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pdfNOTIFICATION AND ASSIGNMENT
OMB No. 3048-????
Expires 01/ /2012
EXPORT-IMPORT BANK BY INSURED TO FINANCIAL INSTITUTION
of the UNITED STATES OF MEDIUM TERM EXPORT CREDIT INSURANCE POLICY
Print Form
Date: _______________________
The undersigned Insured, subject to the provisions of this Notification and Assignment, hereby assigns Policy Number _______________
(hereafter, the "Policy") to the financial institution named below (hereafter "Assignee") and hereby notifies the Export-Import Bank of the
United States (Ex-Im Bank) of such Assignment.
This Notification and Assignment relates to all transactions covered by the Policy.
This Notification and Assignment is subject to the conditions set forth on the back of this form, and execution by the Assignee and Insured
constitute their acceptance of these conditions.
_________________________________________
_________________________________________
Name of Assignee
Name of Insured (as specified in the Declarations)
_________________________________________
__________________________________________
Assignee Address
Insured Address
Signature of Officer
Signature of Officer
_________________________________________
__________________________________________
Name (Print of Type)
_________________________
Name (Print of Type)
_______________
_________________________ _______________
Title and Date Signed
Title and Date Signed
Please list us in the Ex-Im Bank Lender Referral List as a potential assignee using the following name and telephone #:
__________________________________
__________________
The above notification is hereby acknowledged for Export-Import Bank of the United States
By: _______________________________________ _______________________________
(Printed Name and Title)
Name of Broker if any:
Date: _________________
Broker No:
PLEASE SUBMIT FOUR SIGNED ORIGINALS
EXECUTED ORIGINALS WILL BE PROVIDED TO THE ASSIGNEE, INSURED, AND BROKER.
WHO TO CONTACT
Please send or ask your insurance agent or broker to submit this completed form to:
EXPORT-IMPORT BANK OF THE U.S. TRADE FINANCE DIVISION
811 VERMONT AVE, NW, WASHINGTON, DC 20571
Tel (202) 565-3400 or 1-800-565-EXIM, Fax (202) 565-3684, Internet http://www.exim.gov
EIB-94-08
Revised 1/12
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OMB No. 3048-????
Expires 01/ /2012
NOTIFICATION AND ASSIGNMENT By INSURED to FINANCIAL INSTITUTION of MEDIUM TERM EXPORT CREDIG INSURANCE POLICY
Conditions:
A. The Assignee agrees that:
1. subject to condition C. below, this Notification and Assignment effects an assignment of the Policy and gives
the Assignee all rights of the Insured under the referenced Policy; and
2. the Assignee assumes all duties and obligations of the Insured, except as set forth in the exporter certificate
and subject to the provisions of the Policy as amended by the Documentary Assignment Endorsement; and
3. this Notification and Assignment is not a waiver of any Policy terms and conditions.
B. The Insured agrees that its execution of this Notification and Assignment authorizes Ex-Im Bank:
1. to release to the Assignee all information and records relating to the referenced Policy and claims; and
2. henceforward to make all claim payments under the Policy to the Assignee.
C. The Assignee and the Insured agree that:
1. this Notification and Assignment is not valid and does not bind Ex-Im Bank until the approval of Ex-Im
Bank hereto is given; and
2. all references in the Policy, as amended by the Documentary Assignment Endorsement, to the
"Insured" shall be construed to refer to the Assignee; and
3. upon approval of Ex-Im Bank of this assignment, the Exporter Endorsement to the Policy shall be
cancelled effective immediately, and the Documentary Assignment Endorsement shall become effective
immediately.
D. Certifications of Assignor:
1. The products/services in the export transaction insured under the Policy were sold for U.S. dollars on terms
which required that we receive from the buyer, or we provide financing to the buyer for, a cash payment, on or
before deliver to the buyer, at least equal to such amount as may be specified in the Transaction Endorsement
or Declarations to the policy, and the financed portion of the transaction, as described in the policy, approved
under the Transaction Endorsement or Declarations, of a shipment made thereunder, was evidenced by a note,
as defined in the policy, or otherwise valid and enforceable in the State of New York and in the borrower's
country..
2. No dispute exists between us and the buyer, with respect to any loss, that has not already been finally
determined, in a legally binding proceeding, to be a valid and legally enforceable indebtedness of the buyer, its
legal representatives, or successors in interest, or has not already been otherwise settled to the satisfaction of
the Insurer.
3. We have not contracted with, shipped to, or failed to cancel further transit to the buyer after knowledge of
that buyer's insolvency, as defined in the policy, or financial difficulty.
4. We agree to notify Ex-Im Bank in writing of the buyer's insolvency, as defined in the policy, financial difficulty,
or the occurrence of any event likely to cause a loss, as defined in the policy, within 10 calendar days of learning
thereof.
5. We agree to hold Ex-Im Bank harmless from any loss:
a) arising from the failure of ourselves or our agents to fulfill our or their contractual duties to the
buyer with respect to the sale of the products/services, if such failure of performance shall have
relieved the buyer of its duty, in whole or in part, to pay the note when due,or
b) arising from the unwillingness of the buyer to accept the products/services,or
c) due to any dispute that arises between us and the buyer, with respect to any loss, that is not
finally determined to be a valid and legally enforceable indebtedness of the buyer, its legal
representatives, or successors in interest, or is not otherwise settled to the satisfaction of the
Insurer, or
d) that was insurable under the American Institute of Marine Underwriters' War Risk and Strikes,
Riots and Civil Commotion Clause current on the date of shipment.
EIB-94-08
Revised 1/12
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OMB No. 3048-????
Expires 01/ /2012
NOTIFICATION AND ASSIGNMENT By INSURED to FINANCIAL INSTITUTION of MEDIUM TERM EXPORT CREDIG INSURANCE POLICY
Paperwork Reduction Act Statement: We estimate that it will take you approximately 10 minutes per
response that 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, OMB # 3048-xxxx Washington, D.C. 20503.
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 provide the requested information may result in Ex-Im Bank being unable to determine eligibility for
support. 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).
EIB-94-08
Revised 1/12
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File Type | application/pdf |
File Modified | 2012-02-29 |
File Created | 2010-06-22 |