Common use of INFORMATION FORM Clause in Contracts

INFORMATION FORM. [The Tenderer shall fill in this Form in accordance with the instructions indicated below. No alterations to its format shall be permitted and no substitutions shall be accepted.] 1. Tenderer's Name [insert ▇▇▇▇▇▇▇▇'s legal name] 2. In case of JV, legal name of each member [insert legal name of each member 3. Tenderer's actual or intended country of registration: [insert actual or intended 4. Tenderer's year of registration: [insert Tenderer's year of registration] 5. ▇▇▇▇▇▇▇▇'s Address in country of registration [insert Tenderer's legal address 6. ▇▇▇▇▇▇▇▇'s Authorized Representative Information Name [insert Authorized Representative's name] Address. [insert Authorized Representative's Address] Telephone [insert Authorized Representative's telephone/fax numbers] Email Address: [insert Authorized Representative's email address] 7. Attached are copies of original documents of [check the box(es) of the attached original Articles of Incorporation (or equivalent documents of constitution or association), and/or documents of registration of the legal entity named above, in accordance with ITT 4.4. In case of JV, Form of intent to form JV or JV agreement, in accordance with ITT 4.1. In case of state-owned enterprise or institution, in accordance with ITT4.6 documents establishing: i) Legal and financial autonomy ii) Operation under commercial law iii) Establishing that the Tenderer is not under the supervision of the agency of the Procuring Entity A current tax clearance certificate or tax exemption certificate in case of Kenyan tenderers issued by the Kenya Revenue Authority in accordance with ITT 4.14. 8. Included are the organizational chart, a list of Board of Directors, and the beneficial ownership.

INFORMATION FORM. [The Tenderer shall fill in this Form in accordance with the instructions indicated below. No alterations to its format shall be permitted and no substitutions shall be accepted.] 1. Tenderer's Name [insert ▇▇▇▇▇▇▇▇'s legal name] 2. In case of JV, legal name of each member [insert legal name of each member 3. Tenderer's actual or intended country of registration: registration [insert actual or intended 4. Tenderer's year of registration: registration [insert Tenderer's year of registration] 5. ▇▇▇▇▇▇▇▇'s Address in country of registration [insert Tenderer's legal address 6. ▇▇▇▇▇▇▇▇'s Authorized Representative Information Name [insert Authorized Representative's name] Address. Address [insert Authorized Representative's Address] Telephone [insert Authorized Representative's telephone/fax numbers] Email Address: Address [insert Authorized Representative's email address] 7. Attached are copies of original documents of [check the box(es) of the attached original Articles of Incorporation (or equivalent documents of constitution or association), and/or documents of registration of the legal entity named above, in accordance with ITT 4.4. In case of JV, Form of intent to form JV or JV agreement, in accordance with ITT 4.1. In case of state-owned enterprise or institution, in accordance with ITT4.6 documents establishing: i) Legal and financial autonomy ii) Operation under commercial law iii) Establishing that the Tenderer is not under the supervision of the agency of the Procuring Entity A current tax clearance certificate or tax exemption certificate in case of Kenyan tenderers issued by the Kenya Revenue Authority in accordance with ITT 4.14. 8. Included are the organizational chart, a list of Board of Directors, and the beneficial ownership.

INFORMATION FORM. [The Tenderer shall fill fill in this Form in accordance with the instructions indicated below. No alterations to its format shall be permitted and no substitutions shall be accepted.] 1. Tenderer's Name [insert ▇▇▇▇▇▇▇▇'s legal name] 2. In case of JV, legal name of each member [insert legal name of each member 3. Tenderer's actual or intended country of registration: [insert actual or intended 4. Tenderer's year of registration: [insert Tenderer's year of registration] 5. ▇▇▇▇▇▇▇▇'s Address in country of registration [insert Tenderer's legal address 6. ▇▇▇▇▇▇▇▇'s Authorized Representative Information Name [insert Authorized Representative's name] Address. [insert Authorized Representative's Address] Telephone [insert Authorized Representative's telephone/fax numbers] Email Address: [insert Authorized Representative's email address] 7. Attached are copies of original documents of [check the box(es) of the attached original Articles of Incorporation (or equivalent documents of constitution or association), and/or documents of registration of the legal entity named above, in accordance with ITT 4.4. In case of JV, Form of intent to form JV or JV agreement, in accordance with ITT 4.1. In case of state-owned enterprise or institution, in accordance with ITT4.6 documents establishing: i) Legal and financial financial autonomy ii) Operation under commercial law iii) Establishing that the Tenderer is not under the supervision of the agency of the Procuring Entity A current tax clearance certificate certificate or tax exemption certificate certificate in case of Kenyan tenderers issued by the Kenya Revenue Authority in accordance with ITT 4.14. 8. Included are the organizational chart, a list of Board of Directors, and the beneficial beneficial ownership.

INFORMATION FORM. [The Tenderer shall fill fill in this Form in accordance with the instructions indicated below. No alterations to its format shall be permitted and no substitutions shall be accepted.] 1. Tenderer's Name [insert ▇▇▇▇▇▇▇▇'s legal name]Tenderer's 2. In case of JV, legal name of each member [insert legal name of each membermember in JV] 3. Tenderer's actual or intended country of registration: [insert actual or intendedintended country of registration] 4. Tenderer's year of registration: [insert Tenderer's year of registration]'s 5. ▇▇▇▇▇▇▇▇Tenderer's Address in country of registration registration: [insert Tenderer's legal addressaddress in country of registration] 6. ▇▇▇▇▇▇▇▇Tenderer's Authorized Representative Information Name Name: [insert Authorized Representative's name] Address. [insert Authorized Representative's Address] Telephone [insert Authorized Representative's telephone/fax numbers] Email Address: [insert Authorized Representative's email address]email 7. Attached are copies of original documents of of. [check the box(es) of the attached original Articles of Incorporation (or equivalent documents of constitution or association), and/or documents of registration of the legal entity named above, in accordance with ITT 4.4. In case of JV, Form of intent to form JV or JV agreement, in accordance with ITT 4.1. In case of state-owned enterprise or institution, in accordance with ITT4.6 documents establishing:documents] i) Legal and financial financial autonomy ii) Operation under commercial law iii) Establishing that the Tenderer is not under the supervision of the agency of the Procuring Entity A current tax clearance certificate certificate or tax exemption certificate certificate in case of Kenyan tenderers issued by the Kenya Revenue Authority in accordance with ITT 4.14. 8. Included are the organizational chart, a list of Board of Directors, and the beneficial beneficial ownership.

INFORMATION FORM. [The Tenderer shall fill in this Form in accordance with the instructions indicated below. No alterations to its format shall be permitted and no substitutions shall be accepted.] 1. Tenderer's Name [insert ▇▇▇▇▇▇▇▇'s legal name] 2. In case of JV, legal name of each member [insert legal name of each member 3. Tenderer's actual or intended country of registration: registration [insert actual or intendedintended country 4. Tenderer's year of registration: [insert Tenderer's year of registration] 5. ▇▇▇▇▇▇▇▇Tenderer's Address in country of registration registration: [insert Tenderer's legal address 6. ▇▇▇▇▇▇▇▇'s Authorized Representative Information Name [insert Authorized Representative's name] Address. [insert Authorized Representative's Address] Telephone [insert Authorized Representative's telephone/fax numbers] Email Address: [insert Authorized Representative's email address] 7. Attached are copies of original documents of [check the box(es) of the attached original Articles of Incorporation (or equivalent documents of constitution or association), and/or documents of registration of the legal entity named above, in accordance with ITT 4.4. In case of JV, Form of intent to form JV or JV agreement, in accordance with ITT 4.1. In case of state-owned enterprise or institution, in accordance with ITT4.6 documents establishing: i) Legal and financial autonomy ii) Operation under commercial law iii) Establishing that the Tenderer is not under the supervision of the agency of the Procuring Entity A current tax clearance certificate or tax exemption certificate in case of Kenyan tenderers issued by the Kenya Revenue Authority in accordance with ITT 4.14. 8. Included are the organizational chart, a list of Board of Directors, and the beneficial ownership.