Form EIB 15-04 EIB 15-04 Exporter’s Certificate for Co-Financing Transactions

FORM OF EXPORTER’S CERTIFICATE
(Co-financing Transactions)

OMB 3048-0052
PENDING 2025

(Please type or print legibly)

Name and U.S. Street Address of Exporter:

EXIM Bank Credit/Guarantee/Insurance Number:
Follower ECA Name and Follower ECA Country:
Purchaser:

RE:

,

Supply Contract/Purchase Order No.(s)1

(The purchaser or buyer identified in the Supply Contract/Purchase Order identified above is referred to hereafter
in this Exporter’s Certificate as the “Purchaser”)
(Follower ECA Name identified above is referred to hereafter in this Exporter’s Certificate as the “Follower ECA”)
(Follower ECA Country identified above is referred to hereafter in this Exporter’s Certificate as the “Follower ECA Country”)

Check one:

Initial Exporter’s Certificate
Amended Exporter’s Certificate. The following has changed:

We understand that the Export-Import Bank of the United States (“EXIM Bank”) provides credit support to promote U.S. export sales, and
that, subject to the terms of the EXIM Bank Credit/Guarantee/Insurance applicable to the transaction, EXIM Bank will determine the scope
of its support for your sale to the Purchaser based on the information provided below.

1

Note: Medium-term (non-limited recourse project finance) transactions: if any Local Costs for which Ex-Im Bank support is sought are
not included in the Exporter’s supply contract(s)/purchase order(s), any such other contracts containing eligible Local Costs must also be
must be included in this list and will be covered by the certifications made by the Exporter in this Exporter’s Certificate. For more
information: http://www.exim.gov/policies/local-cost.

EIB 15-04
Revised 07/2022

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FORM OF EXPORTER’S CERTIFICATE
(Co-financing Transactions)

OMB 3048-0052
PENDING 2025

To aid in this determination, we, the Exporter, hereby certify:
PART A: CONTENT
1.
Content. This information is based on our reasonable best efforts to assess the value of the
goods (“Goods”) and services (“Services”) to be provided under the above-referenced supply contract(s)
or signed purchase order(s) with the Purchaser (the “Supply Contract(s)/Purchase Order(s)”). Content
changes may need to be reported via an amended Exporter’s Certificate (see Part C below). Check one:
The Goods and Services contain only U.S. Content: the U.S. Content
Percentage is 100% (i.e., no Foreign Content, Local Costs, or Excluded
Goods and Services (defined below)). Please do not complete the chart if
this box is checked.
The Goods and Services contain less than 100% U.S. Content. Please complete the
chart if this box is checked.

Definition

USD

A.

Supply Contract/
Purchase Order(s)

The aggregate price of all Goods and Services in the Supply Contract/ Purchase Order(s).

B.

Follower ECACovered
Goods and
Services and
Excluded

The aggregate price of all Goods and Services that are eligible for EXIM Bank support
as Follower ECA-Covered Goods and Services

C.

Contract Price

A minus B

D.

Local Costs

The aggregate price of all Goods originated/manufactured in the Purchaser’s
country and all Services provided by residents of the Purchaser’s country.

E.

Net Contract Price

C minus D

F.

Foreign Content

G.

U.S. Content

E minus F

H.

U.S. Content
Percentage

G divided by E, expressed as a percentage.

%

I.

Disbursement
Percentage

Initial Exporter’s Certificate: input the lower of (i) 85% and (ii) the percentage in H.
Amended Exporter’s Certificate: input the percentage obtained from the
Disbursement Percentage Calculator page (if any).

%

EIB 15-04
Revised 07/2022

The aggregate price of all Goods and Services that are not eligible for (or excluded
from) EXIM Bank support (e.g., goods not shipped from the U.S.)

Follower
ECA-covered:
Excluded:
Total:

The aggregate cost to the Exporter of any Goods (or components thereof) that were
produced or manufactured outside the U.S., Services provided by personnel without
I-9 Forms, and foreign freight costs and foreign insurance included in the Net
Contract Price for Goods exported from the U.S. (Such amount shall not include
any Local Costs.)

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FORM OF EXPORTER’S CERTIFICATE
(Co-financing Transactions)

OMB 3048-0052
PENDING 2025

PART B: DOWN PAYMENT
In connection with the Supply Contract(s)/Purchaser Order(s) referenced above:

1. For any and all provision of Goods and/or Services to date, we have a) received payment in an amount equal to
at least fifteen percent (15%) of (i) the portion of the Net Contract Price related to such provision of Goods and/or
Services and (ii) the value of the Follower ECA-covered Goods and Services, or b) we have financed such amount
pursuant to documents executed by us and the Purchaser, providing for such financing at market rates of interest;
and,
2. For any and all provision of Goods and/or Services , we will receive payment in an amount equal to at least
fifteen percent (15%) of (i) the portion of the Net Contract Price related to such future shipments or deliveries or
future transportation of Goods or provision of Services and (ii) the value of such future provision of Follower ECAcovered Goods and Services: a) at or about the time of such provision of Goods and/or Services, or, b) pursuant to
documents executed or to be executed by us and the Purchaser, providing for such financing at market rates of
interest.
(For transactions involving 100% U.S. Goods and Services, “Net Contract Price” means the aggregate price of such
Goods and Services. For transactions involving less than 100% U.S. Goods and Services, “Net Contract Price” means
the amount calculated in row “E” of the chart on page 2 of this Exporter’s Certificate.)
We have submitted (or will submit) evidence of payment of our invoices issued in connection with the Supply
Contract(s)/Purchase Order(s) listed above.

PART C: CERTIFICATIONS, CHANGES AND EXIM BANK RELIANCE
1. Changes to Content. With respect to Part A, “Content”, above we will promptly complete and submit an
Amended Exporter’s Certificate if there has been a “material change” in the U.S. Content Percentage
(together with a copy of the completed “Disbursement Percentage Calculator” found at https://www.exim.gov/
resources/credit-administration-and-disbursements/disbursement-calculator) prior to any further presentation of
invoices for payment. A “material change” in the U.S. Content Percentage occurs if (i) the U.S. Content
Percentage has decreased by more than 5% (as compared to the U.S. Content Percentage reported in the
initial Exporter’s Certificate) and (ii) aggregate foreign content is over 20% (i.e., the new U.S. Content
Percentage is less than 80%).
With respect to Part B, we will promptly complete and submit an Amended Exporter’s Certificate if there has been
any change regarding, or if we have obtained new information or documentation in connection with, the
Down Payment.
With respect to Part C, if any of the certifications made therein become untrue, we will promptly submit an
amended Exporter’s Certificate, noting the changes and with any required attachments, prior to any
further presentation of invoices for payment.

2. Changes in Follower ECA-Covered Goods and Services. To the best of our knowledge and belief, we certify that
$
in Goods and Services to be provided under the Supply Contract/Purchase Orders(s) (as set forth in Part
A.1.B of this Certificate) are from the Follower ECA Country or otherwise eligible for Follower ECA support (“Follower
ECA-covered Goods and Services”). We will promptly complete and submit an amended Exporter’s Certificate if
there has been a “material change” in the amount of the Follower ECA-covered Goods and Services prior to any
further presentation of invoices for payment. A “material change” in the amount of Follower ECA- covered Goods
and Services is defined as a more than 5% change in value of the Follower ECA-covered Goods and Services as
represented in Part A.1.B.

EIB 15-04
Revised 07/2022

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FORM OF EXPORTER’S CERTIFICATE
(Co-financing Transactions)

OMB 3048-0052
PENDING 2025

3. EXIM Bank Reliance. The undersigned authorized officer, on our behalf, further certifies that
the representations made and the facts stated in this Exporter’s Certificate are true to the best of our
knowledge and belief, and we have not misrepresented or omitted any material facts. We understand that EXIM
Bank will rely on the certifications and representations made in this Exporter’s Certificate; we agree we are
liable for any damages suffered by EXIM Bank’s reliance. We also understand that these certifications
are subject to penalties for fraud and for providing false documentation, including, but not limited to, those
penalties provided f o r in Article 18 United States Code, Section 1001. We agree that presentation of invoices to a
guaranteed/insured lender or EXIM Bank for payment, under the EXIM Bank Credit/Guarantee/Insurance, is a
confirmation and re-certification by us of the information and certifications made herein. We agree to provide
additional information with respect to any of the matters covered in this Exporter’s Certificate upon EXIM
Bank’s reasonable written request.

EIB 15-04
Revised 07/2022

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OMB 3048-0052
PENDING 2025

EXPORTER’S CERTIFICATE

FOR USE WITH CREDIT/GUARANTEE/MT INSURANCE
PROGRAMS

Certifications and Signature
Please refer to the Certifications and Covenants for Exporter’s Certificates (Part D) posted on EXIM’s website as
document EIB 15-05. THE CERTIFICATIONS AND COVENANTS FOR EXPORTER’S CERTIFICATES ARE INCORPORATED
INTO THIS EXPORTER’S CERTIFICATE AS IF FULLY SET FORTH HEREIN. When signing this Exporter’s Certificate in the
space provided below, the undersigned authorized officer signing on our behalf certifies and represents that he or she
is fully authorized to sign on our behalf, and that HE OR SHE HAS READ the Certifications and Covenants for Exporter’s
Certificates (Part D) referenced above AND IS CERTIFYING AND COVENANTING, as appropriate, to all of the
certifications, acknowledgements and covenants set forth in that document.

I,

of

, do hereby certify that I am the duly appointed and qualified

and that as such I am authorized to execute this Exporter’s Certificate on behalf of
.
In witness whereof, I have hereunto signed my name this

Month
day of Month

Year
, Year

.

Name of Exporter:

By:

(Authorized Officer)

Name:
Title:
Tel. #:
Email:

Links and Additional Information
For information regarding the Exporter’s Certificate (and other helpful facts), go to http://www.exim.gov/. Should you have
any further questions regarding the Exporter’s Certificate, please call EXIM’s Customer contact center: 1 800 565 EXIM/ 202
565 EXIM. For insurance transactions, please contact your insurance broker or appropriate EXIM regional office.

EIB 15-04
Revised 07/2022

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