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Please check the following required fields:
Institution Information
Name of Financial Institution:
Address Line 1:
Address Line 2:
City:
State:
Zip:
Contact Person Information
Name:
Title:
Address:
Address Line 2:
City:
State:
Zip:
Email:
Phone:
Fax:
Program(s) Interested in Using
CalCAP for Small Business
CalCAP Collateral Support
CalCAP California Air Resource Board
CalCAP EVCS
CalCAP ADA
CalCAP Seismic Safety
Type of Institution:
Please Select
Consortium
Credit Union
Credit Union/CDFI
Federal Bank
Federal Non Profit CDFI
Finance Lender
Microlender
Other CDFI
Savings Association
SBA Agreement/SBIC
State Bank
Combined capital and surplus at most recent fiscal year end:
Number of lending branches:
Regulatory Agency:
Insuring Agency:
Please describe the Board of Directors, including number of members, ethnicity and gender.:
Per Section 8071 of the CPCFA Regulations, by enrolling as a CalCAP Financial Institution:
The applicant certifies that the applicant Financial Institution is not subject to a cease and desist order or other regulatory sanction with the appropriate federal or state regulatory body, which would impair its ability to participate in the Program.
The Financial Institution agrees to follow the Program’s procedures as set forth in the Law and the regulations regarding the Capital Access Program for Small Businesses.
The Financial Institution agrees to permit an audit of any of its records relating to ENROLLED Qualified Loans, during normal business hours on its premises, by the Authority or its agents, and to supply such other information concerning ENROLLED Qualified Loans as shall be requested by the Executive Director.
The Financial Institution acknowledges that the Authority and the State will have no liability to the Participating Financial Institution under the Program except from funds deposited in the Loss Reserve Account for the Participating Financial Institution.
The lender certifies that there have been no changes to the status of the financial institution since the original application that was submitted to CalCAP for approval, if this is an amended application, unless explained in a separate document on the Participating Financial Institution’s letterhead.
Note: all capitalized terms are defined in Section 8070 of the CPCFA Regulations.
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