Form EIB 11-05 EIB 11-05 EIB 11-05, Exporter’s Certificate for Direct Loan, Guara

EXPORTER’S CERTIFICATE

FOR USE WITH DIRECT LOAN/GUARANTEE/
MT INSURANCEPROGRAMS

OMB 3048 - 0043
PENDING 2025

(Please type or print legibly)
Name and U.S. Street Address of Exporter:

RE:

EXIM Direct Loan/Guarantee/Insurance Number:

Purchaser:

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.”)
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”) provides credit support
to promote U.S. export sales, and that, subject to the terms of the EXIM Direct
Loan/Guarantee/Insurance applicable to the transaction, EXIM will determine the scope of its support
for your sale to the Purchaser based on the information provided below.
To aid in this determination, we, the Exporter, hereby certify:

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

EIB 11-05
Revised 11/2024

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EXPORTER’S CERTIFICATE

OMB 3048 - 0043
PENDING 2025

FOR USE WITH DIRECT LOAN/GUARANTEE/
MT INSURANCEPROGRAMS

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: Certifications, Changes and EXIM Reliance 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 table if this box is checked.
☐ The Goods and Services contain less than 100% U.S. Content. Please complete the table if this box is
checked.

A.

B.
C.
D.
E,

F.

G.
H.
I.

EIB 11-05
Revised 11/2024

Supply
Contract/
Purchase
Order(s)
Excluded
Goods
and Services
Contract Price
Local Costs
Net Contract
Price

Foreign
Content

U.S. Content
U.S. Content
Percentage
Disbursement
Percentage

Definition

USD

The aggregate price of all Goods and Services in the Supply
Contract/ Purchase Order(s).
The aggregate price of all Goods and Services that are not
eligible for (or excluded from) EXIM support (e.g., goods not
shipped from the U.S.)
A minus B
The aggregate price of all Goods
originated/manufactured in the Purchaser's country and
all Services provided by residents of the Purchaser's
Country.
C minus D
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.)
E minus F
G divided by E, expressed as a 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).

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EXPORTER’S CERTIFICATE

FOR USE WITH DIRECT LOAN/GUARANTEE/
MT INSURANCEPROGRAMS

OMB 3048 - 0043
PENDING 2025

PART B: CASH PAYMENT
In connection with the Supply Contract(s)/Purchaser Order(s) referenced above:
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 the portion of the Net Contract Price related to such provision of
Goods and/or 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,
1.

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 the portion of the Net Contract Price related to such future shipments or
deliveries or future transportation of Goods or provision of 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 table 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 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: Cash Payment, 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 Cash Payment.
With respect to Part C: Certifications, Changes and EXIM Reliance, 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. EXIM Reliance. The undersigned authorized representative, 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 will rely on the certifications and representations made in this Exporter’s Certificate; we
agree we are liable for any damage suffered by EXIM’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 for in Article 18 United States Code, Section 1001. We agree that
presentation of invoices to a guaranteed/insured lender or EXIM for payment, under the EXIM
Direct Loan/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’s reasonable written request.

EIB 11-05
Revised 11/2024

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EXPORTER’S CERTIFICATE

OMB 3048 - 0043
PENDING 2025

FOR USE WITH DIRECT LOAN/GUARANTEE/
MT INSURANCEPROGRAMS

3.

Certifications and Signature

Please refer to the Certifications and Covenants for Direct Loan and Medium Term/Long Term Exporter’s
Certificates (Part D: Additional Certifications) 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 representative signing
on our behalf certifies and represents that the undersigned is fully authorized to sign on our behalf, and
that THE UNDERSIGNED HAS READ the Certifications and Covenants for Direct Loan and Medium
Term/Long Term Exporter’s Certificates (Part D: Additional Certifications) referenced above AND IS
CERTIFYING AND COVENANTING, as appropriate, to all of the certifications, acknowledgements and
covenants set forth in that document.
I, _______________________ do hereby certify that I am the duly appointed and qualified
________________________________ of _______________________________________ 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 _____ day of _________________, 20____
Name of Exporter:

Signature:
(Authorized Representative)
Name:
Title:
Tel. No.:
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 or email [email protected].
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 #3048-0043 Washington, D.C. 20503.
EIB 11-05
Revised 11/2024

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