Export
-
Import Bank of the United
States
Notification by Insured of Amounts Payable
under
Multi-Buyer Export Credit Insurance Policy
(Standard Assignment)
Date:
A. Gen
eral Information
Policy
No.
Insured:
Assignee:
B. Notification
The Insured hereby notifies the Export-Import Bank of the United States (Ex-Im Bank) that, in accordance with the
information contained herein, it has assigned its interest to claim payment(s) which may become due under the
Policy.
This Assignment relates to:
1. All transactions covered by the Policy:
2. All
transactions
with
buy
e
rs
in
th
e
following
coun
tries:
3. All
transactions
with
the
following
buyers:
4. The following specific transaction(s): (Use additional sheets if necessary).
Country Buyer
Sale
or
Gross
Invoice Value of
Invoice
Date or
Number
Reported on
Monthly
Report Form
5. Other. If Number 5 is checked, the Insured and the Assignee agree that:
(a) there may be
m
ultiple
assi
gnments made to various assignees under this policy and Ex-Im Bank does
not determine which assignee, if any, may have an interest in any particular claim payment; and
(b) In the event Ex-Im Bank approves the Insured's claim for payment, a wire transfer will be made to an
assignee designated by the insured on the "Notice of Claim and Proof of Loss".
C. Conditions of Notification
1. The Assignee agrees that:
(a) this notification is not an
assign
ment of the Policy, does not give
th
e Assignee any right to file a claim
or sue under the referenced Policy, does not create any duty or obligation to the Assignee except as set
EIB-92-31
Revised 12/09
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