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c) Indicate whether this is a new (greenfield) (Export-Import Bank of the United States)

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OMB No. 3048-0013
Expires 08/31/2022
Page 1 of 1
Long-Term Loan or Guarantee Application
Attachment B: Environmental and Social Screening Document
Must Accompany All Applications for Long-Term Financial Support
The information provided on this form is used to environmentally and socially categorize the application and thereby determine
the information
needed (if any) for EXIM to evaluate the environmental and social effects of the transaction, a process that is crucial
to the appropriate and
timely review of your application. Please provide the information requested and check the boxes that
apply.
Are the products or services covered in your application destined for an identified physical project
No, explain:
b) Yes, a) identify the project
c) Indicate whether this is a new (“greenfield”) project, a rehabilitation or an expansion in size or output of an existing
project:
d) Provide a brief description, including output, capacity, size, etc:
d) List environmental & social impact assessments and related documents prepared for this project:
PROJECT LOCATION
Is the project located in or near an environmentally or socially sensitive site or area? (Check all applicable, if any):
Tropical Forests or Other Areas with High Biological Diversity
Nationally or Internationally Designated Protected Areas, such as Wetlands, Seashores, Wildlands, Refuges,
National Parks,. Etc.
Habitat of Endangered or Other Protected Species
Located in international waters
Location Affecting Indigenous, Tribal or Other Vulnerable Populations
Location having Historical, Cultural, or Archaeological Significance
Large Scale Resettlement or other potentially significant impacts (Potential Number of People Affected: )
Properties on the UNESCO World Heritage Site List
Crosses international boundary
PROJECT SECTOR OR INDUSTRY
Check classification(s) describing the project for which the exports are destined:
Large Infrastructure:
Geothermal Power
Airport
Smelter
Ports, Harbors & Terminals
Semiconductors & Electronics Manufacturing
Pipelines
Petroleum Refinery or Petrochemical Plant
Highways
Chemical / Pharmaceutical
Other Large Infrastructure
Natural Gas Liquefaction Plants
Industrial Plants – large scale
Biomass Power
Large Scale Residential Development
Transportation (Aircraft, Locomotives, Boats)
Mining & Mineral Processing Plant
Telecommunications or Satellites
Oil & Gas Field Development
Air traffic control or navigational aids
Hydropower Plant / Water Reservoir
Railway Signaling
Thermal Power Plant
Water Treatment and Supply
over 140 MWe
Hospitals and Medical Equipment
under 140 MWe
Nuclear Power or other nuclear facility
Pre-project Services, Feasibility/Environmental
Studies
Renewable Power (solar, wind)
Consulting Services
Waste Treatment / Management
Other, specify:
Applicant Date
For inquiries and information please contact the Engineering & Environment Division at (202) 565-3570 or email
EnviroResponseCoord@exim.gov
EIB 95-10 |Attachment B (Rev. 3/2019)
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c) Indicate whether this is a new (greenfield) (Export-Import Bank of the United States)

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Completed 10 August 2020

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