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 3. Tenderer's actual or intended country of registration [insert actual or 4. Tenderer's year of registration [insert Tenderer's year of registration] 5. ▇▇▇▇▇▇▇▇'s Address in country of registration [insert Tenderer's 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 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. Beneficiary: Request forTenders No: Date: TENDER GUARANTEE No.: 1. We have been informed that (here in after called "the Applicant") has submitted or will submit to the Beneficiary its Tender (here in after called" the Tender") for the execution of under Request for Tenders No. (“the ITT”). 2. Furthermore, we understand that, according to the Beneficiary's conditions, Tenders must be supported by a Tender guarantee. 3. At the request of the Applicant, we, as Guarantor, hereby irrevocably undertake to pay the Beneficiary any sum or sums not exceeding in total an amount of ( ) upon receipt by us of the Beneficiary's complying demand, supported by the Beneficiary's statement, whether in the demand itself or a separate signed document accompanying or identifying the demand, stating that either the Applicant: (a) has withdrawn its Tender during the period of Tender validity set forth in the Applicant's Letter of Tender (“the Tender Validity Period”), or any extension thereto provided by the Applicant; or

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 ’s Name [insert ▇▇▇▇▇▇▇▇'s Tenderer’s legal name] 2. In case of JV, legal name of each member member: [insert legal name ofof each member in JV] 3. Tenderer's ’s actual or intended country of registration registration: [insert actual oror intended country of registration] 4. Tenderer's ’s year of registration registration: [insert Tenderer's ’s year of registration] 5. ▇▇▇▇▇▇▇▇'s Tenderer’s Address in country of registration registration: [insert Tenderer's’s legal address in country of registration] 6. ▇▇▇▇▇▇▇▇'s ’s Authorized Representative Information Name Name: [insert Authorized Representative's ’s name] Address Address: [insert Authorized Representative's ’s Address] Telephone Telephone: [insert Authorized Representative's ’s telephone/fax numbers] Email Address Address: [insert Authorized Representative's ’s email address] 7. Attached are copies of original documents of [check the box(es) of the attached original documents] 🞎 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. 🞎 Acurrent tax clearance certificate or tax exemption certificate in case of Kenyan tenderers issued by the the Kenya Revenue Authority in accordance with ITT 4.14. 🞎 In case of state-owned enterprise or institution, in accordance with ITT4.6 ITT 4.6 documents establishing: i) : • Legal and financial autonomy ii) financial autonomy • Operation under commercial law iii) law • 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 8.Included are the organizational chart, chart and a list of Board of Directors, and the beneficial ownership. Beneficiary: Request forTenders No: Date: TENDER GUARANTEE No.: 1. We have been informed that (here in after called "the Applicant") has submitted or will submit to the Beneficiary its Tender (here in after called" the Tender") for the execution of under Request for Tenders No. (“the ITT”). 2. Furthermore, we understand that, according to the Beneficiary's conditions, Tenders must be supported by a Tender guarantee. 3. At the request of the Applicant, we, as Guarantor, hereby irrevocably undertake to pay the Beneficiary any sum or sums not exceeding in total an amount of ( ) upon receipt by us of the Beneficiary's complying demand, supported by the Beneficiary's statement, whether in the demand itself or a separate signed document accompanying or identifying the demand, stating that either the Applicant: (a) has withdrawn its Tender during the period of Tender validity set forth in the Applicant's Letter of Tender (“the Tender Validity Period”), or any extension thereto provided by the Applicant; or

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 Name: [insert ▇▇▇▇▇▇▇▇Tenderer's legal name] 2. In case of JV, legal name of each member [insert legal name ofof each member 3. Tenderer's actual or intended country of registration registration: [insert actual oror intended 4. Tenderer's year of registration registration: [insert Tenderer's year of registration] 5. ▇▇▇▇▇▇▇▇'s Address in country of registration [insert Tenderer's's legal address 6. ▇▇▇▇▇▇▇▇'s Authorized Representative Information Name 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. Beneficiary: Request forTenders No: [The Bidder shall complete this Form in accordance with the instructions indicated] Date: TENDER GUARANTEE [insert date(as day, month and year) of Tender Tender No.:. [insert number of tendering process] To [insert complete name of 1. I We have been informed that (here in after called "the Applicant") has submitted or will submit to the Beneficiary its Tender (here in after called" the Tender") for the execution of under Request for Tenders No. (“the ITT”). 2. Furthermore, we understand that, according to the Beneficiary's your conditions, Tenders bids must be supported by a Tender guaranteeTender-Securing Declaration. 3. At the request of the Applicant, we, as Guarantor, hereby irrevocably undertake to pay the Beneficiary any sum or sums not exceeding in total an amount of ( ) upon receipt by us of the Beneficiary's complying demand, supported by the Beneficiary's statement, whether in the demand itself or a separate signed document accompanying or identifying the demand, stating that either the Applicant: (a) has withdrawn its Tender during the period of Tender validity set forth in the Applicant's Letter of Tender (“the Tender Validity Period”), or any extension thereto provided by the Applicant; or

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 Tend▇▇▇▇'▇ ▇▇▇▇'s legal egal name] 2. In case of JV, legal name of each member [insert legal name ofof each member 3. Tenderer's actual or intended country of registration [insert actual oror intended 4. Tenderer's year of registration [insert Tenderer's year of registration] 5. ▇▇▇▇▇▇▇▇Tenderer's Address in country of registration registration: [insert Tenderer's's legal address 6. Tend▇▇▇▇'▇ ▇▇▇▇'s Authorized uthorized 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. Beneficiary: Request forTenders No: Date: TENDER GUARANTEE No.: 1. We have been informed that (here in after called "the Applicant") has submitted or will submit to the Beneficiary its Tender (here in after called" the Tender") for the execution of under Request for Tenders No. (“the ITT”). 2. Furthermore, we understand that, according to the Beneficiary's conditions, Tenders must be supported by a Tender guarantee. 3. At the request of the Applicant, we, as Guarantor, hereby irrevocably undertake to pay the Beneficiary any sum or sums not exceeding in total an amount of ( ) upon receipt by us of the Beneficiary's complying demand, supported by the Beneficiary's statement, whether in the demand itself or a separate signed document accompanying or identifying the demand, stating that either the Applicant: (a) has withdrawn its Tender during the period of Tender validity set forth in the Applicant's Letter of Tender (“the Tender Validity Period”), or any extension thereto provided by the Applicant; or

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 ’s Name [insert ▇▇▇▇▇▇▇▇'s Tenderer’s legal name] 2. In case of JV, legal name of each member member: [insert legal name ofof each member in JV] 3. Tenderer's ’s actual or intended country of registration registration: [insert actual oror intended country of registration] 4. Tenderer's ’s year of registration registration: [insert Tenderer's ’s year of registration] 5. Tenderer’s Address in country of registration: [insert Tenderer’s legal address in country of registration] 6. Te▇▇▇▇▇▇▇▇'s Address in country of registration [insert Tenderer's 6. ▇▇▇▇▇▇▇▇'s ’s Authorized Representative Information Name Name: [insert Authorized Representative's ’s name] Address Address: [insert Authorized Representative's ’s Address] Telephone Telephone: [insert Authorized Representative's ’s telephone/fax numbers] Email Address Address: [insert Authorized Representative's ’s email address] 7. Attached are copies of original documents of [check the box(es) of the attached original documents] 🞎 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. 🞎 Acurrent tax clearance certificate or tax exemption certificate in case of Kenyan tenderers issued by the the Kenya Revenue Authority in accordance with ITT 4.14. 🞎 In case of state-owned enterprise or institution, in accordance with ITT4.6 ITT 4.6 documents establishing: i) : • Legal and financial autonomy ii) financial autonomy • Operation under commercial law iii) law • 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 8.Included are the organizational chart, a list of Board of Directors, and the beneficial beneficial ownership. Beneficiary: Request forTenders No: Date: TENDER GUARANTEE No.: 1. We have been informed that (here in after called "the Applicant") has submitted or will submit to the Beneficiary its Tender (here in after called" the Tender") for the execution of under Request for Tenders No. (“the ITT”). 2. Furthermore, we understand that, according to the Beneficiary's conditions, Tenders must be supported by a Tender guarantee. 3. At the request of the Applicant, we, as Guarantor, hereby irrevocably undertake to pay the Beneficiary any sum or sums not exceeding in total an amount of ( ) upon receipt by us of the Beneficiary's complying demand, supported by the Beneficiary's statement, whether in the demand itself or a separate signed document accompanying or identifying the demand, stating that either the Applicant: (a) has withdrawn its Tender during the period of Tender validity set forth in the Applicant's Letter of Tender (“the Tender Validity Period”), or any extension thereto provided by the Applicant; or

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 ’s Name [insert ▇▇▇▇▇▇▇▇'s Tenderer’s legal name] 1 For the avoidance of doubt, a party's ineligibility to be awarded a contract shall include, without limitation, (i) applying for pre-qualification, expressing interest in A consultancy, and tendering, either directly or as a nominated sub-contractor, nominated consultant, nominated manufacturer or supplier, or nominated service provider, in respect of such contract, and (ii) entering into an addendum or amendment introducing a material modification to any existing contract. 2. In case of JV, legal name of each member member: [insert legal name ofof each member in JV] 3. Tenderer's ’s actual or intended country of registration registration: [insert actual oror intended country of registration] 4. Tenderer's ’s year of registration registration: [insert Tenderer's ’s year of registration] 5. ▇▇▇▇▇▇▇▇'s Tenderer’s Address in country of registration registration: [insert Tenderer's’s legal address in country of registration] 6. ▇▇▇▇▇▇▇▇'s ’s Authorized Representative Information Name Name: [insert Authorized Representative's ’s name] Address Address: [insert Authorized Representative's ’s Address] Telephone Telephone: [insert Authorized Representative's ’s telephone/fax numbers] Email Address Address: [insert Authorized Representative's ’s email address] 7. Attached are copies of original documents of [check the box(es) of the attached original documents] 🞎 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. 🞎 Acurrent tax clearance certificate or tax exemption certificate in case of Kenyan tenderers issued by the the Kenya Revenue Authority in accordance with ITT 4.14. 🞎 In case of state-owned enterprise or institution, in accordance with ITT4.6 ITT 4.6 documents establishing: i) : Legal and financial autonomy ii) financial autonomy • Operation under commercial law iii) law • 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 8.Included are the organizational chart, chart and a list of Board of Directors, and the beneficial ownership. Beneficiary: Request forTenders No: Date: TENDER GUARANTEE No.: 1. We have been informed that (here in after called "the Applicant") has submitted or will submit to the Beneficiary its Tender (here in after called" the Tender") for the execution of under Request for Tenders No. (“the ITT”). 2. Furthermore, we understand that, according to the Beneficiary's conditions, Tenders must be supported by a Tender guarantee. 3. At the request of the Applicant, we, as Guarantor, hereby irrevocably undertake to pay the Beneficiary any sum or sums not exceeding in total an amount of ( ) upon receipt by us of the Beneficiary's complying demand, supported by the Beneficiary's statement, whether in the demand itself or a separate signed document accompanying or identifying the demand, stating that either the Applicant: (a) has withdrawn its Tender during the period of Tender validity set forth in the Applicant's Letter of Tender (“the Tender Validity Period”), or any extension thereto provided by the Applicant; or