INFORMATIVE QUESTIONNAIRE FOR VALIDATION AND
VERIFICATION OF ENERGY EFFICIENCY PROJECT SERVICES OFFER
Page 1 / 3
METHOD OF COMPLETION: all the fields in sections 1,2,3,4,5 are to be filled in: where not applicable put N.A.
1. ORGANIZATION TO WHICH SUBMIT THE OFFER DATA (Customer)
Registered Name:
Head Office Address:
Post Code/Town
VAT Number:
Internet Site:
Contact Person:
e-mail
Position:
Role in the project:
Prov.
Ph.
Fax
ADDITIONAL INFORMATION1
Is the organization part of a larger group?
If YES, which one?
 YES
 NO
 YES
 NO
 YES
 NO
Group Headquarter:
Already RINA ‘s customer?
If YES, to whom / which service / services?
Already a customer for one or more RINA group companies?
If YES, to whom / which companies and for what / which service / services?
2 - ORGANIZATION THAT HOSTS THE PROJECT DATA
Registered Name:
Head Office Address:
Post Code/Town
VAT Number:
Internet Site:
Contact Person:
e-mail
Position:
Role in the project:
Prov.
Ph.
Fax
ADDITIONAL INFORMATION1
Is the organization part of a larger group?
If YES, which one?
 YES
 NO
 YES
 NO
 YES
 NO
Headquarters of the group:
Already RINA ‘s customer?
If YES, to whom / which service / services?
Already a customer for one or more RINA group companies?
If YES, to whom / which companies and for what / which service / services?
3 – CONSULTANT
Registered Name:
Head Office Address:
Post Code/Town
VAT Number:
Internet Site:
Contact Person:
e-mail
Position:
Role in the project:
Prov.
Ph.
Fax
ADDITIONAL INFORMATION1
Is the organization part of a larger group?
Headquarters of the group:
Already RINA ‘s customer?
 YES
 NO
 YES
 NO
 YES
 NO
Headquarters of the group:
If YES, to whom / which service / services?
Already a customer for one or more RINA group companies?
If YES, to whom / which companies and for what / which service / services?
1
This information allows RINA to avoid possible conflict of interest between the activities of validation / verification and activities of associates and possible threats to independence
that may arise from economic, financial or other type relationship that RINA have with other subjects.
PEE_01_(IQ)-en
INFORMATIVE QUESTIONNAIRE FOR VALIDATION AND
VERIFICATION OF ENERGY EFFICIENCY PROJECT SERVICES OFFER
Page 2 / 3
4 - SERVICE REQUIRED
 YES
First RVC Verification
 NO
4 - PROJECT INFORMATION
Project Description:
Project Type:
Size of the project:
 < 50 toe/year (small size)
 < 500 toe/year (medium size)
 ≥ 500 toe/year (large size)
Technologies involved in the project:
Legislative / regulatory aspects and regulations related to the project (eg need for CPI):
Exact location of the Project:
5 - GENERAL INFORMATION
When do you want to start with the validation and / or verification process?
Additional NOTES,
if any
In relation to legislative decree 196/03 concerning the handling of personal data, I declare that I have received the information sheet
attached and/or contained in the Rules for certification relevant to the handling of my personal data.
Whereas, as indicated in point 3 of the above-mentioned information sheet, my personal data may be used to receive commercial
communications by electronic means (e-mail, fax, SMS or MMS or other)
I consent
I do not consent
to these communications being sent
Stamp and Signature
(Give name and position)
___________________ on ________________
PEE_01_(IQ)-en
_______________________________________________
INFORMATIVE QUESTIONNAIRE FOR VALIDATION AND
VERIFICATION OF ENERGY EFFICIENCY PROJECT SERVICES OFFER
Page 3 / 3
Attachment to the informative questionnaire - Information in accordance with Article 13 of Italian Decree.
196/2003
In accordance with Article 13 of Italian Decree 196/2003, and in relation to your data (company name; address of head
office and eventual secondary offices, nominative and personal data of legal representatives; telephone numbers; tax
code and VAT number; bank details; other data related to your economic activity needed in order to implement the
contract), directly supplied by you and/or at any rate acquired by us in the course of contractual or pre-contractual
relations, you shall take note of the following:
1.
The processing to which the above-mentioned data shall be subjected is directed to:
a) making offers and bid and to all other activities aimed at entering into contracts;
b) the performance by us of all related activities instrumental for the correct management and execution of the
existing contractual relations, and in particular for the execution of accounting and tax obligations, the
administration of the relations with clients and suppliers, the management of the payments and of any claims
or disputes, the fulfilling of all our duties pursuant to the applicable laws and our obligations towards the
authorizing and accreditation bodies;
c) the commercial information and communication about our services.
2.
In relation to the purposes stipulated in point 1, the processing of the personal data acquired by us may be done
either manually or through the use of computer or electronic means or at any rate automated, and may consist
alternatively or jointly, of operations of recording, conservation, organisation, processing, selection, comparison,
extraction, communication, cancellation, destruction of this data.
3.
Relative to the personal data directly supplied by you and/or in any case acquired by us in the course of the
contractual relations, an express consent to processing, dissemination and to communication to addressees
mentioned in the following point 6 is not necessary, on the condition that it is made for the purposes stipulated in
letters (a) and (b) of point 1, this being the presumed consent by law or at any rate not obligatory.
4.
As far as processing of your personal data for the purposes stipulated in letter (c) of point 1 is concerned, your
voluntary express consent is necessary to allow us to contact you for commercial purposes, through the use of
automated call systems or electronic means, such as e-mail, telefax, sms and mms messages, etc.
5.
The holder of the personal data directly supplied by you and/or acquired by us is RINA SERVICES S.p.A. with head
office in Genoa, Via Corsica 12, that appointed as Responsible its Financial Director, whose details and address
can be provided upon request to our head office.
6.
The personal data may be communicated, for similar processing, to other companies in the group to which, as per
the regulations stipulated in Article 2359 Italian Civil Code, our Company belongs.
7.
Your personal data may be communicated, even outside the territorial environment of the European Union, to the
following categories of individuals: couriers/forwarding agents, banking institutes and non-banking financial
intermediaries; postal administrations – postal service; agents, professional offices and consulting companies for
the performance of assistance services in accounting and tax matters, claims management and credit collection;
consultants and firms entrusted with the maintenance of the company informative system; auditing companies;
public administrations and other private or public organisations to whom our Company must communicate your data
pursuant to law or contractual duties (e.g.: CISQ, IACS, SAI, ACCREDIA, etc.). The individuals belonging to the
above categories, to which the personal data may be communicated, shall use this data as Holders with the
exception of the individuals nominated Responsible.
8.
Your personal data will be communicated to the individuals nominated Responsible and Authorized, who need to
utilize it for the performance of tasks and functions awarded to them.
9.
Your personal data may be disseminated through publication in our Company’s periodicals (Registers, directories,
newsletters, etc.) and through the insertion on our website.
10. The law recognises you a series of rights (Article 7 of Italian Decree 196/2003), among which there is the right to
oppose for legitimate reasons the processing in question, to obtain from the holder of the processing confirmation of
the existence or not of your own personal data and that this personal data be made available in an intelligible form;
the right to find out the origin of the data as well as the logic and the aim on which this processing is based; the
right to obtain the cancellation, the transformation into anonymous form, the block, for data processes in violation of
the current provisions, or the certification and update and, if interested, the integration of this data.
You consent to the data processing for the purposes referred to in point C), also through automated calling systems and
electronic communications as described in the above step 4. This content may be revoked, at your request, at any time.
PEE-01 – IQ rev.00_en