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- iii -<br />

Debenture Trust Deed Page iii<br />

FOURTH SCHEDULE<br />

<strong>REPORT</strong>ING CERTIFICATE<br />

I, [name] the Chief Executive of Kapiti Coast District Council (the Council) hereby certify to<br />

the best of my knowledge and belief for the purposes of the Debenture Trust Deed dated<br />

on or about [ ] (the Trust Deed):<br />

*1. Since the date on which the last Reporting Certificate containing this certification was<br />

given [or in the case of the first Reporting Certificate, since the date of the Trust<br />

Deed]:<br />

(a) all interest due on the Stock [has/has not] been paid;<br />

(b) all Stock which has fallen due for repayment [has/has not] been repaid:<br />

[details of any non-payment];<br />

(c) [no/the following] Enforcement Event has occurred and remains<br />

unremedied:<br />

[details of any Enforcement Event].<br />

*2. As at [the end of the financial year of the Council or other date in respect of which the<br />

Reporting Certificate is being given] the total amount of Stock issued and<br />

outstanding under the Trust Deed (showing separately the respective nominal<br />

amounts) is as follows:<br />

(i) Debenture Stock of:<br />

(ii) Security Stock (issued with a fixed nominal<br />

amount) of:<br />

[(iii) Bearer Stock of:<br />

[together with:<br />

(iv) Security Stock (issued with a floating nominal amount), which<br />

as at [date] (being no more than 5 business days before the<br />

date of this certificate) amounted to:<br />

[specify for each currency]<br />

KCDC_n367613_v1_Fin-13-825_Appendix_1_Copy_of_Report_Fin-12-593_from_28_June_Council © Simpson Grierson<br />

$<br />

$<br />

$ ]<br />

*3. The Council [has/has not] complied with the Act in connection with the Trust Deed,<br />

the Registrar and Paying Agreement, and any borrowing documentation which the<br />

Council has entered into under, in accordance with or secured by the Trust Deed.<br />

[detail of any non-compliance]<br />

4. On the basis of such information as to the financial position and prospects of the<br />

Council as is generally received by me in my capacity as Chief Executive<br />

(including reports from the Council's financial managers), I am not aware of any<br />

reason why the Council will not be able to meet its liabilities in relation to Stock<br />

and interest thereon which are anticipated to fall due or to become payable during<br />

the twelve months from the date of this Certificate.<br />

5. [For the purposes of paragraph [4] of this Certificate, I have considered in particular:

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