EIB 95-9 Letter of Interest Application

OMB# 3048-0005
Expires 3/31/2008

LETTER OF INTEREST APPLICATION
Please type. Processing of applications may be delayed if the requested information is not provided.

1. Applicant. The applicant may be any responsible individual, financial institution or non-financial enterprise.
Check if applicant has been assisted by a city or state export agency and provide the name of the agency:
Applicant name: _______________________________________________

Duns #: _____________________

Contact person: _______________________________________________

Phone #: ____________________

Position title: _________________________________________________

Fax #: ______________________

Street Address: City: ___________________________________________
State/Province: ______________________________

Postal Code: _________

Taxpayer ID #: ____________ Is the applicant a minority-owned business?

Yes

Country: _____________________
No. A woman-owned business?

Yes

No

2. Exporter. The “exporter” is the company which contracts with the buyer for the sale of the U.S. goods and services.
Check if the exporter is also the applicant. If not, complete the information below.
Exporter name: ________________________________________________

Duns #: ________________________

Street address: ________________________________________________

Phone #: _______________________

City: _______________________________

Postal code: ____________________

State: _______________

Taxpayer ID #: ____________ Is the exporter a minority-owned business?

Yes

No. A woman-owned business?

Yes

3. Supplier. The “supplier” is the U.S. company which manufactures the goods and/or performs the services to be exported.
Check if the supplier is also the exporter. Check if the supplier is not determined. If neither applies, attach the same
information for the primary supplier as requested above for the exporter. Information on additional suppliers is not required
for an LI.
4. Borrower. The “borrower” is the company which agrees to repay the Ex-Im Bank direct or guaranteed loan. Complete
the information below. Check the box for “public sector” if the borrower is at least 50% directly or indirectly owned by a
government. Check the box for “private sector” if the borrower is less than 50% owned by a government.
Contact person: ________________________________________________

Fax #: __________________________

Borrower name: ________________________________________________

Duns #: ________________________

Street address: ___________________________________ City: _____________
State/Province: __________________________________

 ublic sector

Postal Code: _______________

private sector

Country: _____________

5. Buyer and End-user. The “buyer” is the company which contracts with the exporter for the purchase of the U.S. goods
and services. The “end-user” is the foreign company which utilizes the U.S. goods and services in its business
Check if
the borrower, buyer, and end-user are not the same entity. If box is checked, attach the same information for the buyer and
the end-user as requested above for the borrower.
6. Export Items. The “export items” are the goods and services to be exported from the U.S.
6a. Large Aircraft. Check if the export items include aircraft which, in a passenger configuration, contain more
than 70 seats. If box is checked, complete Attachment A.
6b. Military. Check if the buyer is associated in any way with the military, if any export items are to be
used by the military, or if any export items are defense articles or have a military application.
6c. Limited Recourse Project Finance. Check if you want a Letter of Interest issued by the Project Finance
Division. If box is checked, complete Attachment D.
6d. Description of Export Items. Briefly describe the principal goods and services, including the type, quantity,
model numberand capacity (if applicable), and SIC Code. For an aircraft transaction, include a description of the
engines.
EIB Form 95-9
01/07
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No

OMB# 3048-0005
Expires 3/31/2008

Letter of Interest Application
6e. Utilization of Export Items. Briefly describe the principal business activity of the end-user. If the export items are to be
used in a project, also provide the name, location, purpose, and scope of the project.
____________________________________________________________________________________________________
7. Financing Type Requested. Check applicable box(es). You may request both a direct loan and a guarantee. If both financing
options are acceptable to Ex-Im Bank, they will be indicated in the LI as options. Refer to Attachment A if the transaction involves
the export of new large aircraft.

~ Direct Loans ~ Comprehensive Guarantee ~ Political Risk Guarantee
8. Contract Price. The “contract price” is the amount to be shown in the supplier’s invoice related to goods to be exported from the
U.S. and services to be performed by U.S. companies. If there is more than one supplier, the contract price is the sum of the
suppliers’ invoice amounts. The “eligible foreign content” is the portion of the contract price representing components to be purchased by
the supplier outside the U.S. and incorporated in the U.S. into the items to be exported. Costs to be incurred in the end-user’s country are
not considered eligible foreign content. Note that the eligible foreign content, if any, is part of the contract price.
8a. Contract Price: $ ______________ (including eligible foreign content)
8b. Eligible Foreign Content: $ ________________
9. Foreign Competition. ~ Check if, to the best of your knowledge, there is at least one entity offering non-U.S. goods and/or
services indirect competition for this specific export sale.
10. Other U.S. Government Agencies. ~ Check if an application for support of this export contract or related project has been filed
with the Agency for International Development, Maritime Administration, Overseas Private Investment Corporation or Trade
DevelopmentAgency.
11. Environmental Effects. If 85% of the contract price exceeds $10,000,000, complete Attachment B. Attachment B is not
required foraircraft transactions.
12. Tied Aid Capital Projects Fund. If you want Ex-Im Bank to preclude or counter a tied aid offer, complete Attachment C.
13. Certifications. The undersigned 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, and that the applicant has not omitted any
material facts.
The undersigned further certifies that it is not currently, nor has it been within the preceding three years: 1) debarred, suspended or
declared ineligible from participating in any Federal program; 2) formally proposed for debarment, with a final determination still
pending; 3) voluntarily excluded from participation in a Federal transaction; or 4) indicted, convicted or had a civil judgment rendered
against it for any of the offenses listed in the Regulations Governing Debarment and Suspension (Governmentwide Nonprocurement
Debarment and Suspension Regulations: Common Rule), 53 fed. Reg. 19204 (1988). The undersigned 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 undersigned certifies that neither the undersigned 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, neither the undersigned nor anyone acting on its behalf in connection with this transaction is currently under charge or have been,
within the past 5 years, convicted in any court or been subject to national administrative measures of any country for bribery of foreign
public officials.
Applicant (company) name: ________________________________________________________________________________________
Name and title of authorized officer: __________________________________________________________________________________
Signature of authorized officer: _____________________________________________________

Date: _________________________

Payment, payable to the Export-Import Bank of the U.S., must accompany application; please indicate: ~ Visa ~ Mastercard ~ Check
Account #:

Expiration Date:

Signature:
Ex-Im Bank would be pleased to assist you in applying for financial support. If you have any questions, please contact the Business Development Division
(Telephone: 202-565-3946 or Fax: 202-565-3931). For information concerning financing of large aircraft and ancillary equipment, please contact the Aircraft
Finance Division (Telephone: 202-565-3550 or Fax: 202-565-3558).
Taxpayer Identifying Numbers: Ex-Im Bank intends to use the taxpayer identifying numbers furnished on this application for purposes of collecting and reporting on any claims arising out of such
persons’ or business entities’ relationships with the U.S. government.

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OMB# 3048-0005
Expires 3/31/2008

Letter of Interest Application
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 U.S.C. 635 et seq.); provision of this information is mandatory and failure to provide the
requested information may result in Ex-Im Bank being unable to issue the Letter of Interest. 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).
Public Burden Statement: Public burden reporting for this collection of information is estimated to average 20 minutes per
response, including time required for searching existing data sources, gathering the necessary data, providing the information
required, and reviewing the final collection. Send comments on the accuracy of this estimate of the burden and
recommendations for reducing it to: Office of Management and Budget, Paperwork Reduction Project (#3048-0005),
Washington, D.C. 20503.

EIB 95-9
01/07

Page 3 of 3

OMB# 3048-0005
Expires 3/31/2008

Letter of Interest Application
ATTACHMENT A: Large Aircraft Transactions
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. Check the option(s) you are requesting.
For used large aircraft transactions, complete No. 7 of the Letter of Interest 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 paripassu basis.
2. Spare Parts Financing. Indicate in No. 6d. of the Letter of Interest Application if any spare parts or spare engines
are included in the export sale. Provide the requested information on these items.
3. Transaction Information. Include with your application a background summary on the airline, the reason for the
purchase, proposed routes, and delivery dates. This information replaces the information requested in No. 6e. of the
Letterof Interest Application.
4. Contract Price. If credit memoranda information is available, deduct all airframe and engine credit memoranda, if
any, from the aircraft price when calculating the contract price to be entered in No. 8a. of the Letter of Interest
Application.
If you have questions about this attachment, please contact the Aircraft Finance
Division at 202-565-3550.

EIB 95-9
01/07

OMB# 3048-0005
Expires 3/31/2008

Letter of Interest Application
ATTACHMENT B: Ex-Im Bank Environmental Screening Document
Limited Recourse Project Financing and Long-Term Programs Only

Ex-Im Bank will screen project finance and long-term transactions into three categories, as defined in Ex-Im Bank’s
Environmental Procedures. The information you provide will help Ex-Im Bank to determine the proper category for your
application. This information is crucial to the appropriate and timely review of your application. Check the boxes that apply to
your application.
1. Project Identification. ~
~ Check if the goods and/or services described in your application are destined for an identified project.

If checked, identify the project: _________________________________________________________________________
If not checked, explain: ________________________________________________________________________________
2. Project Location. Is the project located in or sufficiently near to have perceptible environmental effects in any of the

following areas?
~
~
~
~
~

Check all that apply.

Tropical Forest
Nationally designated wetlands or protected wild lands
National parks
Nationally designated refuges
Coral reefs or mangrove swamps

~
~
~
~

Nationally designated seashore areas
Habitat of endangered species
Large scale resettlement
(How many persons?
Properties on the World Heritage List

)

Project Sector or Industry. Which classification describes the project for which the exports are destined? Check all that

apply.
~ Airport construction

~ Nuclear power plant

~ Consulting services

~ Chemical plant

~ Oil & gas field development

~ Hospitals and medical equipment

~ Forestry

~ Petrochemical plant or refinery

~ Pre-project services (feasibility &

~ Geothermal Power

~ Pharmaceutical project

~ Hydropower plant

~ Pulp & paper plant

~ Iron & steel plant

~ Smelter

~ Large infrastructure project

~ Thermal power plant locomotives, boats)

~ Large-scale water reservoir

~ Waste management

~ Mining & mineral processing plant

~ Air traffic control systems or navigational aids

environmental studies)

~ Railway signaling
~ Telecommunications or satellites
~ Transportation carriers (aircraft)

Name of Applicant ________________________________________________________

~ Other (describe)

Date __________________________

If you have questions about this attachment, please contact the Engineering and Environment Division at 202-565-3570.

EIB 95-9
01/07

Letter of Interest Application

OMB# 3048-0005
Expires 3/31/2008

ATTACHMENT 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 documentary 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” common 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 offer.

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 Credit Applications and Processing Unit at 202-565-3800.

EIB 95-9
01/07

Letter of Interest Application

OMB# 3048-0005
Expires 3/31/2008

ATTACHMENT D: Project Finance Transactions, Executive Summary
Ex-Im Bank’s analysis of potential limited recourse project finance transactions differs from routine export trade finance
transactions. Therefore, we require additional information from applicants for a Project Finance Letter of Interest. Please provide
the information outlined below to the best of your ability. It is highly recommended that you provide as much information as
possible at this stage of the application process.
1. Project Name: _____________________________________________________________________________________
2. Type of Project: ____________________________________________________________________________________
3. Project Location: ___________________________________________________________________________________
4. Project Description: __________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
5. Project Participants:
a. Sponsors: ____________________________________________________________________________________
_______________________________________________________________________________________________
b. EPC Contractor: ______________________________________________________________________________
_______________________________________________________________________________________________
c. Project Input Supplier(s): ______________________________________________________________________
_______________________________________________________________________________________________
d. Off-taker(s):__________________________________________________________________________________
_______________________________________________________________________________________________
6. Estimated Debt to Equity Ratio:
____________________________________________________________________
7. Other Potential Financing Sources:
____________________________________________________________________
8. Is this an international tender?
~ Yes ~ No Bid due date: _______________________________________________
9. Estimated Project Timeline: (e.g. financial close, construction start date, etc.)
______________________________________________________________________________________________________
10. Project Status: (e.g. signed EPC contract, status of offtake contract, etc.)
______________________________________________________________________________________________________
11. Other Relevant Factors: ___________________________________________________________
If you have questions about this attachment, please contact Business Development Divisionat 202-565-3946.
EIB 95-9
01/07