Environmental Credit Risk Management Standards and Procedures

12. Appendix 2: Environmental Site Inspection

The Environmental Site Inspection (ESI) form is to be completed by the Borrower and Lender to provide
environmental information regarding each property offered as security when the collateral charge is under
$3 million. The Lender must ensure that the Borrower and Lender declarations are appropriately executed.
If issues of concern are identified using the ESI, a Phase I ESA will also be required (see Section 5.2.1.)
The ESI may also be used when the need arises for an environmental evaluation that falls outside the scope
of the Environmental Credit Risk Management Standards and Procedures (Standards and Procedures).

Note Regarding Specified Risks: If the subject property falls within the definition of a Specified
Risks site, then a current Phase I Environmental Site Assessment (ESA) is also required. Specified
Risks include current or former on-site or adjacent dry cleaners, gas stations, marinas, other bulk
fuel storage or distribution systems, and sites with underground storage tank systems. Refer to
Section 5.3 of the Standards and Procedures for further guidance.)

Instructions for Completion:

• The ESI must: be completed by the Borrower and the Lender; be performed in conjunction with current
observations of the condition of the property; and reflect an understanding of the current status of
environmental records, certificates, licenses and third-party agreements.
• Separate ESIs are required for each property offered by the Borrower as collateral security.
• Lenders must provide representative photographs of the subject property and adjacent sites as an
integral part of the ESI. The photographs must be dated and labeled with the site description and the
view presented.
• The ESI declaration must be signed and dated by the Borrower or an officially authorized representative
of the Borrower.

Section 1: General Information

Name of Borrower or Borrowing Entity:
CIBC Relationship Manager: Philip Brennauer, Business Advisor
Date of Report:

Property Address: Unit 1306 – 605 Longfields Drive

Ottawa, ON

Describe current activities and Leased to 10828998 Canada Inc.

operations on subject site: Multi-purpose (Cultural, religious and educational activities)
& Indo-African Asian grocery
Property Size (specify acres, 1165 sqft.
hectares, square feet or
square metres):

Type of Buildings on Property: Building Levels Levels Building Size Year

above below Constructed
Single N/A
grade grade
unit
N/A N/A

1.
2.
3.

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Section 2: Background and Historical Site Information

1. How long has the Borrower owned the property?
Since March 12th, 2020

2. What is the drinking water source for the property?

• Municipality Tap water

3. To the best of your knowledge, please respond to the following historical information questions:

What are the previous uses of the property over the past 50 years?

New property (2020)

• Was the property used as a gas station, dry cleaner, landfill/dump, quarry, waste treatment site
or for heavy industrial use?

- N/A

• Were aboveground or underground storage tanks for petroleum products or other liquid
chemicals located at the property?

- N/A

• Was an oil/water separator ever used at the property?

- N/A

• Were other hazardous chemicals (pesticides, herbicides, fertilizer) stored in bulk quantities at
the property?

- N/A

• What are the historical heating sources for buildings on the property (other than natural gas)?

- N/A

• Was any fill material accepted onto the site for infill or grade level changes?

- N/A

• Have previous structures existed on the site? If so, please describe previous building uses.

- N/A

4. Were any environmental investigations performed as part of acquisition due diligence for the property?

- No

5. Have any environmental investigations been performed since acquiring the property?

- No

6. Have any environmental investigations indicated the presence of contaminants at the property?

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Environmental Credit Risk Management Standards and Procedures

- No

• If yes, was further assessment and/or remediation of contaminants necessary? (Yes/No/Not

Applicable)
• If yes, was remediation performed and completed? (Yes/No/Not Applicable)
• If yes, please provide copies of remediation reports.

Section 3: Current Site Information and Observations

1. Are there currently any aboveground or underground storage tanks for petroleum products or other
liquid chemicals located at the property? (Yes/No) If yes, please describe for each tank: No

• Capacity, construction material and year of manufacture;

• Contents;
• If the tank is equipped with secondary containment.
_______________________________________________________________________________
_______________________________________________________________________________
2. Are hydraulic elevating devices used at the property (e.g. hoists, elevators, loading dock lifts)?

- No

3. Are spray paint booths operated at the property?

- No

4. Are any industrial drums or bulk containers of chemicals, pesticides, herbicides, fertilizer, paints,
solvents etc. located on the property?

- No

5. Are production chemical and waste chemical storage areas equipped with secondary containment (e.g.
spill pans, dyked storage rooms, double-wall tanks) and protected from vehicular impact?

- No

6. Is the property equipped with emergency power generating systems with associated fuel storage?

- Yes

7. Are there any environmentally-related easements, rights-of-way, etc., associated with or adjacent to the
property (e.g. petroleum/gas wells, underground pipelines)?

- No

8. Are any waste pits, floor sumps, cisterns, waste treatment facilities or waste treatment ponds/lagoons
on the property?

- No

9. Are oil/water separators currently in use on the property?

- No

If so, please describe:

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Environmental Credit Risk Management Standards and Procedures

• Whether the interceptor is connected to a sanitary sewer or a septic system: Directly

connected to the municipal sewer system.
• How frequently the interceptor is inspected: Daily
• How frequently the contents are removed for disposal: Monthly, or more frequently as required.

10. Are any damaged or discarded automobile components, industrial batteries, chemicals or paint
containers located on the property?

- .- No

11. Is there any evidence of stained asphalt, concrete, gravel, damaged or dead vegetation or other
evidence of spills or leaks observed on the property?

- No

12. Are any unusual or noxious odours evident?

- No

13. Is there evidence of any vent pipes, fill pipes, fuel pumps or other indications of current or historical
underground storage tanks?

- No

14. Is there evidence of groundwater monitoring wells on the property or observed on nearby properties? (

- No

15. Is the property adjacent or nearby to any gas stations, bulk petroleum or chemical storage and handling
facilities, dry cleaners, landfills/dumps, quarries, waste treatment sites or heavy industry?

- No

16. Is the property adjacent or nearby to properties where improper storage, dumping, spillage, or leaks
have been observed?

- No

Section 4: Regulatory and Operational Compliance Management

1. Is there an officer of the company designated with specific responsibility for environmental compliance
issues?

- No

2. Does the company have an environmental policy and associated environmental management
processes and training?

- No

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3. Are all applicable environmental operating permits (e.g. waste generation, waste disposal, air
emissions, etc.) in place and in good standing?
- Yes

4. Does the property currently require, or is undergoing, remediation of contamination? (

- No

5. Are any environmentally-related regulatory orders, actions, or violations of permits or laws involving the
property or site operations known to the Borrower?

- No

6. Are any environmentally-related civil claims, actions, lawsuits, complaints or disputes by third-parties
involving the property known to the Borrower?

- No

7. Is the Borrower aware of any pending changes to environmentally-related statutes, regulations, or by-
laws that could materially impact the property or business?
- No

8. Are the Borrower’s operations at the property protected from environmental liability by insurance
coverage? (NOTE: Most general liability policies specifically exclude claims related to environmental
impacts).

- Yes

Additional Information:
1. Are there any other environmentally related issues at your facility that you wish to make us aware of
when assessing your loan application? If so, provide details or attach separately to this form.
_________NO_________
2. Were there any circumstances beyond your control (e.g. weather conditions, on-site construction) that
limited your ability to accurately complete this form? (Yes/No) If yes, please describe:
_________NO____________
Borrower Attestation:

I declare that the information provided is true and complete. I understand that this information is required
and will be relied upon by Canadian Imperial Bank of Commerce (CIBC) as part of its overall risk
assessment of my loan application. I also understand that if these answers are found to be incorrect, then
this could result in the rejection of the loan application or if financing has already been provided, a loan
default.

____________________________ ___Sutharjini Thanalingam___ _____September 17th,

2020_______
Borrower Signature Title Date
(I have the authority bind the corporation)

Lender Attestation:

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I have reviewed the Environmental Site Inspection form completed by ______________________________

[Borrower] and have considered the information provided in this Review as part of my risk assessment and
credit recommendation.

__________________________ ________________________ _________________

Lender Signature Title Date

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