THE WORLD BANK ' I WORLDBANKGROUP Date: C H.E. Abdou Rabiou Minister of Planning Ministry of Planning B.P. 862 Niamey Republic of Niger Republic of Niger: Credit Number 6984-NE and Grant Number D904-NE Improving Women's and Girls' Access to Improved Health and Nutrition Services in the Priority Areas Project - Lafia-lyali Additional Instructions: Disbursement and Financial Information Letter Excellency: I refer to the Financing Agreement between Republic of Niger (the "Recipient") and the International Development Association (the "Association") for the above-referenced Project. The General Conditions, as defined in the Financing Agreement, provide that the Recipient may from time to time request withdrawals of the Credit and the Grant amounts from the Credit and the Grant Account in accordance with the Disbursement and Financial Information Letter, and such additional instructions as the Association may specify from time to time by notice to the Recipient. The General Conditions also provide that the Disbursement and Financial Information Letter may set out Project specific financial reporting requirements. This letter constitutes such Disbursement and Financial Information Letter ("DFIL") and may be revised from time to time. The Disbursement Guidelines for Investment Project Financing, dated February 2017, ("Disbursement Guidelines") are available in the Association's public website at orldbank.on- and its secure website "Client Connection" at htVps. clic.tconccti.xxorldbankon, The Disbursement Guidelines are an integral part of the DFIL, and the manner in which the provisions in the guidelines apply to the Credit and the Grant is specified below. I. Disbursement Arrangements, Withdrawal of Credit Funds, and Reporting of Uses of Credit and the Grant Funds (i) Disbursement Arrangements General Provisions (Schedule 1). The table in Schedule I sets out the disbursement methods which may be used by the Recipient, information on registration of authorized signatures, processing of withdrawal applications (including minimum value of applications and processing of advances), instructions on supporting documentation, and frequency of reporting on the Designated Account. (ii) Electronic Delivery. Section 11.01(c) of the General Conditions. The Recipient shall deliver Withdrawal Applications (with supporting documents) electronically through the Association's web-based portal (https: clientconnection vvorldbank.org) "Client Connection". This option will be effected after the officials designated in writing by the Recipient who are authorized to 0S -2- sign and deliver Withdrawal Applications have registered as users of "Client Connection". The designated officials shall deliver Withdrawal Applications electronically by completing the Form 2380, which is accessible through "Client Connection". By signing the Authorized Signatory Letter, the Recipient confirms that it is authorizing such persons to accept Secure Identification Credentials ("SIDC") and to deliver the Withdrawal Applications and supporting documents to the Association by electronic means. The Recipient may exercise the option of preparing and delivering Withdrawal Applications in paper form on exceptional cases (including those where the Recipient encounters legal limitations), and which were previously agreed with the Association. By designating officials to use SIDC, the Recipient confirms through the authorized signatory letter its agreement to: (a) abide by the Terms and Conditions of Use of Secure Identification Credentials in connection with Use of Electronic Means to Process Withdrawal Applications and Supporting Documentation, available in the Association's public website at https: w\orldbank.ore and "Client Connection"; and (b) to cause such official to abide by those terms and conditions. II. Financial Reports and Audits. (i) Financial Reports. The Recipient must prepare and furnish to the Association not later than forty-five (45) days after the end of each calendar semester, interim unaudited financial reports ("IFR") for the Project covering the semester. Where a UN agency is contracted by the Recipient, the Recipient is responsible to ensure that the financial reporting requirements applicable to the UN Agency are stipulated in the agreement between the Recipient and the UN agency and met in a timely manner. (ii) Audits. Each audit of the Financial Statements must cover the period of one fiscal year of the Recipient, commencing with the fiscal year in which the first withdrawal was made. The audited Financial Statements for each such period must be furnished to the Association not later than six (6) months after the end of such period. Where a UN agency is contracted by the Recipient, the Recipient is responsible to ensure that the documentation requirements applicable to the UN agency, for project audit purposes, are stipulated in the agreement between the Recipient and the UN agency III. Other Information For additional information on disbursement arrangements, please refer to the Loan Handbook available on the Association's website (htp: wwi \ kk.%orldbank.org ) and "Client Connection". The Association recommends that you register as a user of "Client Connection". From this website you will be able to prepare and deliver Withdrawal Applications, monitor the near real-time status of the Credit and the Grant, and retrieve related policy, financial, and procurement information. For more information about the website and registration arrangements, or if you have any queries in relation to the above, please contact the Association by email at askloansdxN orldbank.ore. -3- If you have any queries in relation to the above, please contact Adama Diop, Finance Officer at adiop5(uy worldbank.org with copy to Amadou Ba, Finance Analyst at aba8Kwa, orldbank.org using the above reference. Very truly yours, INTERNATIONAL DEVELOPMENT ASSOCIATION Clara De Sousa Country Director for Republic of Niger West and Central Africa Region Attachments 1. Form of Authorized Signatory Letter 2. Statement of Expenditure ("SOE") for Category 1, 3 and 4 3. 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С 4'� ^ г`� м � � 30 � р v � � у й у � � � .-. Q �' эь -6- Attachment 1 - Form of Authorized Signatory Letter [Letterhead] Ministry of Finance [Street address] [City] [Country] [D,4 TE] International Development Association 1818 H Street, N.W. Washington, D.C. 20433 United States of America Republic of Niger: Credit Number 6984-NE and Grant Number D904-NE Improvincr Women's and Girls' Access to Improved Health and Nutrition Services in the Priority Areas Project - Lafia-Iyali Attention: I CountrY Director I refer to the [Grant] [Credit] Agreement ("Agreement") between the International Development Association (the "Association")[, acting as implementing of the ]' and [naine ofrecipient] (the "Recipient"), dated providing the above [Grant] [Credit]. For the Purposes of Section 2.03 of the General Conditions as defined in the Agreement, any 2[one] of the persons whose authenticated specimen signatures appear below is authorized on behalf of the Recipient to sign applications for withdrawal [and applications for a special commitment] under this [Grant] [Credit]. For the purpose of delivering Applications to the Association, including by electronic means, 3 [each] of the persons whose authenticated specimen signatures appears below is authorized on behalf of the Recipient, acting '[individually] 'Uointly], to deliver Applications, and evidence in SlIpport thereof on the terms and conditions specified by the Association. Instruction to the Recipient add text in line with the Grant Agreement if applicable; if not applicable delete it. Please delete thisfootnote infinal letter that is sent to the Associations 2 Instruction to the Recipient: stipulate if more than one person needs to sign Applications, and how many or which positions, and if any thresholds apply. Please delete thisfootnote infinal lelter that is sent to the Association. 3 Instruction to the Recipient: stipulate if more than one person needs tojointly sign Applications, if so, please indicate the actual number. Please delete thisfootnote infinal letter that is Sent to the Association. 4 Instruction to the Recipient: use this bracket if any one of the authorized persons may sign; if this is not applicable, please delete. Please delete thisfootnote infinal letter that is sent to the,4ssociation. 5 Instruction to the Recipient: use this bracket only if several individuals must jointly sign each Application; if this is not applicable, please delete. Please delete thiSfOO1170te infinal letter that is sent to the,4ssociation. -7- This Authorization replaces and supersedes any Authorization currently in the Association records with respect to this Agreement. [Name], [position] Specimen Signature: [Name], [position] Specimen Signature: [Name], [position] Specimen Signature: Yours truly, / signed / -8- Attachment 2 - Statement of Expenditures SOE Model Template (incl. listing of prior review payments) IDA - International Development Association Statement of Expenditures Financier Payment made during the period from to Loan/Credit/Grant # Application # The following expenditures have been incurred during the retroactive financing period (please tick) Yes No Category # The following expenditures have been incurred before the closing date of the loan/credit/grant (please tick) Yes No Page # ONLY for the Designated Account 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Item Supplier's Brief Prior Contract # Contract Invoice Date of Total % Eligible Exchange Date of Amount No Name Description Review Currencyq Number Payment Amount of Financed Amount Rate Withdrawal Withdrawn of the (Contract?) (Client and Invoice from the from the from the Expenditure Connection Amount Covered by Bank (Col 9 x Designated Designated (YES or #for Prior Application 10) Account Account NO) Review (original Contracts) Anendment) (Net of (Col 11/12) Retention) 0o0 0.00 TOTAL 0 00 Supporting documents for this SOF are retained at (insert location) A separate form should be used for each category. (location) Attachment 3 The World Bank APPLICATION FOR WITHDRAWAL STATEMENT OF EXPENDITURES - CUSTOMIZED (SOE)6 Categor PBF yNo. 11 1 2 3 4 5 6 7 8 9 0 1 Tota o amo C5 unt 6 Cash Com pes Pay pes men Amou 41 ation Cash Brief ao t nto U pay Transfer Descript U requ Paid a ment a Name and Reference/ ion of re est From Address of Agreement Cash rq Elig Desig 9 0 est Beneficiary No. & Date transfer E ible nated covec (or other Activiti for Accou ref.) es 3 red Fina nt (if byi ncin any) apphi catio n '0 (net of reten tion) 6 Supporting documents for this Customized SOE retained at:(insert location) TOT ALS