Official-Documents-Disbursement-And-Financial-Information-Letter-For-Grant-No-D745-ET
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Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized - 4 - Schedule 1 : Disbursement Provisions Basic Information Country Federal Democratic Republic of Closing Date Section III.B.2. of Schedule 2 to the Ethiopia Financing Agreement. Grant No. D745-ET Recipient Federal Democratic Republic of and and Ethiopia Credit No. 6798-ET Name of the Project Strengthen Ethiopia’s Adaptive Safety Disbursement Four months after the closing date. Net Project Deadline Date Subsection 3.7 ** Disbursement Methods and Supporting Documentation Disbursement Methods Methods Supporting Documentation Section 2 (**) Subsections 4.3 and 4.4 (**) Direct Payment Yes Copy of records Reimbursement Yes Interim unaudited Financial Report (IFR) in the format provided in Attachment 2 of the DFIL- IPF Interim unaudited Financial Report (IFR) in the format provided in Attachment 3 of the DFIL-PBC Advance (into a Designated Yes Interim unaudited Financial Report (IFR) in the format provided in Attachment 2 of the DFIL-IPF Account) Interim unaudited Financial Report (IFR) in the format provided in Attachment 3 of the DFIL-PBC Special Commitments Yes Copy of Letter of Credit Designated Account (Sections 5 and 6 **) Segregated Variable- category 2 & 3 Type DA A- IPF- category 2 & 3 Ceiling Fixed – category 4 DA-B- linked to category 4-CERC component Financial Institution – National Bank of Ethiopia (NBE) USD Currency Name Quarterly DA A- Based on up to 6 months cash forecast as per detail provided in the IFR Frequency of Reporting Amount DA B- Up to the amount allocated to Subsection 6.3 (**) category 4 Minimum Value of Applications (subsection 3.5) The minimum value of applications for, Direct Payment and Special Commitment is USD200,000 equivalent. Authorized Signatures (Subsection 3.1 and 3.2 **) The form for Authorized Signatories Letter is provided in Attachment 1 of this letter Withdrawal and Documentation Applications (Subsection 3.3 and 3.4 **) (i) Authorized Signatures A letter in the Form attached (Attachment 1) 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: (ii) Applications. Please provide completed and signed (a) applications for withdrawal, together with supporting documents, to the address indicated below: - 5 - The World Bank, Loan Department, Delta Center, 13th Floor, Upper Hill, Menengai Road, Nairobi, Kenya. Tel: 254 20 2936 000 Attention: Loan Department Additional Instructions Other ** Sections and subsections relate to the “Disbursement Guidelines for Investment Project Financing”, dated February 2017 . - 6 - Attachment 1 Form of Authorized Signatory Letter [Letterhead] Ministry of Finance [Street address] [City] [Country] [DATE] International Development Association 1818 H Street, N.W. Washington, D.C. 20433 United States of America Re: Grant No. D745-ET and Credit No. 6798-ET (Strengthen Ethiopia’s Adaptive Safety Net Project) Attention: _______________________, Country Director I refer to the Financing Agreement (“Agreement”) between the International Development Association (the “Association”), and Federal Democratic Republic of Ethiopia (the “Recipient”), dated _______, providing the above Credit. For the purposes of Section 2.03 of the General Conditions as defined in the Agreement, any 1[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 Credit. For the purpose of delivering Applications to the Association, including by electronic means, 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 Association. 1 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 this footnote in final letter that is sent to the Association. 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 Association. 3 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 Association. 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 Association. - 7 - This confirms that the Recipient is authorizing such persons to accept Secure Identification Credentials (SIDC) and to deliver the Applications and supporting documents to the Association by electronic means. In full recognition that the Association 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 Association that it will cause such persons to abide by those terms and conditions. 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 Interim unaudited Financial Statements Strengthen Ethiopia's Adaptive Safety Net Project Interim Unaudited Financial Report Content 1 Discussion of Financial performance, Notes & Explanations 2 Consolidated Statement of Sources and Uses of Fund 3 Consolidated Expenditure summary 4 Expenditure summary by Category 5 Expenditure summary Project Life 6 Expenditure Apportionment sheet 7 PBC Tracking Sheet 8 PBC eligible expenditure documentation sheet 9 Expenditure documentation reconciliation 10 Fund flow statements 11 Designated account reconciliation 12 Statement of cash movement for implementers 13 Regional fund utilization report 14 Expenditure forecast and cash requirement 15 Other supporting schedules - 9 - Strengthen Ethiopia's Adaptive Safety Net Project (SEASN) Sources & Uses of Funds (in Ethiopian Birr) For The Quarter Ended ------ Brought Forward (Pr Current Current Year Cumulative- Particulars evious Quarter Cumulative Project life Cumulative) Opening Balance Designated Account Designated USD Acct - IDA Designated USD Acct. - CERC Trust Funds DFID Irish Aid Pooled Birr Account at Federal - Core activities Pooled Birr Account at Federal - Shock Responsiveness +CERC Bank Balance at Implementing Entities MoF FSCD MOLSA NDRMC Oromia Region ( Birr Acct. ) Amhara Region ( Birr Acct. ) SNNP Region ( Birr Acct. ) Tigray Region ( Birr Acct. ) Afar Region ( Birr Acct. ) Somali Region ( Birr Acct. ) Harari Region ( Birr Acct. ) Sidama Region (Birr Acct.) Dire Dewa CA ( Birr Acct. ) Cash On Hand Balance at Federal and Regional Advance at Federal and Regional Payables at Federal and Regional Total Opening Balance Add: Sources IDA - 10 - CERC Trust Funds DFID Irish Aid Other DPs Government Contribution Total Source For the Period Total Available Fund For The Period Less : Program Expenditures Total Expenditures Total Available Fund Less Total Expenditures Foreign currency difference Net Fund Available Ending Balance Designated Account Designated USD Account - IDA Designated CERC Account Trust Funds DFID Irish Aid Other DPs Pooled Birr Account at Federal - Core activities Pooled Birr Account at Federal - Shock Responsiveness +CERC Bank Balance at IEs MoF FSCD MOLSA NDRMC Oromia Region ( Birr Acct. ) Amhara Region ( Birr Acct. ) SNNP Region ( Birr Acct. ) Tigray Region ( Birr Acct. ) Afar region (Birr Acct) Somali region (Birr Acct.) Harari Region ( Birr Acct. ) - 11 - Sidama Region ( Birr Acct. ) Dire Dewa CA ( Birr Acct. ) Cash On Hand Balance at Federal and Regional Advance at Federal and Regional Payables at Federal and Regional Total Ending Balance - - - - NOTES: I - The amounts are drawn from the ledger accounts of the program Approved By Prepared By __________________________ Signature Signature ___________________________ ___________________________ Date - 12 - Strengthen Ethiopia's Adaptive Safety Net Project (SEASN) Sources & Uses of Funds (in USD/ETB) For The Quarter Ended ------ Brought Forward (Prev Current Cumulative Cumulative- Particulars ious Quarter (Year to date) Project life Cumulative) Opening Balance Designated Account /III Designated USD Acct - IDA Designated USD Acct. - CERC Trust Funds DFID Irish Aid Pooled Birr Account at Federal - Core activities Pooled Birr Account at Federal - Shock Responsiveness +CERC Bank Balance at Implementing Entities MoF FSCD MOLSA NDRMC Oromia Region ( Birr Acct. ) Amhara Region ( Birr Acct. ) SNNP Region ( Birr Acct. ) Tigray Region ( Birr Acct. ) Afar Region ( Birr Acct. ) Somali Region ( Birr Acct. ) Harari Region ( Birr Acct. ) Sidama Region (Birr Acct.) Dire Dewa CA ( Birr Acct. ) Cash On Hand Balance