OFFICIAL DOCUMENTS THE WORLD BANK IBRD * IDA I WORLDBANKROUP I hi-2018 H.E. Hadizatou Rosine Coulibaly Sori Minister of Economy, Finance and Development Ministry of Economy, Finance and Development Ouagadougou, Burkina Faso Re: BF - (Water Supply and Sanitation Program) Credit No.6255-BF Additional Instructions: Disbursement and Financial Information Letter. Excellency: I refer to the Financing Agreement between the Burkina Faso (the "Recipient") and the International Development Association (the "Association") for the above-referenced Program. The General Conditions, as defined in the Financing Agreement, provide that the Recipient may from time to time request withdrawals of Financing amounts from the Financing 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 Program specific financial reporting requirements. This letter constitutes such Disbursement and Financial Information Letter ("DFIL"), and may be revised from time to time. I. Disbursement Arrangements, Withdrawal of Credit Funds, and Reporting of Uses of Credit Funds. (i) Schedule 1. The table in Schedule 1 sets out the disbursement methods which may be used by the Recipient, information on registration of authorized signatures, processing of withdrawal applications, and instructions on documentation and reporting of advances. (ii) Withdrawal Applications. Applications for withdrawal from the Financing Account ("Withdrawal Applications") of amounts of the Financing allocated to individual Disbursement Linked Results ("DLR") may, pursuant to the provisions of Section IV.A of Schedule 2 of the Financing Agreement, be sent to the Association at any time after the Association has notified the Recipient in writing that it has accepted evidence of achievement of the specific DLR. (iii) Withdrawal Amount. The Withdrawal Application may be for an amount not to exceed the amount of the Financing confirmed by the Association for the specific DLR in respect of which the withdrawal is requested, as specified in the Association's notice to the Recipient. (iv) Advances and Recovery of Advances. The Recipient may, in accordance with provisions of the Financing Agreement, request advances of amounts of the Financing allocated to DLRs that have not yet been achieved using the Form attached (Attachment 2). The aggregated amount of all such advances made in respect of amounts allocated to DLRs may not exceed the equivalent of Euro 53,700,00. The amount of the advance(s) and the specific DLR(s) to which it relates must be clearly indicated in the Withdrawal Application. The Association records an amount of the advance as disbursed for an achieved DLR ("recovered") after it has notified the Recipient of its acceptance of the evidence of achievement of the DLR for which the advance was provided. The amount so reclassified becomes available for further advances in accordance with the preceding paragraph. (vi) Electronic Delivery. Section 11.01 (c) of the General Conditions. The Association may permit the Recipient to electronically applications (with supporting documents) through the Association's web-based portal (https://clientconnection.worldbank.org) "Client Connection". This option may be effected if the officials designated in writing by the Recipient who are authorized to sign and deliver Applications have registered as users of "Client Connection". The designated officials may deliver 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 Applications and supporting documents to the Association by electronic means. The Recipient may continue to exercise the option of preparing and delivering Applications in paper form. The Association reserves the right and may, in its sole discretion, temporarily or permanently disallow the electronic delivery of Applications by the Recipient. By designating officials to use SIDC and by choosing to deliver the Applications electronically, 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 Applications and Supporting Documentation, available in the Association's public website at https://worldbank.org and "Client Connection"; and (b) to cause such official to abide by those terms and conditions. II. Financial Reports and Audits. Section 5.09 of the General Conditions. (i) Financial Reports. The Recipient must prepare and furnish to the Bank 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. (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 Bank not later than nine (9) months after the end of such period. III. Other Important Information For additional information on disbursement arrangements, please refer to the Loan Handbook available on the Association website (http://www.worldbank.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 Applications, monitor the near real-time status of the [Grant] [Credit], and retrieve related policy, financial, and procurement information. For more information about the website and registration arrangements, please contact the Association by email at clientconnection@worldbank.org. If you have any queries in relation to the above, please contact Issa Thiam, Finance Officer at ithiam@worldbank.org, with copy to Felix Lawson, Finance Analyst at llawsonl@worldbank.org using the above reference. Yours sincerely, Hafez M. H. Ghanem Ifice-President Africa Region (AFRVP) World Bank Group Attachments 1. Sample Form for Advances 2. Results Achievement Notification Schedule 1 : Disbursement Provisions Country Burkina Faso Closing Date Section IV-B (2) of Schedule 2 to Number 6255-BF Recipient Burkina Faso the Financing Agreement. Credit Name of the Program Water Supply and Sanitation Disbursement Six months after the closing date. Program Deadline Date Disbursement Methods Methods Supporting Documentation Reimbursement (financing of Yes Result Achievement Notification (Attachment 2) with confirmation issued by the World Bank achieved results) Advance Yes Recuest in the format provided in Attachment I of the DFIL Financial Institution - BCEAO - BF Ceiling Fixed Name Currency Euro Amount 53,700,000 Authorized Signatures. Applications for this Financing will be signed by the official(s) authorized to sign Applications as indicated in your letter of May 2, 2017 and signed by H.E. Hadizatou Rosine Coulibaly Sori, Ministre de L'Economie, des Finances et Developpement. Applications. Please provide completed and signed (a) applications for withdrawal, together with supporting documents, and (b) applications for special commitments, together with a copy of the commercial bank letter of credit, to the address indicated below: The World Bank, Loan Department Delta Center, 13th Floor, Menegai Road, Upper Hill Nairobi, Kenya Attention: Loan Operations & Trust Funds Unit Use this section if other instructions are needed for the Program Attachment 1 Sample Form for Advances [Ministry/Implementing Agency Letterhead] [Date] Loan Department - [name of Regional Center] The World Bank [address of regional center] Attention: [name of regional center team lead] Subject: Re: Credit 6255-BF Water supply and Sanitation Program -Request for Advance - To be attached to the Form e2380 Dear Sir/Madam, We refer to the Financing Agreement between the Association (the "Association") and the Burkina Faso (the "Recipient") dated [insert date] providing for the above Credit. In accordance with the provisions of the Disbursement Letter and Schedule 2, Section of the Financing Agreement, to support the implementation of the above Program and to facilitate the achievement of the planned results, we request an Advance in the amount of [insert amount] I [We request that the Advance be disbursed in [currency requested for disbursement] equivalent to the Total Advance Requested above.]2 We acknowledge that the amount disbursed will be charged to the Credit Account in the currency of the Financing at the rate of exchange in effect at the time of disbursement. Sincerely, [insert Name, and Position]3 The Proposed Advance should be in the currency of the DLI/DLR as set out in the disbursement table in the [Grant][Financing] Agreement, and in accordance with provisions in the Disbursement and Financial Information Letter. Normally, this is the currency of commitment of the [Grant] [Credit]. 2 Use this text to designate the currency of the Advance if it should be different from the currency set out in the disbursement table in the [Grant][Financing] Agreement. To be signed by a representative of the implementing/coordinating agency of the Recipient, OR by the person(s) authorized on behalf of the Recipient to sign applications for withdrawal under the [Grant][Credit] as set out in the applicable Authorized Signatory Letter. Attachment 2 Results Achievement Notification [Ministry/Implementing Agency Letterhead] [Date] The World Bank 1818 H Street NW Washington, DC 20433 United States of America Attention: [Country Director] Re: 6255-BF and D330-BF (Water supply and Sanitation Program) Results Achievement Dear [Madam/Sir], We refer to the Financing Agreement ("Financing Agreement") between [name of borrower/recipient] ("Borrower"!" Recipient") and the International Development Association] ("World Bank") dated [date] for the above-noted Program. In accordance with the provisions of Schedule 2, Section IV, B. 1 of the [Loan/Credit/Grant] Agreement, we are pleased to inform you that the following Disbursement Linked Results (DLR) have been achieved: * DLR # {insert number and brief description } * DLR # .... * DLR # .... Achievement of [this/these] result(s) has been verified according to the "Summary Protocol for Verifying Achievement of DLIs" as referred to in the Project Appraisal Document [and the Program Operations Manual]. Documents evidencing achievement of the DLRs are attached. Sincerely, [Name] ' Position Attachment. Evidence of Results Achievement cc. Task Team; Finance Officer, CTRLD Regional Team Lead; Country Lawyer; others as appropriate To be signed by a representative of the implementing/coordinating agency of the borrower/recipient.