Agip Oil Ecuador

Informacin solicitada a proveedores

DUE DILIGENCE CARD
1

VENDOR / PROVEEDOR:

PLACE OF INCORPORATION / LUGAR DE INCORPORACION (PAIS CIUDAD) :

HOLDING COMPANY OR PART OF A GROUP / SOCIEDAD O PARTE DE UN

GRUPO:

ERAZO & ARAUZ CONSTRUCTORA

Y SERVICIOS CIA. LTDA.
ECUADOR-PASTAZA-PUYO

SOCIEDAD

MAIN REPORTED ACTIVITY / ACTIVIDAD PRINCIPAL:

INFORMACION
TERCEROS.xls

CONSTRUCCION DE EDIFICIOS
COMPLETOS O PARTES DE EDIFICIOS
INCLUYE OBRAS (Adjuntar documento de
dominio pblico ej. RUC)

OPERATING STRUCTURE AND FINANCIAL STATUS / ESTRUCTURA OPERATIVA Y ESTATUS FIANACIERO

5

SHARE CAPITAL VALUE / CAPITAL :

NET ASSETS / PATRIMONIO NETO:

TURNOVER, LATEST YEAR AVAILABLE / FACTURACION, ULTIMO AO DISPONIBLE:

NUMBER OF REGISTERED EMPLOYEES / NUMERO DE EMPLEADOS

REGISTRADOS:

State Company's Share Capital, including the

currency used
Capital Social. (Adjuntar certificado de la
Superintendencia de Compaas)
State the Company's net assets obtained from
the Annual Report as discerned from sources in
the public domain, including the currency In this
box also state the reference year (es. data from
2009 Accounts).
Patrimonio Neto. (Adjuntar documento de
dominio pblico ej. Declaracin del Impuesto a
la Renta, ltimo ao)

State the Company's turnover as obtained from

the Annual Report as discerned from sources in
the public domain, including the currency In
this box also state the reference year (es. Data
from 2009 Accounts).
Indicar la facturacin de la empresa. (Adjuntar
documento de dominio pblico ej. Declaracin
del Impuesto a la Renta, ltimo ao)

State the number of employees, as discerned

from sources in the public domain also state
reference year in this box (es. data from 2009
Accounts
Indicar el nmero de empleadoscorrespondiente
al ltimo mes. (Adjuntar documento de dominio
pblico ej. Planilla IESS)

SHARE HOLDINGS STRUCTURE / ACCIONISTAS ESTRUCTURA:

CAPITAL SHARES STRUCTURE / ESTRUCTURA ACCIONARIA:

10

CAPITAL SHARES KEPT BY TRUSTEES / ACCIONES DEL CAPITAL

MANTENIDAS POR FIDEICOMISOS:

11

CAPITAL SHARES BASED ON BEARER SHARES / PARTES DE CAPITAL BASADAS EN

ACCIONES AL PORTADOR

Show transparent and clear Company's Capital

Shares Structure and disclose whether the
ultimate beneficiaries are operating companies
and/or physical persons. State in this box the
list of 1st level partners and their stake,
together with brief details.
Mostrar de manera transparente y clara la
estructura de accionistas de la empresa.

NINGUNO.

State if there are Bearer Shares. / Partes de

capital basadas en acciones al portador

COMPANY'S BOARD MEMBERS / MIEMBROS DEL DIRECTORIO

12

COMPANY'S BOARD MEMBERS / MIEMBROS DEL DIRECTORIO

State the Company Board Members.

PRESIDENTE: LEVI ELODIAS ERAZO LARA
C.I. 060050957-4
GERENTE: MONICA MAGDALENA GARCIA
GAHONA
C.I. 160044831-8