Exporter's Certificate for Direct Loan, Loan Guarantee & MT Insurance Programs

• Legal Form Number: EIB 11-05
• Issuer: Export-Import Bank of the United States
• Section: Export-Import Bank of the United States

EXPORTER’S CERTIFICATE

OMB 3048 -0043

FOR USE WITH CRE DIT/GUARANTEE/

Expires 04/30/2025

MT INSURANCEPROGRAMS

(Please type or print legibly)

Name and U.S. Street Address of Exporter:

RE:

EXIM Credit/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:

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I

nitial Exporter’s Certificate

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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 Credit/Guarantee/Insurance

applicable to the transaction, EXIM will determine the scope of its support for your sale to the

Purchaser based on the information providedbelow.

To aid in this determination, we, the Exporter, hereby certify:

1 Note: Medium-term (non-limited recourse project finance) transactions: if any Local Costs for which EXIM support issought are

not included in the Export er’s supply contract(s)/purchase order(s), any such other contracts containing eligible Local Costs

must also be incl uded in this list and will be covered by the certifications made by the Exporter in th is Exporter’s Cert ificate. For

more information: http://www.exim.gov/policies/local-cost.

EIB 11-05

1

Revised 11/2021