12-13-2021 FINAL Packet - Laserfiche WebLink

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B-1 EXHIBIT B FORM OF DISBURSEMENT REQUEST FROM THE CONSTRUCTION FUND U.S. Bank National Association, as Trustee 10 West Market Street, Suite 1150 Indianapolis, Indiana 46204 Attention: Corporate Trust Department Re: Requisition No. __ Disbursement of Funds from the Construction Fund Pursuant to Section 4.5 of the Trust Indenture, dated as of March 1, 2022 (the “Indenture”), between the City of South Bend, Indiana (the “Issuer”), and U.S. Bank National Association, Indianapolis, Indiana, as trustee (the “Trustee”), the undersigned, as an Authorized Representative of the Corporation, hereby requests the Trustee to pay to the Corporation or to the person(s) listed on the disbursement schedule attached hereto (the “Disbursement Schedule”) out of the moneys on deposit in the Construction Fund (the “Construction Fund”), the aggregate sum of $___________, for the purpose of paying such person(s) or to reimburse the Corporation in full, as indicated in the Disbursement Schedule and in accordance with the Financing Agreement, for advances, payments and expenditures made by it in connection with the items listed in the Disbursement Schedule. In connection with this request, the undersigned hereby certifies, represents and warrants that: 1. Each item for which disbursement is requested hereunder is properly payable out of the Construction Fund in accordance with the terms and conditions of the Financing Agreement, and none of those items has formed the basis for any disbursement heretofore made from the Construction Fund. 2. Each such item is or was necessary in connection with the acquisition, construction, equipping, installation or improvement of the property constituting the Project. 3. The disbursement hereby requested will be used to pay such person(s), or to reimburse the Corporation in full, for each item that has formed the basis of this request as described on the Disbursement Schedule attached hereto. 4. This request constitutes the approval of the Corporation of each disbursement hereby requested. 5. This request and all invoices and other documentation attached hereto has been provided to an authorized representative of the Issuer for review and approval.