PROPOSAL SUBMISSION TEMPLATE Responding to Request For Proposal N°: 0381 Responding to Request For Proposal Title: “Seeking Partners Licensing Styrene- Acrylic Latex Technologies For Use In Specific Applications” Deadline: Proposal must be submitted before Thursday, August 7th, 2014, 05:00PM GMT Introduction Give the most attractive description of your proposed solution in field 2 “General Description of your Proposal”. Do not unveil any confidential information at this stage. Fill out the grey fields. All “*” fields are mandatory. Other fields are optional. You have 2 options to submit a Proposal o On-line submission (fill out the on-line Proposal template and click on “Submit”) o Or, download the Proposal submission template and send it back to sebastien.gourdon@specialchem.com Would you need more information before submitting your Proposal, you can contact Sébastien Gourdon at the following email address: Open-Innovation@specialchem.com or by phone at +33 172 763 927. Next Steps: All proposals will be gathered by SpecialChem and then forwarded to the seeker. The seeker, if interested by your Proposal, will contact you back in the following two (2) months. Submission Terms By placing an “X” in the box below, I agree that all information provided to SpecialChem as part of my submitted Proposal can be shared with the seeker. I agree that all submissions are voluntary and submitted on a NON-CONFIDENTIAL basis on my part. SpecialChem and its affiliates will not share this information with any party other than the seeker. I agree to SpecialChem’s submission terms Copyright © 2014 SpecialChem S.A. X 1/3 Proposal Content FIRST NAME*: LAST NAME*: EMAIL*: COMPANY NAME*: PHONE NUMBER*: ADDRESS*: CITY, STATE, ZIP CODE*: COUNTRY*: 1. Title of Your Proposal*: 2. General description of your solution* (Give the most attractive description of your proposed solution and try to respond to the following questions: Why does your solution respond to the seeker’s need? What technical approach are you suggesting? How your solution will support seeker’s objective? ...): 3. Uniqueness / Novelty of your solution (Compare to the state of the art, how different your solution is?): Copyright © 2014 SpecialChem S.A. 2/3 4. Maturity of your solution (According to you, what are the necessary next steps to come to a Ready To Use solution?): 5. What kind of relationship are you ready to consider with the seeker* (i.e: R&D Contract, Joint-Venture, selling your solution, licensing your solution…): 6. How did you hear about this Request For Proposal?* (Write Yes when applicable) LinkedIn: SpecialChem / Omnexus newsletters or bulletins: SpecialChem / Omnexus websites: Search engines (Google, Yahoo …): Recommendation (colleagues, friends …): Other: SUBMIT YOUR PROPOSAL By sending this file as an attachment “Seeking Partners Licensing Styrene- Acrylic Latex Technologies For Use In Specific Applications”– 0381 Or By submitting your Proposal On-Line Copyright © 2014 SpecialChem S.A. 3/3