Form EIB 10-06 EIB 10-06 Application for Approved Finance Provider

Application for Approved Finance Provider

EIB10-06

Application for Approved Finance Provider

OMB: 3048-0032

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OMB No. 3048-0032
Pending 2018

APPLICATION FOR
APPROVED FINANCE PROVIDER
This application is to be completed by a financial institution in order to become an Approved
Finance Provider (AFP). An AFP may make loans under EXIM insurance policies and, if approved, may
  with EXIM. An AFP may participate in the
enter into one or more Master Guarantee Agreements (MGA)
Medium-Term Insurance, Bank Letter of Credit, and Financial Institution Buyer Credit programs as an insured
lender. AFPs approved for an MGA may apply for multiple loan or lease transactions to be guaranteed by
EXIM.
Send this completed application to EXIM, 811 Vermont Ave NW, Washington, D.C. 20571. EXIM also accepts
electronic scans and faxed applications. EXIM does not require originals of the application materials to be
mailed. Applications sent electronically or by fax must include the signed application and all required
attachments. (Fax number: 202.565.3675, e-mail: exim.applications@exim.gov)
Note: A separate application must be completed for each subsidiary or affiliate that is a separate legal entity.
All information should be in English. AFPs must renew this application every three years to remain active.
Applicant Name:

Phone Number:

Contact Person:

Fax Number:

Position Title:

Email:

Business Address:
Zip Code:

State:

City:
Country:
DUNS Number:
Renewal Application?

NO

YES If yes, please list MGA
Numbers:
Does the Applicant have a market rating?

YES

NO

If yes, provide the name of the rating agency, rating, and the date of the rating.
Rating Agency Name:

Rating:

Is the Applicant regulated by a State/Provincial or Federal regulatory agency?

Rating Date:

YES

NO

If yes, provide the name of the regulatory agency.
Regulatory Agency Name:

EIB 10-06 (Rev. 12/2018)

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OMB No. 3048-0032
Pending 2018

An Approved Finance Provider may provide financing under any of the following EXIM programs.
Please check all programs being requested.
Insured Lender (Medium-Term, Bank Letter of Credit, Financial Institution Buyer Credit)
Master Guarantee Agreement – Medium-Term Loan Credits
Master Guarantee Agreement – Long-Term Loan Credits
Master Guarantee Agreement – Agency - Medium-Term Loan Credits
Master Guarantee Agreement – Agency – Long-Term Loan Credits
Master Guarantee Agreement – Medium-Term Finance Lease Credits
Master Guarantee Agreement – Medium-Term Finance Foreign Currency Supplement
Master Guarantee Agreement – Medium-Term Delegated Authority
1. REQUIRED SUPPLEMENTAL INFORMATION
a. Description of Applicant's organization, including: type of lending institution (commercial

bank, finance company, etc.), type of organization (corporation, partnership, etc.), and
business activities.
b. Audited annual financial statements for the two most recent fiscal years (parent
consolidated statements if Applicant does not prepare separate financial statements).
c. Full names and city and country of residence of all of Applicant's (i) owners or stockholders
with an interest in excess of 10% and (ii) members of the Board of Directors.
d. Description of Applicant's trade finance experience and a description of the trade
finance experience of each member of senior management and each person who will be
responsible for the EXIM relationship, including each person who will sign the MGA (if one is
being requested) or other documents to be submitted to EXIM.
e. Description of Applicant's target market(s) and transaction origination plans, including

whether Applicant will employ third-parties to originate transactions and the process
Applicant has used or will use to select and compensate such parties.
f. Description of Applicant's transaction due diligence and "know-your-customer"
processes. Please note Applicant is expected to conduct due diligence in accordance with
good industry practices. EXIM encourages each Applicant to review and consider EXIM's
"Transaction Due Diligence Best Practices" published on EXIM's internet website.
g. Certificate of Good Standing or other similar document issued by Applicant's regulating entity

or chartering authority.

h. For Applicants for Finance Lease MGA only: A brief description of the

Applicant's international leasing experience, including: (i) years engaged in leasing both
domestically and internationally; (ii) number of leases during the current and past two
years, broken down by domestic and international leases; (iii) size of leasing portfolio at
the end of the most recent fiscal year, with percentage breakdowns by financing vs.
operating leases and top five countries; and (iv) name and percentage of any lessees that
represent more than 5% of the leasing portfolio at the end of the most recent fiscal year.

EIB 10-06 (Rev. 12/2018)

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OMB No. 3048-0032
Pending 2018

2. ADDITIONAL INFORMATION REQUIRED FOR UNREGULATED FINANCIAL INSTITUTIONS
AND ALL INSTITUTIONS DOMICILED IN AN OECD CATEGORY II COUNTRY
a. Description of how Applicant plans to fund transactions. If Applicant does not plan to fund
the transactions from internal sources, specify how transactions will be funded and by
whom (EXIM may require evidence of agreements demonstrating the availability of outside
funding).
b. State whether Applicant intends to retain or sell EXIM guaranteed or insured transactions.
If Applicant intends to sell the transactions, identify the purchaser (EXIM may require
evidence of purchase agreements).
c. Describe Applicant's loan servicing and loan monitoring capabilities and experience. If an
outside entity will service the transactions, identify this entity and its experience.
d. Credit report from a third party source dated within six-months of the date of this
application, and a bank reference.
3. ADDITIONAL INFORMATION REQUIRED FOR DELEGATED AUTHORITY APPLICATION
a. Geographical distribution of lender’s medium-term portfolio (authorizations, outstanding
amounts, claims, losses over the last five years)
b. Details regarding significant economic sector based exposures in terms of (i) what they are
and (ii) special underwriting that the lender does in connection with these sectors.
c. Statement as to whether the lender will use its credit standards or EXIM’s
d. The desired aggregate credit limit being requested and the basis for the specified amount
e. List of expected markets with corresponding levels of expected activity in each of those
markets

EIB 10-06 (Rev. 12/2018)

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CERTIFICATIONS AND SIGNATURE

OMB No. 3048-0032
Pending 2018

Please refer to the “Standard Certifications and Covenants for EXIM Applications” set forth in Form EIB 18-CN, posted
on the EXIM website at https://www.exim.gov/tools-for-exporters/applications-forms/complete-list (the “Standard
Certifications”). THE STANDARD CERTIFICATIONS ARE INCORPORATED INTO THIS APPLICATION AS IF FULLY
AND DIRECTLY SET FORTH HEREIN. When signing this application in the space provided below, the undersigned
authorized officer signing on the applicant's behalf certifies and represents that he or she is fully authorized to sign on the
applicant's behalf, and that HE OR SHE HAS READ the Standard Certifications referenced above AND IS CERTIFYING
AND COVENANTING, as appropriate, to all of the certifications, acknowledgments and covenants set forth in the
Standard Certifications.
Applicant further certifies that the representations made and the facts stated in this application and its attachments are
true and Applicant has not misrepresented or omitted any material facts. Applicant further covenants that if any
statement set forth in this application or in the Standard Certifications, becomes untrue, or is discovered to have been
untrue when made, Applicant will promptly inform EXIM of all such changes or discoveries. Applicant further understands
that in accepting or approving this application, EXIM is relying upon Applicant's statements set forth in the application
and in the Standard Certifications, and all statements and certifications to EXIM are subject to the penalties for false or
misleading statements to the U.S. Government (18 USC § 1001, et. seq.).
I, _________________________, do hereby certify that I am the duly appointed and qualified _____________________
(Title)

of ____________________________ and that as such I am authorized to execute this application
(Name of Applicant)

on behalf of _______________________________.
(Name of Applicant)

In witness whereof, I have hereunto signed my name this ___________ day of ______. 20___.

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 EXIM being
unable to determine eligibility for support. If any of the information provided in this application changes in any material way or if any of the certifications
made herein become untrue, the applicant must promptly inform EXIM 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. EXIM 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). EXIM reserves the right to decline to process or to discontinue processing of an application.

Paperwork Reduction Act Statement: We estimate that it will take you about 30 minutes 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 EXIM and the Office of Management and Budget, Paperwork Reduction Project, OMB# 3048-0032 Washington, D.C. 20503.

EIB 10-06 (Rev. 12/2018)

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