Common use of Lenders’ Certification Clause in Contracts

Lenders’ Certification. I certify to the Department that the loan represented by this application is approved subject to terms specified. Without the Department’s participation, as requested, we would not be willing to make this loan, and in our opinion the financial assistance requested is not otherwise available on reasonable terms. I have reviewed and verified the information in the Applicant's Project Proposal, Applicant's Certification and the documentation supporting this application. I certify, to the extent of my knowledge, that the applicant is a for-profit small business (for the purposes of this program), the proceeds will be used for an eligible purpose in Illinois and the owners and managers of the applicant business are of good character. In submitting this Application for Participation, I hereby restate the Representations/Warranties as specified in Section 3 of the Department of Commerce and Economic Opportunity Master Participation Agreement, and certify/recertify that; a. The loan is not being made in order to place under the protection of the approved State program prior debt that is not covered under the approved State program and that is or was owed by the Borrower to us or to any affiliate of our institution, b) The Loan is not a refinancing of a Loan or Investment previously made to that Borrower by us or by any affiliate of ours, and c) we are not attempting to enroll any portion of an SBA-guaranteed loan. We also recertify that no Principal of the Lender has been convicted of a sex offense against a minor (as such terms are defined in Section 111 of the Sex Offender Registration and Notification Act (42 U.S.C. § 16911). - Certifying Lender Signature- -Title - - Date - DEPARTMENT OF COMMERCE AND ECONOMIC OPPORTUNITY APPLICANT'S PROJECT PROPOSAL Name of Applicant Address _ Contact Telephone Title E-Mail City State Zip _ FEIN/Tax ID Unemploy. Ins. No Project Address County NAICS Code City State Zip _ Duns Number Requested Loan Equity Other Other Total Project Cost $ $ $ $ $ COMPLETE THE FOLLOWING (attach a separate page if necessary): Briefly Describe The Project: How will these loan funds be used? Employment Impact: Describe your businesses employment (e.g. number, type, full & part time) now and after this project has been implemented. How will this project modernize your business or improve its competitiveness? T F Wetlands will not be impacted because the use (s) of the Department funding is limited to repair, maintenance and/or renovation of existing buildings, facilities, lawns and ornamental plantings; purchase of machinery and equipment; and/or working capital financing. Y N There is the potential for a wetland impact to occur because the uses(s) of the Department funding includes new construction or expansion of existing buildings or facilities or other alterations to the "footprint" of the facilities on the property. A plat map of the site is included with this application, so that the Department staff can compare the property's location against the National Wetlands Inventory (NWI) to identify wetlands located on or within 250 feet of the property. MINORITY, FEMALE, DISABLED and VETERAN PARTICIPATIONS ONLY: Provide the following for all owners/managers. Name and Address Title % Ownership SSN Race/Gender/Disability/Veteran - - I/We certify to the Lender and the Department that the statements made in this Applicant's Project Proposal, the Applicant's Certification and the documents submitted to the Lender are true, may be relied upon in considering this loan, and may be verified in any manner deemed appropriate, including the Illinois Department of Employment Security, Consumer Credit Bureau Services, business reporting services and criminal history record check. The applicant(s) authorize the Lender and the Department to release the information on this page (excluding % ownership, SSN and Race/Gender/Disability) in announcements, press releases and other public information documents. I/We acknowledge and agree that the Department is committed to protecting the privacy of its vendors, grantees and beneficiaries of programs and services. At times, the Department may request social security numbers or other personal identifying information. Federal and state laws, rules and regulations require the collection of this information for certain purposes relating to employment and/or payments for goods and services, including, but not limited to, grants. The Department also collects confidential information for oversight and monitoring purposes. Furnishing personal identity information, such as a social security number, is voluntary; however, failure to provide required personal identity information may prevent an individual or organization from using the services/benefits provided by the Department as a result of state or federal laws, rules and regulations. - Applicant's Signature(s) - - Title - - Date –

Lenders’ Certification. I certify to the Department VSBFA that the loan represented by this application Lender’s Application is approved subject to terms specified. Without the Department’s VSBFA's participation, as requested, we would not be willing to make this loan, and in our opinion the financial assistance requested is not otherwise available on reasonable terms. I have reviewed and verified all of the information in the ApplicantBorrower's Project Proposalloan application, Applicant's Borrower’s Certification and the documentation supporting this applicationApplication. I certify, to the extent of my knowledge, knowledge that the applicant borrower is a for-profit small business eligible (for the purposes of this program), the proceeds will be used for an eligible purpose in Illinois Virginia and the owners and managers of the applicant borrower business are of good character. In submitting this Application for Participation, I hereby restate the Representations/Warranties as specified in Section 3 of the Department of Commerce and Economic Opportunity Master Participation Agreement, and certify/recertify that; a. The loan is has not being been made in order to place under the protection of the approved State state program prior debt that is not covered under the approved State state program and that is or was owed owned by the Borrower borrower to us the Lender or to any an affiliate of our institution, b) the Lender. The Loan loan is not a refinancing of a Loan or Investment loan previously made to that Borrower borrower by us the Lender or by any an affiliate of ours, and c) we are the Lender. The Lender is not attempting to enroll any portion the unguaranteed portions of an SBA-guaranteed loanloans. We also recertify that no Principal of the Lender has been convicted of a sex offense against a minor (as such terms are defined in Section 111 of the Sex Offender Registration and Notification Act (42 U.S.C. § 16911). - Certifying Lender Signature- -Title - - Date - DEPARTMENT OF COMMERCE AND ECONOMIC OPPORTUNITY APPLICANT'S PROJECT PROPOSAL Name of Applicant Address _ Contact Telephone Lender Certifying Officer Signature Title E-Mail City State Zip _ FEIN/Tax ID Unemploy. Ins. No Project Address County NAICS Code City State Zip _ Duns Number Requested Loan Equity Other Other Total Project Cost $ $ $ $ $ COMPLETE THE FOLLOWING Date VIRGINIA SMALL BUSINESS FINANCING AUTHORITY STATE SMALL BUSINESS CREDIT INITIATIVE CASH COLLATERAL PROGRAM BORROWER'S AGREEMENT and APPLICATION THIS AGREEMENT (attach a separate page if necessary): Briefly Describe The Project: How will these loan funds be used? Employment Impact: Describe your businesses employment the “Borrower Agreement”) is dated , 20 , and is given by (e.g. number“Borrower”), typewhose address is ; and by , full & part time) now and after this project has been implemented. How will this project modernize your business or improve its competitiveness? T F Wetlands will not be impacted because the use (sguarantor(s) of the Department funding Loan described below (collectively, “Guarantor”); and is limited to repairfor the benefit of , maintenance and/or renovation of existing buildings, facilities, lawns (“Lender”) and ornamental plantings; purchase of machinery and equipment; and/or working capital financingthe Virginia Small Business Financing Authority (“VSBFA”). Y N There is the potential for a wetland impact to occur because the uses(s) of the Department funding includes new construction or expansion of existing buildings or facilities or other alterations to the "footprint" of the facilities on the property. A plat map of the site is included with this application, so that the Department staff can compare the propertyBorrower's location against the National Wetlands Inventory (NWI) to identify wetlands located on or within 250 feet of the property. MINORITY, FEMALE, DISABLED and VETERAN PARTICIPATIONS ONLYContact Information: Provide the following for all owners/managers. Name and Address Title % Ownership SSN Race/Gender/Disability/Veteran - - I/We certify to the Lender and the Department that the statements made in this Applicant's Project Proposal, the Applicant's Certification and the documents submitted to the Lender are true, may be relied upon in considering this loan, and may be verified in any manner deemed appropriate, including the Illinois Department title of Employment Security, Consumer Credit Bureau Services, business reporting services and criminal history record check. The applicant(s) authorize the Lender and the Department to release the information on this page (excluding % ownership, SSN and Race/Gender/Disability) in announcements, press releases and other public information documents. I/We acknowledge and agree that the Department is committed to protecting the privacy of its vendors, grantees and beneficiaries of programs and services. At times, the Department may request social security numbers or other personal identifying information. Federal and state laws, rules and regulations require the collection of this information for certain purposes relating to employment and/or payments for goods and services, including, but not limited to, grants. The Department also collects confidential information for oversight and monitoring purposes. Furnishing personal identity information, such as a social security number, is voluntary; however, failure to provide required personal identity information may prevent an individual or organization from using the services/benefits provided by the Department as a result of state or federal laws, rules and regulations. - Applicant's Signature(s) - - Title - - Date –individual: E-mail address Phone #

Lenders’ Certification. I certify to the Department that the loan facility represented by this application is approved subject to terms specified. Without the Department’s participation, as requested, we would not be willing to make this loanfacility available, and in our opinion the financial assistance requested is not otherwise available on reasonable terms. I have reviewed and verified the information in the Applicant's Project Proposal, Applicant's Certification and the documentation supporting this application. I certify, to the extent of my knowledge, that the applicant is a for-profit small business (for the purposes of this program), the proceeds will be used for an eligible purpose in Illinois and the owners and managers of the applicant business are of good character. In submitting this Application for Participation, I hereby restate the Representations/Warranties as specified in Section 3 of the Department of Commerce and Economic Opportunity Master Participation Agreement, and certify/recertify that; a. The loan is not being made in order to place under the protection of the approved State program prior debt that is not covered under the approved State program and that is or was owed by the Borrower to us or to any affiliate of our institution, b) The Loan is not a refinancing of a Loan or Investment previously made to that Borrower by us or by any affiliate of ours, and c) we are not attempting to enroll any portion of an SBA-guaranteed loan. We also recertify that no Principal of the Lender has been convicted of a sex offense against a minor (as such terms are defined in Section 111 of the Sex Offender Registration and Notification Act (42 U.S.C. § 16911). - Certifying Lender Signature- -Title - - Date - _ Version 8.21.14 DEPARTMENT OF COMMERCE AND ECONOMIC OPPORTUNITY APPLICANT'S PROJECT PROPOSAL FOR REVOLVING LOAN FACILITY ("RLOC") Name of Applicant Contact Title Address _ Contact Telephone Title E-Mail City State Zip _ FEIN/Tax ID Unemploy. Ins. No Project Address County NAICS Code City State Zip _ Duns Number Requested Revolving Loan Facility Equity Other Other Total Project Cost $ $ $ $ $ COMPLETE THE FOLLOWING (attach a separate page if necessary): Briefly Describe The Project: How will these loan funds be used? Employment Impact: Describe your businesses employment (e.g. number, type, full & part time) now and after this project has been implemented. How will this project modernize your business or improve its competitiveness? T F Wetlands will not be impacted because the use (s) of the Department funding is limited to repair, maintenance and/or renovation of existing buildings, T F facilities, lawns and ornamental plantings; purchase of machinery and equipment; and/or working capital financing. Y N There is the potential for a wetland impact to occur because the uses(s) of the Department funding includes new construction or expansion of existing Y N buildings or facilities or other alterations to the "footprint" of the facilities on the property. A plat map of the site is included with this application, so that the Department staff Staff can compare the property's location against the National Wetlands Inventory (NWI) to identify wetlands located on or within 250 feet of the property. MINORITY, FEMALE, DISABLED and VETERAN PARTICIPATIONS ONLY: Provide the following for all owners/managers. Name and Address Title % Ownership SSN Race/Gender/Disability/Veteran - - I/We certify to the Lender and the Department that the statements made in this Applicant's Project Proposal, the Applicant's Certification and the documents submitted to the Lender are true, may be relied upon in considering this loan, and may be verified in any manner deemed appropriate, including the Illinois Department of Employment Security, Consumer Credit Bureau Services, business reporting services and criminal history record check. The applicant(s) authorize the Lender and the Department to release the information on this page (excluding % ownership, SSN and Race/Gender/Disability) in announcements, press releases and other public information documents. I/We acknowledge and agree that the Department is committed to protecting the privacy of its vendors, grantees and beneficiaries of programs and services. At times, the Department may request social security numbers or other personal identifying information. Federal and state laws, rules and regulations require the collection of this information for certain purposes relating to employment and/or payments for goods and services, including, but not limited to, grants. The Department also collects confidential information for oversight and monitoring purposes. Furnishing personal identity information, such as a social security number, is voluntary; however, failure to provide required personal identity information may prevent an individual or organization from using the services/benefits provided by the Department as a result of state or federal laws, rules and regulations. - Applicant's Signature(s) - - Title - - Date –-

Lenders’ Certification. I certify to the Department that the loan represented by this application is approved subject to terms specified. Without the Department’s participation, as requested, we would not be willing to make this loan, and in our opinion the financial assistance requested is not otherwise available on reasonable terms. I have reviewed and verified the information in the Applicant's Project Proposal, Applicant's Certification and the documentation supporting this application. I certify, to the extent of my knowledge, that the applicant is a for-profit small business (for the purposes of this program), the proceeds will be used for an eligible purpose in Illinois and the owners and managers of the applicant business are of good character. In submitting this Application for Participation, I hereby restate the Representations/Warranties as specified in Section 3 of the Department of Commerce and Economic Opportunity Master Participation Agreement, and certify/recertify that; a. The loan is not being made in order to place under the protection of the approved State program prior debt that is not covered under the approved State program and that is or was owed by the Borrower to us or to any affiliate of our institution, b) The Loan is not a refinancing of a Loan or Investment previously made to that Borrower by us or by any affiliate of ours, and c) we are not attempting to enroll any portion of an SBA-guaranteed loan. We also recertify that no Principal of the Lender has been convicted of a sex offense against a minor (as such terms are defined in Section 111 of the Sex Offender Registration and Notification Act (42 U.S.C. § 16911). - Certifying Lender Signature- -Title - - Date - DEPARTMENT OF COMMERCE AND ECONOMIC OPPORTUNITY APPLICANT'S PROJECT PROPOSAL Name of Applicant Contact Title Address _ Contact Telephone Title E-Mail City State Zip _ FEIN/Tax ID Unemploy. Ins. No Project Address County NAICS Code City State Zip _ Duns Number Requested Loan Equity Other Other Total Project Cost $ $ $ $ $ COMPLETE THE FOLLOWING (attach a separate page if necessary): Briefly Describe The Project: How will these loan funds be used? Employment Impact: Describe your businesses employment (e.g. number, type, full & part time) now and after this project has been implemented. How will this project modernize your business or improve its competitiveness? T F Wetlands will not be impacted because the use (s) of the Department funding is limited to repair, maintenance and/or renovation of existing buildings, facilities, lawns and ornamental plantings; purchase of machinery and equipment; and/or working capital financing. Y N There is the potential for a wetland impact to occur because the uses(s) of the Department funding includes new construction or expansion of existing buildings or facilities or other alterations to the "footprint" of the facilities on the property. A plat map of the site is included with this application, so that the Department staff can compare the property's location against the National Wetlands Inventory (NWI) to identify wetlands located on or within 250 feet of the property. MINORITY, FEMALE, DISABLED and VETERAN PARTICIPATIONS ONLY: Provide the following for all owners/managers. Name and Address Title % Ownership SSN Race/Gender/Disability/Veteran - - I/We certify to the Lender and the Department that the statements made in this Applicant's Project Proposal, the Applicant's Certification and the documents submitted to the Lender are true, may be relied upon in considering this loan, and may be verified in any manner deemed appropriate, including the Illinois Department of Employment Security, Consumer Credit Bureau Services, business reporting services and criminal history record check. The applicant(s) authorize the Lender and the Department to release the information on this page (excluding % ownership, SSN and Race/Gender/Disability) in announcements, press releases and other public information documents. I/We acknowledge and agree that the Department is committed to protecting the privacy of its vendors, grantees and beneficiaries of programs and services. At times, the Department may request social security numbers or other personal identifying information. Federal and state laws, rules and regulations require the collection of this information for certain purposes relating to employment and/or payments for goods and services, including, but not limited to, grants. The Department also collects confidential information for oversight and monitoring purposes. Furnishing personal identity information, such as a social security number, is voluntary; however, failure to provide required personal identity information may prevent an individual or organization from using the services/benefits provided by the Department as a result of state or federal laws, rules and regulations. - Applicant's Signature(s) - - Title - - Date –