Certification of type B(i) (cash) contingent assets 2016/17 Scheme name: Test Defined Benefit Scheme for Contingent Asset PSR number: 10040600 Certificate number: 3987 Date certified: 27 January 2016 Time certified: 5:00 PM Printed by: Andy Sayers If this contingent asset has not been recognised by the Board of the Pension Protection Fund for the purposes of the previous levy year, you must send the following hard copy documents to the Board: • • • • • a certified copy of the account security agreement a blacklined document showing the changes from the Pension Protection Fund’s required form or confirmation that there are no changes to the required form a copy of the legal opinion and any officer's certificate a copy of the bank statement referred to in part (e) of the certificate a copy of this certificate For all new contingent assets, the Board will require evidence that the benefit to the chargor of entering into the contingent asset agreement has been considered and established. If this contingent asset has been recognised by the Board of the Pension Protection Fund for the purposes of the previous levy year, you must send the following hard copy documents to the Board: • • • if the account security agreement has been amended since you last sent a copy to the Board, a certified copy of the amended account security agreement or the amending document a copy of the bank statement referred to in part (e) of the certification if you are sending any hard copy documentation, a printed copy of this certificate for identification purposes All documents must be received by the Board no later than midnight on 31 March 2016. The address to send your documentation to is: Pension Protection Fund, Renaissance, 12 Dingwall Road, Croydon, Surrey, CR0 2NA Date printed: 27 January 2016 Certificate Number: 3987 Date printed: 27 January 2016 Page 2 of 5 Basic details Scheme name Test Defined Benefit Scheme for Contingent Asset PSR number 10040600 Type of voluntary certificate Contingent assets - type B(i) (cash) Voluntary certificate number 3987 Levy year (to be applied to) 2016/17 Date certified 27 January 2016 Chargor details Name of chargor Chargor Name Type of organisation Private limited company Registration number 12345678 Registered office address (or equivalent) The Pensions Regulator Napier House Trafalgar Place BRIGHTON BN1 4DW United Kingdom Bank details Name of account bank Bank Account Name Country of domicile United Kingdom Regulated by Regulator Moody’s rating AAA Standard & Poor’s rating AA Fitch rating A+ PSR Number: 10040600 Certificate Number: 3987 Date printed: 27 January 2016 Page 3 of 5 Contingent asset details Effective date 31 March 2014 Statement date of cash balance 20 January 2016 Cash balance in charged account £100000.00 Chargor’s maximum liability as A fixed amount. set out in the security agreement Amount PSR Number: 10040600 £100000.00 Certificate Number: 3987 Date printed: 27 January 2016 Page 4 of 5 Certification Certification (a) I confirm that I am authorised by and on behalf of the trustees or managers of the scheme/section to complete this certificate. Certification (b) I confirm that the Chargor has entered into a security agreement in respect of a bank account in favour of a scheme/section as detailed above. Certification (c) I confirm that the security agreement: i) is a legally binding, valid and enforceable obligation of the Chargor; ii) has been properly registered as required by the Companies Act 1985 or any other applicable legislation; iii) is in the Pension Protection Fund’s required form for such documents (as published on its website as at the date on which the security agreement was entered into), subject only to variations which have been or will be notified to the Board of the Pension Protection Fund no later than midnight on 31 March 2016, and which do not have a materially detrimental effect on the rights of the trustees as compared with the required form; iv) creates a first priority legal mortgage or fixed charge in favour of the trustees of the scheme/section over all amounts standing to the credit of the bank account referred to above, and such amounts are not subject to any prior or pari passu security interest; and v) secures the liability to the scheme/section of, and can be enforced upon the occurrence of an Insolvency Event (as defined in the security agreement) in respect of any of the employers listed in Schedule 1 to the security agreement, which schedule lists every undertaking which is both (A) an “associate” of the Chargor within the meaning set out in Section 435 of the Insolvency Act 1986, and (B) an “employer” in relation to that scheme/ section within the meaning set out in Section 318 of the Pensions Act 2004 and regulations made thereunder. Certification (d) I confirm that the declarations made in (c)(i)-(v) above are given on the basis of a legal opinion received from an appropriately qualified person and are made subject only to the assumptions and qualifications specified in that opinion. Certification (e) I confirm that the credit balance on the charged account as at the date specified under "Cash balance" was as stated there, no withdrawals have been made since that date and a copy of a bank statement verifying such balance has been or will be sent to the Board of the Pension Protection Fund no later than midnight on 31 March 2016. Certification (f) I confirm that I am aware of the "Guidance in relation to contingent assets" published by the Board of the Pension Protection Fund on its website. Certification (g) I confirm that I have notified the Board of the Pension Protection Fund of any attempt that has been made to enforce the security created by the security agreement. PSR Number: 10040600 Certificate Number: 3987 Date printed: 27 January 2016 Page 5 of 5 Certification (h) I confirm that the information contained within this certificate is complete and accurate, and the trustees or managers (as the case may be) of the scheme/section undertake to notify the Board of the Pension Protection Fund promptly if the terms of the contingent asset are amended in any respect, the contingent asset is terminated or if any of the information in this certificate otherwise ceases to be true and correct on or before 31 March 2017. Certification (i) I am aware that it is a criminal offence under section 80 of the Pensions Act 2004 for any person knowingly or recklessly to provide false or misleading information to the Regulator in circumstances in which the person providing the information intends or could reasonably be expected to know, that it would be used by the Regulator for the purposes of exercising its functions. I am also aware that it is a criminal offence under section 195 of the Pensions Act 2004 for any person knowingly or recklessly to provide false or misleading information to the Board of the Pension Protection Fund in circumstances in which the person providing the information intends or could reasonably be expected to know, that it would be used by the Board of the Pension Protection Fund for the purposes of exercising its functions. Certification (j) The Contingent Asset is given / purchased by an entity which is an Employer’s Associate, and where that is by virtue of paragraph 4(5)(b) of the Contingent Asset Appendix evidence will be (or has been) provided to the Board no later than midnight on 31 March 2016, as to the details of the relationship between the Guarantor, Chargor or Purchaser and the Scheme Employer and the reason for giving / purchasing the Contingent Asset. PSR Number: 10040600 Certificate Number: 3987