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
• Subject Matter: Guarantee, Insurance, Loan
• 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/Purc hase Order No.(s)1:

(The purchaser or buyer identified in th e Supply Contract/Purchase Order identified above is

referred to hereafter in this Exporter’s Cer tificate 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 c hanged:

We understand that the Expor t-Import Bank of the United States (“EXIM”) provides credit support

to promote U.S. export sales, and that, subject to the te rms of the EXIM Credit/Guarantee/Insurance

applicable to the transaction, EXI M 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