OFFICIAL DOCUMENTS THE WORLD BANK IBRD*IDA I WORLDBANKOROUP Ousmane Dione Country Director for Vietnam East Asia and Pacific Region November 13, 2017 H.E. L Minh Hung Governor State Bank of Vietnam 49 Lf ThAi To HA N6i Socialist Republic of Vietnam Excellency: Re: GFDRR Grant No. TFA5606 (Vietnam: Emergency Natural Disaster Reconstruction) Additional Instructions: Disbursement I refer to the Letter Agreement ("Agreement") between the Socialist Republic of Vietnam ("Recipient") and the International Bank for Reconstruction and Development/International Development Association ("World Bank"), acting as administrator of grant funds provided by various donors under the Global Facility for Disaster Risk Reduction and Recovery trust fund, for the above-referenced project, dated November 13, 2017. The Agreement provides that the World Bank may issue additional instructions regarding the withdrawal of the proceeds of GFDRR Grant No. TFA5606 ("Grant"). This letter ("Disbursement Letter"), as revised from time to time, constitutes the additional instructions. The attached Disbursement Guidelines for Investment Project Financing, dated February 2017, ("Disbursement Guidelines") (Attachment 1), are an integral part of the Disbursement Letter. The manner in which the provisions in the Disbursement Guidelines apply to the Grant is specified below. Sections and subsections in parentheses below refer to the relevant sections and subsections in the Disbursement Guidelines and, unless otherwise defined in this letter, the capitalized terms used have the meanings ascribed to them in the Disbursement Guidelines. I. Disbursement Arrangements (i) Disbursement Methods (section 2). The following Disbursement Methods may be used under the Grant: * Reimbursement * Advance * Direct Payment * Special Commitment (ii) Disbursement Deadline Date (subsection 3.7). The Disbursement Deadline Date is four (4) months after the Closing Date specified in the Agreement. Any changes to this date will be notified by the World Bank. 8' Floor, 63 Ly Thai To, Hanoi, Vietnam/Phone: (84-24) 39346600/Fax: (84-24) 39346597 H.E. Le Minh Hung -2- November 13, 2017 II. Withdrawal of Grant Proceeds (i) Authorized Signatures (subsection 3.1). A letter in the Form attached (Attachment 2) should be furnished to the World Bank at the address indicated below providing the name(s) and specimen signature(s) of the official(s) authorized to sign Applications: The World Bank 8h Floor 63 Lf ThAi To HA N6i, Vietnam Attention: Country Director (ii) Applications (subsections 3.2 - 3.3). 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 26th Floor, One Global Place 5th Avenue Corner 25th Street Bonifacio Global City Taguig City, Philippines 1634 Attention: Loan Department (iii) Electronic Delivery (subsection 3.4) The World Bank may permit the Recipient to electronically deliver to the World Bank Applications (with supporting documents) through the World Bank's Client Connection, web-based portal. The option to deliver Applications to the World Bank by electronic means may be effected if: (a) the Recipient has designated in writing, pursuant to the terms of subparagraph (i) of this Section, its officials who are authorized to sign and deliver Applications and to receive secure identification credentials ("SIDC") from the World Bank for the purpose of delivering such Applications by electronic means; and (b) all such officials designated by the Recipient have registered as users of Client Connection. If the World Bank agrees, the World Bank will provide the Recipient with SIDC for the designated officials. Following which, the designated officials may deliver Applications electronically by completing Form 2380, which is accessible through Client Connection (https://clientconnection.worldbank.or ). The Recipient may continue to exercise the option of preparing and delivering Applications in paper form. The World Bank reserves the right and may, in its sole discretion, temporarily or permanently disallow the electronic delivery of Applications by the Recipient. (iv) Terms and Conditions of Use of SIDC to Process Applications. 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 ("Terms and Conditions of Use of SIDC") provided in Attachment 3; and (b) to cause such official to abide by those terms and conditions. (v) Minimum Value of Applications (subsection 3.5). The Minimum Value of Applications for Reimbursement, Direct Payment and Special Commitment is United States Dollars (US$) 25,000 equivalent. H.E. IU Minh Hung -3- November 13, 2017 (vi) Advances (sections 5 and 6). * Type ofDesignatedAccount (subsection 5.3): Segregated. One (1) segregated designated account will be established for the Project and managed by the Ministry of Agriculture and Rural Development. * Currency ofDesignated Account (subsection 5.4): USD (United States Dollars). * Financial Institution at which the Designated Account Will Be Opened (subsection 5.5): A commercial bank / financial institution acceptable to the World Bank. * Ceiling (subsection 6.1): Variable, based on forecast of one (1) quarter of approved annual financing plan, in the form attached (Attachment 5). III. Reporting on Use of Grant Proceeds (i) Supporting Documentation (section 4). Supporting documentation should be provided with each application for withdrawal as set out below: * For requests for Reimbursement: o Statement of Expenditures in the form attached (Attachment 4). * For reporting eligible expenditures paid from the Designated Account: o Statement of Expenditures in the form attached (Attachment 4); o Cash Forecast Statement in the form attached (Attachment 5); and o Designated Account Reconciliation Statement in the form attached (attachment 6) with bank statement * For requests for Direct Payment: Records evidencing eligible expenditures, e.g., copies of receipts, supplier invoices. (ii) Frequency of Reporting Eligible Expenditures Paid from the Designated Account (subsection 6.3): Quarterly or more frequent if necessary. IV. Other Important Information For additional information on disbursement arrangements, please refer to the Disbursement Handbook available on the World Bank's public website at https://www.worldbank.org and its secure website "Client Connection" at https://clientconnection.worldbank.org. Print copies are available upon request. If you have not already done so, the World Bank recommends that you register as a user of the Client Connection website (https://clientconnection.worldbank.org). From this website you will be able to download Applications, monitor the near real-time status of the Grant, and retrieve related policy, financial, and procurement information. All Recipient officials authorized to sign H.E. L Minh Hung -4- November 13, 2017 and deliver Applications by electronic means are required to register with Client Connection before electronic delivery can be effected. For more information about the website and registration arrangements, please contact the World Bank by email at . If you have any queries in relation to the above, please contact us at wfaln- manila@worldbank.org using the above Project name and GFDRR Grant No. TFA5606 as a reference in the subject line. Yours sincerely, Ousmane Dione Country Director, Vietnam East Asia and Pacific Region Attachments 1. Disbursement Guidelines for Investment Project Financing, dated February 2017 2. Form for Authorized Signatures 3. Terms and Conditions of Use ofSecure Identification Credentials in connection with Use of Electronic Means to Process Applications and Supporting Documentation, dated March 1, 2013 4. Form of Statement of Expenditure 5. Cash Forecast Statement 6. Form of Designated Account Reconciliation Statement Cc with copies: PMU of The Project for Emergency Reservoir Operation and Effective Flood Management Using Water related Disaster Management Information System Building A4, #2 Ngoc Ha, Hanoi, Vietnam Mr. Nguyen Dfrc Quang, PMU Director Email address: ndquanm64@vahoo.com Attachment 1 Disbursement Guidelines for Investment Project Financing February 2017 (5WORLD BANK GROUP Page 5 of 22 CONTENTS 1. purpose 1 2. Disbursement Methods 1 3. Withdrawal of Funds from Financing Account 2 4. Supporting Documentation Requirements 3 5. Designated Accounts 4 6. Terms and Conditions Applicable to Advances 6 7. Ineligible Expenditures 7 8. Reinds 8 Page 6 of 22 1. Purpose 1.1 The pmpose of the Disbursement Guidelines for Investment Project Financing (the guidelines) is to set out die World Bank's procedures and requirements for disbursement of funds in projects.' Specifically, the guidelines set out (a) the difierent arrangements used by the World Bank to disburse fuds from the Financing Account', (b) the requirements for witdrawal from the Financing Account, (c) the types of supporting documentation that the bonower may be required to provide to demonstrate the use of finds of the Fmancg Account for eligible expenditures, (d) the criteia for establishing Designated Accounts', (e) the teams and conditions applicable to advances, (f) the types of distursementrelated actions tat the World Bank may take if it determines that funds of the Financing Account ae not needed or have been used for ineligible purposes, and (g) the disbursement consequence of refunds. 2. Disbursement Methods 2.1 The World Bank establishes disbursement arangements for a project in consultation with the borrower, taking into consideration, among other things, an assessment of the borrower's financial management and procurement arrangements, the cash flow needs of the project, and its disbursement experience with the borrower. Those arrangements are stated in the Fmancgin Agreement4 and additional infouation is provided in the Disbursement Letter.s 2.2 The World Bank disburses funds from the Financing Account established for each loan, to or on the order of the borrower, using one or more of the following distmrsement methods, as determined by the World Bank 'In this doc the W& Bank ucludes tm hnmanal Bank for Rc uction and Dealopumnt (IBD) and thim naional Dealopumt Assocation (IDA), whthw acting on is own account or in the capacity as ad.inis.tor oftrust fids fndedby donors. FnawN or Bank om inchules any loan, credit, or pant made by the World Bank from its on resumes, fim rust fuds fimded by othe donors and adsminsd by the World Bank, or fan a con=>atthefdse Br7mw nans a bnow or recpkatofa Bank loan fr a project and any othe entty mved in th upanmnsatanofthepmed fnancedby the Bank loan. These odelnes apply to all Bank Ians for an Ibmte PWJeCt Fiancing Twy do not apply to P-pas-Far-Resvits Financing and Developnmt Policy Financing or for g a &nde by te Waud Bank fam trut funds funded by adar donors and adinisd by the World Bank, whenm emcpionally, the tm of the apem t with te do pokide for diut requiems . . I1m FinancMg Accout refr to d accomnt apand by the Worl Bank in its accountg syn in the na of de bonowe a which de mounoftihe fancing is cuedited. A DaMnatdAccorm is a bank accome ao which the Wadd Bank my deposit ams withdrawn frma the Financing Account to pay for eli&bhe epnodiames as theyr incmred. 4The Fimm"ig4grm uis the am between the Worl Bank and the Borowr ymiding for de Bank loa I Th Dsbmsement lAter coutains additaonal instrutions descrtbing tia disbasenut arrangnoes fio withdakwingproceeds fra the Finaninng Accomt under a paricular imvstnnt project 1 Page 7 of 22 (a) Reinbunrsement The World Bank may reimbrse the borrower for expenditures eligible for financing possuant to the Financing Agreement (eligible expenditures) that the borrower has prefinanced frm its own resources. (b) Adrwnce The World Bank may advance fonds from the Financing Account into a Designated Account of the borrower to finance eligible expenditures as they are incured and for which supporting documents will be provided at a later date (see section 5, Designated Accounts). (c) Direct Patment The World Bank may make payments, at the borrower's request, directly to a thwd party (for example, supplier, contractor, or consultant) for eligible expenditures. (d) Special Comnitment The World Bank my pay amounts to a third party for eligible expenditures under special commitments entered into, in writing, at the borrower's request and on tems and conditions agreed between the World Bank and the borrower. 3. Withdrawal of Funds from the Financing Account 3.1 Authorized Signatures. Before flunds from the Financing Account may be withdrawn or committed, the authorized representative of the borrower (as designated in the Financing Agreement) must framish to the World Bank, electronically through the Client Connection website (http//clienomection.warkdbankorg), or through an authorized signatory designation letter, the name(s) of the official(s) authorized (a) to sign and submit applications for withdrawal and applications for a special commitment (collectively, Applications), and (b) to receive Secure Ideatification Credentials (SIDC) from the World Bank. The bonower must notify the World Bank of any changes in signature authority, either electronically in Client Connection or through an updated authorized signatory designation letter. 32 Temis and Conditions of Use of Set,re Identfication Credentials (SIDC) to ProcessAppications. By designating officials to use SIDC and by choosing to submit the applications electronically, the borrower confirms its agreement to abide by the terms and conditions of use of SIDC.6 3.3 Applicains. Applications must be provided to the World Bank in such form as is required to access funds from the Financing Account and must include such information as the World Bank may reasonably request. 3.4 Applications and necessary supporting documents (see section 4 Supporting Documentation Requirements) should be submitted to the World Bank electronically, in a 6 Terns md condalions of use of SIDC as pmowled indie Distsrsnant ler. Page 8 of 22 mer and an terms and conditions specified by the World Bank through the Client Connection website at http://clieniconnection.worldbank.org. The World Bank may, at its discretion, temporarily or permanently, disallow the electronic submission of applications by the barrower The World Bank may permit the borrower to complete and submit applications manually in paper form. Paper applications forms can be found in the Client Connection website at http://cliencannectionworldhank.g or may be obtained from the World Bank upon request. 3.5 Minimum Iebte ofAppffeadons. The World Bank establishes a mininan value for applications for reimbursement, direct payment, and special commitment. The World Bank reserves the sight not to accept applications that are below such mnim value. 3.6 Loan Disbursing Period. The World Bank processes Applications only after the Financing Agreement has been declared effective in accordance with the tenms of the Financing Agreement. The expenditures for which the Applications are made must be: (a) Paid for on or after the date of the Financing Agreement, or altematively, in the case of projects that peamt retroactive financing on or after the earlier date specified in the Financing Agreement for that purpose; and (b) Incurred on or before the dosing date specified or referred to in the Financing Agreement (the Closing Date), except as otherwise specifically agreed with the World Bank. 3.7 The loan disbursing period ends on the final date established by the World Bank for receipt by the World Bank of applications for withdrawal and supporting documentation (the Disbursement Deadline Date). The Disbursement Deadline Date may be the same as the Closing Date, or up to four months after the Closing Date. To support orderly project completion and closure of the Financing Account, the World Bank does not accept applications for withdrawal or supporting documentation received after the Distursement Deadline Date. The borrower must prompily inform the World Bank of any expected implementation delays or exceptional administrtive issues before those dates. The World Bank notifies the borrower of any exception that the World Bank may make to the Disbursement Deadline Date. 3.8 Disbursement Conditions. If the Financing Agreement contains a disbursement condition for a specific expenditure category, the World Bank will disburse funds from the Financing Account for that category only after the disbursement condition has been fulfilled and the World Bank has notified the borrower to that effect. 4. Supporting Documentation Requirements 4.1 The borrower provides supporting documentation to the World Bank to show that finds from the Financing Account have been or are being used to finance eligible expenditures. 3 Page 9 of 22 42 For special commitments, the conmercial bank provides its conmnation directly to the Wodd Bank that conditions for the release of payments committed for withdrawal have been met. 43 Ipes of Siporting Documentation. The World Bank reqires either copies of the arigmal documents evidencing eligible expenditures (Records) or summary reports of expenditure (Summary Reports) in such fom and substance as the World Bank may specify Records include such documents as invoices and receipts. A Summary Report may be either (a) the interim unaudited financial report required under the Financing Agreement (terim Financial Report) or (b) a statement of expenditure suarizing eligible expenditures paid during a stated period (Statement of Expenditure). In all cases, the borrower is responsible for retaining the original documents evidencing eligible expenditaures and making them available for audit or inspection. 4.4 The World Bank determines the types of supporting documentation that the borrower must provide, taking into cousideration the disbursement method used. The supporting documentation maybe the following: (a) For applications for Reimbursement (i) Interim Financial Reports, (in) Statements of Expenditure, or (iii) Records (b) For reporting on the use ofAdiances: (i) Interim Financial Reports, (ii) Statements of Expenditure, or (iii) Records (c) For apphcatons for Direct Parments: (i) Records such as copies of supplier invoices; (ii) a bank guarantee for advance or retention payment (d) For applications for Special Commitment Copy of the Letter of Credit (with valid expiry date) that the commercial bank, known as the opening bank, has issued. For payment, a SWIFT (Society for Worldwide Interbiank Telecommunication) message must be sent by the commercial bank; and (e) Any other supporting documentation that the World Bank may request by notice to the borrower or as specified in the Disbursement Letter. 4.5 Failure to Proide Audited Financial Slrements. If the borrower fails to provide any of the audited financial statements required in accordance with, and within the period of time specified in, the Financing Agreement, the World Bank may at its discretion, decide not to accept applications for withdrawal supported by Summary Reports, even if such reports are accompanied by Records. 5. Designated Accounts 4 Page 10 of 22 5.1 The borrower may open one or more designated accounts into which The World Bank may, at the borrower's request, deposit amounts withdrawn from the Financing Account for the purpose of paying for eligible expenditures as they ae incuned. Before IUe World Bank auiorizes establishment of a Designaied Account the borrower mst have adequate ahninistrative caabihty, internal controls, and accounking and anditing procednres to ensure effective use of the Designated Account. 5.2 The World Bank may decide not to pesit the use of Designated Accounts in new projects if the borrower has failed to rehnd undocumented advances in the Designated Account of any other loan to, or guaranteed by, the borrower within two months after the Disbursement Deadline Date for that loan. 53 ipe ofDesignated Account A Designated Account may be established in one of two ways - as a segregated account or pooled account as appropriate for the project concened, and as determined and notified by the World BaIk. (a) Segregated Account An account of the borrower into which only proceeds of the Financing Account may be deposited, (b) Pooled Account An account of the borrower into which the funds from the Financing Account and ftuids of other financing for the project (such as borrower resources or financing by other developmoent partners) may be deposited- 5.4 Currency of the Designated Account Designated Accounts uast be in a currency acceptable to the World Bank In countries that have a freely convertible currency, Designated Accounts may be held in the currency of the borrower or any freely convertible cuency. The World Bank may also agee to local curency Designated Accounts when, among other things, the country's currency (even if not freely convertible) is stable and the expenditures to be financed are primarily in local currency. Tie borrower bears al risks associated with foreign exchange fluctuations between (a) the currency of denominatin of the loan and that of the borrower's Designated Account, and (b) the currency of denomination of the borrower's Designated Account and the currency or currencies ofproject expenditures. 5-5 Financial Institution. Designated Accounts must be opened and maintained in a financial institution7 selected by the borrower and acceptable to the World Bank A financial institution is acceptable if it meets all the following requirements: (a) It is financially sound, (b) It is in good standing (c) It is authorized to maintain the Designated Account in the currency agreed between the World Bank and the borrower (d) It is audited regularly, and receive satisfactory audit reports; 7 A flmial unmituium may be to county's ctutral bank a local deeopmt bank cr a cMmrcial bank Page 11 of 22 (e) It can execute a large nmnber of transactions promptly; (f) It can satisfactonly perforn a wide range of baunking services (g) It can provide a detailed statement of the Designated Account; (h) It is part of a satisactory carespondent banking network; (i) It charges reasonable fees far its services. 5.6 The World Bak reserves the right not to transfr fonds to a financial institution if tat institution has asserted or asserts a claim to set ofE seize, or attach the proceeds of any Bank loan on deposit in a Designated Account maintained by the institution- 6. Ters and Conditions Applicable to Advances 6.1 Cealng. The Wold Bank notifies the borrower of the maxim amount of funds from the Financing Account that may be on deposit in a Designated Account (the Ceiling). The World Bank, at its discretion, may establish the Ceiling as either (a) a fixed amount, or (b) an amount that is adjusted from time to time during project implementation on the basis of penodic forecasts of project cash flow needs. 6.2 Aplieardens for Advances. The bonower may apply for an advance in an amount up to the Ceilng less the aggregate amount of those advances previdously received by the borrower for which the borrower has not yet provided supporting documenation Nonnally, to suppoct orderly closure of the Financing Account, the World Bank does not advance fiuds from the Financing Account into the Designated Account after the Closing Date. 63 Frequency of Rpoming ENgible Expenditures Paid from the Designated Account The borrower reports on the use of funds fram the Financing Account advanced to the Designated Account at intervals specified by the World Bank by notice to the banower The borrower must ensure that all amounts deposited into the Designated Account are accounted for and that their use is reported pnor to the Disbursement Deadline Date. Afer that date, the borrower must refuid to the Word Bank any advances still unaccounted for or remaiming in the Designated Account. 6.4 Hrkholding Adwnces. Ihe World Bank is not required to make any deposit into the Designated Account if any of the following conditions apply (a) The World Bank determines that payment of the deposit would result in exceeding the Ceiling (see subsection 6.2, Applications for Advances); (b) The World Bank is not satisfied that the borrower's planned project expenditures justify the deposit. The Wodd Bank may adjust the amount it deposits or withhold fither deposits into the Designated Account until it is satisfied that the financial needs of the project wwant further deposits; 6 Page 12 of 22 (c) The borower fails to take the action required pursumt to the deteminatinns made by the World Bank under subsections 7.1 and 7.2 of these gmidelnes; (d) The boamwer fail to provide ay of the audited snancial statenents requed in accoudance with, and within the penod of time specified in, the Financing Ape.ne~ (e) The World Bank determines that all fther withdrawals of fu from the Finring Acco~t shoukd be made by the borower directly fro the Financing Account; or (f) The World Bank bas notied the borrower of its intentin to suspend in whole or in part the bomrower's right to make withdawa from the Finnring Account. 6.5 Ecess Adwncers. If at my time the Wodd Bank determines diat any amount deposited in the Designated Account wil not be required to cover further psyments for eligible expenditures (the Excess Amount), it may, at its discretion, require the borrower to take one of the following two disbursement-related actions: (a) Provide evidence satisactory to the World Bank within a period specified by the World Bank that the Excess Amn~t will be used to pay for eligible expenditures. If the evidence is not fumished wihin the tåne pehod specified, the borrower most promptly refumd the Excess Amount to the World Bank; or (b) Refuad the Excess Amount pro~ptly. The borrower must perfom the action requested promptly after receiving notincation from the World Bank that it ust do so. 7. Ineligible Epenmditures 7.1 IneNgiblé Ependitures Generaiy. If the World Bank deemine that any amount of the izan from the Fnmneing Account was used to pay for an expenditure that is not eligible pursunt to the Fnancing Agrennt (an ineligible expenditure), the Wodd Bank may, at its discrtion, reqire the barower to take one of the folowing two dishursemen-elated actions, without prejudice to the Bank's right to exercise remedies under the General Conditions' or Standard Conditious' and Fmancäg Agreement (a) Refund an equvalent amount to the World Bank (b) Exceptionally, proide substiute docunentation evidencing other eligible The borrower must perfam the action requested promptly after receiving notification from the World Bank that it must do so. The Gnaon. Cud~g., wt fådh ernae and c-~is smaly apih to MRD lons ad IDA eudis and gr • . Sä..åd Ck.dm su f.th e.tn md -na-d* that e --"y appabe to hune f=ns and admesa bytheBuk m the Project PparatianFacliy. Page 13 of 22 7.2 Inegibie Expenditures Paid from the Designated Account If the World Bank determmes that any payment out of the Designated Account was not justified by the evidence fumished to dke World Bank or was made for an meligible expenditure, the World Bank may, at its discretio. require the borrower to take one of the following actions. (a) Provide the additional evidence requested by the World Bank (b) Deposit an equivalent amount into the Designated Account (c) Refund an equivalent amount to the World Bank (d) Exceptioally, provide substitute documentation evidencing other eligible expenditures. The borrower nst perform the action requested promptly after receiving notification from the World Bank that it must do so. 8. Refunds 8.1 Borrowr Decision to Reftnd The borrower may, upon notice to the World Bank, reffund all or any amount of the loan on deposit in the Designated Account to the World Bank for credit to the Finincing Account. 82 Conseueence of Refunds. The World Bank shall detesmine whether refunds made to the World Bank in accordance with sections 6 and 7 and subsection 8.1 of these guidelines will be credited to the Financing Account. Refunds of funds into the Financing Account may result in (a) swap termination fees (b) unwinding costs for amounts for which the interest rate basis or casency has been converted or hedged, (c) both. 8.3 Other Rights and Offiptions Unaffected [' Refunds. Refunds of loan amounts do not affect other legal rights and obligations of the parties under the Financing Agreement- Page 14 of 22 Attachment 2 Form of Authorized Signatory Letter [Letterhead] Ministry of Finance [Street address] [City] [Country] [DATE] The World Bank 8th Floor 63 Ly Thai To Street Ha Noi, Vietnam Attention: Country Director Dear Country Director: Re: GFDRR Grant No. -VN (Emergency Natural Disaster Reconstruction Project) I refer to the Letter Agreement ("Agreement") between the Socialist Republic of Vietnam ("Recipient") and the International Bank for Reconstruction and Development/International Development Association ("World Bank")], acting as administrator of grant funds provided by various donors under the Global Facility for Disaster Risk Reduction and Recovery trust fund, dated , providing the above Grant. For the purposes of Section 3.04 (b) of the Standard Conditions, as defined in the Agreement, any ['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. For the purpose of delivering Applications to the World Bank, 2[each] of the persons whose authenticated specimen signatures appears below is authorized on behalf of the Recipient, acting 3[individually] 4[jointly], to deliver Applications, and evidence in support thereof on the terms and conditions specified by the World Bank. 5[This confirms that the Recipient is authorizing such persons to accept Secure Identification Credentials (SIDC) and to deliver the Applications and supporting documents to I Instruction to the Recipient when sending this letter to the World Bank: Stipulate if more than one person needs to sign Applications, and how many or which positions, and if any thresholds apply. Please delete this footnote in final letter that is sent to the World Bank. 2 Instruction to the Recipient: Stipulate if more than one person needs to jointly sign Applications, if so, please indicate the actual number. Please delete this footnote in final letter that is sent to the World Bank. 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 this footnote in final letter that is sent to the World Bank. 4 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 this footnote in final letter that is sent to the World Bank. Page 15 of 22 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 Identification Credentials in connection with Use of Electronic Means to Process Applications and Supporting Documentation ("Terms and Conditions of Use of SIDC"), the Recipient 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. [Name], [position] Specimen Signature: [Name], [position] Specimen Signature: [Name], [position] Specimen Signature: Yours truly, / signed / [Position] 5 Instruction to the Recipient: Add this paragraph if the Recipient wishes to authorize the listed persons to accept Secure Identfication Credentials and to deliver Applications by electronic means; if this is not applicable, please delete the paragraph. Please delete this footnote in final letter that is sent to the World Bank. Page 16 of 22 Attachment 3 Terms and Conditions of Use of Secure Identification Credentials in connection with Use of Electronic Means to Process Applications and Supporting Documentation March 1, 2013 The World Bank (Bank)' will provide secure identification credentials (SIDC) to permit the Borrower2 to deliver applications for withdrawal and applications for special commitments under the Agreement(s) and supporting documentation (such applications and supporting documentation together referred to in these Terms and Conditions of Use as Applications) to the Bank electronically, on the terms and conditions of use specified herein. SIDC can be either: (a) hardware-based (Physical Token), or (b) software-based (Soft Token). The Bank reserves the right to determine which type of SIDC is most appropriate. A. Identification of Users. 1. The Borrower will be required to identify in a completed Authorized Signatory Letter (ASL) duly delivered to and received by the Bank each person who will be authorized to deliver Applications. The Bank will provide SIDC to each person identified in the ASL (Signatory), as provided below. The Borrower shall also immediately notify the Bank if a Signatory is no longer authorized by the Borrower to act as a Signatory. 2. Each Signatory must register as a user on the Bank's Client Connection (CC) website (https://clientconnection.worldbank.org) prior to receipt of his/her SIDC. Registration on CC will require that the Signatory establish a CC password (CC Password). The Signatory shall not reveal his/her CC Password to anyone or store or record the CC Password in written or other form. Upon registration as a CC user, the Signatory will be assigned a unique identifying account name. B. Initialization of SIDC. 1. Prior to initialization of SIDC by a Signatory, the Signatory will acknowledge having read, understood and agreed to be bound by these Terms and Conditions of Use. 2. Where a Physical Token is to be used, promptly upon receipt of the Physical Token, the Signatory will access CC using his/her account name and CC Password and register his/her Physical Token and set a personal identification number (PIN) to be used in connection with the use of his/her Physical Token, after which the Physical Token will be initialized for use by the Signatory exclusively for purposes of delivering Applications. Where a Soft Token is to be used, the "Bank" includes IBRD and IDA. 2 "Borrower" includes the borrower of an IBRD loan, IDA credit, or Project Preparation Facility advance and the recipient of a grant. Page 17 of 22 Signatory will access CC using his/her account name and CC Password and set a personal identification number (PIN) to be used in connection with the use of his/her Soft Token, after which the Soft Token will be initialized for use by the Signatory exclusively for purposes of delivering Applications. Upon initialization of the SIDC, the Signatory will be a "SIDC User". The Bank will maintain in its database a user account (Account) for each SIDC User for purposes of managing the SIDC of the SIDC User. Neither the Borrower nor the SIDC User will have any access to the Account. 3. Prior to first use of the SIDC by the SIDC User, the Borrower shall ensure that the SIDC User has received training materials provided by the Bank in use of the SIDC. C. Use of SIDC. 1. Use of the SIDC is strictly limited to use in the delivery of Applications by the SIDC User in the manner prescribed by the Bank in the Agreement(s) and these Terms and Conditions. Any other use of the SIDC is prohibited. 2. The Bank assumes no responsibility or liability whatsoever for any misuse of the SIDC by the SIDC User, other representatives of the Borrower, or third parties. 3. The Borrower undertakes to ensure, and represents and warrants to the Bank (such representation and warranty being expressly relied upon by the Bank in granting SIDC) that each SIDC User understands and will abide by, these Terms and Conditions of Use, including without limitation the following: 4. Security 4.1. The SIDC User shall not reveal his/her PIN to anyone or store or record the PIN in written or other form. 4.2. The SIDC User shall not allow anyone else to utilize his/her SIDC to deliver an Application to the Bank. 4.3. The SIDC User shall always logout from CC when not using the system. Failure to logout properly can create a route into the system that is unprotected. 4.4. If the SIDC User believes a third party has learned his/her PIN or has lost his/her Physical Token he/she shall immediately notify clientconnection@worldbank.org. 4.5. The Borrower shall immediately notify the Bank at clientconnection@worldbank.org of any lost, stolen or compromised SIDC, and take other reasonable steps to ensure such SIDC are disabled immediately. 5. Reservation of Right to Disable SIDC 5.1. The Borrower shall reserve the right to revoke the authorization of a SIDC User to use a SIDC for any reason. 5.2. The Bank reserves the right, in its sole discretion, to temporarily or permanently disable a SIDC, de-activate a SIDC User's Account or both. Page 18 of 22 6. Care of Physical Tokens 6.1. Physical Tokens will remain the property of the Bank. 6.2. The Bank will physically deliver a Physical Token to each Signatory designated to receive one in a manner to be determined by and satisfactory to the Bank. 6.3. Physical Tokens contain delicate and sophisticated instrumentation and therefore should be handled with due care, and should not be immersed in liquids, exposed to extreme temperatures, crushed or bent. Also, Physical Tokens should be kept more than five (5) cm from devices that generate electromagnetic radiation (EMR), such as mobile phones, phone-enabled PDAs, smart phones and other similar devices. Physical Tokens should be carried and stored separate from any EMR device. At close range (less than 5 cm), these devices can output high levels of EMR that can interfere with the proper operation of electronic equipment, including the Physical Token. 6.4. Without derogating from these Terms and Conditions of Use, other technical instructions on the proper use and care of Physical Tokens are available at http://www.rsa.com. 7. Replacement 7.1. Lost, damaged, compromised (in terms of 4.5, above) or destroyed Physical Tokens will be replaced at the expense of the Borrower. 7.2. The Bank reserves the right, in its sole discretion, not to replace any Physical Token in the case of misuse, or not to reactivate a SIDC User's Account. Page 19 of 22 Attachment 4 9ttee of EXPn~seSE Pryment made during the period from to The following ependtures have Incurred during the retroctve financng period (pleas. tick) lYe INO 41: ...........................................................~..................................y lie following expeditures have Incurred during before the dosing date of the loen/redit/grant (please tick) lYfs [No e 1 2 3 4 s - 7 a 5 10 11 12 13 14 Prior Contra # w= n éfunt 1111 DesafpUo ft~~ Cwol~ c-~& I~ DRI te upi' Nam (Ckiet ~nt cvered by % F-ianced 13111xange De mo thdnm moCount (oCoignal + n Appe (net byie an rue rw = *or Pror mndmnts) ,, the Desgnatd Desgnae (YES OrN O) Refw Aout AOUn c a (Col 9 x 10) (Col1I2) 00. TOTAL 0.00 Spri documenle Fr tha SCE ra retaintd a A asparale form shoad b. u.ed fo rraciv ~ nenr A saprbte fm shoed e usd f ach~ categoy Page 20 of 22 Attachment 5 For period from_ DISBURSEMENT FORECAST FOR PAYMENT TO BE PAID FROM to DESIGNATED ACCOUNT Project name: Original forecast: Y/N IDA Credit No.: Forecast number: Item Supplier WB Contract No Package Date of Amount Forecast Remarks No names/Expenditure control and date Association's amount (est. in types (training and No No objection USD equiv.) workshops, sub- (Y/N) grants, IOCs, etc) USD VND Others 1 ABC 123456 xxx xxx 2 xxx XXX 3 xxx xxx 4 xx xxx xxx 5 Total 3 months forecasted amount to be paid by the Association xxx 6 Less: Closing balance of previous quarter which should not be greater than USD 3 Millions xxx 7 Less: Amount paid but not yet documented at the time of report 8 Amount to be advanced during the next 3 months (8=5-6-7) xxx 9 Amount requested in this application xxx 10 Amount is available to advance under this forecast (10=8-9) xxx * Notes: (*) Bank Statement must be submitted as supporting document (**) This forecast can be used for the next advance but within the same forecast period During forecast period, Pro]ect can change the forecast amount if the cash requirement is greater than the initial needs. The same forecast number and period is used PIU director signature Page 21 of 22 Attachment 6 STATEMENT OF DESIGNATED ACCOUNT RECONCILIATION Used for transaction based disbursement with variable DA ceiling GFDRR Grant Number Forecast number: _ period from_ to Account number: Bank name: 1. Cumulative advances to end of current reporting period 2. Less: Cumulative documented to end of last reporting 3. Equals: Present outstanding amount advanced to designated account 4. Balance of Special Account per attached bank statement as of 5. + Total amount claimed in this application (Application no 6. + Amounts not yet credited to account at date of bank statement from past applications (Enter application numbers below) 7. - Interest earned 8. + Total amount withdrawn and not yet claimed (Enter explanations below) 9. Total Advance accounted for (#s 4 through 8) 10. Difference to be explained 11. Explanation of any difference between the totals appearing on lines 3 and 9 Example First advance for period from to forecast number : Total Advanced Accounted For 12. Unclaimed amount without explanation 13. Project Supervisor's signature and date Page 22 of 22