
the chart below to determine estimated eligible amounts.
- 5-
AA
Supply Contracts
or Purchase
Orders
Ai
Aii
The aggregate price of all goods and services in all
the supply contract(s) or purchase order(s), including
local costs, ancillary services, and excluded goods
and services. Break out ancillary services in Aii.
BB
Excluded Goods
and Services
The aggregate price of all goods and services that are
not eligible for or are excluded from Ex-Im Bank sup-
port (e.g. goods not shipped from the U.S. and
excluded ancillary services). Local costs should not
be included in this line.
CC
Total Local Costs
The aggregate price of all goods manufactured in the
end-user’s country and all services provided by resi-
dents of the purchaser’s country. Ex-Im Bank may be
able to finance these amounts up to 15% of D below.
EE
Eligible Foreign
content
The aggregate cost of any goods produced or manu-
factured outside the U.S, or services provided by
third country personnel or foreign freight costs and
foreign insurance included in the net contract price
(line D), (e.g. foreign items shipped from the US)
DD
Net Contract Price
A minus B minus C
FF
U.S. Content
D minus E
GG
Cash Payment
This amount must be the greater of E or 15% of D
DDeeffiinniittiioonn
UUSS$$
HH
Local Cost
Financing
This can be no more than 15% of D
II
FFiinnaanncceedd
AAmmoouunntt RReeqquueesstteedd
(Excluding
Exposure Fee)
D minus G plus H
EIB-95-10
1/07
cc))
Indicate whether an application for support of this export contract or a related project has been filed with the Agency
for International Development, Maritime Administration, Overseas Private Investment Corporation, Trade Development
Agency or a multilateral financing agency. If so, include a brief description of the additional support.
OMB 3048-0013
Expires 3-312007
BB..
TTrraannssaaccttiioonn SSttrruuccttuurree
.
ii..
PPrriinncciippaall RReeppaayymmeenntt TTeerrmm..
_______(years). Unless otherwise requested, equal installments of principal will
be repaid semi-annually beginning six months after the starting point.
iiii
SSttaarrttiinngg PPooiinntt..
The starting point is generally the event that marks the fulfillment of the exporter’s contractual
responsibility. See Ex-Im Bank’s fact sheets on starting points and reach-back policies at
w
wwwww..e
ex
xiimm.
.ggoovv
.
(Check
one box.)
Shipment (single shipment)
Services Completion.
Final Shipment (multiple shipments)
Completion of Installation. Specify date:
Mean Shipment (multiple shipments)
Project Completion. Specify date:
Other
iiiiii
SShhiippmmeenntt PPeerriioodd..
Shipments will be completed and/or services will be performed from:
[ ] (month/year) to [ ] (month/year) excluding any acceptance, retention,
or warranty period.
iivv..
IInntteerreesstt rraattee..
The interest rate to be charged on the guaranteed loan is:
66..
REASON FOR REQUESTING EX-IM BANK SUPPORT
.
.
Ex-Im Bank will finance the export of U.S. goods and services if it can be demonstrated that Ex-Im Bank
support is necessary for the transaction to proceed. Check one of the boxes below describing why support
is necessary.
The exporter is aware that foreign companies are competing, or are expected to compete for the sale. Provide
company name, country, and (if known/applicable) the supporting export credit agency.
- 6-
The exporter is aware that foreign companies manufacture comparable goods and services that are sold in the
buyer’s market with export credit agency support available. Provide company name, country, and (if known/
applicable) the supporting export credit agency.
AA.. EExxppoossuurree FFeeee
. Check one box.
Ex-Im Bank to finance the fee, which will be paid as the credit is drawn down.
Ex-Im Bank to finance the fee, which will be paid up front.
Ex-Im Bank will not finance the fee, and it will be paid as the credit is drawn down.
Ex-Im Bank will not finance the fee, and it will be paid up front.
EIB-95-10
1/07
OMB 3048-0013
Expires 3-312007
7
7..
CREDIT INFORMATION
The credit information outlined in the following is attached.
Large Aircraft (
Attachment A)
Long-Term and Structured Transactions (
Attachment G)
Limited Recourse Project Finance (
Attachment F)
8
8..
OTHER INFORMATION AND CERTIFICATIONS
AA..
GGeenneerraall IInnffoorrmmaattiioonn
- Provide the following:
Credit Agency report(s) on the exporter(s). If exporter has a credit rating of BBB or better, this is not required.
Annex A to the Master Guarantee Agreement (Guarantees only) at
hhttttpp::////wwwwww..eexxiimm..ggoovv//ppuubb//ppddff//mmtt--aannxx--eexxeecc..ppddff
Lender’s mandate letter (required when applicant is a financial institution).
Environmental Screening (attachment B).
BB..
SSuuppppllyy CCoonnttrraaccttss BBeettwweeeenn tthhee EExxppoorrtteerr aanndd BBuuyyeerr
.
Sales contract(s), pro forma invoice(s), or purchase order(s) are attached.
No contract is attached. (Project Finance and Preliminary Commitments only)
CC..
CCoommmmiittmmeenntt FFeeee AAggrreeeemmeenntt..
A commitment fee accrues starting 60 days after the authorization of a final commitment and is payable semiannually
in arrears on a schedule determined at the time of authorization. The commitment fee is 1/8 of 1% per annum on
the un-disbursed and un-cancelled balance of a guaranteed loan or 1/2 of 1% per annum for a direct loan. Choose
one of the options below regarding the payment of the commitment fee:
The applicant is the borrower, and by signing the application, is irrevocably committing to pay the commitment fee.
The applicant is the guaranteed lender, and is (check one):
signing the application which irrevocably commits it to pay the fee, or
signing the application and enclosing with it an Ex-Im Bank standard form fee letter from the borrower
(at
hhttttpp::////wwwwww..eexxiimm..ggoovv//ppuubb//ppddff//mmtt--aannxx--eexxeecc..ppddff
). This letter irrevocably commits the borrower to pay the fee.
The applicant is the exporter, and is signing the application and enclosing with it an Ex-Im Bank standard form
fee letter from the
borrower or
guaranteed lender (at
hhttttpp::////wwwwww..eexxiimm..ggoovv//ppuubb//ppddff//mmtt--aannxx--eexxeecc..ppddff
)
.
This letter irrevocably commits the borrower or guaranteed lender to pay the fee.
DD..
CCoonntteenntt RReeppoorrtt
Ex-Im Bank does not require the Content Report at the time of application. Processing of, and the decision on, the
application will not be delayed or affected by the submission or absence of the report. A Cause Report EBD-M-55
is requested at the end of each calendar year to describe the nature and reason for the inclusion of any good and
services with 50% or more foreign content in the good or service.
EE..
AAnnttii--LLoobbbbyyiinngg DDiisscclloossuurree ffoorrmm
Please refer to the Anti-Lobbying Declaration/Disclosure forms (at http://www.exim.gov/pub/pdf/95-10d.pdf ) and
include a signed copy of the appropriate form(s) with your application.
- 7-
There is limited availability of private financing (from either external or domestic sources).
Indicate how financing is constrained by checking the appropriate box.
No availability of economically viable interest rates on terms over one to two years.
Financial institution lending capacity limits reached for either borrower and/or country.
Other (please describe)
EIB-95-10
1/07
OMB 3048-0013
Expires 3-312007
Applicant (company) name:
Name and tittle of authorized officer:
Signature of authorized officer:
Date:
EIB-95-10
1/07
FF..
CCeerrttiiffiiccaattiioonnss
The applicant certifies that the facts stated and the representations made in this application and any attachments to
this application are true, to the best of the applicant’s knowledge and belief after due diligence, that the applicant has not
omitted any material facts. The applicant certifies that neither it, nor its principals, have with in the past three years been
a) debarred, suspended, declared ineligible from participating in, or voluntarily excluded from participation in, a covered
transaction, b) formally proposed for debarment, with a final determination still pending, (c) indicted, convicted or had a
civil judgment rendered against it for any of the offenses listed in the Regulations, (d) delinquent on any substantial debts
owed to the U.S. Government or its agencies or instrumentalities as of the date of execution of this application; or (e) the
applicant has received a written statement of exception from Ex-Im Bank attached to this certification, permitting partici-
pation in this Covered Transaction despite an inability to make certifications a) through d) in this paragraph. We further
certify that we have not and will not knowingly enter into any agreements in connection with the Goods and Services with
any individual or entity that has been debarred, suspended, declared ineligible from participating in, or voluntarily exclud-
ed from participation in a Covered Transaction. All capitalized terms not defined herein shall have the meanings set forth
in the Government-wide Non-procurement Suspension and Debarment Regulations - Common Rule (Regulations). The
applicant is not listed on any of the publicly available debarment lists of the following international financial institutions:
World Bank Group, African Development Bank, Asian Development Bank, European Bank for Reconstruction and
Development and the Inter-American Development Bank.
In addition, the applicant certifies that neither the applicant nor anyone acting on its behalf, such as agents, has
engaged,or will engage, in any activity in connection with this transaction that is a violation of the Foreign Corrupt Practices
Act of 1977, 15 U.S.C. 78dd-1 et seq. (which provides for civil and criminal penalties against companies and individuals
who directly or indirectly make or facilitate corrupt payments to foreign officials to obtain or keep business). Further, the
applicant has not engaged, and will not engage, in any activity in connection with this transaction that is a violation of the
Arms Export Control Act, 22 U.S.C. 2751 et seq., the International Emergency Economic Powers Act, 50 U.S.C. 1701 et
seq., or the Export Administration Act of 1979, 50 U.S.C. 2401 et seq. The applicant has not been found by a court of the
United States to be in violation of any of these statutes within the preceding 12 months, and to the best of its knowledge,
the performance by the parties to this transaction of their respective obligations does not violate any other applicable law.
The applicant certifies that neither the applicant nor anyone acting on its behalf in connection with this transaction is cur-
rently under charge or has been, within the past 5 years, convicted in any court or subject to national administrative
measures of any country for bribery of foreign public officials.
The applicant certifies that the representations made and the facts stated in this application and its attachments are true,
to the best of its knowledge and belief, and it has not misrepresented or omitted any material facts. It further understands
that these certifications are subject to the penalties for fraud against the U.S. Government (18 USC 1001, et. seq.).
9. NOTICES
The applicant is hereby notified that information requested by this application is done so under authority of the Export-
Import Bank Act of 1945, as amended (12 USC 635 et. seq.); provision of this information is mandatory and failure to pro-
vide the requested information may result in Ex-Im Bank being unable to determine eligibility for support. If any of the infor-
mation provided in this application changes in any material way or if any of the certifications made herein become untrue,
the applicant must promptly inform Ex-Im Bank of such changes.
The information provided will be reviewed to determine the participants’ ability to perform and pay under the transaction
referenced in this application. Ex-Im Bank may not require the information and applicants are not required to provide
information requested in this application unless a currently valid OMB control number is displayed on this form (see upper
right of each page).
Paperwork Reduction Act Statement: We estimate that it will take you about 2 hours to complete this form. This
includes the time it will take to read the instructions, gather the necessary facts and fill out the form. However, you are
not required to provide information requested unless a valid OMB control number is displayed on the form. If you have
comments or suggestions regarding the above estimate or ways to simplify this form, forward correspondence to Ex-Im
Bank and the Office of Management and Budget, Paperwork Reduction Project, Washington, D.C. 20503.
- 8-
OMB 3048-0013
Expires 3-312007
L
ONG
-T
ERM
L
OAN OR
G
UARANTEE
A
PPLICATION
A
TTACHMENT
A: Large Aircraft Transactions
OMB No. 3048-0013
Expires 3/31/2007
EIB Form 95-10 (attachment A)
Revised 1/07
1
1.
Financing Type Requested. Three financing options are available for new large aircraft transactions under the Large Aircraft Sector
Understanding (LASU), contained in the OECD Arrangement. All three options may be requested for a PC. Only one option may be
chosen for an AP. Check below the option(s) you are requesting. For used large aircraft transactions, complete No. 3 of the
Long-Term Loan or Guarantee Application.
~
Option 1: An Ex-Im Bank guarantee for up to 85% of the contract price.
~
Option 2: An Ex-Im Bank guarantee for 42.5% of the contract price coupled with an Ex-Im Bank direct loan at the applicable
LASU interest rate for 42.5% of the contract price. The Ex-Im Bank direct loan is repaid during the later maturities.
~
Option 3: An Ex-Im Bank guarantee for 22.5% of the contract price coupled with an Ex-Im Bank direct loan at the applicable
LASU interest rate for 62.5% of the contract price. The Ex-Im Bank guaranteed loan and direct loan are repaid on a pari-passu basis.
2.
Spare Parts Financing. Indicate if any spare parts or spare engines are included in the export sale and provide the requested
information on these items.
3.
Credit Information. The information requested in this section is generally required for all applications. If the transaction is secured
with a sovereign guarantee, all or part of the detailed operational information requested in items E, F, and G below may not be
necessary. Likewise, if the airline is a repeat customer of Ex-Im Bank, much of the historical financial and operating information may
already have been provided to Ex-Im Bank, and additional information could be limited to updating the existing information. In either
situation, please contact the Transportation Division to discuss the possibility of limiting the amount of information required by Ex-Im
Bank. If any of the information listed in this section is not obtainable, Ex-Im Bank can discuss other options for credit analysis with the
applicant.
a.
Airline history and ownership, and background data on senior management/directors.
b.
Contract price of aircraft, net of all credit memoranda and other discounts extended by the suppliers of the airframe, engines, and
other components.
c.
Amount of buyer furnished equipment (BFE) included in the contract price, description of BFE, and location where BFE will be
installed.
d.
Reason for purchase (replacement or expansion of fleet), proposed routes, and suitability of aircraft model in terms of fleet make-
up and intended routes.
e.
Description of each business segment of airline operations (passenger, freight, maintenance, catering, and other related
businesses), and the portion of revenue and operating profit attributable to each segment.
f.
Identification of major geographic markets and description of competitive position, market share, and strategy regarding
competition, yield management, and cost control in each market. Include the airline
=
s marketing plan and details of affiliations
and partnerships with other carriers.
g.
The operating statistics listed below or similar statistics containing the same general information for the most recent three years
and, if available, up to five years. Provide the listed statistics for domestic and international operations, as well as for each
geographic region or route type and each business segment.
ASKs (Available Seat Kilometers)
Load Factors
ATKs (Available Ton Kilometers)
Yield (passenger and cargo)
RPKs (Revenue Passenger Kilometers)
Aircraft Utilization Rate
RTKs (Revenue Ton Kilometers)
Number of Employees
Operating Expenses per Available Seat Kilometers
h.
Present and projected route structure, including basis for selecting new or expanded routes.
i.
Audited balance sheet, income, and cash flow statements and annual reports for the three most recent fiscal years, and interim
statements for the most recent period, if applicable. Annual statements must be prepared in accordance with internationally
accepted accounting principles and audited in accordance with international standards.
j.
Projected balance sheet, income, and cash flow statements for a five-year period, accompanied by supporting assumptions.
k.
Moody
=
s or Standard & Poors ratings, if available.
L
ONG
-T
ERM
L
OAN OR
G
UARANTEE
A
PPLICATION
A
TTACHMENT
A: Large Aircraft Transactions
OMB No. 3048-0013
Expires 3/31/2007
EIB Form 95-10 (attachment A)
Revised 1/07
2
l.
Lender
=
s detailed term sheet of proposed financing structure (not required for Preliminary Commitments). Include relevant
information on the special purpose vehicle (SPV) for lease structures, including the domicile and proposed ownership of the SPV.
If a tax lease structure is contemplated, include a description and flow chart of the proposed tax lease structure.
4.
Security Requirements. Ex-Im Bank will determine whether the security for a specific large aircraft transaction will be a sovereign
guarantee, a lien on the aircraft, or both. For large aircraft transactions in which the security includes the aircraft, Ex-Im Bank will
require that a valid and enforceable lien be placed on the aircraft to be financed. The information listed below concerning registration
and mortgages is required if Ex-Im Bank has no prior experience with asset-based structures in the airline's country or if the laws
pertaining to registration and mortgages have been amended. Please contact the Transportation Division to determine if such
experience exists. Supplemental information on these issues may be required during the processing of the application and Ex-Im Bank
may ask the applicant to pay for outside counsel or consultants selected by Ex-Im Bank to research particular issues. Include with the
application any additional information that may facilitate Ex-Im Bank's determination of security.
a.
Aircraft Registration
P
Is the country of registration a party to the Chicago Convention of 1944 on International Civil Aviation?
P
Are there statutes or regulations in the country dealing with the registration of aircraft? If so, provide an English translation of
such statutes or regulations.
P
Is there an aircraft registry? If so, describe how it operates.
P
What specific steps (including any provisions that must be contained in the relevant documents) must be taken to register and
deregister an aircraft?
b.
Aircraft Mortgages
P
Is the country of registration a party to the Convention of 1948 on International Recognition of Rights in Aircraft (the
A
Geneva
Convention
@
)?
P
Describe the statutes or regulations in the country dealing with mortgages of aircraft.
P
Can a valid and perfected first priority mortgage on the aircraft and engines be created for the benefit of Ex-Im Bank?
P
What claims may have a
A
super
@
priority over a mortgagee or lessor of an aircraft?
P
Following a default, can an aircraft be repossessed without judicial interference?
P
Can a judgment be awarded in U.S. dollars and, if so, are any special approvals necessary?
P
Will a foreign judgment or a judgment by an arbitrator be recognized in the airline
=
s country?
If you have questions about this attachment, please contact the Transportation Division
(Telephone: 202-565-3550 or Fax: 202-565-3558).
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B: Environmental Screening Document
OMB No. 3048-0013
Expires 3/31/2007
Must Accompany All Applications For Long-Term Financial Support
The information provided on this form is used to environmentally categorize the application and thereby determine the
information needed (if any) for Ex-Im Bank to evaluate the environmental effects of the transaction, a process that is
crucial to the appropriate and timely review of your application. Please check the boxes that apply.
Are the products or services covered in your application destined for an identified project?
No, explain
___________________________________________________________________
Yes, a) identify the project
______________________________________________________ __
b) provide a brief description, including output, capacity, size, etc
.____________________ ___
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
c) indicate whether new project, rehabilitation or expansion
_____________________________
Project Location
Is the project located in or near an environmentally sensitive site or area? (Check all applicable):
Tropical Forest
Nationally Designated Wetlands or Seashore / Protected Wildlands / Nationally Designated Refuges
National Parks
Coral Reefs or Mangrove Swamps
Habitat of Endangered Species
Location affecting indigenous or tribal populations
Location having Historical / Archaeological Significance
Large Scale Resettlement? (Potential Number of People Affected: ____________________)
Properties on the World Heritage List
Project Sector Or Industry
Check classification(s) describing the project for which the exports are destined:
Large infrastrucure:
Iron & Steel Plant
Airport
Smelter
Ports/harbors
Pulp & Paper Plant
Pipelines
Petroleum Refinery or Petrochemical Plant
Highways
Chemical / Pharmaceutical
Other large infrastructure
Natural Gas Liquefaction Plants
Industrial plants – large scale
Agro-industries – large scale
Forestry
Transportation (Aircraft, Locomotives, Boats)
Mining & Mineral Processing Plant
Telecommunications or Satellites
Oil & gas field development
Air traffic control or navigational aids
Hydropower Plant / Water Reservoir
Railway signaling
Thermal power plant
over 140 MWe
Hospitals and medical equipment
under 140 MWe
Nuclear power plant
Pre-project services, feasibility/environmental study
Geothermal Power
Consulting services
Waste management
Other, specify:_____________________________
Name of Applicant ______________________________________ Date__________________
For inquiries and information please contact the Engineering & Environment Division at (202)565-3570.
EIB Form 95-10 (attachment B)
Revised 1/07
OMB No. 3048-0013
Expires 3/31/2007
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C: Tied Aid Capital Projects Fund
1. Check if you are requesting appropriate Ex-Im Bank support to preclude or counter foreign tied aid offers.
2. Check if one or more foreign governments are offering, or planning to offer, unusually long repayment periods, unusually low
interest rates, and/or mixed grant-credit financing for the specific contract for which Ex-Im Bank support is sought. Attach
available documen-tary evidence of a foreign tied aid credit offer. If such evidence is not available, specify your reasons for
suspecting foreign tied aid.
3. Check if you authorize Ex-Im Bank to ask the OECD Secretariat to issue a confidential “no aid” comm. on line request to OECD
member governments. Acceptance of this request would preclude future foreign and U.S. aid financing for the project.
4. Check if you believe that loss of this contract will jeopardize follow-on sales opportunities for similar sales in the same market.
Provide the type and estimated value of potential follow-on sales.
5. Provide the following information, if known, for each foreign government’s tied aid offers.
Foreign Offer #1
Foreign Offer #2
Donor government
Foreign exporters supported
Total offer amount
Currency of offer
Credit portion amount
Credit portion interest rate
Credit portion grace period
Credit portion repayment period
Grant portion, if any
If you have questions about this attachment, please contact the Business Development Division
(Telephone: 202-565-3946 or Fax: 202-565-3931).
EIB Form 95-10 (attachment C)
Revised 1/07
OMB No. 3048-0013
Expires 3/31/2007
Long-Term Loan or Guarantee Application
A
TTACHMENT
D: Anti-lobbying Declaration/Disclosure
This attachment applies only to applications for final commitments.
1.
Anti-Lobbying Law.
Under a U.S. law (31 U.S.C. 1352), recipients of U.S. government loans, grants, contracts, and cooperative agreements are
prohibited from spending Federally appropriated funds to influence certain U.S. government employees, including Ex-Im Bank
employees, in connection with the awarding of those Federal awards.
Recipients of Federal loans, grants, guarantees, insurance, contracts and cooperative agreements may spend non-Federally
appropriated funds for such lobbying purposes; however, they are required to report such lobbying expenditures.
The law applies to Ex-Im Bank loan, guarantee and insurance transactions. Declaration and Disclosure Forms are to be filed by
applicants and recipients and certain exporters and suppliers, as defined below.
2.
Compliance Procedures. 2a. Who Must File.
All applicants for final commitments from Ex-Im Bank must file a Declaration regardless of whether non-Federally
appropriated funds have been spent for lobbying purposes. If non-Federally appropriated funds have been spent, a
Disclosure Form must also be filed. Applicants include borrowers and lenders who are applicants for final commitments
for medium-term and long-term direct loans and guarantees.
The Declaration and/or Disclosure Forms must be received by Ex-Im Bank from the applicant before Ex-Im Bank will
consider the application for a final commitment.
All recipients under Ex-Im Bank programs, who are not the applicant for a final commitment, must file a Declaration and, if
they have spent funds for lobbying purposes, a Disclosure Form. Recipients include borrowers who receive Ex-Im Bank direct
loans and lenders who receive Ex-Im Bank guarantees.
The Declaration and/or Disclosure Forms must be received by Ex-Im Bank from the recipients before Ex-Im Bank will
enter into a loan or guarantee agreement.
All suppliers who have entered into a contract in excess of $100,000 with the recipient of an Ex-Im Bank direct loan or grant
must file a Declaration and, if funds have be en spent for lobbying purpose s, a Disclosure Form.
Such suppliers must file the Declaration and/or Disclosure Forms upon being awarded the supply contract.
2b. Exemptions.
The law has been interpreted so that it does not apply to foreign governments, their instrumentalities or their wholly-owned
companies. Therefore, these entities are exempt from filing both the Declaration and Disclosure Forms.
The law’s disclosure requirements do not apply to loan or guarantee transactions where the U.S.
Government-financed portion is $150,000 or less.
2c.
How To File.
Complete the appropriate Declaration Form on the following page. If you are required to file a Disclosure Form, it
will be provided by Ex-Im Bank upon request. Any person who fails to file the required forms shall be subject to a
civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
EIB Form 95-10 (attachment D)
Revised 1/07
OMB No. 3048-0013
Expires 3/31/2007
Long-Term Loan or Guarantee Application
A
TTACHMENT
D: Anti-lobbying Declaration/Disclosure
3. Certification for Contracts, Grants, Loans and Cooperative Agreements.
The undersigned certifies, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any
person for influencing or attempting to influence an officer or employee of an agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with
the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the
entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or
modification of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an
officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal
contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard
Form-LLL, “Disclosure Form to Report Lobbying”, in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award documents
for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and
cooperative agreements) and that all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction
was mad e or entered into. Submission of this certification is a prerequisite for making or entering into this
transaction imposed by section 1352, title 31, U.S. Cod e. Any person w ho fails to file the required
certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each
such failure.
Applicant/Recipient Company
Signature
Name
Title
EIB Form 95-10 (attachment D)
Revised 1/07
OMB No. 3048-0013
Expires 3/31/2007
Long-Term Loan or Guarantee Application
A
TTACHMENT
D: Anti-lobbying De claration/Disclosure
4. Statement for Loan Guarantees and Loan Insurance.
The undersigned certifies, to the best of his or her knowledge and belief, that:
If any funds have been paid or will be pa id to an y person for influencing or attempting to influence an
officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an
employee of a Member of a Congress in connection with this commitment providing for the Unit ed
States t o insure o r guarantee a loan, the undersigned shall complete an d submit Standard Form-LLL,
“Disclosure Form to Report Lobbying”, in accordance with its instructions.
Submission of this statement is a prerequisite for making or entering into this transaction imposed by
section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a
civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
Applicant/Recipient Company
Signature
Name Title
EIB Form 95-10 (attachment D)
Revised 1/07
OMB No. 3048-0013 Expires 3/31/2007
OMB No. 3048-0013
Expires 3/31/2007
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E: U
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QUIPMENT
Equipment that has been previously owned or placed into service is generally eligible for support under Ex-Im
Bank’s loan, guarantee and insurance programs, provided certain criteria are met. To be eligible for Ex-Im Bank
support, used equipment, including equipment that has been refurbished in the U.S., must meet the following
eligibility criteria:
1. To be considered U.S. content, the used equipment must be of original U.S. manufacture, AND, if previously
exported, must have been in use in the U.S. for at least one year prior to export.
2. The U.S. costs associated with the refurbishment of the equipment are eligible for Ex-Im Bank support,
provided they meet Ex-Im Bank’s foreign content policy parameters. Ex-Im Bank can support the lesser of 85
percent of the U.S. Contract Price of the item or 100% of the actual U.S. content of the item provided that (a) the
item is shipped from the U.S. and (b) the foreign content of the item does not exceed 50 percent of the item’s
total production cost.
3. If the used equipment is of either original foreign manufacture or original U.S. manufacture, previously
exported and has not been in use in the U.S. for at least one year prior to its proposed export, then Ex-Im
Bank will treat it as foreign content and the following applies:
a. if the equipment is to be refurbished, the used equipment procurement cost is considered eligible foreign
content provided that this cost is less than 50 percent of the total procurement and refurbishment cost.
b. if the foreign content of the used equipment exceeds 50 percent of the cost associated with the
procurement and refurbishment of the equipment, then only the U.S. refurbishment portion will be
considered eligible for Ex-Im Bank support.
4. Previously exported goods that benefitted from Ex-Im Bank financing in the past will be considered eligible
for Ex-Im Bank support provided that the original financing has been paid in full and that the equipment has
been in use in the U.S. for at least one year.
5. The repayment term that Ex-Im Bank offers for used and refurbished equipment will be
consistent with Ex-Im Bank’s international agreements for repayment terms based on contract
value. Ex-Im Bank, at its sole discretion, will determine the remaining useful life of such equipment.
a. If the remaining useful life of the equipment is at least half the useful life of equivalent new
equipment, then Ex-Im Bank may support a repayment term equal to that offered new equipment.
b. If the remaining useful life of the equipment is less than half the useful life of equivalent new
equipment, then Ex-Im Bank may support a repayment term equal to the useful life remaining.
c. If the sale includes items some of which may have a useful life of at least half that of equivalent new
equipment and some of which may have a useful life of less than half that of equivalent new equipment, a
weighted average of the useful lives of all the items will be calculated to determine the payment term of
the entire sale.
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QUIPMENT
Used Equipment Questionnaire
Applicant: ______________________________
Buyer:__________________________________
Policy number (for insurance program):_______________
__.
Complete a separate questionnaire for each item of used equipment.
1.
Product information
Name and description of used equipment: ______________________________________________________
Equipment History
a) year manufactured:
b) hour meter reading: ________________________________
c) mileage: _______________________ d) where is equipment located: __________________________
e) how long has the equipment been there?: __________________
Is the product under warranty?
Yes
No
Term: __________________ Description: _______________________________________________
Has the equipment been rebuilt/reconditioned?
Yes
No
By whom? ________________________ Location: ____________________ Date: _____________
Does this equipment have an independent mechanical certification, evaluation, or assessment?
Yes
No
2. Export/Import History
Was the equipment previously exported?
Yes
No
Did Ex-Im Bank provide support?
Yes
No If yes, details: ________________________
Was the equipment imported to the U.S. ?
Yes
No
3. Prices and Costs
Contract price: $__________________ Foreign content included in the contract price: $________ ___
U.S. supplier’s purchase price: $____________________ Purchase Date: __________________________
Cost of rebuilding/reconditioning: $__________________ Cost of spare parts included: $______________
Description of rebuilding and/or spare parts:______________________________________________________
4. Used Aircraft Only.
Have all airworthiness directives been completed?
Yes
No
If no, describe the regulation or directive permits required for continued operation of the aircraft:____________
__________________________________________________________________________________________
Number of cycle hours remaining on the airframe and engines: _______________________________________
Months remaining before next maintenance “C” and “D” checks: ______________________________________
Names of each previous owner and lessee with the corresponding acquisition dates: ______________________
Signature: _______________________________________ Date: ________________
Name: ______________________________ Title: __________________________________________
EBD-M-25
page 2 of 2
(1/07)
If you have any questions, please call Ex-Im Bank’s Engineering Division on 202.565.3570 or Business Development Group on 202.565.3946
OMB No. 3048-0013
Expires 3/31/2007
OMB No. 3048-0013
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F: Project and Structured Finance
I.
Project Finance.
The term “project finance” refers to the financing of projects that are dependent on the project cash flows for repayment as defined by the
contractual relationships within each project. These projects do not rely on the typical export credit agency security package which has
recourse to a foreign government, financial institution or established corporation to meet a reasonable assurance of repayment criterion. By
their very nature, projects rely on a large number of integrated contractual arrangements for successful completion.
1.
Ex-Im Bank Project Finance.
P
Maximum Support Possible. Where
appropriate, Ex-Im Bank will offer the
maximum support allowed within the
rules of the OECD Arrangement, to
include:
a)
Financing of interest accrued during
construction related to the Ex-Im Bank
financing.
b)
Allowance of up to 15% foreign content
in the U.S. package.
c)
Maximum repayment term allowed under
the OECD guidelines.
P
No Size Limitation. There are no mini-
mum or maximum size limitations.
P
Flexible Coverage. Any combination of
either direct loans or guarantees for
commercial bank loans with political risk
only or comprehensive coverage are
available for a given project.
2. Application Process.
P
Submission. The project finance applica-tion
must include: 1) the standard Ex-Im Bank
LT
Application, and 2) five copies of the
materials listed in this attachment. These
materials should be marked “Project Finance
Application” and submitted to Ex-Im Bank.
P
Preliminary Review. Ex-Im Bank will
review the submitted material within five to
ten business days of the date that the
application is received by the Structured
Finance Division. This review will
determine if the application includes the
information required to proceed with an
evaluation.
P
Incomplete Applications. If the applica-
tion presented is determined to be incom-
plete by the Structured Finance Division, the
applicant will be contacted with an
explanation of the application’s deficiencies.
If the application is not determined to be
suit-able for limited recourse project
financing but could still be considered for
another form of Ex-Im Bank financing, it
will be forwarded to the appropriate division
and the applicant will be notified.
P
Flexible Equity Arrangements. There are
P
Rapid Case Processing. With the help of
no predetermined equity requirements. Ex-
outside financial consultants, Ex-Im Bank will
Im Bank will review and determine the
appropriate equity structure on a case-by-
case basis. The equity sponsor’s own-
nership position cannot be transferred
without Ex-Im Bank’s consent.
P
Ex-Im Bank Exposure Fee
Commensurate with Risk. Exposure fees
will vary depending on the risk assessment
give a preliminary indication of support, called
a Preliminary Project Letter (PPL), within 45
days from the date evaluation begins by the
outside consultant. Should the project be
sufficiently developed, the sponsor may
proceed directly to a final commitment from
the PPL, as determined by the Project Finance
Division.
of the project and the type of coverage
requested during construction and post
P
Financial Consultants. Ex-Im Bank has
completion. The exposure fee can be paid
advisers on specific project finance cases.
up-front or with each disbursement and can
Please contact the Structured Finance Group.
be financed.
P
Environmental Considerations. Ex-Im
Bank’s environmental procedures will
apply.
P
Choice of Financial Consultant. A
financial consultant will be selected by Ex-
Im Bank to evaluate the application.
Determination of the specific financial
consultant will depend on several factors
including geographic and sector expertise,
and ability to meet project deadlines.
P
Evaluation Fee. Before the financial
consultant begins review, the applicant
will be required to pay an evaluation fee.
P
Other Fees. For most projects, Ex-Im
Bank will require, either in conjunction
with other lenders or for its own use, the
advice of independent outside legal
counsel, independent engineers, and
insurance advisers. In addition, there may
be other fees associated with conducting
proper due diligence. Payment for these
and any other fees will be the
responsibility of the project sponsors or
the applicant.
P
P
Preliminary Project Letter. Assuming the
evaluation process is satisfactory, the Structured
Finance Division will issue a PPL. The PPL
indicates that Ex-Im Bank is prepared to move
forward on a financing offer and the
corresponding general terms and conditions.
These terms and conditions will be based
upon the information available at the time of
application. The evaluation and issuance of
the PPL will be completed within 45 days of
commencement of the evaluation.
Evaluation Post-PPL. After issuance of the
PPL, Ex-Im Bank will work with the applicant
to secure a final commitment. On a case-by-
case basis, Ex-Im Bank may continue to
utilize the financial consultant.
EIB Form 95-10 (attachment F)
Revised 1/07
1
OMB No. 3048-0013
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F: Project and Structured Finance
3.
Project Criteria and Application Information Requirements.
a.
General Project.
(5 copies)
Definition
P
Ideallythe project should have long-term con-
P
The project should contain an appropriate
P
Product unit pricing and costs should reflect
tracts from creditworthy entities for the
allocation of risk to the parties best suited to
market-based pricing.
purchase of the project’s output and the
manage those risks. Sensitivity analysis should
purchase of the project’s major project inputs
result in a sufficient debt service coverage ratio
P
Devaluation risk needs to be substantially
such as fuel, raw materials, and operations
to ensure uninterrupted debt servicing for the
mitigated through revenues denominated in
hard currencies, revenue adjustment formulas
and maintenance. Such con-tracts should
term of the debt.
based on changing currency relationships, or
extend beyond the term of the requested Ex-
Im Bank financing. Where such contracts do
P
Total project cost should be comparable to
other structural mechanisms.
not exist, additional equity and/or other credit
projects of similar type and size for a particular
support is expected.
market.
Information required
1.
Summary of all aspects of the project, as
event of project cost overruns; and description of
6.
Assumptions for the financial projections,
contained in an independently prepared
escrow accounts. Information on the terms,
including but not limited to the basis for
feasibility study and/or a detailed infor-
security requirements, and status of financing
sales volume and prices; operating and
mation memorandum, prepared by a qualified
commitments of other lenders to the project, if
administrative costs; depreciation,
party. The study or memorandum should
applicable, should be provided.
a mortization and tax rates; and local
include the project description, location, legal
5. Projected annual financial statements
government policy on price regulation.
status, ownership, and the background and
7.
Market information, to include: ten
status of key elements of the project structure,
covering the period from project develop-
years of historical price and volume
such as agreements, licenses, local partner
ment through final maturity of the
participation, and financing.
proposed Ex-Im Bank financing, to
data; present and projected capacity of
include balance sheet, profit and loss,
industry; product demand forecast with
2.
Draft agreements for key elements of the
source and application of funds
assumptions; description of competition
project, including supply and offtake
statements, and debt service ratios.
and projected market share of the project
agreements.
Projections should include a sensitivity
as compared to the shares of the competi-
analysis for not only the expected
3.
A breakdown of anticipated project costs
scenario but pessimistic and optimistic
tion; identity and location of customers;
through commissioning, including interest
cases as well. This information should also be
and marketing and distribution strategy.
during construction and working capital
electronically provided with the project’s
8. A description of the principal risks and
benefits of the project to the sponsors,
requirements, by major cost category and
financial model. The structure of the financial
country of origin.
model should be in a format that is user friendly.
lenders, and host government.
4.
A summary of the anticipated project
Ex-Im Bank must be able to review and adjust
9.
A description of the types of
financing plan and security package,
the assumptions in the model.
insurance coverage to be purchased for
including: the proposed source, amount,
both the pre- and post-completion
currency and terms of the debt and equity
phases of the project.
investments; the sources of
finance in the
b. Participants.
(5 Copies)
Definition
Information Required
Project sponsors, offtake purchaser,
1. Sponsors must provide a brief history and
3.
Offtake purchasers and suppliers should
contractors, operators, and suppliers must
description of their operations, a
provide a history and description of
be able to demonstrate the technical,
description of their relevant experience in
operations, at least three years of audited
managerial and financial capabilities to
similar projects, and three years of audited
financial statements, in English, and a
perform their respective obligations within
financial statements, in English.
description of how the project fits in their
the project.
2.
If the sponsors are part of a joint venture or
long-term strategic plan.
consortium, information on all participants
4.
Contractors and operators must provide
should be provided. A shareholders’
resumes of experience with similar projects
agreement should also be provided.
and recent historical financial information.
EIB Form 95-10 (attachment F)
Revised 1/07
2
OMB No. 3048-0013
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F: Project and Structured Finance
c. Technical.
(3 Copies)
P
Project technology must be proven and
Information Required
5. Project implementation schedule, showing
target dates for achieving essential project
reliable, and licensing arrangements must
1. Technical description and a process flow
be contractually secured for a period
extending beyond the term of the Ex-Im
diagram for each project facility.
milestones.
Bank financing.
2. Detailed estimate of operating costs.
6.
A site-specific environmental assessment,
highlighting concerns, requirements and
P
A technical feasibility study or sufficiently
3. Arrangement for supply of raw materials
solutions. The information to be provided
detailed engineering information needs to be
and utilities.
should demonstrate compliance with Ex-Im
provided to demonstrate technical feasibility
4. Draft turnkey construction contract and
of the project.
description of sources of possible cost
Bank’s environmental guidelines.
increases and delays during construction,
including detailed description of liquidated
damage provisions and performance bond
requirements.
d. Host Country Legal/Regulatory Framework and Government Role.
( 5 Copies)
Definition
P
Host government commitment to
Information Required
proceeding with the project needs to
be demonstrated.
1. A description of the host government’s role in
3.
Evidence of the government’s current and
the project, and progress made toward obtaining
historical commitment and policies for
P
Legal and regulatory analysis needs to
essential government commitments, including
availability and convertibility of foreign
demonstrate that the country conditions
authorizations from appropriate government
currency.
and the project structure are sufficient to
entities to proceed with the project.
support long-term debt exposure for the
4.
Status and strategy for obtaining
project through enforceable contractual
2.
A definition of the control, if any, that the
government undertakings to support any
relationships.
government will have in the management and
government parties involved in the project,
operation of the project, and status of any
to the extent that such undertakings are
P
Ex-Im Bank’s relationship with the host
assurances that the government will not
needed to provide adequate credit support
government will be addressed on a case-
interfere in the project’s operation. If the
for such entities.
by-case basis.
government is also a project sponsor, these
issues will be of particular importance.
II. Structured Finance.
“Structured” transactions will have an established corporation as a borrower but may rely upon sources of collateral or security in
addition to the corporation’s balance sheet. The information required for structured finance applications is the same as that requested in
“Attachment G’ plus any additional data describing the proposed structure and security package.
If you have questions about this attachment, please contact the Project and Structured Finance Division
(Telephone: 202-565-3690 or Fax:
202-565-3695).
EIB Form 95-10 (attachment F)
Revised 1/07
OMB No. 3048-0013
Expire3/31/2007
1
LONG-TERM LOAN OR GUARANTEE APPLICATION
ATTACHMENT G: Credit Information
This attachment applies to all Long-Term Loan or Guarantee Applications, except for Large Aircraft and Project
Finance Transactions. Provide the General Information and Supplemental Financial Information requested below
(as applicable) on the borrower and, if any, guarantor. If any items are not available, provide an explanation.
Following Ex-Im Bank’s initial review of the application, an Ex-Im Bank Credit Officer may request additional
credit information.
In the event that the borrower lacks sufficient credit strength in terms of asset size, operating history or cash flows to
provide a reasonable assurance of repayment, an Ex-Im Bank Credit Officer will contact you to discuss whether
“Structured Finance” credit enhancements are appropriate. Such enhancements may include one or more of the
following:
-
Special purpose accounts, including offshore payment accounts, escrow or reserve accounts, or
other accounts that would be subject to Ex-Im Bank’s control.
-
Covenants and default provisions such as financial ratio or debt service coverage requirements that
would, if violated, prevent payment of dividends to the company owners.
-
Insurance requirements that might be more strict than those typically applicable under corporate
insurance policies.
-
Letters of credit or other sources of funds that would be pledged by the sponsor to Ex-Im Bank
through a bank or other third party.
GENERAL INFORMATION
1.
Company description and ownership. Provide a concise description of company origin, legal status,
facilities, business activities (and any major changes during the last three years), and primary market(s). Describe
the principal customer base (e.g., manufacturers, wholesalers) and provide the percentage of domestic versus export
sales and the amount of sales to each major export market. Provide the name and address of each owner of at least
10% of company shares and his/her ownership percent.
2.
Related party information. Provide the names and description of subsidiaries, affiliates and commonly
owned companies. Indicate which, if any, of these related parties account for more than 25% of the borrower’s sales
or purchases during the last fiscal year.
3.
References.
a. Bank references
. Provide a creditor bank reference prepared within six months of the application date. A
bank reference is not required for sovereign or political risk transactions. Report should include bank
name, address, length of relationship, amount, currency, terms of secured and unsecured credit and
repayment experience.
b. Credit Report
:
Provide
a
credit report (such as D and B) prepared within six months of the application
date. Not required for sovereign or financial institution transactions.
4.
Financial Statements. Provide independently audited balance sheets, income statements and cash flow
statements, in English, for the last three fiscal years. Include the auditor’s notes to the financial statements. If the
most recent fiscal year ended more than nine months prior to the application date, provide interim statements. When
interim statements are provided, also provide interim statements for the same period of the previous year (for
comparative purposes). If there are substantial related party transactions as described in #2, the financial statements
must adequately disclose the consolidated financial condition of the borrower/guarantor and the named related
parties. Financial statements are not required for sovereign or political risk transactions.
5.
Financial projections. Provide projected annual income statement, balance sheet and cash flow forecasts
for the period of the Ex-Im Bank financing, accompanied by supporting assumptions. Projections are not required if
the borrower or guarantor is a financial institution, or for sovereign or political risk transactions.
OMB No. 3048-0013
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F: Project and Structured Finance
c. Technical.
(3 Copies)
P
Project technology must be proven and
Information Required
5. Project implementation schedule, showing
target dates for achieving essential project
reliable, and licensing arrangements must
1. Technical description and a process flow
be contractually secured for a period
extending beyond the term of the Ex-Im
diagram for each project facility.
milestones.
Bank financing.
2. Detailed estimate of operating costs.
6.
A site-specific environmental assessment,
highlighting concerns, requirements and
P
A technical feasibility study or sufficiently
3. Arrangement for supply of raw materials
solutions. The information to be provided
detailed engineering information needs to be
and utilities.
should demonstrate compliance with Ex-Im
provided to demonstrate technical feasibility
4. Draft turnkey construction contract and
of the project.
description of sources of possible cost
Bank’s environmental guidelines.
increases and delays during construction,
including detailed description of liquidated
damage provisions and performance bond
requirements.
d. Host Country Legal/Regulatory Framework and Government Role.
( 5 Copies)
Definition
P
Host government commitment to
Information Required
proceeding with the project needs to
be demonstrated.
1. A description of the host government’s role in
3.
Evidence of the government’s current and
the project, and progress made toward obtaining
historical commitment and policies for
P
Legal and regulatory analysis needs to
essential government commitments, including
availability and convertibility of foreign
demonstrate that the country conditions
authorizations from appropriate government
currency.
and the project structure are sufficient to
entities to proceed with the project.
support long-term debt exposure for the
4.
Status and strategy for obtaining
project through enforceable contractual
2.
A definition of the control, if any, that the
government undertakings to support any
relationships.
government will have in the management and
government parties involved in the project,
operation of the project, and status of any
to the extent that such undertakings are
P
Ex-Im Bank’s relationship with the host
assurances that the government will not
needed to provide adequate credit support
government will be addressed on a case-
interfere in the project’s operation. If the
for such entities.
by-case basis.
government is also a project sponsor, these
issues will be of particular importance.
II. Structured Finance.
“Structured” transactions will have an established corporation as a borrower but may rely upon sources of collateral or security in
addition to the corporation’s balance sheet. The information required for structured finance applications is the same as that requested in
“Attachment G’ plus any additional data describing the proposed structure and security package.
If you have questions about this attachment, please contact the Project and Structured Finance Division
(Telephone: 202-565-3690 or Fax:
202-565-3695).
EIB Form 95-10 (attachment F)
Revised 1/07
OMB No. 3048-0013
Expires 3/31/2007
OMB No. 3048-0013
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ATTACHMENT H: Co-Financing with Foreign Export Credit Agency
I.
Parties:
Identify the name of the co-financing Foreign Export Credit Agency, and if known, the contact person(s),
their phone and fax numbers, and e-mail addresses:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Describe any relationships between any of the parties in the transaction except as described in Attachment
G, Credit Information or 6.j) of EIB92-48:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
II.
U.S. Supply Contract/Purchase Order Information in Dollars:
U.S. Content included in Supply Contract(s)
$____________
Eligible Foreign Content included in Supply Contract(s)
$____________
Local Costs (if any) included in Supply Contract(s)
$____________
Ancillary Services (if any)
$____________
Total Export-Import Bank Portion
$____________
III.
Non-U.S. Exporter/Supplier Information:
Non-U.S. Exporter(s)/Supplier(s)
Description of their Goods and Services
With Address and Country of Origin
_______________________________
_________________________________
_______________________________
_________________________________
_______________________________
_________________________________
_______________________________
_________________________________
_______________________________
_________________________________
_______________________________
_________________________________
_______________________________
_________________________________
_______________________________
_________________________________
_______________________________
_________________________________
Non-U.S. Supply Contract(s)/Purchase Order(s) Information in Dollars
Foreign ECA Content included in Supply Contract(s)
$ ___________
Eligible Foreign Content included in Supply Contract(s)
$____________
Local Costs (if any) included in Supply Contract(s)
$____________
Other Services (if any) not included in Supply Contract(s)
$____________
Total Foreign ECA Portion
$____________
IB Form 95-10 (attachment H)
Revised 1/0
7
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ATTACHMENT H: Co-Financing with Foreign Export Credit Agency
IV.
Financed Amount Requested (excluding Exposure Fee):
This chart is to be completed with respect to those Goods and Services included in the Supply Contract(s) for
which financing is requested from Ex-Im Bank. See Foreign Content Policy for Medium- and Long-Term
Exports:
http://www.exim.gov/pub/pdf/ebd-m-04a.pdf
Ex-Im Bank
Foreign ECA
Total Financed/Insured
1. Content Sourced in the ECA Country
$
$
$
2. Eligible Foreign Content
3. Ancillary/Other Services (if any)
4. Less Cash Payment
( )
( )
( )
5. Local Costs (if any)
Total Financed/Insured Amount Requested
(excluding Exposure Fee/Insurance Premium)
V.
Other Information:
Describe any non-ECA financing for the Supply Contract(s):
________________________________________________________________________
________________________________________________________________________
Certification:
The applicant consents and certifies that it has obtained the consent of the other transaction participants to
the disclosure by Ex-Im Bank of any information relating to this transaction to the co-financing Foreign
Export Credit Agency, to the extent permitted by applicable law.
Signed ________________________________________________ Dated __________________
Print Name:
Title:
Firm Name:
E
IB form 95-10 (attachment H)
Revised 1/07
| File Type | application/pdf |
| File Title | EIB 95-10 LT loan guarantee app jan07.qxp |
| Author | MCCASKIL |
| File Modified | 2007-11-07 |
| File Created | 2007-01-12 |