Common use of Procedural Documents Clause in Contracts

Procedural Documents. Tender Forms 6.2.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 6.3.1 ADMINISTRATIVE PROPOSAL Legal Identification formsforms Natural person I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD REGISTRATIONDD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY Financial identification form8 ACCOUNT NAME 9 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY SIGNATURE OF ACCOUNT HOLDER (Obligatory) NAME: TITLE: DATE (Obligatory) 8 Please add account confirmation letter from the bank. This account shall not change throughout the contract duration and implementation 9 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account. 10 Qa1Fill in the IBAN Code (International Bank Account Number) if it exists in the country where your bank is established.

Procedural Documents. Tender Forms 6.2.1 6.3.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) COUNTRY OF BIRTH TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL COUNTRY II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-self- employed etc.) and you provide as such services to the Commission, other Institutions, Agencies and EU-Bodies ? YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. Please fill this form: OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO Please fill this form: MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.COUNTRY

Procedural Documents. Tender Forms 6.2.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 IBAN/IBAN ACCOUNT ▇▇▇▇▇▇▇▇ CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 6.3.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-self- employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD REGISTRATIONDD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 8 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ NUMBER9 CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 SIGNATURE OF ACCOUNT HOLDER (Obligatory) NAME: TITLE: DATE (Obligatory) 8 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 6.3.1 ADMINISTRATIVE PROPOSAL Legal Identification formsforms Natural person I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-self- employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 IBAN▇▇▇▇▇▇, ▇ / we, acting as legal representative(s) of above-mentioned tenderer, declare that the tenderer does not find himself in one of the following situations : 1) The tenderer or one of its ‘directors[1]’ was found guilty following a conviction by final judgement for one of the following offences: 1° involvement in a criminal organisation 2° corruption 3° fraud 4° terrorist offences, offences linked related to terrorist activities or incitement to commit such offence, collusion or attempt to commit such an offence 5° money laundering or terrorist financing 6° child labour and other trafficking in human beings 7° employment of foreign citizens under illegal status 8° creating a shell company. 2) The counterparty which fails to fulfil his obligations relating to the payment of taxes or social security contributions for an amount in excess of EUR 3 000, except if the counterparty can demonstrate that a contracting authority owes him one or more unquestionable and due debts which are free of all foreseeable liabilities. These debts are at least of an amount equal to the one for which he is late in paying outstanding tax or social charges. 3) The counterparty who is in a state of bankruptcy, liquidation, cessation of activities, judicial reorganisation or has admitted bankruptcy or is the subject of a liquidation procedure or judicial reorganisation, or in any similar situation resulting from a procedure of the same kind existing under other national regulations; 4) When ▇▇▇▇▇▇ can demonstrate by any appropriate means that the counterparty or any of its directors has committed serious professional misconduct which calls into question his integrity. Are also considered such serious professional misconduct: a. A breach of Enabel’s Policy regarding sexual exploitation and abuse – June 2019 b. A breach of Enabel’s Policy regarding fraud and corruption risk management – June 2019 c. A breach of a regulatory provision in applicable local legislation regarding sexual harassment in the workplace d. The counterparty was seriously guilty of misrepresentation or false documents when providing the information required for verification of the absence of grounds for exclusion or the satisfaction of the selection criteria, or concealed this information e. Where ▇▇▇▇▇▇ has sufficient plausible evidence to conclude that the counterparty has committed acts, entered into agreements or entered into arrangements to distort competition The presence of this counterparty on one of ▇▇▇▇▇▇’s exclusion lists as a result of such an act/ACCOUNT agreement/arrangement is considered to be sufficiently plausible an element. 5) When a conflict of interest cannot be remedied by other, less intrusive measures; 6) When significant or persistent failures by the counterparty were detected during the execution of an essential obligation incumbent on him in the framework of a previous contract, a previous contract placed with another contracting authority, when these failures have given rise to measures as of right, damages or another comparable sanction. Also failures to respect applicable obligations regarding environmental, social and labour rights, national law, labour agreements or international provisions on environmental, social and labour rights are considered ‘significant’. The presence of the counterparty on the exclusion list of Enabel because of such a failure serves as evidence. 7) Restrictive measures have been taken vis-à-vis the counterparty with a view of ending violations of international peace and security such as terrorism, humanrights violations, the destabilisation of sovereign states and de proliferation of weapons of mass destruction. The counterparty or one of its directors are on the lists of persons, groups or entities submitted by the United Nations, the European Union and Belgium for financial sanctions: For the United Nations, the lists can be consulted at the following address: ▇▇▇▇▇://▇▇▇▇▇▇▇▇ CURRENCY BIC▇.▇▇▇▇▇▇▇.▇▇/fr/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWNtresorerie/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWNsanctions- financieres/CITY POST CODE COUNTRY 9 This does not refer sanctionshttps://▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇.▇▇/▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇▇▇▇-▇▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇▇▇▇- internationales-nations-uniesinternationales-nations-unies For the European Union, the lists can be consulted at the following address: ▇▇▇▇▇://▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇.▇▇/fr/tresorerie/sanctions- financieres/sanctionshttps://▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇.▇▇/▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇▇▇▇-▇▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇▇▇▇- européennes-ueeurop%C3%A9ennes-ue ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇▇.▇▇/headquarters/headquarters- homepage/8442/consolidatedhttps://▇▇▇▇.▇▇▇▇▇▇.▇▇/▇▇▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇▇▇▇▇▇▇- homepage/8442/consolidated-list-sanctions_enlist-sanctions_en ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇▇.▇▇/sites/eeas/files/restrictive_measures-2017-01-17-clean.pdf For Belgium: 8) If Enabel executes a project for another funder or donor, other grounds for exclusion may be added. Signature preceded by ‘read and approved’, in writing, and indication of name and function of the person signing: …………………………….. Place, date ▇▇▇▇▇▇, I / we, acting as legal representative(s) of above-mentioned tenderer, declare the following: • Neither members of administration or employees, or any person or legal person with whom the tenderer has concluded an agreement in view of performing the public contract, may obtain or accept from a third party, for themselves of for any other person or legal person, an advantage appreciable in cash (for instance, gifts, bonuses or any other kind of benefits), directly or indirectly related to the type activities of accountthe person concerned for the account of Enabel. • The board members, staff members or their partners have no financial or other interests in the businesses, organisations, etc. that have a direct or indirect link with Enabel (which could, for instance, bring about a conflict of interests). • I have / we have read and understood the articles about deontology and anticorruption included in the Tender Documents (see 1.7.), as well as ▇▇▇▇▇▇’s Policy regarding sexual exploitation and abuse of June 2019 and ▇▇▇▇▇▇’s Policy regarding fraud and corruption risk management of June 2019 and I / we declare fully endorsing and respecting these articles. If above-mentioned public contract is awarded to the tenderer, I/we declare, moreover, agreeing with the following provisions: • In order to avoid any impression of risk of partiality or connivance in the follow-up and control of the performance of the public contract, it is strictly forbidden to the public contractor (i.e. members of the administration and workers) to offer, directly or indirectly, gifts, meals or any other material or immaterial advantage, of whatever value, to the employees of Enabel who are concerned, directly or indirectly, by the follow-up and/or control of the performance of the public contract, regardless of their hierarchical rank. • Any (public) contract will be terminated, once it appears that contract awarding or contract performance would have involved the obtaining or the offering of the abovementioned advantages appreciable in cash. • Any failure to comply with one or more of the deontological clauses will be considered as a serious professional misconduct which will lead to the exclusion of the contractor from this and other public contracts for Enabel. • The public contractor commits to supply, upon the demand of the contracting authority, any supporting documents related to the performance conditions of the contract. The account name is usually contracting authority will be allowed to proceed to any control, on paperwork or on site, which it considers necessary to collect evidence to support the one presumption of unusual commercial expenditure. Finally, the tenderer takes cognisance of the account holderfact that ▇▇▇▇▇▇ reserves the right to lodge a complaint with the competent legal instances for all facts going against this statement and that all administrative and other costs resulting are borne by the tenderer. HoweverSignature preceded by ‘read and approved’, in writing, and indication of name and function of the person signing: …………………………….. Place, date The tenderer must complete the following table of financial data based on his/her annual accounts. Financial data Year- 2 € or NC Year- 1 € or NC Last year € or NC Average € or NC Annual turnover, excluding this public contract8 The tenderer must also provide his/her approved financial statements for the last three financial years or an appropriate supporting document, such as a document listing all assets and liabilities of the enterprise. In case the enterprise has not yet published its Financial Statements, an interim balance certified true by an accountant or by a registered auditor or by the person or body with this function in the country concerned will do Technical and professional capacity form List of main similar assignments Description of the main similar assignments totally performed (min. 1) Amount involved. Min 50,000 EUR Completion date in the last 3 years (only totally performed assignments) Name of the public or private bodies For each of the assignments listed, the account holder may tenderer must provide in the administrative proposal as annexes to this form the certificates of completion/acceptance (statement or certificate without major reservation) and / or any supporting documents (contracts, invoices…) approved by the entity which awarded the contract. 8 Last accounting year for which the entity's accounts have chosen a different name been closed. The tenderer must complete the table hereunder. He must provide in his offer the CV’s of the key experts (the team leader and experts) proposed for implementing this services contract. The CV’s (qualifications and experience of key experts) have to its bank account.fulfil the profiles as requested in the ToRs. Each CV should be no longer than 3 pages. Name of expert Proposed position Educational background – formal qualification Years of experience Specialist areas of knowledge Team leader/ Facilities Maintenance Expert Equipment Specialist Asset Management Expert Finance Expert Safety Specialist Waste Management/Environmental Specialist Subcontractors Name and legal form Address / Registered office Object

Procedural Documents. Tender Forms 6.2.1 6.3.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To to be completed with Region, State or Province by non non-EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. i.e., being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 8 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ NUMBER9 CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 SIGNATURE OF ACCOUNT HOLDER (Obligatory) NAME: TITLE: DATE (Obligatory) 8 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 6.3.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-self- employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 8 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ NUMBER9 CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 SIGNATURE OF ACCOUNT HOLDER (Obligatory) DATE (Obligatory) 8 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 6.3.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-self- employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY SIGNATURE OF ACCOUNT HOLDER (Obligatory) DATE (Obligatory) 9 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 IBAN/8 IBAN ACCOUNT ▇▇▇▇▇▇▇▇ NUMBER9 CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 SIGNATURE OF ACCOUNT HOLDER (Obligatory) DATE (Obligatory) 8 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 6.3.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-self- employed etc.) )? YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non non-EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD REGISTRATIONDD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 8 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ NUMBER9 CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 SIGNATURE OF ACCOUNT HOLDER (Obligatory) NAME: TITLE: DATE (Obligatory) 8 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. e.g., sole traders, self-self- employed etc.) )? YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To to be completed with Region, State or Province by non non-EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD REGISTRATIONDD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 7 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ NUMBER8 CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 SIGNATURE OF ACCOUNT HOLDER (Obligatory) NAME: TITLE: DATE (Obligatory) 7 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account. 8 Fill in the IBAN Code (International Bank Account Number) if it exists in the country where your bank is established. Subcontractors Name and legal form Address / Registered office Object ▇▇▇▇▇▇, ▇ / we, acting as legal representative(s) of above-mentioned tenderer, declare that the tenderer does not find himself in one of the following situations: 1) The tenderer or one of its ‘directors [1]’ was found guilty following a conviction by final judgement for one of the following offences: 1° involvement in a criminal organisation 2° corruption 3° fraud 4° terrorist offences, offences linked related to terrorist activities or incitement to commit such offence, collusion or attempt to commit such an offence 5° money laundering or terrorist financing 6° child labour and other trafficking in human beings 7° employment of foreign citizens under illegal status 8° creating a shell company. 2) The counterparty which fails to fulfil his obligations relating to the payment of taxes or social security contributions for an amount in excess of EUR 3 000, except if the counterparty can demonstrate that a contracting authority owes him one or more unquestionable and due debts which are free of all foreseeable liabilities. These debts are at least of an amount equal to the one for which he is late in paying outstanding tax or social charges. 3) The counterparty who is in a state of bankruptcy, liquidation, cessation of activities, judicial reorganisation or has admitted bankruptcy or is the subject of a liquidation procedure or judicial reorganisation, or in any similar situation resulting from a procedure of the same kind existing under other national regulations; 4) When ▇▇▇▇▇▇ can demonstrate by any appropriate means that the counterparty or any of its directors has committed serious professional misconduct which calls into question his integrity. Are also considered such serious professional misconduct: a. A breach of ▇▇▇▇▇▇’s Policy regarding sexual exploitation and abuse – June 2019 b. A breach of ▇▇▇▇▇▇’s Policy regarding fraud and corruption risk management – June 2019 c. A breach of a regulatory provision in applicable local legislation regarding sexual harassment in the workplace d. The counterparty was seriously guilty of misrepresentation or false documents when providing the information required for verification of the absence of grounds for exclusion or the satisfaction of the selection criteria, or concealed this information e. Where ▇▇▇▇▇▇ has sufficient plausible evidence to conclude that the counterparty has committed acts, entered into agreements or entered into arrangements to distort competition The presence of this counterparty on one of ▇▇▇▇▇▇’s exclusion lists as a result of such an act/agreement/arrangement is considered to be sufficiently plausible an element. 5) When a conflict of interest cannot be remedied by other, less intrusive measures; 6) When significant or persistent failures by the counterparty were detected during the execution of an essential obligation incumbent on him in the framework of a previous contract, a previous contract placed with another contracting authority, when these failures have given rise to measures as of right, damages or another comparable sanction. Also, failures to respect applicable obligations regarding environmental, social and labour rights, national law, labour agreements or international provisions on environmental, social and labour rights are considered ‘significant’. The presence of the counterparty on the exclusion list of Enabel because of such a failure serves as evidence. 7) Restrictive measures have been taken vis-à-vis the counterparty with a view of ending violations of international peace and security such as terrorism, human rights violations, the destabilisation of sovereign states and de proliferation of weapons of mass destruction. The counterparty or one of its directors are on the lists of persons, groups or entities submitted by the United Nations, the European Union and Belgium for financial sanctions: For the United Nations, the lists can be consulted at the following address: ▇▇▇▇▇://▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇.▇▇/fr/tresorerie/sanctions- financieres/sanctionsinternationales-nations-unies For the European Union, the lists can be consulted at the following address: ▇▇▇▇▇://▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇.▇▇/fr/tresorerie/sanctions- financieres/sanctionseurop%C3%A9ennes-ue ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇▇.▇▇/headquarters/headquarters-homepage/8442/consolidatedlist- sanctions_en ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇▇.▇▇/sites/eeas/files/restrictive_measures-2017-01- 17-clean.pdf For Belgium: ▇▇▇▇▇://▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇.▇▇/fr/sur_le_spf/structure_et_services/administrations_ generales/tr%C3%A9sorerie/contr%C3%B4le-des-instruments-1-2 8) If Enabel executes a project for another funder or donor, other grounds for exclusion may be a ▇▇▇▇▇▇, ▇ / we, acting as legal representative(s) of above-mentioned tenderer, declare the following: • Neither member of administration or employees, or any person or legal person with whom the tenderer has concluded an agreement in view of performing the public contract, may obtain or accept from a third party, for themselves of for any other person or legal person, an advantage appreciable in cash (for instance, gifts, bonuses or any other kind of benefits), directly or indirectly related to the activities of the person concerned for the account of Enabel. • The board members, staff members or their partners have no financial or other interests in the businesses, organisations, etc. that have a direct or indirect link with Enabel (which could, for instance, bring about a conflict of interests).

Procedural Documents. Tender Forms 6.2.1 6.3.1 ADMINISTRATIVE PROPOSAL PROPOSAL 6.3.1.1 Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-self- employed etc.) )? YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non non-EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD REGISTRATIONDD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY Financial identification form (along with an account confirmation letter from the bank. This account shall not change throughout the contract duration and implementation) ACCOUNT NAME 9 8 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ NUMBER9 CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 SIGNATURE OF ACCOUNT HOLDER (Obligatory) NAME: TITLE: DATE (Obligatory) 8 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 IBAN/8 IBAN ACCOUNT ▇▇▇▇▇▇▇▇ NUMBER9 CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 SIGNATURE OF ACCOUNT HOLDER (Obligatory) DATE (Obligatory) 8 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 6.3.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-self- employed etc.) )? YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non non-EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD REGISTRATIONDD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 6 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ NUMBER7 CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 SIGNATURE OF ACCOUNT HOLDER (Obligatory) NAME : TITLE DATE (Obligatory) 6 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 8 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ NUMBER9 CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 SIGNATURE OF ACCOUNT HOLDER (Obligatory) DATE (Obligatory) 8 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 6.3.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. e.g., sole traders, self-employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non non-EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD REGISTRATIONDD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. i.e., being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if If different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if If applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 10 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 SIGNATURE OF ACCOUNT HOLDER (Obligatory) NAME: TITLE: DATE (Obligatory) 10 This does not refer to the type of account. The account name is usually the one of the account holderholders. However, the account holder may have chosen a different name to its bank account.. 11 Fill in the IBAN Code (International Bank Account Number) if it exists in the country where your bank is established. Subcontractors Name and legal form Address / Registered office Object ▇▇▇▇▇▇, ▇ / we, acting as legal representative(s) of above-mentioned tenderer, declare that the tenderer does not find himself in one of the following situations:

Procedural Documents. Tender Forms 6.2.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 IBAN/8 IBAN ACCOUNT ▇▇▇▇▇▇▇▇ NUMBER CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 SIGNATURE OF ACCOUNT HOLDER (Obligatory) DATE (Obligatory) 8 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account. Tender Specifications – Procurement reference number Subcontractors Name and legal form Address / Registered office Object ▇▇▇▇▇▇, ▇ / we, acting as legal representative(s) of above-mentioned tenderer, declare that the tenderer does not find himself in one of the following situations : 1) The tenderer or one of its ‘directors[1]’ was found guilty following a conviction by final judgement for one of the following offences: 1° involvement in a criminal organisation 2° corruption 3° fraud 4° terrorist offences, offences linked related to terrorist activities or incitement to commit such offence, collusion or attempt to commit such an offence 5° money laundering or terrorist financing 6° child labour and other trafficking in human beings 7° employment of foreign citizens under illegal status 8° creating a shell company. 2) The counterparty which fails to fulfil his obligations relating to the payment of taxes or social security contributions for an amount in excess of EUR 3 000, except if the counterparty can demonstrate that a contracting authority owes him one or more unquestionable and due debts which are free of all foreseeable liabilities. These debts are at least of an amount equal to the one for which he is late in paying outstanding tax or social charges. 3) The counterparty who is in a state of bankruptcy, liquidation, cessation of activities, judicial reorganisation or has admitted bankruptcy or is the subject of a liquidation procedure or judicial reorganisation, or in any similar situation resulting from a procedure of the same kind existing under other national regulations; 4) When ▇▇▇▇▇▇ can demonstrate by any appropriate means that the counterparty or any of its directors has committed serious professional misconduct which calls into question his integrity. Are also considered such serious professional misconduct: a. A breach of ▇▇▇▇▇▇’s Policy regarding sexual exploitation and abuse – June 2019 b. A breach of ▇▇▇▇▇▇’s Policy regarding fraud and corruption risk management – June 2019 c. A breach of a regulatory provision in applicable local legislation regarding sexual harassment in the workplace d. The counterparty was seriously guilty of misrepresentation or false documents when providing the information required for verification of the absence of grounds for exclusion or the satisfaction of the selection criteria, or concealed this information e. Where ▇▇▇▇▇▇ has sufficient plausible evidence to conclude that the counterparty has committed acts, entered into agreements or entered into arrangements to distort competition The presence of this counterparty on one of ▇▇▇▇▇▇’s exclusion lists as a result of such an act/agreement/arrangement is considered to be sufficiently plausible an element. 5) When a conflict of interest cannot be remedied by other, less intrusive measures; 6) When significant or persistent failures by the counterparty were detected during the execution of an essential obligation incumbent on him in the framework of a previous contract, a previous contract placed with another contracting authority, when these failures have given rise to measures as of right, damages or another comparable sanction. Also failures to respect applicable obligations regarding environmental, social and labour rights, national law, labour agreements or international provisions on environmental, social and labour rights are considered ‘significant’. The presence of the counterparty on the exclusion list of Enabel because of such a failure serves as evidence. 7) Restrictive measures have been taken vis-à-vis the counterparty with a view of ending violations of international peace and security such as terrorism, humanrights violations, the destabilisation of sovereign states and de proliferation of weapons of mass destruction. The counterparty or one of its directors are on the lists of persons, groups or entities submitted by the United Nations, the European Union and Belgium for financial sanctions: For the United Nations, the lists can be consulted at the following address: For the European Union, the lists can be consulted at the following address: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇▇.▇▇/headquarters/headquarters-homepage/8442/consolidatedlist- sanctions_en ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇▇.▇▇/sites/eeas/files/restrictive_measures-2017-01-17- clean.pdf For Belgium: 8) If Enabel executes a project for another funder or donor, other grounds for exclusion may be added. Signature preceded by ‘read and approved’, in writing, and indication of name and function of the person signing: …………………………….. Place, date Tender Specifications – Procurement reference number ▇▇▇▇▇▇, ▇ / we, acting as legal representative(s) of above-mentioned tenderer, declare the following: • Neither members of administration or employees, or any person or legal person with whom the tenderer has concluded an agreement in view of performing the public contract, may obtain or accept from a third party, for themselves of for any other person or legal person, an advantage appreciable in cash (for instance, gifts, bonuses or any other kind of benefits), directly or indirectly related to the activities of the person concerned for the account of ▇▇▇▇▇▇. • The board members, staff members or their partners have no financial or other interests in the businesses, organisations, etc. that have a direct or indirect link with Enabel (which could, for instance, bring about a conflict of interests). • I have / we have read and understood the articles about deontology and anticorruption included in the Tender Documents (see 1.7.), as well as ▇▇▇▇▇▇’s Policy regarding sexual exploitation and abuse of June 2019 and ▇▇▇▇▇▇’s Policy regarding fraud and corruption risk management of June 2019 and I / we declare fully endorsing and respecting these articles. If above-mentioned public contract is awarded to the tenderer, I/we declare, moreover, agreeing with the following provisions: • In order to avoid any impression of risk of partiality or connivance in the follow-up and control of the performance of the public contract, it is strictly forbidden to the public contractor (i.e. members of the administration and workers) to offer, directly or indirectly, gifts, meals or any other material or immaterial advantage, of whatever value, to the employees of Enabel who are concerned, directly or indirectly, by the follow-up and/or control of the performance of the public contract, regardless of their hierarchical rank. • Any (public) contract will be terminated, once it appears that contract awarding or contract performance would have involved the obtaining or the offering of the abovementioned advantages appreciable in cash. • Any failure to comply with one or more of the deontological clauses will be considered as a serious professional misconduct which will lead to the exclusion of the contractor from this and other public contracts for ▇▇▇▇▇▇. • The public contractor commits to supply, upon the demand of the contracting authority, any supporting documents related to the performance conditions of the contract. The contracting authority will be allowed to proceed to any control, on paperwork or on site, which it considers necessary to collect evidence to support the presumption of unusual commercial expenditure. Finally, the tenderer takes cognisance of the fact that ▇▇▇▇▇▇ reserves the right to lodge a complaint with the competent legal instances for all facts going against this statement and that all administrative and other costs resulting are borne by the tenderer. Signature preceded by ‘read and approved’, in writing, and indication of name and function of the person signing: …………………………….. Place, date The tenderer must complete the following table of financial data based on his/her annual accounts. Financial data Year- 2 € or NC Year- 1 € or NC Last year € or NC Average € or NC Annual turnover, excluding this public contract The tenderer must also provide his/her approved financial statements for the last three financial years or an appropriate supporting document, such as a document listing all assets and liabilities of the enterprise. In case the enterprise has not yet published its Financial Statements, an interim balance certified true by an accountant or by a registered auditor or by the person or body with this function in the country concerned will do. List of main similar assignments Description of the main similar assignments totally performed (min. 2) Amount involved Completion date in the last 3 years (only totally performed assignments) Name of the public or private bodies For each of the assignments listed, the tenderer must provide in the administrative proposal as annexes to this form the certificates of completion/acceptance (statement or certificate without major reservation) and / or any supporting documents (contracts, invoices…) approved by the entity which awarded the contract.

Procedural Documents. Tender Forms 6.2.1 6.3.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-self- employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ③ Registration number in the national register of companies. See table with corresponding field denomination by country. ACCOUNT NAME 9 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY SIGNATURE OF ACCOUNT HOLDER (Obligatory) DATE (Obligatory) 9 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 6.3.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. e.g., sole traders, self-employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To to be completed with Region, State or Province by non non-EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. i.e., being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY SIGNATURE OF ACCOUNT HOLDER (Obligatory) NAME: TITLE: DATE (Obligatory) 9 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY SIGNATURE OF ACCOUNT HOLDER (Obligatory) DATE (Obligatory) 9 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 6.3.1 ADMINISTRATIVE PROPOSAL Legal Identification formsPROPOSAL I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To to be completed with Region, State or Province by non non-EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. i.e., being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ③ Registration number in the national register of companies. See table with corresponding field denomination by country. ACCOUNT NAME 9 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY SIGNATURE OF ACCOUNT HOLDER (Obligatory) NAME: TITLE: DATE (Obligatory) 9 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account. 10 Qa1Fill in the IBAN Code (International Bank Account Number) if it exists in the country where your bank is established. ▇▇▇▇▇▇, ▇ / we, acting as legal representative(s) of above-mentioned tenderer, declare that the tenderer does not find himself in one of the following situations: 1) The tenderer or one of its ‘directors [1]’ was found guilty following a conviction by final judgement for one of the following offences: 1° involvement in a criminal organisation 2° corruption 3° fraud 4° terrorist offences, offences linked related to terrorist activities or incitement to commit such offence, collusion or attempt to commit such an offence 5° money laundering or terrorist financing 6° child labour and other trafficking in human beings 7° employment of foreign citizens under illegal status 8° creating a shell company. 2) The counterparty which fails to fulfil his obligations relating to the payment of taxes or social security contributions for an amount in excess of EUR 3 000, except if the counterparty can demonstrate that a contracting authority owes him one or more unquestionable and due debts which are free of all foreseeable liabilities. These debts are at least of an amount equal to the one for which he is late in paying outstanding tax or social charges. 3) The counterparty who is in a state of bankruptcy, liquidation, cessation of activities, judicial reorganisation or has admitted bankruptcy or is the subject of a liquidation procedure or judicial reorganisation, or in any similar situation resulting from a procedure of the same kind existing under other national regulations; 4) When ▇▇▇▇▇▇ can demonstrate by any appropriate means that the counterparty or any of its directors has committed serious professional misconduct which calls into question his integrity. Are also considered such serious professional misconduct: a. A breach of Enabel’s Policy regarding sexual exploitation and abuse – June 2019 b. A breach of Enabel’s Policy regarding fraud and corruption risk management – June 2019 c. A breach of a regulatory provision in applicable local legislation regarding sexual harassment in the workplace d. The counterparty was seriously guilty of misrepresentation or false documents when providing the information required for verification of the absence of grounds for exclusion or the satisfaction of the selection criteria, or concealed this information e. Where ▇▇▇▇▇▇ has sufficient plausible evidence to conclude that the counterparty has committed acts, entered into agreements or entered into arrangements to distort competition The presence of this counterparty on one of ▇▇▇▇▇▇’s exclusion lists as a result of such an act/agreement/arrangement is considered to be sufficiently plausible an element. 5) When a conflict of interest cannot be remedied by other, less intrusive measures; 6) When significant or persistent failures by the counterparty were detected during the execution of an essential obligation incumbent on him in the framework of a previous contract, a previous contract placed with another contracting authority, when these failures have given rise to measures as of right, damages or another comparable sanction. Also, failures to respect applicable obligations regarding environmental, social and labour rights, national law, labour agreements or international provisions on environmental, social and labour rights are considered ‘significant’. The presence of the counterparty on the exclusion list of Enabel because of such a failure serves as evidence. 7) Restrictive measures have been taken vis-à-vis the counterparty with a view of ending violations of international peace and security such as terrorism, human rights violations, the destabilisation of sovereign states and de proliferation of weapons of mass destruction. The counterparty or one of its directors are on the lists of persons, groups or entities submitted by the United Nations, the European Union and Belgium for financial sanctions: For the United Nations, the lists can be consulted at the following address: ▇▇▇▇▇://▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇.▇▇/fr/tresorerie/sanctions- financieres/sanctionshttps://▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇.▇▇/▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇▇▇▇- financieres/sanctions-internationales-nations-uniesinternationales-nations-unies For the European Union, the lists can be consulted at the following address: ▇▇▇▇▇://▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇.▇▇/fr/tresorerie/sanctions- financieres/sanctionshttps://▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇.▇▇/▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇▇▇▇- financieres/sanctions-européennes-ueeurop%C3%A9ennes-ue ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇▇.▇▇/headquarters/headquarters- homepage/8442/consolidatedhttps://▇▇▇▇.▇▇▇▇▇▇.▇▇/▇▇▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇▇▇▇▇▇▇- homepage/8442/consolidated-list-sanctions_enlist-sanctions_en ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇▇.▇▇/sites/eeas/files/restrictive_measures-2017-01-17-clean.pdf For Belgium: ▇▇▇▇▇://▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇.▇▇/fr/sur_le_spf/structure_et_services/administrations_ generales/tr%C3%A9sorerie/contr%C3%B4le-des-instruments-1-2 8) << If Enabel executes a project for another funder or donor, other grounds for exclusion may be added. Signature preceded by ‘read and approved’, in writing, and indication of name and function of the person signing: …………………………….. ▇▇▇▇▇▇, I / we, acting as legal representative(s) of above-mentioned tenderer, declare the following: • Neither member of administration or employees, or any person or legal person with whom the tenderer has concluded an agreement in view of performing the public contract, may obtain or accept from a third party, for themselves of for any other person or legal person, an advantage appreciable in cash (for instance, gifts, bonuses or any other kind of benefits), directly or indirectly related to the activities of the person concerned for the account of Enabel. • The board members, staff members or their partners have no financial or other interests in the businesses, organisations, etc. that have a direct or indirect link with Enabel (which could, for instance, bring about a conflict of interests).

Procedural Documents. Tender Forms 6.2.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Tender Specifications reference number: UGA180371T-10028 Do you run your own business without a separate legal personality (e.g. sole traders, self-employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. Tender Specifications reference number: UGA180371T-10028 OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. Tender Specifications reference number: UGA180371T-10028 OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY Tender Specifications reference number: UGA180371T-10028 ACCOUNT NAME 9 IBAN/IBAN ACCOUNT ▇▇▇▇▇▇▇▇ CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 6.3.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 10 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 SIGNATURE OF ACCOUNT HOLDER (Obligatory) DATE (Obligatory) 10 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account. 11 Fill in the IBAN Code (International Bank Account Number) if it exists in the country where your bank is established. ▇▇▇▇▇▇, ▇ / we, acting as legal representative(s) of above-mentioned tenderer, declare that the tenderer does not find himself in one of the following situations : 1) The tenderer or one of its ‘directors[1]’ was found guilty following a conviction by final judgement for one of the following offences: 1° involvement in a criminal organisation 2° corruption 3° fraud 4° terrorist offences, offences linked related to terrorist activities or incitement to commit such offence, collusion or attempt to commit such an offence 5° money laundering or terrorist financing 6° child labour and other trafficking in human beings 7° employment of foreign citizens under illegal status 8° creating a shell company. 2) The counterparty which fails to fulfil his obligations relating to the payment of taxes or social security contributions for an amount in excess of EUR 3 000, except if the counterparty can demonstrate that a contracting authority owes him one or more unquestionable and due debts which are free of all foreseeable liabilities. These debts are at least of an amount equal to the one for which he is late in paying outstanding tax or social charges. 3) The counterparty who is in a state of bankruptcy, liquidation, cessation of activities, judicial reorganisation or has admitted bankruptcy or is the subject of a liquidation procedure or judicial reorganisation, or in any similar situation resulting from a procedure of the same kind existing under other national regulations; 4) When ▇▇▇▇▇▇ can demonstrate by any appropriate means that the counterparty or any of its directors has committed serious professional misconduct which calls into question his integrity. Are also considered such serious professional misconduct: a. A breach of Enabel’s Policy regarding sexual exploitation and abuse – June 2019 b. A breach of Enabel’s Policy regarding fraud and corruption risk management – June 2019 c. A breach of a regulatory provision in applicable local legislation regarding sexual harassment in the workplace d. The counterparty was seriously guilty of misrepresentation or false documents when providing the information required for verification of the absence of grounds for exclusion or the satisfaction of the selection criteria, or concealed this information e. Where ▇▇▇▇▇▇ has sufficient plausible evidence to conclude that the counterparty has committed acts, entered into agreements or entered into arrangements to distort competition The presence of this counterparty on one of ▇▇▇▇▇▇’s exclusion lists as a result of such an act/agreement/arrangement is considered to be sufficiently plausible an element. 5) When a conflict of interest cannot be remedied by other, less intrusive measures; 6) When significant or persistent failures by the counterparty were detected during the execution of an essential obligation incumbent on him in the framework of a previous contract, a previous contract placed with another contracting authority, when these failures have given rise to measures as of right, damages or another comparable sanction. Also failures to respect applicable obligations regarding environmental, social and labour rights, national law, labour agreements or international provisions on environmental, social and labour rights are considered ‘significant’. The presence of the counterparty on the exclusion list of Enabel because of such a failure serves as evidence. 7) Restrictive measures have been taken vis-à-vis the counterparty with a view of ending violations of international peace and security such as terrorism, humanrights violations, the destabilisation of sovereign states and de proliferation of weapons of mass destruction. The counterparty or one of its directors are on the lists of persons, groups or entities submitted by the United Nations, the European Union and Belgium for financial sanctions: For the United Nations, the lists can be consulted at the following address: ▇▇▇▇▇://▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇.▇▇/fr/tresorerie/sanctions- financieres/sanctionshttps://▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇.▇▇/▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇▇▇▇- financieres/sanctions-internationales-nations-uniesinternationales-nations-unies For the European Union, the lists can be consulted at the following address: ▇▇▇▇▇://▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇.▇▇/fr/tresorerie/sanctions- financieres/sanctionshttps://▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇.▇▇/▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇▇▇▇- financieres/sanctions-européennes-ueeurop%C3%A9ennes-ue ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇▇.▇▇/headquarters/headquarters- homepage/8442/consolidatedhttps://▇▇▇▇.▇▇▇▇▇▇.▇▇/▇▇▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇▇▇▇▇▇▇- homepage/8442/consolidated-list-sanctions_enlist-sanctions_en ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇▇.▇▇/sites/eeas/files/restrictive_measures-2017-01-17-clean.pdf For Belgium: 8) If Enabel executes a project for another funder or donor, other grounds for exclusion may be added. signature: …………………………….. Place, date ▇▇▇▇▇▇, I / we, acting as legal representative(s) of above-mentioned tenderer, declare the following: • Neither members of administration or employees, or any person or legal person with whom the tenderer has concluded an agreement in view of performing the public contract, may obtain or accept from a third party, for themselves of for any other person or legal person, an advantage appreciable in cash (for instance, gifts, bonuses or any other kind of benefits), directly or indirectly related to the activities of the person concerned for the account of Enabel. • The board members, staff members or their partners have no financial or other interests in the businesses, organisations, etc. that have a direct or indirect link with Enabel (which could, for instance, bring about a conflict of interests). • I have / we have read and understood the articles about deontology and anticorruption included in the Tender Documents (see 1.7.), as well as ▇▇▇▇▇▇’s Policy regarding sexual exploitation and abuse of June 2019 and ▇▇▇▇▇▇’s Policy regarding fraud and corruption risk management of June 2019 and I / we declare fully endorsing and respecting these articles. If above-mentioned public contract is awarded to the tenderer, I/we declare, moreover, agreeing with the following provisions: • In order to avoid any impression of risk of partiality or connivance in the follow- up and control of the performance of the public contract, it is strictly forbidden to the public contractor (i.e. members of the administration and workers) to offer, directly or indirectly, gifts, meals or any other material or immaterial advantage, of whatever value, to the employees of Enabel who are concerned, directly or indirectly, by the follow-up and/or control of the performance of the public contract, regardless of their hierarchical rank. • Any (public) contract will be terminated, once it appears that contract awarding or contract performance would have involved the obtaining or the offering of the abovementioned advantages appreciable in cash. • Any failure to comply with one or more of the deontological clauses will be considered as a serious professional misconduct which will lead to the exclusion of the contractor from this and other public contracts for Enabel. • The public contractor commits to supply, upon the demand of the contracting authority, any supporting documents related to the performance conditions of the contract. The contracting authority will be allowed to proceed to any control, on paperwork or on site, which it considers necessary to collect evidence to support the presumption of unusual commercial expenditure. Finally, the tenderer takes cognisance of the fact that ▇▇▇▇▇▇ reserves the right to lodge a complaint with the competent legal instances for all facts going against this statement and that all administrative and other costs resulting are borne by the tenderer. Signature preceded by ‘read and approved’, in writing, and indication of name and function of the person signing: …………………………….. Place, date Subcontractors Name and legal form Address / Registered office Object The tenderer must complete the following table of financial data based on his/her annual accounts. Financial data Year- 2 € Year- 1 € Last year € Average € Annual turnover, excluding this public contract12 The tenderer must also provide his/her approved financial statements for the last three financial years or an appropriate supporting document, such as a document listing all assets and liabilities of the enterprise. In case the enterprise has not yet published its Financial Statements, an interim balance certified true by an accountant or by a registered auditor or by the person or body with this function in the country concerned will do Description of the main similar assignments totally performed Amount involved Completion date in the last 3 years (only totally performed assignments) Name of the public or private bodies 12 Last accounting year for which the entity's accounts have been closed. Enabel • Belgian development agency • Public-law company with social purposes Rue Haute 147 • 1000 Brussels • T +▇▇ (▇)▇ ▇▇▇ ▇▇ ▇▇ • ▇▇▇▇▇▇.▇▇ For each of the assignments listed, the tenderer must provide in the administrative proposal as annexes to this form the certificates of completion/acceptance (statement or certificate without major reservation) and / or any supporting documents (contracts, invoices…) approved by the entity which awarded the contract.

Procedural Documents. Tender Forms 6.2.1 6.3.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-self- employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. e.g., sole traders, self-self- employed etc.) )? YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To to be completed with Region, State or Province by non non-EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD REGISTRATIONDD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 8 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ NUMBER9 CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 8 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 8 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ NUMBER9 CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 SIGNATURE OF ACCOUNT HOLDER (Obligatory) DATE (Obligatory) 8 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD REGISTRATIONDD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY SIGNATURE OF ACCOUNT HOLDER (Obligatory) NAME: TITLE: DATE (Obligatory) 9 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account. 10 Qa1Fill in the IBAN Code (International Bank Account Number) if it exists in the country where your bank is established. Subcontractors Name and legal form Address / Registered office Object ▇▇▇▇▇▇, ▇ / we, acting as legal representative(s) of above-mentioned tenderer, declare that the tenderer does not find himself in one of the following situations : 1) The tenderer or one of its ‘directors[1]’ was found guilty following a conviction by final judgement for one of the following offences: 1° involvement in a criminal organisation 2° corruption 3° fraud 4° terrorist offences, offences linked related to terrorist activities or incitement to commit such offence, collusion or attempt to commit such an offence 5° money laundering or terrorist financing 6° child labour and other trafficking in human beings 7° employment of foreign citizens under illegal status 8° creating a shell company. 2) The counterparty which fails to fulfil his obligations relating to the payment of taxes or social security contributions for an amount in excess of EUR 3 000, except if the counterparty can demonstrate that a contracting authority owes him one or more unquestionable and due debts which are free of all foreseeable liabilities. These debts are at least of an amount equal to the one for which he is late in paying outstanding tax or social charges. 3) The counterparty who is in a state of bankruptcy, liquidation, cessation of activities, judicial reorganisation or has admitted bankruptcy or is the subject of a liquidation procedure or judicial reorganisation, or in any similar situation resulting from a procedure of the same kind existing under other national regulations; 4) When ▇▇▇▇▇▇ can demonstrate by any appropriate means that the counterparty or any of its directors has committed serious professional misconduct which calls into question his integrity. Are also considered such serious professional misconduct: a. A breach of Enabel’s Policy regarding sexual exploitation and abuse – June 2019 b. A breach of Enabel’s Policy regarding fraud and corruption risk management – June 2019 c. A breach of a regulatory provision in applicable local legislation regarding sexual harassment in the workplace d. The counterparty was seriously guilty of misrepresentation or false documents when providing the information required for verification of the absence of grounds for exclusion or the satisfaction of the selection criteria, or concealed this information e. Where ▇▇▇▇▇▇ has sufficient plausible evidence to conclude that the counterparty has committed acts, entered into agreements or entered into arrangements to distort competition The presence of this counterparty on one of ▇▇▇▇▇▇’s exclusion lists as a result of such an act/agreement/arrangement is considered to be sufficiently plausible an element. 5) When a conflict of interest cannot be remedied by other, less intrusive measures; 6) When significant or persistent failures by the counterparty were detected during the execution of an essential obligation incumbent on him in the framework of a previous contract, a previous contract placed with another contracting authority, when these failures have given rise to measures as of right, damages or another comparable sanction. Also failures to respect applicable obligations regarding environmental, social and labour rights, national law, labour agreements or international provisions on environmental, social and labour rights are considered ‘significant’. The presence of the counterparty on the exclusion list of Enabel because of such a failure serves as evidence. 7) Restrictive measures have been taken vis-à-vis the counterparty with a view of ending violations of international peace and security such as terrorism, humanrights violations, the destabilisation of sovereign states and de proliferation of weapons of mass destruction. The counterparty or one of its directors are on the lists of persons, groups or entities submitted by the United Nations, the European Union and Belgium for financial sanctions: For the United Nations, the lists can be consulted at the following address: ▇▇▇▇▇://▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇.▇▇/fr/tresorerie/sanctions- financieres/sanctionsinternationales-nations-unies For the European Union, the lists can be consulted at the following address: ▇▇▇▇▇://▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇.▇▇/fr/tresorerie/sanctions- financieres/sanctionseurop%C3%A9ennes-ue ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇▇.▇▇/headquarters/headquarters-homepage/8442/consolidatedlist- sanctions_en ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇▇.▇▇/sites/eeas/files/restrictive_measures-2017-01- 17-clean.pdf For Belgium: ▇▇▇▇▇://▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇.▇▇/fr/sur_le_spf/structure_et_services/administrations_ generales/tr%C3%A9sorerie/contr%C3%B4le-des-instruments-1-2 8) If Enabel executes a project for another funder or donor, other grounds for exclusion may be added. Signature preceded by ‘read and approved’, in writing, and indication of name and function of the person signing: …………………………….. Place, date ▇▇▇▇▇▇, I / we, acting as legal representative(s) of above-mentioned tenderer, declare the following: • Neither members of administration or employees, or any person or legal person with whom the tenderer has concluded an agreement in view of performing the public contract, may obtain or accept from a third party, for themselves of for any other person or legal person, an advantage appreciable in cash (for instance, gifts, bonuses or any other kind of benefits), directly or indirectly related to the activities of the person concerned for the account of Enabel. • The board members, staff members or their partners have no financial or other interests in the businesses, organisations, etc. that have a direct or indirect link with Enabel (which could, for instance, bring about a conflict of interests).

Procedural Documents. Tender Forms 6.2.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Tender Specifications reference number: UGA180371T-10103 Do you run your own business without a separate legal personality (e.g. sole traders, self-employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. Tender Specifications reference number: UGA180371T-10103 OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. Tender Specifications reference number: UGA180371T-10103 OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY Tender Specifications reference number: UGA180371T-10103 ACCOUNT NAME 9 IBAN/IBAN ACCOUNT ▇▇▇▇▇▇▇▇ CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 This does not refer to the type of account. The account name is usually the one of the account holderholders. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 6.3.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. e.g., sole traders, self-employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To to be completed with Region, State or Province by non non-EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if If applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD REGISTRATIONDD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. i.e., being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if If different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if If applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD REGISTRATIONDD MM YYYY ACCOUNT NAME 9 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 This does not refer to the type of account. The account name is usually the one of the account holderholders. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 6.3.1 ADMINISTRATIVE PROPOSAL Legal Identification formsform Natural person I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. e.g., sole traders, self-employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To to be completed with Region, State or Province by non non-EU countries only, excluding EFTA and candidate countries. To fill the form, please click here: OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD REGISTRATIONDD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. i.e., being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO To fill the form, please click here: MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY Tender Specifications – Procurement reference number: 2800UGA-10111 ACCOUNT NAME 9 8 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ NUMBER9 CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 SIGNATURE OF ACCOUNT HOLDER (Obligatory) NAME: TITLE DATE (Obligatory) 8 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 ADMINISTRATIVE PROPOSAL PROPOSAL 6.2.1.1 Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ DD MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-employed etc.) )? YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD REGISTRATIONDD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD REGISTRATIONDD MM YYYY (along with an account confirmation letter from the bank. This account shall not change throughout the contract duration and implementation) ACCOUNT NAME 9 8 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ NUMBER9 CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 SIGNATURE OF ACCOUNT HOLDER (Obligatory) NAME: TITLE: DATE (Obligatory) 8 This does not refer to the type of account. The account name is usually the one of the account holderholders. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 6.3.1 ADMINISTRATIVE PROPOSAL PROPOSAL 6.1.1.1 Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To to be completed with Region, State or Province by non non-EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. i.e., being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ③ Registration number in the national register of companies. See table with corresponding field denomination by country. Financial identification form9 ACCOUNT NAME 9 10 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY SIGNATURE OF ACCOUNT HOLDER (Obligatory) NAME: TITLE: DATE (Obligatory) 9 Please add account confirmation letter from the bank. This account shall not change throughout the contract duration and implementation 10 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account. 11 Qa1Fill in the IBAN Code (International Bank Account Number) if it exists in the country where your bank is established. 6.1.1.2 Subcontractors Name and legal form Address / Registered office Object 6.1.1.3 Declaration on honour – exclusion criteria ▇▇▇▇▇▇, ▇ / we, acting as legal representative(s) of above-mentioned tenderer, declare that the tenderer does not find himself in one of the following situations: 1) The tenderer or one of its ‘directors [1]’ was found guilty following a conviction by final judgement for one of the following offences: 1° involvement in a criminal organisation 2° corruption 3° fraud 4° terrorist offences, offences linked related to terrorist activities or incitement to commit such offence, collusion or attempt to commit such an offence 5° money laundering or terrorist financing 6° child labour and other trafficking in human beings 7° employment of foreign citizens under illegal status 8° creating a shell company. 2) The counterparty which fails to fulfil his obligations relating to the payment of taxes or social security contributions for an amount in excess of EUR 3 000, except if the counterparty can demonstrate that a contracting authority owes him one or more unquestionable and due debts which are free of all foreseeable liabilities. These debts are at least of an amount equal to the one for which he is late in paying outstanding tax or social charges. 3) The counterparty who is in a state of bankruptcy, liquidation, cessation of activities, judicial reorganisation or has admitted bankruptcy or is the subject of a liquidation procedure or judicial reorganisation, or in any similar situation resulting from a procedure of the same kind existing under other national regulations; 4) When ▇▇▇▇▇▇ can demonstrate by any appropriate means that the counterparty or any of its directors has committed serious professional misconduct which calls into question his integrity. Are also considered such serious professional misconduct: a. A breach of ▇▇▇▇▇▇’s Policy regarding sexual exploitation and abuse – June 2019 b. A breach of ▇▇▇▇▇▇’s Policy regarding fraud and corruption risk management – June 2019 c. A breach of a regulatory provision in applicable local legislation regarding sexual harassment in the workplace d. The counterparty was seriously guilty of misrepresentation or false documents when providing the information required for verification of the absence of grounds for exclusion or the satisfaction of the selection criteria, or concealed this information e. Where ▇▇▇▇▇▇ has sufficient plausible evidence to conclude that the counterparty has committed acts, entered into agreements or entered into arrangements to distort competition The presence of this counterparty on one of ▇▇▇▇▇▇’s exclusion lists as a result of such an act/agreement/arrangement is considered to be sufficiently plausible an element. 5) When a conflict of interest cannot be remedied by other, less intrusive measures; 6) When significant or persistent failures by the counterparty were detected during the execution of an essential obligation incumbent on him in the framework of a previous contract, a previous contract placed with another contracting authority, when these failures have given rise to measures as of right, damages or another comparable sanction. Also, failures to respect applicable obligations regarding environmental, social and labour rights, national law, labour agreements or international provisions on environmental, social and labour rights are considered ‘significant’. The presence of the counterparty on the exclusion list of Enabel because of such a failure serves as evidence. 7) Restrictive measures have been taken vis-à-vis the counterparty with a view of ending violations of international peace and security such as terrorism, human rights violations, the destabilisation of sovereign states and de proliferation of weapons of mass destruction. The counterparty or one of its directors are on the lists of persons, groups or entities submitted by the United Nations, the European Union and Belgium for financial sanctions: For the United Nations, the lists can be consulted at the following address: ▇▇▇▇▇://▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇.▇▇/fr/tresorerie/sanctions- financieres/sanctionsinternationales-nations-unies For the European Union, the lists can be consulted at the following address: ▇▇▇▇▇://▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇.▇▇/fr/tresorerie/sanctions- financieres/sanctionseurop%C3%A9ennes-ue ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇▇.▇▇/headquarters/headquarters-homepage/8442/consolidatedlist- sanctions_en ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇▇.▇▇/sites/eeas/files/restrictive_measures-2017-01- 17-clean.pdf For Belgium: ▇▇▇▇▇://▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇.▇▇/fr/sur_le_spf/structure_et_services/administrations_ generales/tr%C3%A9sorerie/contr%C3%B4le-des-instruments-1-2 8) << If Enabel executes a project for another funder or donor, other grounds for exclusion may be added. Signature preceded by ‘read and approved’, in writing, and indication of name and function of the person signing: …………………………….. 6.1.1.4 Integrity statement for the tenderers

Procedural Documents. Tender Forms 6.2.1 6.3.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL MAIL II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-self- employed etc.) YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 8 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ NUMBER9 CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 SIGNATURE OF ACCOUNT HOLDER (Obligatory) NAME: TITLE: DATE (Obligatory) 8 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.

Procedural Documents. Tender Forms 6.2.1 6.3.1 ADMINISTRATIVE PROPOSAL Legal Identification forms I. PERSONAL DATA FAMILY NAME(S)① FIRST NAME(S)① DATE OF BIRTH JJ MM YYYY PLACE OF BIRTH COUNTRY OF BIRTH (CITY, VILLAGE) COUNTRY OF BIRTH TYPE OF IDENTITY DOCUMENT IDENTITY CARD PASSPORT DRIVING LICENCE② OTHER③ ISSUING COUNTRY IDENTITY DOCUMENT NUMBER PERSONAL IDENTIFICATION NUMBER④ PERMANENT PRIVATE ADRESS POSTCODE P.O. BOX CITY REGION ⑤ COUNTRY PRIVATE PHONE PRIVATE E-MAIL COUNTRY II. BUSINESS DATA If YES, please provide business data and attach copies of official supporting documents Do you run your own business without a separate legal personality (e.g. sole traders, self-self- employed etc.) and you provide as such services to the Commission, other Institutions, Agencies and EU-Bodies ? YES NO BUSINESS NAME (if applicable) VAT NUMBER REGISTRATION NUMBER PLACE OF REGISTRATION CITY COUNTRY ① As indicated on the official document. ② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia. ③ Failing other identity documents: residence permit or diplomatic passport. ④ See table with corresponding denominations by country. ⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries. Please fill this form: OFFICIAL NAME ② ABREVIATION MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY VAT NUMBER OFFICIAL ADDRESS POSTCODE P.O. BOX CITY COUNTRY E-MAIL PHONE ① Public law body WITH LEGAL PERSONALITY, meaning a public entity being able to represent itself and act in its own name, i.e. being capable of suing or being sued, acquiring and disposing of property, entering into contracts. This legal status is con- firmed by the official legal act establishing the entity (a law, a decree, etc.). ② National denomination and its translation in EN or FR if existing. ③ Registration number in the national register of the entity. OFFICIAL NAME① BUSINESS NAME (if different) ABREVIATION LEGAL FORM ORGANISATION TYPE FOR PROFIT NOT FOR PROFIT NGO② YES NO Please fill this form: MAIN REGISTRATION NUMBER③ SECONDARY REGISTRATION NUMBER (if applicable) PLACE OF MAIN REGISTRATION CITY COUNTRY DATE OF MAIN REGISTRATION DD MM YYYY ACCOUNT NAME 9 IBAN/ACCOUNT ▇▇▇▇▇▇▇▇ CURRENCY BIC/SWIFT CODE BANK NAME ADDRESS Of BANK BRANCH STREET & NUMBER TOWN/CITY POST CODE COUNTRY ACCOUNT HOLDER’S DATA AS DECLARED TO THE BANK ACCOUNT HOLDER STREET & NUMBER TOWN/CITY POST CODE COUNTRY 9 This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder may have chosen a different name to its bank account.