Attachment H

APPLICATION FOR LONG-TERM LOAN OR GUARANTEE

PRELIMINARY/FINAL COMMITMENT APPLICATION

ATTACHMENT H: Co-Financing with Foreign Export Credit Agency

Also for use with EIB92-4803-02 Application for Medium- Term Export Credit Insurance or GuaranteeQuote

Note to applicant: Do not fill out section IV, A and B of the preliminary and final commitment application form or 9.b) of EIB92-48

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 Attachment I of EIB03-02:6.j) of EIB92-48:

________________________________________________________________________

________________________________________________________________________
________________________________________________________________________

2. 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 $

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 to, and certifies that it has obtained the consent of the other transaction participants (e.g., borrower, guarantor, lender, exporter, consultants, etc.), to the disclosure by Ex-Im Bank of any information (including documents) relating to this transaction to the co-financing Foreign Export Credit Agency. If the co-financing Foreign Export Credit Agency shall agree to co-finance (i.e., share in the risk of) the transaction, this consent to release transactional information shall include such information throughout the life of the transaction. , to the extent permitted by applicable law.

Signed ________________________________________________ Dated __________________

Print Name:

Title:

Firm Name: