Supply of wind turbines together with assembly and maintenance services as part of the project Construction of Szerzawy Wind Farm 10 MW together with associated infrastructure Schedule 1 REQUEST TO PARTICIPATE IN TENDER PROCEDURE CONTRACTING PARTY: Gestamp Wind 10 sp. z o.o. ul. Racławicka 130, 02-634 Warsaw, Poland Further to the notice of a tender procedure entitled "Supply of wind turbines together with assembly and maintenance services as part of the project Construction of Szerzawy Wind Farm 10 MW together with associated infrastructure” ("Tender Procedure”), acting for and on behalf of: No. Name (business name) of Contractor/Contractors (in the event of contractors jointly requesting to participate in the Tender Procedure, please give details of all contractors and on line no. 1 please enter their data concerning attorney-in-fact) Address of Contractor Telephone number e-mail 1. 2.1 I, the undersigned, hereby: 1. declare that I wish to participate in the said Tender Procedure; 2. represent that I have read and accept without reservation "Tender procedures rules for Gestamp Wind 10 sp. z o.o. with regard to a project financed by a loan from a National Environmental Protection and Water Management Fund”, based on which this Tender Procedure is conducted; 3. represent that I have read the Tender Notice and its schedules and I agree to be bound by the provisions thereof; 4. represent that the information and documents contained on page nos. ____ to ____ of this Request and the schedules are company secrets within the meaning of the regulations on combating unfair competition and I stipulate that they cannot be made available. 1 In the event of contractors submitting a joint request to participate in the tender procedure, please list all such Contractors. Supply of wind turbines together with assembly and maintenance services as part of the project Construction of Szerzawy Wind Farm 10 MW together with associated infrastructure Schedule 1 5. All correspondence relating to this Tender Procedure should be sent to the following address: Full name/business name:__________________________________________________ tel. __________________________________________________ e-mail: __________________________________________________ address: __________________________________________________ 6. I submit the Request and schedules on _____ consecutively numbered pages. 7. The schedules to this Request are: 1) ……………………………………………………………………………………………………. 2) ……………………………………………………………………………………………………. 3) ……………………………………………………………………………………………………. Place: ___________________ Date: ___________________ signature of persons authorised to submit declarations of intent on Contractor's behalf Supply of wind turbines together with assembly and maintenance services as part of the project Construction of Szerzawy Wind Farm 10 MW together with associated infrastructure Schedule 1 STATEMENT CONTRACTING PARTY: Gestamp Wind 10 sp. z o.o. ul. Racławicka 130, 02-634 Warsaw, Poland In connection with participating in a procedure entitled "Supply of wind turbines together with assembly and maintenance services as part of the project Construction of Szerzawy Wind Farm 10 MW together with associated infrastructure” ("Tender Procedure”) acting for and on behalf of: __________________________________________________________________________ (name of Contractor; in the event of contractors submitting a joint request to participate in the Tender Procedure each Contractor files a separate statement) I hereby represent that: 1. the Contractor meets the conditions laid down in the Tender Notice for participating in the Tender Procedure; 2. the Contractor has not been put into liquidation or declared bankrupt; 3. the Contractor does not have either a dependency or controlling relationship arising from capital or personal ties with another Contractor submitting a separate request in this procedure. Place: Date: ___________________ ___________________ signature of person authorised to submit declarations of intent on Contractor's behalf Supply of wind turbines together with assembly and maintenance services as part of the project Construction of Szerzawy Wind Farm 10 MW together with associated infrastructure Schedule 3 SPECIFICATION OF SUPPLIES MADE CONTRACTING PARTY: Gestamp Wind 10 sp. z o.o. ul. Racławicka 130, 02-634 Warsaw, Poland Re: "Supply of wind turbines together with assembly and maintenance services as part of the project Construction of Szerzawy Wind Farm 10 MW together with associated infrastructure” ("Tender Procedure”) No. Name (business name) of Contractor/Contractors (in the event of contractors jointly requesting to participate in the Tender Procedure, please give details of all contractors and on line no. 1 please enter their data concerning attorney-in-fact) 1. 2.2 Acting on behalf of the Contractor/Contractors, I represent that: Over the past five years, I/we have supplied the following wind turbines, with each supply covering a minimum of 5 wind turbines of a single rated power of one turbine not lower than 2 MW No. 2 Number of turbines Single rated power of turbine (min. 5) (min. 2 MW) Place of supply (address, country) Supply completion date Name of contracting party (month, year) (address, telephone number, e-mail address, contact person) In the event of contractors submitting a joint request to participate in the tender procedure, please list all such Contractors.. Description of key contract elements Schedule 3 Supply of wind turbines together with assembly and maintenance services as part of the project Construction of Szerzawy Wind Farm 10 MW together with associated infrastructure 1. 2. Over the past five years, I/we have carried out the following maintenance services for a minimum of 2 wind farms, with each farm comprising a minimum of 5 wind turbines of a total rated power not lower than 10 MW No. Number of turbines Total rated power of turbines (min.5) (min. 10 MW) Place of provision of maintenance services (address, country) Maintenance service completion date Name of contracting party (month, year) (address, telephone number, e-mail address, contact person) Description of key contract elements 1. 2. Place: ___________________ Date: ___________________ signature of person authorised to submit declarations of intent on Contractor's behalf Supply of wind turbines together with assembly and maintenance services as part of the project Construction of Szerzawy Wind Farm 10 MW together with associated infrastructure Schedule 4 TECHNICAL CAPACITY CONTRACTING PARTY: Gestamp Wind 10 sp. z o.o. ul. Racławicka 130, 02-634 Warsaw, Poland Re: "Supply of wind turbines together with assembly and maintenance services as part of the project Construction of Szerzawy Wind Farm 10 MW together with associated infrastructure” ("Tender Procedure”) No. Name (business name) of Contractor/Contractors (in the event of contractors jointly requesting to participate in the Tender Procedure, please give details of all contractors and on line no. 1 please enter their data concerning attorney-in-fact) 1. 2.3 Acting on behalf of the Contractor/Contractors, I represent that: 1. The turbines offered have the following technical parameters: Rated Power [MW] Rotor diameter [m] Hub height [m] 3 In the event of contractors submitting a joint request to participate in the tender procedure, please list all such Contractors. Supply of wind turbines together with assembly and maintenance services as part of the project Construction of Szerzawy Wind Farm 10 MW together with associated infrastructure Schedule 4 Tip height [m] Transformer rated voltage [kV] Maximum acoustic power level at source, at guaranteed power absorption curve [Db(A)] 2. I consent to and accept that, based on the data provided in this schedule and on the guaranteed power curve diagram for the turbines offered, the advisory firm Barlovento Recursos Naturales S.L. will make an analysis to establish whether the turbines enable wind farm Szerzawy to achieve an estimated production of 24000 MWh/year or higher. 3. I attach to this document a guaranteed power curve for the turbine offered. Place: ___________________ Date: ___________________ signature of person authorised to submit declarations of intent on Contractor's behalf Supply of wind turbines together with assembly and maintenance services as part of the project Construction of Szerzawy Wind Farm 10 MW together with associated infrastructure Schedule 5 CONFIDENTIALITY STATEMENT CONTRACTING PARTY: Gestamp Wind 10 sp. z o.o. ul. Racławicka 130, 02-634 Warsaw, Poland In connection with participating in a procedure entitled "Supply of wind turbines together with assembly and maintenance services as part of the project Construction of Szerzawy Wind Farm 10 MW together with associated infrastructure” ("Tender Procedure”) acting for and on behalf of: __________________________________________________________________________ (name of Contractor; in the event of contractors submitting a joint request to participate in the Tender Procedure each Contractor files a separate statement) I hereby represent that: 1. I agree to use the information or documents made available concerning the Tender Procedure only for the purpose of participating in the Tender Procedure (submitting a Request to participate in the Tender Procedure, submitting a tender and holding talks on concluding a contract within the Tender Procedure) and not to disclose, subject to points 3 and 5 below, this information or documents to third parties without the prior written consent of Gestamp Wind 10 sp. z o.o. 2. I agree to safeguard the information and documents in accordance with the highest professional standards. 3. I agree not to make any information and documents obtained in connection with participating in the Tender Procedure available – either during the Tender Procedure or after completion thereof – to any third parties and if, in connection with talks held on concluding a contract, information or documents are made available to third parties, the parties will be informed of the confidential nature of the information and documents, and before gaining access to this information and documents they will submit a written confidentiality statement of the same wording as this statement. Supply of wind turbines together with assembly and maintenance services as part of the project Construction of Szerzawy Wind Farm 10 MW together with associated infrastructure Schedule 5 4. I agree to maintain confidentiality without any time restrictions. 5. The confidentiality obligation laid down above does not apply to cases in which disclosure of specified information and documents is required under mandatory legal regulations or takes place on the request of authorities entitled to do so under these regulations. Place: Date: ___________________ ___________________ signature of person authorised to submit declarations of intent on Contractor's behalf