Total Scores

Has compliance been

verified YES, NO, N/A

SECTION - 1 Supplier Qualification Questionaire

SECTION - 2 Bidders Details

SECTION - 3 Local Content

SECTION - 4 Finances

SECTION - 5 HES, Drug & Alcohol

SECTION - 6 Project Experience (related to Cleaning and Intelligent Pigging of Pipeline)

SECTION - 7 CAPABILITY & CAPACITY

SECTION - 8 Manpower Resource (Project Management, Inspectors, Operators etc.)

SECTION - 9 Site security

SECTION - 10 Exceptions to COMPANY Contract Form 0a

SECTION - 11 Exceptions to COMPANY Contract Form 0b

TOTAL SECTIONS
 Supplier Qualification Questionaire
Failure to complete this questionnaire in its entirety may cause Chevron Nigeria Ltd to discontinue the qualification process with Supplier. Filling out the questionnaire in full does not obligate Chevron Nigeria
Ltd to include Supplier on any bid list or other sourcing event. Supplier must update the information contained in this questionnaire as changes occur.

Please do not respond "N/A" or "Not Applicable" to any question without explaining why the question is not applicable to you.
If the space provided in the questionnaire is insufficient to fully respond to the questions asked, we encourage you to continue your responses on additional sheets of paper

Supplier's responses will be treated as confidential and Chevron Nigeria Ltd will use the responses internally for the purpose of qualifying Supplier to potentially perform services or deliver goods. No
information revealed in this questionnaire will be made available to any third party unless required by applicable law, court order, decree, regulation or rule, or where failure to disclose could reasonably result
in sanctions against Chevron Nigeria Ltd.

The undersigned is authorized to certify on behalf of Supplier and does hereby certify that all information in this questionnaire and its attachments are true and correct and that no important or relevant
information has been omitted.

Chevron Nigeria Ltd may verify the validity of the information as it deems necessary and Supplier shall cooperate with Chevron Nigeria Ltd in this regard.

SUPPLIER's BASIC INFORMATION

Full Legal Entity Name of Company or Individual that will be Party to the particular contract, in some cases this is a local A. SouthernGlow Ventures Limited (Main Bidding Entity)
a.
affiliate. ("SUPPLIER") Provide a copy of your CAC - Certificate of Registration of Business Name B. DSV

22b Housing Estate, Nembe Road, Rumuibekwe, Port Harcourt

b. Local Business Address - Provide a copy of form CO6- Notice of the Registered address of the Company
SouthernGlow Ventures Limited, Address.

c. Contact name Nengi Dambo

d. Telephone number

e. Fax number

f. E-mail address info@southernglownigeria.com

g. Form of Business (ex.,Private Limited Company, Public Limited company, corporation, partnership, etc.) Limited Liability company

h. Place of Registration Rivers State

A. DSV Nigeria
B. EL Totuoma International Limited
i. List Supplier's previous names for the past 5 years.
C. Hollyfield Vessles
D.

Have you entered into a contract with Chevron Nigeria Ltd in the past 5 years? If yes, please provide details including
j.
type of service or product, dates, location and contact information.
We have not entered into any form contract with Chevron in the last five(5) Years.
 A. DPR
Provide Suppliers Registration, Licenses and other requirements necessary to perform services or deliver goods. If not
k.
provided, please explain B. PENCOM
C. TCC
D. NCDMB

2 BUSINESS INFORMATION

Have you engaged with an entity to fulfill local content or other requirements necessary to do business in the A. Seagold - Pipeline Maintenance
a country where the services will be performed and/or where the goods will be used? If yes, please provide B. Anasami - Pipeline Maintenance/Replacement
detailed information. (This does not include subcontractors). C. NGC (NNPC) - Gas Pipeline Maintenance/Replacement

To the best of your knowledge are there any known personal relationships between personnel of the Supplier
b
or its Affiliates and any Chevron personnel? If yes, please provide detailed information. None that we have knowledge of.

BENEFICIAL OWNERS AND MANAGEMENT of CONTRACTING ENTITY

3
"Beneficial Owners" as used in this Questionnaire are defined as those who own or control five percent or more of the beneficial interest.

If Supplier is a publicly held entity (e.g. Public Company), please attach a copy of your most recent public filing
a.
or equivalent documentation showing Supplier's Beneficial Owners.

If Supplier is not a publicly held entity (e.g. Public Company), please list below the Beneficial Owners, their individual percentage ownership and their place of registration. Provide a copy of form CO7 -
Particulars of Directors and the form CO2 -Statement of Authorized Share Capital
Country of Registration
Owners Name Address Percentage Ownership
or Nationality
Nengi Dambo Rumuibekwe Estate PHC Nigeria

b.

Please indicate below the names of all officers and directors of Supplier.

Name Address Company Position

c.
 Please list the names and addresses of any other individual, company or entity if they will receive any portion of the compensation as a result of participating in any type of partnership, joint venture or alliance
with Supplier in the proposed contract.

Percentage/Amount of
Name Address Affiliation with Supplier Position/Title
Compensation

d.

RELATIONSHIPS WITH GOVERNMENTS AND PUBLIC INTERNATIONAL ORGANIZATIONS

SECTION - 1

"Official" as used in this questionnaire means any officer, employee or other person acting in an official capacity for any government or any department, agency or instrumentality of any
4 government or for a Public International Organization (which means an international organization formed by states, governments or other public international organizations, whatever the form of
organization and scope of competence). This can include an individual or organization operating with the functional authority typical of a government officer or entity (e.g., traditional rulers or tribal
or community leaders).

Are any of the persons identified in response to question 3:

Yes / No

(i) Officials / Prior Officials?

a. (ii) Relatives of Officials / Prior Officials?

(iii) Involved in any business relationship with any Official / Prior Official or family member of an Official / Prior
Official?

(iv)Individuals or employees operating with official government-like authority (e.g., traditional rulers or tribal or
community leaders)

(v)an agent or intermediary acting in an official capacity or on behalf of any of the above

Officials are defined as follows:

• Any officer, employee, or other person acting in an official capacity for a foreign (non-U.S.) government or any department, agency, or instrumentality thereof
• Any business that is owned or controlled by the government
• Any individual or employee of an organization operating with official government-like authority (e.g., traditional rulers or tribal or community leaders)
• Any officers, employees, or other personnel acting in an official capacity of a public international organization (e.g., United Nations, World Bank, and the International Committee of Red Cross)
• Political parties, party officials, and candidates for office
• Any agent or intermediary acting in an official capacity or on behalf of any of the above

If the answer to (i) is YES, please provide details

Dates of Service
Name of person who is an Official/Prior Official Title and Government Affiliation
(current or past)

b.
b.

If the answer to (ii) is YES, please provide details

Name of person who is related to an Dates of service

Relationship to official Title and Government Affiliation
Official/Prior Official (current or past)

c.

If the answer to (iii), (iv) or (v) is YES, please provide details

Name of person with business relationship Type of Business Relationship Title and Government Affiliation Dates of Relationship

d.
 5 LITIGATION HISTORY

Has Supplier or its Affiliates been cited or investigated by a government agency for non-compliance with any
a. governmental rule or regulation of a material nature in the past 5 years? If yes, please provide detailed
information.

Has Supplier adopted a Human Rights Policy? If yes, please provide a copy of such Policy with your response
b.
to this questionnaire.

Has Supplier or its Affiliates been found, by a lawfully authorized judicial or other government body, to have
violated or settled without a finding of violation of any applicable child labor laws? If yes, please provide
c.
information related to said violation, as well as any information relevant to all remedial efforts undertaken to
correct the underlying conduct.

6 ADDITIONAL INFORMATION
Is there any other information that Supplier wishes to disclose about itself that may be relevant to Chevron
a.
Nigeria Ltd?
Yes / No

Will the supplier require partial or full payments of invoices to be paid in currencies other than Naira or will the
b.
supplier require payments in any currency to be sent outside of Nigeria.

c. If the supplier has answered yes to 6b please provide details.

Signature

Name

Title

Company

Date
 Bidders Details
Item No. Question Answer Question Guide
Section 1 - Bidders Details
Yes No

Incorporation of Bidding Entity - BIDDER shall provide

1 copies of certification and date of
incorporation or registration of bidding entity (i.e. private
company, partnership, joint venture, limited company, etc.).

Power of Attorney for Bid - BIDDER shall provide copies of

2 Power of Attorney for Bid signatory confirming authority to Certificate Required
bind the bidding entity to fulfillment of commitments contained
in its Bid to perform the Work.
Articles of Association - BIDDER shall provide copies of the
Articles of Association for Joint Ventures, Consortia or other
3 partnerships including statements of joint and several Details Required
liabilities.
SECTION - 2.1

Collective Bargaining Agreements - BIDDER shall describe

any collective bargaining agreements BIDDER has with labor
unions or similar organizations which it proposes to use
4 Evidence Required if Applicable
during the executing of the Work. BIDDER shall describe its
plan for managing such agreements to ensure risk of
interruptions and delays are minimized.

Intellectual Property - BIDDER shall advise COMPANY of

any proprietary information, royalties, or other intellectual
property that will be included in the Work or are required to
5 Certificate Required if Applicable
execute or complete the Work.
BIDDER shall advise COMPANY of its proposed strategy to
deal with intellectual property issues related to the Work.

Patents & Licenses - BIDDER shall provide COMPANY

with adequate assurances that BIDDER owns or has
obtained all necessary patents, licenses, and the like, and
6 Certificate Required if Applicable
that BIDDER has conducted the appropriate searches in the
relevant jurisdictions regarding any potential infringement
issues.

DPR Permit, Insurance & Company Information

Item No. Question Answer Question Guide

DPR Permit Yes No

BIDDER shall provide a current copy of BIDDER’s D.P.R.

Permit from the Department of Petroleum Resources in the
applicable category or categories for execution of pipeline
1 cleaning, pigging, and inspection. Bidding Consortia, Joint Certificate Required
Ventures or Partnerships not listed on the DPR Permit as a
single entity shall submit individual Permit for each
Consortium/Joint Venture/Partnership member.

Certificate of Insurance Yes No

Bidder to provide a confirmation that, in the event of award of
2 a Contract, contractor will provide evidence of insurance in Certificate Required
accordance with the Contract
SECTION - 2.2

Partnership and Parent Company Guarantee Yes No

Partnership Agreement - Provide a copy of duly endorsed
partnership agreement if BIDDER will submit bids as
consortia or JV, and any MOA. This provision does not apply
3 Partnership Agreement Required
if Bidder does not have JV partners.

Parent Company Guarantee - BIDDER to provide a

confirmation of Parent Company or Companies (ultimate
parents) commitment to the work and their undertaking to
provide a Parent Company Guarantee in the form specified in
the attached format, Exhibit M – Parent Company Guarantee.
4 This provision does not apply if Bidder does not have a Parent Company Guarantee Required
parent company.
 NCD CONTENT
Section 2

Local Content
Item No. Question Answer Question Guide
Yes No

Demonstrate that the entity is a Nigerian Registered Company (Certificate of

Incorporation, Details of ownership CAC forms CO2 & CO7 provided), or in
genuine alliances or joint venture with multinational companies with details on
scope and responsibilities of parties for this work. Such companies must show
evidence of joint venture agreement or memorandum of agreement duly (MoA)
1 Provide all information requested
signed by the CEO of both companies including evidence or plans of physical
operational presence and set-up in Nigeria. Foreign companies wishing to pre-
qualify must identify their local affiliates/partners, indicate the scope of work to
be assigned to the local affiliates/partners and also define those aspects of the
work to be executed in Nigeria.

Nigerian content plan for the work scope indicating Contractor's roadmap to
utilizing Nigerian sources broken down by:
(i) Labour
2 (ii) Materials Provide all forms
(iii) Other services (equipment & suppliers)

Names and addresses of partnering Nigerian Registered company and any

3 other Nigerian Company that will participate in this work including evidence of As Above
registration and previous partnership
Evidence of percentage of key management positions held by Nigerians and
what percentage of total workforce are Nigerians.
Tenderer should also provide detailed description of Company's plan to employ
the following key Nigerian professionals:
• Project Engineers
4 • Safety Supervisors/Engineers Provide Certificate
• QA/QC Supervisors
• Procurement Specialists.
SECTION - 3

Include CVs of Key personnel and Org. Chart

Evidence of previous training, and training and development program for

Nigerian personnel and sub contractors to be conducted in-country.
Specific training needs include but are not limited to the areas listed below:
• Project Engineering
• Safety Engineering
5 • Procurement Provide % and quantify
• QA/QC Engineering

Evidence of work scope to be performed by Nigerians and plans and target

6 percent that Nigerian workforce/subcontractors and suppliers would be Provide org Chart and %
increased over the duration of the project.

Any other innovative plans for increasing Nigerian content in the contract
7 Provide % and quantify

8 Evidence of NCEC or application to NCDMB for the NCEC Provide Examples

Tenderer to provide detailed description and evidence of company's committed
infrastructure in Nigeria including but not limited to addresses, lease agreement
9 and layout drawings of well-equipped offices, fabrication yard and warehouses, As Above
etc.

Tenderer to provide details of equipment ownership and facilities. International

or multinational companies working through their Nigerian subsidiary shall
demonstrate a minimum Nigerian equity ownership of 50% of the equipment
deployed. Where existing facilities will not suffice for the Work, provide
10 Provide Evidence
description of plans in place to acquire supplementary facilities in order to
handle the additional work.

Tenderer to provide detailed description of where the Project Managment Team

11 for this project will be located in Nigeria, as well as In-country location of Provide Evidence
Procurement Centers.

Local Community Content Yes No

BIDDER preliminary engagement plan with sections on Project Background,
Local Community Man-power Plan and Contracts/Subcontracts shall have the
1 contracting and subcontracting plan detail the contractor’s strategy and scope Provide all information requested
of subcontracting to community contractor (both skilled and unskilled).

BIDDER shall provide estimate for man-hours for each of the contract stated
2 above.
Provide all information requested
 TECHNICAL QUESTIONNAIRE FOR PROVISION OF CAPITAL AND MAINTENANCE DREDGING SERVICES
Finances GENERAL
SECTION 4
Item No. Question Answer Question Guide

FINANCIAL Yes No
Tax Clearance - BIDDER shall provide its Nigerian Tax
Clearance Certificates for 2015, 2016 and 2017, where
1 Certificate Required
applicable

Banker's Details - BIDDER shall provide details of

BIDDER’s bankers (including details of each Consortium
2 Details Required
member’s and/or Joint Venture Partner’s and/or Partner’s
bankers, as applicable).

Other Supporting Evidence - BIDDER shall provide details

Evidence Required if
3 of any other evidence of financial support or financial
applicable
capability, if applicable.
4 Provide current VAT certificate Certificate Required
SECTION - 4

If Bidder is a publicly held entity (e.g., Public Company),

please attach a copy of the last three years of audited
5 financial statements. (If you have multiple documents, Details Required
please attach one zip file or reference website where data
exists in public domain.)

If Bidder is a privately held entity (not a Public Company),

please attach a copy of the last three years of audited
6 Details Required
financial statements. (If you have multiple documents,
please attach one zip file.)
Has your company ever been involved in any bankruptcy
7 or reorganization proceedings? If so, please provide Details Required
details.
Provide details of any significant outstanding
8 indebtedness, unsecured loans, debts, or trading losses, Details Required
if any.

Other financial references (principal bankers, trade

9 Details Required
references, etc.)

Page 9 FINANCE
TECHNICAL QUESTIONNAIRE FOR PROVISION OF CAPITAL AND MAINTENANCE DREDGING SERVICES
GENERAL
SECTION 4

Page 10 FINANCE
 TECHNICAL QUESTIONNAIRE FOR PROVISION OF CAPITAL AND MAINTENANCE DREDGING SERVICES
HES, Drug & Alcohol GENERAL
SECTION 4
Item No. Question Answer Question Guide

HEALTH SAFETY & ENVIRONMENT Yes No

Provide completed CHESM Questionnaire and supporting
1 All Info Required
documentation
Provide evidence of certification (OSHA, NEBOSH,
2 Provide copies of certificates
ISPON or equivalent) for key HES personnel
SECTION - 5

Provide Environmental Management Policy and Plan;

Security, Medical and Health Plan; Detailed Job Hazard
3 Analysis (for this scope of work); Record of Safety All Info Required
Courses attended by Bidders key personnel with
evidence

Drug , Alcohol and Search Policies Yes No

Bidder shall submit a copy of its BIDDER’s Drug, Alcohol
and Search Policies for the office(s) in which it proposes
4 Policies required
to perform the Services. COMPANY’s Drug, Alcohol and
Search Policy is provided in Exhibit D.

Page 11 HES, DRUG & ALCHOL

 Nigerian Project Experience by BIDDER as an Independent Company (no partners) within past 7 years

Project Name & Client & Contact No. of Project Man- Contract Value for
Location Information Date and Duration hours No. of Personnel Project ($USD)

Nigerian Project Experience by BIDDER as Consortia, JV Company, within the past 7 years, if applicable
Project Name & Client & Contact No. of Project Contract Value for
Consortia Partner/JV Location Information Date and Duration Man-hours No. of Personnel Project ($USD)

Other Project Experience by BIDDER - outside Nigeria (for JV Company) within the past 7 years
Consortia Partner/JV (if Project Name & Client & Contact No. of Project Contract Value for
applicable) Location Information Date and Duration Man-hours No. of Personnel Project ($USD)
BIDDER'S Facilities and Equipment

Contractor Facility &Provide

Equipment
list of Equipment available for use Yes No
including Contractor's Yard (full address of
yard for inspection)
1 Provide information

2 Provide evidence of ownership or MOU for Provide evidence

all facilites and Equipment listed above

Location of in-country facilities (Equipment,

3 storage, workshops, testing/inspection Provide information/plan
facilities)

Equipment Specification and performance Standard (Lease/Rental)

S/N Equipment Description Manufacturer Make/Model Year of Manufacture

Equipment Specification and performance Standard (Owned)

S/N Equipment Description Manufacturer Make/Model Year of Manufacture

 List of Subcontractors (if applicable)

Sub-contracted Work
Description of based on Percentage of Subcontractor's planned
Subcontractor Name Subcontractor Address Subcontractor Services Total Work Work Locations

Current/Future BIDDER Project Workload

Consortia Partner/ Client & Contact

JV (if applicable) Project Name & Location Information Date and Duration No. of Personnel
Work Executed
(Scope)
 Manpower Resource (Project Management, Inspectors, Operators etc.)
Item No. Question Answer Question Guide

Contractor Organization & key personnel Yes No

Provide organization charts depicting the overall
CONTRACTOR organization. BIDDER’s submittal shall
1 describe the titles, authority, and responsibilities of all key Provide information/plan
positions and the approximate numbers by trade, profession or
title of all other personnel.
In the case of a consortium, identification of the leading
2 partner and the hierarchy and roles of each of the team Provide information/plan
partners.
3 The proposed interfaces between BIDDER and COMPANY Provide information/plan

4 Proposed interfaces between BIDDER and Subcontractors Provide information/plan

Provide the names of the key personnel the bidder intends to

employ on a full time, dedicated basis in the positions
identified in its organization chart, their primary work location
and the name of the line manager who they will report to. The
5 resumes of the key personnel will also be submitted. Such Provide information/plan
resumes shall include name; present position in company;
years employed by bidder, years of experience relevant to
position and education/qualifications. The resumes shall also
indicate if the personnel is Nigerian or Expatriate.
 Quality Assurance & Quality Control Program Yes No

Accreditation - include a copy of a current and valid

accreditation certificate issued by a recognized assessment
body to demonstrate that the Bidders’ Quality System has
1 Provide information/plan
been independently assessed and has been found to comply
with the intent of the appropriate part of ISO-9001:2015/NSO
certification/accreditation or any other compatible standard

Policy - provide a statement describing the overall project

management quality system to be used and how this proposed
2 Provide information/plan
system will ensure that all parts of the Work are properly
carried out in accordance with the Technical Requirements

Quality System manual - BIDDER to provide a copy of its in-

3 Provide information/plan
house Quality Manual as it relates to the Work
Provide Quality Organization Chart - Roles and
4 Provide information/plan
Responsibiliities (Typical)
Provide ASNT ILI PQ:2010 Certifications or equivalent In-Line
5 Provide copies of certificates
Inspection Personnel Qualification/Certification.
Provide QA / QC Procedures and Calibration Checks for all
6 Provide information/plan
critical equipments to be used for this work.
(i) Audit Program including Schedule (For Typical Project)
[Copy of audit log, audit procedure, audit reports, non-
7(i) Provide all items requested
conformity notes and corrective action requests (sample
copies only)].
(ii) Details of No. of Audits Planned and No. of audits
7(ii) Provide all items requested
conducted (For a Typical Project)

(iii) Copy of latest Management Review Report and last two

7(iii) Provide all items requested
third party audit reports of ISO 9001 Registrar
List Equipments that there Procedures and Calibration Checks are included in your submission in
the Table below

No. Equipment Provided

Diesel powered centrifugal pumps with flow ranges of 1000 –

Yes No
50,000bpd and pressure range of 50 – 1000psig

Diesel powered positive displacement pumps with flow ranges

of 1000 – 10,000bpd and pressure range of 100 – 5000psig
Pneumatic powered positive displacement pumps with flow
ranges of 100 – 5000bpd and pressure range of up to
1000psig

Pneumatic powered pressure test pumps with pressure output

of up to 10,000psig

Chemical injection pumps with adjustable flow rates and

injection pressure up to 5000psig

Air compressors of flow output of 0 – 1600cfm and pressure

range of 0 – 500psig

Diesel powered nitrogen pump

Nitrogen generator

Pressure relief valves of sizes 2 – 6inch, set pressure of up to

5000psig
Pressure and temperature chart recorder with range of 0 –
1500psig
 Dead weight tester – 50 – 5000psig

Trackers/Transmitters with minimum battery life of 250 hours.

Fleet of cleaning tools (pigs) ranging from 8 inches to 30

inches including but not limited to foam pigs, mandrel pigs,
and special purpose pigs

Provide in the Table below, the names of the key personnel the bidder intends to employ on a full time, dedicated basis in the positions identified in its organization chart

Personnel

Years of Experience
Name Job Title/Requirement Qualification relevant to current position Expatriate
SECTION- 8

10 years relevant work

experience in all services as
described in the scope of
work. Personnel shall be able
to communicate in English
fluently. Personnel shall be
proficient in software
Project Manager. packages such as Microsoft
Minimum 1 personnel. word, excel, project, power
Provide CV. point.
 5 years relevant work
experience in all services as
described in the scope of
work. Personnel shall be able
to communicate in English
fluently. Personnel shall be
proficient in software
10 years relevant work
Project Engineer. packages such as Microsoft
experience in all services as
Minimum of 2 word, excel, project, power
described in the scope work.
personnel. Provide CVs point.
Personnel shall be able to
communicate in English
fluently. Personnel shall be
proficient in software
Field Team Leader. packages such as Microsoft
Minimum of 2 word, excel, project, power
personnel. Provide CVs point.

7 years relevant work

experience in similar projects
as described in the scope of
work. Personnel shall have
level II or higher under ASNT
ILI-PQ-2010 standard.
ILI Pigging Technician. Personnel shall be able to
Minimum of 2 communicate in English
personnel. Provide CVs fluently.

3 years relevant work

experience and demonstrable
Equipment Technician. competency in operating
Minimum of 4 equipment relevant to scope
personnel. Provide CVs of work.
 5 years relevant work
experience in HSE coverage
of work scope in the oil and
gas onshore and offshore
environment. Must have
HSE Officer. Minimum OSHA, NEBOSH, ISPON or
of 2 personnel. Provide relevant industry HSE
CVs certifications.

5 years relevant work

experience in similar projects
as described in the scope of
work. Be fully conversant with
relevant pipeline integrity
industry codes and
standards. Personnel shall be
A university degree in able to communicate in
an Engineering English fluently. Personnel
discipline preferably shall be proficient in software
Integrity Engineer. Metallurgy, packages such as Microsoft
Minimum of 1 Mechanical and or word, excel, project, power
personnel. Provide CV Pipeline Engineering. point.

7 years relevant work

experience in similar projects
as described in the scope of
work. Personnel shall have
level II or higher under ASNT
ILI-PQ-2010 standard.
Personnel shall be able to
communicate in English
fluently. Personnel shall be
proficient in software
ILI Data Analyst. packages such as Microsoft
Minimum of 1 word, excel, project, power
personnel. Provide CV. point.
organization chart

National
Site security
Question Answer Question Guide comments
SECTION - 9

Yes No

Provide a preliminary site security plan to describe the

Provide all information
1 security arrangements for your personnel and equipment
requested
during work execution at site.
 Exceptions to COMPANY Contract Form 0a

COMPANY’s
Exception Document Section or Wording of COMPANY’s Wording of BIDDER’s
No. Number Doc. Rev. Reference Paragraph Proposed Paragraph Reason For Exception
1
2
3
4
5

BIDDER has studied the attached Technical Requirements carefully and has obtained all information required to enable BIDDER to submit a
technical bid and BIDDER is satisfied as to the correctness and sufficiency of our technical bid. BIDDER'S only opportunity to raise Exceptions
to COMPANY Technical Requirements is through Section 0a - Exceptions to COMPANY technical requirements. If exceptions are not noted in
Section 0a, bid is fully compliant with COMPANY technical requirements.

Dated:

Signature:

Name:
(in block
capitals)
 Exceptions to COMPANY Contract Form 0b

Exception Section or Wording of COMPANY'S Wording of BIDDER'S proposed

No. Reference language language Reason For Exception
1
2
3
4
5

BIDDER has studied the attached Terms, Conditions and Exhibits carefully and has obtained all information required to enable
BIDDER to submit a technical bid and BIDDER is satisfied as to the correctness and sufficiency of the Bid package. BIDDER'S
only opportunity to raise Exceptions to COMPANY Technical Requirements is through Section 0b - Exceptions to COMPANY
Terms, Conditions and Exhibits. If exceptions are not noted in Section 0b, bid is fully compliant with COMPANY Terms, Conditions
and Exhibits..

Dated:

Signature:

Name:
(in block
capitals)