OFFICIAL DOCUMENTS THE WORLD BANK WORLDSANKGROUP t@ .2022 H.EL. Mr. Samir Sa led .M inister of Econony and Plann ing Mi nistry ot Veonomy and Planning AVueIC CheikI Mohamed Fadhel Ben Achour Jour ( A > Centre Urbain Nord I082 Tunis Repiblic of Tunisia Re: Loan Numher 9371-TN (Additional Fina ncing for Covid- 19 Social Protection Ernergency Response Support Project) Additional Instructions: Disbursement and Financial information Letter Excellency: i refer to tIhe Loan Agreenent between Republe of Tunisia (the ''Borrower") and the international Bank for Reconstruetion and Development (the "Bank") for the above-referenced Project. The General Conditions,. as defined in the Loan Agreenient. provide that the Borrower may from time to time request withdrawals of I,oai A moLnts from the Loan Account in accordance with the 1isbursement and Financial ii formation Letter. and such additional instruetions as the Bank nav specify from time to time by notice to the Borrower. I lie General Conditions also provide that the Disbursement and Financial Irnformation Letter may set out Project specifiC financial reporting rCquireMents. THis letter constitutes such Disbursement and Vinancial Inftorination Letter ("DFI L~) and, may be revised from time to time. 1. Disbursement Arrangements, Withdrawal of Loan Funds, and Reporting of Uses of Loan Funds The Disbursement Guidehtnes fir /nrvestmet Prject financing dated February 2017, (Disbursement Guidelines") are available in the Bank's public website at litts: a ow.wrldhankore and its seclre website "Clent Connection" at Thtis:_cleiconneedon.worldbimLor 1 he Disbntrseent (iuidel ines are an integral part of the DFIL, and Ilie manner in which the provisions in Ilie Disburseient Guidelines apply to Ilie Loan is specilied below. (i) Disbursement Arrangements The table in Schedule I sets oit the disburseinent iethods whichi may Lie used bs the Borrower. and conditions. inftoriation on registration of autliorized signatires, processing of withdrawal applications (including minim valUC of applications and processing of advances), insItRIctions on supporti1ng documentation, and freqiency of reporting on the Designated Account (ii) Electronie Delivery. Section 10.0 1(c) of Ihe General Cond itions. 1 he Borrower shall deliver Withdraws,al i Applications (with supporting documents) electronically throuh tlie Bank's web-based portal "Client Connection" at in: elenteorinneetonsrIIdbanLr This option will be effected after the officials designated in ssriting by the Borrower who are authorized to sign and deliver Withdrawal Applications have registered as users of ~Client Connection". [he designated officials shall deliverA pplicalions electronically by conpleting the Form 2380. whieh is accessible through -]ient Connection-, Bv signing thc Authori/ed Signatorv Letter, the Borrower con lirms that it is auth/mriiiiig such persons to accept Secure Identilication Credentials ("SIDC) and to dclivern te Applications and supporting docunments to te Bank by electronie means. The Borrower may exereise the option of preparing and delvering Withdrawal Applieations in paper fbrm on exceptional cases (ineluding those where the Borrower encounters legal limitations) and which were previously agreed with the Bank. Bv designailn, officials to use SIDC and to dever the Applications electronically. [be Borrower conlirms through tC authoried signatory letter ts agreement to: (a) abide by the Terms and ( onditions of iUse of SeeLre Identi 1tation Credentials in connection w ith lse of Ileetronie Means to Process Applications and 5 upportirng Documentation, avniable in tbe World Bank's public website at Lo nos t rbibooc and Cient Connection`. and (b) to cause such oflicial to abide by those terms and conditions. I. Financial Reports and Audits (i) Financial Reports. The Borrower sha]] prepare and furnish to the Bank not later than forty-ltve (i) days after the end of cach calendar semester, interim unaudited financial reports ('1FR") for the Project covering the semester. Where a UN agency is contracied by te Borrower. the Borrower is responsible to ensure that the financial reporting requirements applicable to the UN Agency are stipLiltled in the agreement between the Borrower and the 1U N agency and met in a timely manner. (ii) Audits. Each audit of the Financial Statenients shall cover the period of one iseal year of the Horrower, connencing with the fiscal year in which the irst withdrawal was made. The audited Financial Statements for cach such period siall be furnished to the Bank not later than six (6) nonths after the end of such period. Where a UN agency is contracted by the Borrower, the Borrower is responsible to ensure that the doCuientation requirements applicable to the U-IN agency, or project audit purposes. are stipulated in the agreement between the Borrower and the UA agency. fil. Other Information For addilional inftormation on disbursement arrangements, please refer to the Loan t landbook available on the Bank \s website (tithp: x5_vi 1jss orlda _k or) and ··Client Connection-. Ihe Bank recomt mends that yon register as a user of "Client Connection". From this website you will be able to prepare and deliver Applications, monitor the near real-tiie statis of the Loan, and retrieve related policy. financial. and procurement information. For more information about te website and registration arrangemens or if ou have ana queries in relation to the above. please contact the World Bank by email at \sk1.oui, o Worl< 11 in1k usimg the above roference, Yours sincerely. pd1n rýäi robbio Counry anager for'ITi-sia Middle East and North A frica Region Attachnents 1. Form of Authori/ed Signatory Letter 2. Interin unaudited Financial Report (-FR-) U Э] L J 'ч-�- Г1 :Г5 � ,f7 А .� �С °;i] -й и ;с � °^ j �z у� :) j., ,�. � J С .ru �� "7 � чzS J � � "С9 , � ,' С1 J а' � � 0. у С i г, у^ и у-., и 'У. ;' � � G� V ы � � _ ^ G э, =у .п ,,,, � С7 .� � � � ,� сл � пJ с � � а � � � з ' � ` � ",. у м , г�.1 � т [`1 � � � Сл � iC �. т = = � ' rr :' и � '" '- г� . . г�i й-У � V � s L� 0.. 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Т3 `•л �' д3 • tpY 3l "у ". ; ��, '� ч . � � U � J �,. _ "� 'J � " � _ � �`Jj � � ц С� й � г ц � � 'Л "-�� С G U `�ь гrу j j ( Чг, •С± -Г �"' U J `л � � � �у �-, _ �. � ;�. � , аС: L` !д''i г' ` � `' ; Г -�. � 'б � «®. .� 3q С � 1° ..�-� е,: � �v � J `-�� �} ® у N "�г] ® � � 'А- � !_7 С �`� � ~ ° � =. з � .� . �: � , �� `•% м ьJ - . � . � Э �°' и �. сд ^ а � `� :� df ч� ;, ,: � �л у �, � л '� r а ` й т7 �.а у r`^� .� � i� r г."'i �� ^ ,ч � [ и �` =L �'г` ьг v1 F- С�' -г .� i` 中 三庭〕〕 -5- Attachment I - Form of Authorized Signatory Letter [Letterhead] Ministry of Finance [Street address] DA TE] The World Bank 1818 H Street, N.W. Washington, D.C. 20433 United States of America Attention: fCountry Director] Re: Loan Number 9371-TN (Addition a I Fi nanc i ng for Cov id- 19 Socia I Protection E mergency Response S u ppo rt Project) I refer to the Loan Agreement between the International Bank for Reconstruction and Development (the "World Bank") and [name of borrower] (the "Borrower"), dated , _ ,_, , providing the above Loan. For the purposes of Section 2.03 of the General Conditions as defined in the Agreement, any '[one] of the persons whose authenticated specimen signatures appear below is authorized on behalforthe Borrower to sign applications for withdrawal Linder this Loan. For the purpose of delivering Applications to the World Bank, 2[each] of the persons whose authenticated specimen signatures appears below isauthorizedon behalfof the Borrower, acting '[individuallyl 4Uointly], to deliver Applications, andevidence insupport thereof on the terms and conditions specilied by the World Bank. This confirms that the Borrower is authorizing such persons to accept SCCUre Identification Credentials (SIDQ and to deliver the Applications and supporting documents to the World Bank by electronic means. In full recognition that the World Bank shall rely upon such representations and warranties, including without limitation, the representations and warranties contained in the Terms and Conditions of Use of Secure Identffication Credentials in connection wilh Use ofElecti-Dnic Xleans to Process Applications and SupporliV Documenlation ("Terms and Conditions of Use of SIDC"), the Borrower represents and warrants to the World Bank that it will cause Such persons to abide by those terms and conditions. This Authorization replaces and supersedes any Authorization currently in the World Bank records with respect to this Agreement. 1 Instruction to the Borrower: Stipulate if more than one person needs to sign Applications, and how many or which positions, and if any thresholds apply. Please delete thisfibolnule infinal letter that is sent to the Bank 2 Instruction to the Borrower: Stipu late i Fmore than one person needs tojointly si .-n A ppl i cati ons, i Pso, please indicate the actual number. Please delete thisfoomore infinal letter that is sent to the, Bank-, 3 1 ristruction to the Borrower: Use this bracket i f any one of the authorized persons may sign; i f th is is not appl icab le, please delete. Please delete thisfoolnole infinal lener that is sent to the Bank 1 Instruction to the Borrower: Use this bracket oniv if several individuaJs must jointly sign each Application; ifthis is riot applicable, pleasc delete, Please delete thisfibotnoie infinal letter that is sent to the Bank -6- [Name], [position] Specimen Signature: [Namej, [position] Specimen Signature: [Name], [position] Specimen Signature: Yours truly, / signed / [Position] -7- Attachment 2 -Interim unaudited Financial Statements Tunisia: SP Ernergency Response Support Project Sources and Uses of Funds for EEP For the Fiscal Year ending xxxx Amounts expressed in local currency CODE EXPENDITLRES Current Period Cumulative Farecastfor Budgeted Actual Variance Budgeted Actual Variance Fiscal Year xxx RECEIPTS Desi-naled ACcoUnt (DA-A) Diiect Payment Toltal Rleceipts (I) LESS ELIGIBLE EXPENDITURES PROGRAM _ Monetaryv \llow aices ful Poor Families lemporary / Occasional Allowances Back-lo School Allowances COVID-19 Temporary Cash Iransterq Toil Eligible Expenditures Program (1l) RECEIPTS LESS ElIGIBLE EXPENDITURES PROGRA. Net Change in Cash {I - 11) Foreign FNchange AslLtimet n if needed) DESIGNATED ACCOUNT BtAlANCES Opening Cash Hal:rCS DA-A ToCal Opening BUlance Cl"iig Cash Balances DA-A Total Closing Balance -8- Payments made from DA-A during the period from Loan to No.: Application No.: ACTCAI.(in EUR) PLANNED (in EU:R) VARIANCE Category CuntPnd Year-To- Car-To- CunuaaT- Curenend er- Cumlat- J t te To-Datc Perod Date TO-Dal Date To-Dale Category t.n Categbry .b Category l. Categnry 2 TOTAL Supporting documents for this report retained at (Iocatio¯} -9- Designated Account Activity Statement For the Reporting Period: IFR for the Quarter Q, 20YY Project Name: IDA/IBRD.TF-XXXXX PART I L Cumulative advances to end of current reporting period 2. Cumulative expenditures to end of last reporting period 3. Outstanding Advance to be accounted (line I minus line 2) PART 11 4. Opening DA balance at beginning of reporting period (as of 01/MM/2OYY) 5. Addsubtract: Cumulative adjustments (if any) 6. Advances from World Bank during reporting period 7. Add lines 5 and 6 8. Outstanding advances to be accounted for (add line 4 and line 7) 9. Closing DA balance at end of current reporting period (as of 30,%M/2OYYJ 10. Add.lsubtract: Cumulative adjustments (ifany) II. Expenditures fior current reporting period 12. Add line 10 and line II I3. Add line 9 and line 12 14. Difference (if any) (line 8 minus line 13) PART Ill 15 Total forecasted amount to be paid by World Bank 16. Less: Closing DA balance after adjustments 17. Cash requirement froin World Bank for next reporting periods (line 15 minus line 18) -10- Tunisia: SP Emergency Response Support Project Table of Eligible Expenditures Program (EEP) For the Fiscal Year ending xxxx Amounts expressed in local currency Current Period Cumulative CODE EXPENDITURES Forecast for Fiscal Budgeted Actual Variance Budgeted Actual Variance Year xKx Xxx 0.0n 0.00 Xxx 0.00 0.00 XXX 0.00 0.00 X0. 0.00 Sub-iotal 1: Monetary Allowanceg for Poor Families 0.00 000 0.00 0.00 0.00 0.00 0.00 Xx 0 00 0.30 XX0.00 00 Xxx ~~0.00 _______00ne Xxx 0.00 0.00 Sub-total 2: Temporary / OccasIonal Allowances 0.00 0.00 0.00 0.00 D.0 0.00 0.00 Xxx 0.00 0.00 0.00 0.0O XXX hoo 0.00 S0b-totli 3. Back-To School Allowances 0.00 0.00 0.00 0.00 0.00 0.00 0,00 Xxx 0.00 0.00 Xx 0.00 0.00 XYXx 0.3 .0 00______ Sub-total 4: COVID-19 Temporary Cash Transfers 0.00 O O 0.00 0.00 0400 . O.00 Totalsfa 00 0.00 (0 00 0,00 0.00 - 0.0 SUMMARY STATEMENT OF ELIGIBLE EXPENDITURES AS OF MM-DD-YY NAME AMOUNT 1 Budget payment to 2 Budget payment to 3 Budget payment to 4 Budget payment to CUMULATIVE ELIGIBLE EXPENDITURES PAID AT THE END OF CURRENT REPORTING PERIOD (line 1 + line 2 + line3 + line 4) CUMULATIVE PBC AMOUNT PAID IN THE PREVIOUS REPORTING PERIOD * 7 PBC AMOUNT ACHIEVED UNDER THE CURRENT PERIOD * 8 TOTAL (line 6 + line 7) 9 ADJUSTED AMOUNT (if line 8 > line 5) 10 AMOUNT PAYABLE (line 7 - line 9)*** 11 CUMULATIVE ADVANCE PAID BY THE BANK UNDER DA-B CUMULATIVE PBC AMOUNT APPROVED BY THE BANK AT THE END OF THE CURRENT PERIOD (line 6 + line 11) 13 OUTSTANDING ADVANCE (line 11- line 12) 14 PBC FORECAST FOR THE NEXT 6 MONTHS 15 ADDITIONAL ADVANCE TO BE PAID BY THE BANK (ine 13 - line 14) * Total ofcolumn 2 of Table 2 ** Total ofcolumn 3 of Table 2 *** Total of coluim 4 of Table 2 -12- SUMMARY STATEMENT OF PBC STATUS AS OF MM-DD-YY Cumulative Cumulative amount paid PBC amount PBC.amount amount paid PBC Allocation in the verified in the payahle ln attthe end of the current th previous current report reot the current report report ._ reo report period 2 3 4 PBC#1 PBC f 1.1 PBC# 1.2 PBC # 1.3 PBC#2 PBC#3 PBC#4 PBC#5 TOTAL