EIB 92-36 OMB 3048 Application for Issuing Bank Credit Limit (IBCL) Under B

Print Form
OMB No. 3048-00



Expires: 07/31/2012

Export-Import Bank of the United States
APPLICATION FOR ISSUING BANK CREDIT LIMIT (IBCL)
UNDER BANK LETTER OF CREDIT POLICY
App. No. _____________________
(Ex-Im Bank Use Only)

1. Applicant Bank:

Policy No.:

2. Broker
(If none, state "None")

State:
Attn.:
Fax No.:

Tel No.:
E-Mail:

Contact:
Fax No.:

Tel No.:
E-Mail:

3. Issuing Bank
File No. ___________________________
(Legal name, address, city, country)
(Ex-Im Bank Use Only)
4. Is this application a resubmission of a previously submitted application? ___ Yes ___ No
5. Coverage option: ___Comprehensive ___Political only
6. Details of letters of credit (L/Cs) you wish to insure:
a. L/C Amount
b. L/C number (if available)

$____________________
____________________ ____________________

c. L/C transaction type (check): ___ Usance Letter of Credit - or - ___ Refinanced Letter of Credit
d. L/C tenor (enter):
e. Expiry date of L/C:

___ Actual # of Days

- or - ___ Sight (check)

___/___/________ (mm/dd/yyyy)

f. Importer Name: ___________________________________City:___________________ Country: _______________
_____ If Various Importers (check here)
g. Exporter Name: ___________________________________ City:___________________ Country: _______________
_____ If Various Exporters (check here)
h. Beneficiary Name: _________________________________ City: ___________________ Country: ________________
(if exporter is not the beneficiary)
___
If Various Beneficiaries (check here)
i. L/C Payment currency: ________________________________________
j. L/C Payment country: ___________________ _____________________
7.

Products:
a. (describe products) * ________________________________________________________________________________
b. Are the products on the Munitions Control List?

___ Yes ___ No

c. Are the products capital goods sold to foreign manufacturers or producers?

___ Yes ___ No

d. If you answered “Yes” in 7c: (i) Provide details of product use_____________________________________________
__________________________________________________
(ii) Will the products be used to produce exportable goods? ___ Yes ___ No
8. What effective date do you require for the IBCL? ___/___/________ (mm/dd/yyyy)
* The Borrower, Guarantor, Buyer and End User must be foreign entities in countries for which Ex-Im is able to provide support, see Ex-Im’s Country
Limitation Schedule (CLS) at www.exim.gov . There may not be trade sanctions in force against them. For a list of products and countries with AntiDumping or Countervailing Duty sanctions see .usitc.gov/trade_remedy/731_ad_701_cvd/investigations/antidump_countervailing/index.htm.
There may not be trade measures against them under Section 201 of the Trade Act of 1974, see
ww.usitc.gov/trade_remedy/731_ad_701_cvd/investigations/completed/index.htm#safeguard click on 201.
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OMB No. 3048-00

Export-Import Bank of the United States

Expires: 07/31/2012

APPLICATION FOR ISSUING BANK CREDIT LIMIT (IBCL)
UNDER BANK LETTER OF CREDIT POLICY
9. Applicant's experience with the issuing bank:
a. Do you extend insured or uninsured credit facilities to the L/C issuing bank? ___ Yes ___ No
b. If “Yes,” provide details on the type, size, and usage of credit facilities extended to the L/C issuing bank:_____________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
c. If “Yes,” does the L/C issuing bank consistently meet its credit obligations in accordance with the agreed terms?
__Yes __ No
10. Is the L/C issuing bank an affiliate of the applicant as defined in the policy? ___Yes ___ No. If “Yes,” please describe
the relationship: _____________________________________________________________________________________________
___________________________________________________________________________________________________________
11. Please provide any additional comments and/or specify any special requirements for the IBCL application:
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
12. The following credit information on the L/C issuing bank may be required. Ex-Im Bank will notify you if any of these items are
required to process the application. At your option, you may attach copies of any of these items or others that you wish to submit
with the application.
A. Audited fiscal year-end financials statements for the past two (2) years, including notes. Interim financial statements may
also be required if the most recent fiscal year-end statements are more than 9 months old.
B. A bank reference dated within 6 months of the application from a correspondent bank. The reference should indicate if credit
lines are secured and the type of credit facilities offered.
C. Background information on the L/C issuing bank, including a description of the bank’s operation and structure and a list
of the shareholders who directly or indirectly own 10% or more of the bank, with their corresponding ownership percentages.
D. Rating Agencies’ reports on the L/C issuing bank.

13. The applicant certifies that neither it, nor its Principals, have within the past 3 years been i) debarred, suspended, declared ineligible from
participating in, or voluntarily excluded from participation in a Covered Transaction, ii) formally proposed for debarment, with a final
determination still pending, iii) indicted, convicted or had a civil judgement rendered against it for any of the offenses listed in the
Regulations, iv) delinquent on any substantial debts owed to the U.S. Government or its agencies or instrumentalities as of the date of
execution of this application; or v) the undersigned has received a written statement of exception from Ex-Im Bank attached to this
certification, permitting participation in this Covered Transaction despite an inability to make certifications i) through iv) in this paragraph.
The applicant further certifies that it has not and will not knowingly enter into any agreements in connection with the products and services
to be exported in the transaction described herein, with any individual or entity that has been debarred, suspended, declared ineligible from
participating in, or voluntarily excluded from participation in a Covered Transaction. The term "Covered Transaction" shall have the
meaning set forth in the Ex-Im Bank Debarment Regulations. "Debarment Regulations" shall mean, collectively: (1) the Export-Import
Bank's Non-procurement Debarment and Suspension regulations, 2 C.F.R. Part 3513, adopting by reference, the OMB Guidelines to
Agencies on Government wide Debarment and Suspension (Non-procurement), 2 C.F.R. Part 180; and (2) the Debarment, Suspension,
and Ineligibility provisions of the Federal Acquisition Regulation, 48 C.F.R. The applicant 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 applicant certifies that neither the applicant 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, the applicant has not engaged, and will not engage, in any activity in
connection with this transaction that is a violation of the Arms Export Control Act, 22 U.S.C. 2751 et seq., the International Emergency
Economic Powers Act, 50 U.S.C. 1701 et seq., or the Export Administration Act of 1979, 50 U.S.C. 2401 et seq. The applicant has not been
found by a court of the United States to be in violation of any of these statutes within the preceding 12 months, and to the best of its
knowledge, the performance by the parties to this transaction of their respective obligations does not violate any other applicable law.
The applicant certifies that neither the applicant nor anyone acting on its behalf in connection with this transaction is currently under charge
or has been, within the past 5 years, convicted in any court or subject to national administrative measures of any country for bribery of
foreign public officials.
Further, the applicant certifies that the representations made and the facts stated in this document and any attachments are true, to the best
of its knowledge and belief, and it has not misrepresented or omitted any material facts, and if any of the certifications made herein become
untrue, Ex-Im Bank will be promptly informed of such changes. The applicant further understands that these certifications are subject to
the penalties for fraud against the U.S. Government (18 U.S.C. 1001 et seq.).
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OMB No. 3048-00

Export-Import Bank of the United States

Expires: 07/31/2012

APPLICATION FOR ISSUING BANK CREDIT LIMIT (IBCL)
UNDER BANK LETTER OF CREDIT POLICY

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 determine eligibility for support. The information provided will be reviewed to determine the
participants’ ability to perform and pay under the transaction referenced in this application. 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: Reporting for this collection of information is estimated to average 1 hour per response, including reviewing
instructions, searching data sources, gathering information, completing, and reviewing the application. Send comments regarding the burden
estimate, including suggestions for reducing it, to Office of Management and Budget, Paperwork Reduction Project OMB# 3048-0009,
Washington, D.C. 20503.
By: ______________________________________ __________________________________ _______________________ _______________
(Authorized Signature)

(Print Name)

(Title)

(Date)

Note: Please answer all questions and sign application. Applications not completely filled out or not submitted with required financial and
credit information will be withdrawn.

Send, or ask your insurance broker to review and send, this application to

Ex-Im Bank, 811 Vermont Avenue, NW, Washington, D.C. 20571.

The Ex-Im Bank website is http://www.exim.gov

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