ITT DRF_716 Appendix Bid Submission Form Company/Name__________________________ Tender Reference: DRF_716_Drilling equipment Date: “____” ____________2015 Table 1 General Information about Bidder Company’s address/individual* Company’s postal address Phone number* Fax number E-mail* Company’s focal point (full name) Focal point’s position Web-site Number of permanent staff in Sakhalin Copy of Certificate of Incorporation Tax Registration Number of Company Management structure table (showing names of directors and senior positions) Table 2 Additional information Specify company’s type: Consulting company / Research institute / Recruitment Agency / Other (specify) Specify company’s status (government owned or private) Company shareholders (if possible) If Russian content is less than 100%, please name your foreign partners and indicate percentage of their interest *Individuals to complete only asterisk marked lines. ITT DRF_716 Commercial Proposal # Description Qty UOM 1 HANGER,LINER,LOCATOR,BAKEROT,H291010140 3 ea 2 4" X 3-1/2" CROSSOVER CABLE PROTECTOR 8 ea 3 4" X 3-1/2" CROSSOVER CABLE PROTECTOR 9 ea 4 4" X 3-1/2" CROSSOVER CABLE PROTECTOR 4 ea 5 4" X 3-1/2" CROSSOVER CABLE PROTECTOR 2 ea 6 4" X 3-1/2" CROSSOVER CABLE PROTECTOR 4 ea 7 4" X 3-1/2" CROSSOVER CABLE PROTECTOR 7 ea 8 4" X 3-1/2" CROSSOVER CABLE PROTECTOR 3 ea ITT DRF_716 Offered price, RUR VAT Incl. per Ea Offered price, RUR VAT Incl. per Lot 9 4" CROSS COUPLING CABLE PROTECTOR 38 ea 10 4" CROSS COUPLING CABLE PROTECTOR 86 ea 11 4" CROSS COUPLING CABLE PROTECTOR 70 ea 12 4" CROSS COUPLING CABLE PROTECTOR 10 ea 13 4" CROSS COUPLING CABLE PROTECTOR 120 ea 14 4" CROSS COUPLING CABLE PROTECTOR 38 ea 15 4" PTI Splice Protector. 1 ea 16 4" PTI Splice Protector. 1 ea 17 4" PTI Splice Protector. 2 ea ITT DRF_716 18 4" All Cast EDMC splice Protector. 4 ea 19 4" All Cast EDMC splice Protector. 1 ea 20 4" All Cast EDMC splice Protector. 1 ea 21 GAUGE SET,SGM&NPQG,SLB,100923780/10 0441+ 2 ea Total 414 ea The assets are being offered for sale as one lot without any reserve price. * In spite of the fact that the assets are being offered for sale as one lot, it is mandatory to indicate a commercial proposal (price) for every line in the lot. In the event that unit quantities within the lot are changed, for any reason, by the time of sale, the total price of the lot will be recalculated proportionally. If the unit of measure of a line item is in meters, treat total quantity as one EA, i.e. provide a price for all meters, not per meter. ITT DRF_716