ࡱ>  NXGHIJKLM[{b#` bjbjmm 821t8J,vL d(>PA)ݴ$>hpi| | | l4l4l4| \4| l4l4] c 1v$N$`P*g140d`$>)  c c rq J4y M /3Xd| | | | d* $N * N   Application Constructional Works / Equipment CoverBefore answering these questions, please consult the explanatory notes at the end of this form.  Other application forms can be downloaded from:  HYPERLINK "http://www.atradius.com/nl/en/dutchstatebusiness/documenten/aanvraagformulieren/index.jsp" www.atradius.com/nl/en/dutchstatebusiness/documenten/aanvraagformulieren/index.jsp (Use the correct application form for your transaction)  The processing of your application by Atradius: 1. After we have received your application, we will send you an acknowledgement of receipt. 2. If Atradius lacks financial information or has inadequate financial information about your buyer, we will take steps to gather such information. We kindly request you to attach to this application any readily available information regarding your buyer. 3. If we lack financial information or have inadequate financial information of you or your guarantor for recourse obligations, we will ask you to send us such information, including annual reports with financial notes for the last three years. 4a. If the contract price is EUR 10 million or more, we request you to complete questions 8g up to and including 8t and to provide required annexes. In some cases, we will also request you to complete these questions if the contract price is below EUR 10 million. 4b. You do not need to answer these questions if: - the transaction or project concerns defence or aircraft industry - an application has been made for Dutch development assistance. If this application is denied you will still have to complete these questions. In all other cases you will have to answer these questions. 5. As soon as we have the necessary information at our disposal (see points 2, 3, 4a and 4b), we will be able to process your application. 6. While your application is being processed, we will keep you informed regularly about the current progress. 7. You will be required to pay the following costs in connection with the processing of your application (barring possible changes).Contribution towards the cost of gathering information: a maximum of 120,-.Commission for the issue of a promise of cover:0.05 % of the maximum indemnification payable, subject to a minimum of 150 and a maximum of 1,500Cost of issuing a policy:0.5% of the maximum liability with a minimum of 150 and a maximum of 3,000. 1. The Applicant a. Name of the applicant, as listed in the Trade Register: FORMTEXT       b. Full address (including post code): FORMTEXT       c. Address for correspondence (P.O. Box and post code): FORMTEXT       d. Bank giro account number and name of bank: FORMTEXT       e. Group of which the applicant is part: FORMTEXT      f. Name and position of applicant's contact: FORMTEXT      Telephone: FORMTEXT      Telefax: FORMTEXT      Email: FORMTEXT       Name and address of insurance intermediary: (if involved) FORMTEXT       It is advisable to send with this form any (business) information which you have about the principal (e.g. annual reports). 2. The Principal Name of the principal in respect of whom you are running a non-payment risk: FORMTEXT       Address and country of the principal: FORMTEXT      Telephone: FORMTEXT      Telefax: FORMTEXT      Email: FORMTEXT      Is the principal a public body? FORMCHECKBOX  Yes  FORMCHECKBOX  No FORMTEXT       Name and address of the principal 's bank: FORMTEXT       Have you concluded transactions with this principal previously? (see explanatory note) FORMCHECKBOX  Yes  FORMCHECKBOX  No FORMTEXT      Have all payments in respect of these transactions taken place on time? FORMCHECKBOX  Yes  FORMCHECKBOX  No  (If not, please explain) FORMTEXT       What has been your general experience of this principal in the past? FORMTEXT       3. The Contract (See explanatory notes)a. Has the contract with the principal in respect of whom you are running a non-payment risk already taken effect? (See also question 10a) FORMCHECKBOX  Yes  FORMCHECKBOX  No Date:  FORMTEXT        Have you already experienced unforeseen circumstances when carrying out the preparation for the work? (See explanatory note)  FORMCHECKBOX  Yes  FORMCHECKBOX  Nob. If the contract with the principal in respect of whom you are running a non-payment risk is to be or has been concluded by a third party, what is his name and address? FORMTEXT      Where applicable, the information requested below should relate to the contract between the third party stated and the principal. Please give further particulars of the contract between you and that third party in an annex. (E.g. the composition of your cost price)c. If you are not running a non-payment risk in respect of the full amount, how large is the part in respect of which you are at risk? FORMTEXT      % of the contract price with the principald. Who are the other parties running a non-payment risk in respect of the principal?Name: FORMTEXT      Country: FORMTEXT      for : FORMTEXT      %Name: FORMTEXT      Country: FORMTEXT      for : FORMTEXT      %Name: FORMTEXT      Country: FORMTEXT      for : FORMTEXT      %e. Description of the work to be carried out:  FORMTEXT       f. By whom is the work to be carried out: FORMTEXT      g. Where is the work to be carried out ? Place : FORMTEXT       Country :  FORMTEXT      h. How soon after the contract takes effect will the work be commenced?   FORMCHECKBOX  Immediately after the contract takes effect FORMCHECKBOX   FORMTEXT      months after the contract takes effect i. How soon after the contract takes effect is the work to be completed: FORMTEXT      months after the contract takes effectj. In the event of force majeure*, is the delivery period to be extended indefinitely under the contract?  FORMCHECKBOX  Yes  FORMCHECKBOX  No (If not, what arrangement has been made?)  FORMTEXT       * Please attach the force majeure provisions or send them to us for assessment as soon as possible. k. The delivery is (to) an extension or modification of an existing project in the same location. The delivery is (to) a new project The delivery is a stand-alone transaction  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  l. What is the name of the project of which the transaction forms a part?  FORMTEXT       m. Please provide information on the project and the contribution of your transaction to it.  FORMTEXT        4. The Contract Price a. What is the contract price agreed with the principal?  FORMTEXT       b. In which way will the contract price be determined? (e.g. on the basis of certificates)  FORMTEXT       c. If the final contract price is determined on the basis of certificates, how long is the period to which each certificate relates:  FORMTEXT      days  FORMTEXT       monthsd. How soon after the end of a period must the certificate relating to that period be submitted for approval:  FORMTEXT       days e. How soon after the submission of a certificate must that certificate be issued: (Containing approval) FORMTEXT       daysf. By whom or by what authority must the certificates be approved: FORMTEXT      g. Is a retention applied: FORMCHECKBOX  Yes  FORMCHECKBOX  No If so, how and up to what amount: FORMTEXT      h. On the basis of what causes may the estimated contract price be exceeded according to the contract: (See explanatory note) FORMTEXT      i. Give your estimate of the overrun, in total and for each cause separately: (see explanatory note) FORMTEXT      j. Is VAT (or a similar tax) part of the contract price?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, do you have to pay this VAT also in the case the principal fails to pay?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If so, do you want this VAT to be covered under your policy? FORMCHECKBOX  Yes  FORMCHECKBOX  No (see explanatory note) 5. Payment a. In what instalments and on what dates must the contract price or, as the case may be, the certificate amounts be paid? Type of payment (See explanatory note) Amounts or % of the contract price Date of payment  FORMTEXT        FORMTEXT        FORMTEXT        b. In what currency and to what place must the agreed contract price be paid? (If relevant, please indicate what exchange rate should be contractually applied): Currency:  FORMTEXT       Place:  FORMTEXT       Has a legally valid conversion / transfer licence been obtained for currency that is non-transferable, either in whole or in part? FORMCHECKBOX  Yes  FORMCHECKBOX  No If so, do you require cover for the transfer risk in narrow terms? (See explanatory note)  FORMTEXT        If so, for what part of the contract price?   FORMTEXT      c. If amounts are to be paid in a non-transferable currency, does the contract contain a conversion clause for that purpose? (See explanatory note) FORMTEXT      d. Do you charge interest separately to the principal until the due date? FORMCHECKBOX  Yes  FORMCHECKBOX  Noe. What interest rate has been agreed? FORMTEXT       % per year, chargeable from FORMTEXT       (date)f. Is interest calculated in each case on the total outstanding amount, as a result of which the interest payments decrease? FORMCHECKBOX  Yes  FORMCHECKBOX  No (If not, please explain)g. On what dates must the interest payments be made? FORMTEXT      h. Do you want to include interest on arrears in the insurance? (This is only possible if you have agreed upon this explicitly with your buyer in the contract) (See explanatory note) FORMCHECKBOX  Yes  FORMCHECKBOX  No If so, at what percentage per year? FORMTEXT      % i. Are you liable to tax in the country of the principal on the interest paid by the principal? FORMCHECKBOX  Yes  FORMCHECKBOX  NoIf so, at what percentage per year? FORMTEXT       % 6. Securitya. Do you require security for the payment? (See explanatory note) FORMCHECKBOX  Yes  FORMCHECKBOX  Nob. What form does the security take ? (e.g. guarantees, letter of credit, mortgage, retention of title) FORMTEXT       c. What parts of the contract price are covered by the above-mentioned security? FORMTEXT       d. When must this security be provided? FORMTEXT       e. Name and address of the parties providing the above-mentioned security: FORMTEXT       7. Composition of cost pricea. What is the maximum cost price of all goods and other services not originating from the Netherlands? (See explanatory note) FORMTEXT       b. What proportion of this cost price relates to: (See explanatory note) local expenditure:  FORMTEXT        2. raw materials and semi-manufactures: (not obtained from the debtor's country)  FORMTEXT       3. other capital equipment and/or services: (not obtained from the debtor's country)  FORMTEXT       4. Commission and/or other fees to be paid in the Netherlands and abroad FORMTEXT       c. What is the net profit? FORMTEXT       d. What proportion of the contract price represents commission and/or other fees and what is the nature of these commission / fees? FORMTEXT      e. Name, address and position of the party to whom commission / fees must be paid by you: FORMTEXT       f. On what date(s) must the commission / fees be paid? FORMTEXT       g. Are you bound to pay the commission / fees in all circumstances, e.g. including if the principal does not pay? FORMCHECKBOX  Yes  FORMCHECKBOX  No If not, what arrangement has been made? FORMTEXT       8. Corporate Social Responsibility I Bribery(See explanatory notes)a. Are you aware that in connection with the contract to which this application relates - any payment or donation has or will be given or offered; - any pledge has or will be made; - any service has or will be performed or offered; - any benefit of whatever nature (including intangible benefits and benefits in kind) has or will be awarded, pledged or offered, by you or by another person to persons who are in the public service of a foreign state or public international body, whether or not this is dependent on the fulfilment of a further condition or conditions, which payment, donation, pledge, service or benefit could be interpreted in such a way that bribery or attempted bribery has taken place or will take place, or at least that an attempt has or will be made in an improper manner to obtain a competitive advantage, a better negotiating position, more favourable contract terms, or any other benefit? FORMCHECKBOX  Yes  FORMCHECKBOX  No b. Are you listed on one of the publicly available debarment lists of the following international financial institutions: World Bank Group, African Development Bank, Asian Development Bank, European Bank for Reconstruction and Development and the Inter American Development Bank? FORMCHECKBOX  Yes  FORMCHECKBOX  Noc. Are you, or anyone acting on your behalf in connection with the transaction, currently under charge in a national court or, within a five-year period preceding the application, have you been convicted in a national court or been subject to equivalent administrative measures for violation of laws against bribery of foreign public officials of any country?   FORMCHECKBOX  Yes  FORMCHECKBOX  No II Information Supply Chain(See explanatory notes)d. Are you familiar with the Dutch policy on supply chain management as part of the Dutch Corporate Social Responsibility (CSR) policy and the expectations for Dutch enterprises? (for more information (in Dutch):  HYPERLINK "http://static.ikregeer.nl/pdf/KST126715.pdf" Nederlands Beleid Ketenverantwoordelijkheid)  FORMCHECKBOX  Yes  FORMCHECKBOX  No  e. How is this being applied within your organisation? (If not yet in our possession, please provide us with a current copy of your purchase policy and/or relevant CSR procedure.)  FORMTEXT       FORMTEXT      f. Who are the most significant suppliers (no distributive trade companies) for the transaction (maximum 5)?  Name SupplierGoods/ServicesLand of origin FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       III Environmental and social aspectsBefore answering these questions, please read point 4a and 4b on the cover page to determine if you need to complete this section. In case the contract price is less than EUR 10 million, but it concerns a sensitive sector, or the transaction, or project of which the transaction is part of, is located in a sensitive area we will request you to complete these questions. (See explanatory notes for question 4e and 10j). If this is not the case, please continue with question 11. g. Correct address, place and description of the location where the goods and/ or services will be used: (Please provide us with a detailed map of the location.) FORMTEXT      h. As or for what is the location currently used where the goods and/ or services will be used?  Urban  FORMCHECKBOX  Industrial  FORMCHECKBOX  Agricultural  FORMCHECKBOX  Greenfield  FORMCHECKBOX  Other, please specify: FORMCHECKBOX i. To which sector will the delivery be made? Mining, oil and gas exploration  FORMCHECKBOX Iron and steel  FORMCHECKBOX Petro-chemicals  FORMCHECKBOX Energy production and distribution  FORMCHECKBOX Land reclamation and dredging  FORMCHECKBOX Dams and hydro-electric equipment  FORMCHECKBOX Other infrastructure and civil engineering  FORMCHECKBOX  Large-scale Agri- or Horticulture  FORMCHECKBOX  Other sectors (e.g. industrial site), please specify: FORMCHECKBOX j. What type of sensitive location could face an adverse environmental impact from the use of goods/services to be delivered or the work to be performed? (Please mark all relevant boxes)Delivery locationEffect area Semi-arid or desert margins  FORMCHECKBOX   FORMCHECKBOX Tropical or sub-tropical rainforest  FORMCHECKBOX   FORMCHECKBOX  River deltas, coastal areas, mangroves or coral reefs  FORMCHECKBOX   FORMCHECKBOX National parks  FORMCHECKBOX   FORMCHECKBOX World Heritage List/World Biosphere Reserve areas  FORMCHECKBOX   FORMCHECKBOX Rare/threatened species habitats  FORMCHECKBOX   FORMCHECKBOX Areas of very high population density  FORMCHECKBOX   FORMCHECKBOX Areas of archaeological significance  FORMCHECKBOX   FORMCHECKBOX Areas with indigenous peoples FORMCHECKBOX   FORMCHECKBOX Other sensitive location, please provide details: FORMCHECKBOX   FORMCHECKBOX Environmental and Social Impact Assessmentk. Does the transaction and/or project you are supplying have an analysis of its environmental and social effects and associated preventive measures, e.g. an Environmental Impact Assessment, an Environmental Impact Statement or Social Impact Assessment? (See explanatory notes)  FORMCHECKBOX  Yes  FORMCHECKBOX  No (If yes, please provide a document written in English or Dutch)l. If yes, what is the status of the impact assessment report: - In progress  FORMCHECKBOX - Draft version available  FORMCHECKBOX - Approved by (name organisation)  FORMTEXT       (date)  FORMTEXT       FORMCHECKBOX  And is the impact assessment public? FORMCHECKBOX  Yes  FORMCHECKBOX  No (If no, this could lead to a delay in your application)m. Is for the transaction and/or project a management plan developed (ESMP) covering measures to mitigate potential negative environmental and social impacts? (See explanatory note)  FORMCHECKBOX  Yes  FORMCHECKBOX  No (If yes, please provide a document written in English or Dutch)n. Will there be resettlement as a consequence of the delivery to the project?  FORMCHECKBOX  Yes  FORMCHECKBOX  No  FORMTEXT      o. As far as you know could your buyer be involved in or could the project involve: (See explanatory note10o) child labour? compulsory labour? restrictions in freedom of association and collective bargaining? discrimination? (If one of these questions has been answered  Yes , please explain)  FORMTEXT         FORMCHECKBOX  Yes  FORMCHECKBOX  No  FORMCHECKBOX  Yes  FORMCHECKBOX  No  FORMCHECKBOX  Yes  FORMCHECKBOX  No  FORMCHECKBOX  Yes  FORMCHECKBOX  NoDoes your transaction and/or the project apply applicable environmental standards and management systems (e.g. ISO 14001, VCA or OSHAS 18000)? If yes, please specify.  FORMCHECKBOX  Yes  FORMCHECKBOX  No  FORMTEXT      q. What standards do the techniques used meet? Please give details. (e.g. Best Available Technique (BAT)).  FORMTEXT       Environmental and social legislation and standardsr. Which local and international environmental and social legislation and/ or standards are applicable for the transaction/ project? Please specify and add an annex if needed.  FORMTEXT      s Who is the competent authority that verifies whether the transaction and/or project comply with the applicable legislation and/or standards? Please specify and add an annex if needed. FORMTEXT      t. What kind of environmental permits are or will be granted? Please provide details permit name, competent authority and date the permit was or will be granted. If needed you may provide this information in an annex. FORMTEXT       9. Requested covera. Do you require partially or fully to transfer the part not insured by Atradius (own risk)? FORMCHECKBOX  Yes  FORMCHECKBOX  No If so, what part and to whom? FORMTEXT       b. Do you require a promise for the issue of Direct Guarantees to your lender for:  bills of exchange or promissory notes to be discounted by him? (See explanatory note)  FORMCHECKBOX  Yes  FORMCHECKBOX  No advances to be paid by him under a letter of credit? (See explanatory note) FORMCHECKBOX  Yes  FORMCHECKBOX  No c. Does your principal require you to provide one or more bank guarantees under the contract? (See question 9f) FORMCHECKBOX  Yes  FORMCHECKBOX  No If so, what guarantees: FORMTEXT      d. Do you require these guarantees to be insured by Atradius as well? (Supplementary Cover) (See explanatory note) (Questions 9e and 9f also relate to this point). FORMCHECKBOX  Yes  FORMCHECKBOX  Noe. If you require Supplementary Cover, you should complete the following table.Type of guaranteeAmountDuration in monthsFromMovement*Advance-payment bond FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Performance bond FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Maintenance bond FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      *Linear / Progressive / Regressive f. Does your bank require a Counter-guarantee from Atradius for the guarantees mentioned above? (If so, your bank should also submit an application to us as soon as possible) FORMCHECKBOX  Yes  FORMCHECKBOX  Nog. Do you also require cover for the equipment to be used abroad for this transaction (Equipment cover)? (See explanatory note) FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, what is the assessed value of the equipment that you will use for this transaction?  FORMTEXT        During which period will the equipment be used?  FORMTEXT       Do you wish to have cover for a possible contractually agreed increase of the contract price? (See explanatory note)  FORMCHECKBOX  Yes  FORMCHECKBOX  No i. If yes, how much is this increase as a percentage of the contract price? FORMTEXT       %Which cover do you require? (See explanatory note) FORMCHECKBOX  political and commercial  FORMCHECKBOX  political only  FORMCHECKBOX  commercial only 10. Other particulars a. The application relates to: (see explanatory note) FORMCHECKBOX  a Promise of Cover (if the contract has not yet taken effect).  FORMCHECKBOX  an Insurance Contract (if the contract has already taken effect).  b. If a Promise of Cover has already been given for this transaction, what is its number? FORMTEXT      c. Will a bank provide a loan to the buyer in connection with this transaction? (See explanatory note)  FORMCHECKBOX  Yes  FORMCHECKBOX  No Is it the intention that this loan be insured by Atradius by means of a Principal Credit Policy? FORMCHECKBOX  Yes  FORMCHECKBOX  No (If so, your bank should also submit an application to us as soon as possible)  If particulars of any loan do not come to your attention until at a later stage, would you please let us know without delay. (See also the third indent under "Signature" below!)d. Has an application for a grant, aid financing or any other subsidy been submitted to the Dutch Government for this transaction, or will one be submitted, for the purpose of paying the purchase price or the interest either in whole or in part or of reducing the contract interest payable?* (If so, for what proportion of the contract price, and what is its reference number? (See explanatory note) )  FORMCHECKBOX  Yes  FORMCHECKBOX  No Amount:  FORMTEXT      Reference number:  FORMTEXT       e. Is this transaction partly financed by the Worldbank or a similar multilateral development bank or is another Export Credit Insurer involved? (see explanatory note) FORMCHECKBOX  Yes  FORMCHECKBOX  No If so, which organisation? FORMTEXT       FORMTEXT        f. Are you listed on one of the publicly available debarment lists of the following international financial institutions: World Bank Group, African Development Bank, Asian Development Bank, European Bank for Reconstruction and Development and the Inter American Development Bank regarding involvement in bribery?  FORMCHECKBOX  Yes  FORMCHECKBOX  Nog. Are you, or anyone acting on your behalf in connection with the transaction, currently under charge in a national court or, within a five-year period preceding the application, have you been convicted in a national court or been subject to equivalent administrative measures for violation of laws against bribery of foreign public officials of any country?  FORMCHECKBOX  Yes  FORMCHECKBOX  Noh. Are there any facts or circumstances about which information has not been requested specifically above, but that may be relevant to an assessment of the application by Atradius? FORMCHECKBOX  Yes  FORMCHECKBOX  No(If so, please explain) FORMTEXT        11. Signature( See explanatory notes)The undersigned declares:that the questions in this form have been answered correctly and completely and that no circumstances of importance to Atradius have been concealed;that the information provided in this application form gives a true and complete picture of the non-payment risks involved in this transaction, as known to him at the time of submission of this application;that he will notify Atradius without delay in writing of any fact or circumstances which become known to him after the submission of this application and which may be relevant for Atradiuss assessment of the application; (See explanatory note)that, if Atradius is prepared to enter into an insurance contract and the construction contract has entered into force, he will accept the policy and will pay the premium for this; that in connection with the awarding and the performance of the contract to which this application relates he will at all times refrain from bribery as referred to in question 8a of the application form and the explanatory note thereto and from inciting or being an accessory to such bribery;that he has taken note of the OECD Guidelines for Multinational Enterprises and will endeavour to apply these in his business to the best of his ability; (See explanatory note)the information provided in this form is a full and accurate picture of the environmental and social impact associated with this transaction, as known to him/her at the time the application was submitted;- he will immediately notify Atradius in writing of facts and/or circumstances which become known to him/her after submission of this form and which could be significant for the assessment of the environmental and social impact.Incomplete or inaccurate information in this form may result in a delay of processing the application. If, before issuing the policy, it appears that you were or should have been aware of not reported facts or circumstances which were relevant for the assessment of the application, this may result in a laps of entitlement to indemnity or reclamation of compensation paid.Place/ Town : FORMTEXT      Date : FORMTEXT      Name : FORMTEXT      Signature : FORMTEXT      The officer who signs this application should be competent to commit the applicant to at least amounts of the same order of magnitude as the amount of the transaction to be insured.If your application results in a policy being issued, Atradius will publish certain information about your transaction on its web site one month after the date of issue of the policy. Explanatory notes to the questions on the application form entitled Constructional Works Processing of your application by Atradius:If in the case of an application for a promise of cover by an exporter it is clear that the principal credit will be provided and the identity of the lending bank is not known at that stage, a promise of cover may be issued for the principal credit risk in respect of the export transaction in addition to the promise of cover for the pre-credit and credit risk. This promise of cover in respect of the principal credit will be issued to the exporter in the name of Bank Y; Bank Y is the notional name for a bank to be determined. Once the identity of the lending bank for the principal is known, the bank concerned must submit an application for the loan. Following approval for this application, a policy will be issued to the bank concerned when the loan agreement enters into effect based upon the promise of cover to Bank Y.Question 2e and g:When answering these questions you must also state the experiences of other group companies with the principal of which you are aware, and/or your own experiences or experiences of other group companies of which you are aware with enterprises affiliated to the principal.Question 3a:An insurance contract (policy) may be applied for if a contract with the principal has taken effect. A contract may have been signed but not yet have taken effect because it includes certain conditions precedent. In the absence of such conditions, the contract may generally be said to take effect on signing. In most cases, your application will relate to a contract which has not yet taken effect; in that case, your application relates to a promise of cover. Question 3b, c and d:If you conclude a contract jointly with other companies or if you are working together with other companies, it is possible that the contract has been concluded not only at your expense and risk but at the expense and risk of more than one company. If that is the case, you should state in answer to question 3c what percentage of the contract price has been concluded at your expense and risk. Question 3e and f:If you are a subcontractor running a risk not in respect of your direct principal but in respect of the person with whom your principal concludes a contract, Atradius must know about all of the services which come under the overall contract with the ultimate principal. You should therefore describe the overall contract in answer to the questions relating to price (see 4). Question 3j:The force majeure clause should be acceptable to Atradius. In order for us to assess the force majeure clause, you must send it or a draft thereof to us as soon as possible, together with any arbitration clause Question 3k :Project: the smallest possible independently operating whole of activities that are technically, operationally and organisationally interrelated and that make full use of the goods and services delivered as part of the export transaction in question. Question 4h :There follow some examples of causes as a result of which the estimated contract price may be exceeded: 1. rises in wages and prices, 2. variances between the invoiced quantities and the quantities which were originally estimated, 3. variations within the scope of the contract 4. approximate estimates, for an estimated amount in the budget, 5. local import duties, taxes, 6. claims arising from an extension of the period for completion of the work, loss of interest, nature of the soil other than assumed in the contract.  Question 4i: The increase of the contract price up to 30% of the contract price is normally covered, provided that you have informed us about this in advance. An increase of the contract price exceeding 30% of the contract price will only be covered after approval in writing by Atradius. Question 4j:In some contracts it is agreed that VAT (or a similar tax) is part of the contract price. In many cases your principal will withhold this VAT and pay directly to the authorities. In some cases, however, your principal will first pay this VAT to you and you will subsequently have to pay it yourself to the authorities. In this latter case you could find it desirable to have this VAT covered, as in this case you run the risk that your principal fails to pay the VAT while subsequently you are required to pay this VAT to the authorities. Question 5a:You can include as types of payment: payment at effectiveness of contract, other advance payments, re- imbursement of (de)mobilisation costs, certificate amounts, retention, etc. Question 5c:In a conversion clause is included that if a claim in a non-transferable currency is not paid on the expiry date, this claim will then automatically be converted in a claim in Euros or another transferable currency at the exchange rate on the expiry date or another exchange rate that has been agreed upon. In that case the premium for the claim will be lower.Question 5h:The insurance contract (policy) only covers interest on arrears if and insofar as: - the interest relates to periods included in the calculation of indemnification and - the principal has expressly undertaken to pay that interest by means of a separate provision in the contract. 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This includes those conditions the fulfilment of which requires the co-operation of other parties or bodies, such as the principal or a verification office. The risk that the conditions will not be fulfilled due to fault or omission on the part of those parties or bodies is not covered by the insurance. Question 7a:For the purpose of Atradiuss assessment, it is important to know the size of the foreign content. If this is not yet (fully) known at the time when the application form is being filled in, you may give an estimated maximum on which we will provisionally base our assessment. Foreign content should be understood as meaning the purchase price of all parts and/or services obtained from abroad, whether or not through Dutch agents (though only 70% of the goods and/or services obtained from your foreign subsidiaries), that are necessary for the performance of the contract, including expenses to be incurred in the country of the buyer and commission to be paid abroad, but excluding raw materials and semi-manufactures obtained form other countries other than the country of the buyer. Question 7b 1: Local expenditure should be understood as meaning: 1. Expenditure incurred by you in the principal's country, such as payment for materials purchased in that country, for staff recruited locally or for the staff's accommodation expenses. 2. A loan granted to the principal in order to finance his own expenditure, insofar as it is necessary for the performance of the contract (such as the construction of buildings in which the goods to be supplied by you are to be located) or, in a broader sense, for the project of which this contract is part. Question 7b 2 and 3:When answering question b2, you should give a breakdown for the individual EU countries. The breakdown for the other countries may be summarised in a single amount. You should also state that information for foreign parts of goods or other services that are purchased via Dutch agents. Question 8a:Atradius will under no circumstances become involved in transactions in which bribery has taken place, bribery being interpreted for this purpose in the broadest terms. The question includes a list of forms of bribery that is not exhaustive. Even if the bribery concerned is a form of bribery that is not listed explicitly, or if you have reasons to suspect that there may be question of such a form of bribery, you must declare this bribery in your answer. Please note that the question also relates to bribery (in the broadest terms) by persons other than the applicant and of persons other than the principal. In any case, you must explain an affirmative answer so that Atradius is able to consider whether to enter into an insurance contract with you. We would draw your attention to the fact that bribery of foreign officials is also expressly prohibited by sections 177 and 177a in conjunction with 178a of the Penal Code (Wetboek van Strafrecht). In the event that Atradius suspects that bribery has nevertheless taken place, Atradius reserves the right to report this suspicion to the Dutch investigative authorities. Question 8b and c:One of the agreements within the OECD is the Convention on Combating Bribery of Foreign Public Officials in International Business Transactions. In this context Atradius has committed itself to ask these questions. If you have answered one of these question with Yes we will undertake enhanced due diligence.  Question 8d To 8f:As part of the implementation of the Dutch CSR policy and particularly supply chain management, we will ask you about your suppliers. Information is sought on the most important and direct suppliers (no distributive trade companies) over which you have control or influence when large quantities of natural resources are involved. This follows the  HYPERLINK "http://www.globalreporting.org/Home" GRI Boundary Protocol that stipulates: All relationships over which the company exercises control or significant influence over operating and/or financial policies. In case the information provided identifies issues in the supply chain a follow-up inquiry will be considered and a further review may take place. Question 8g to 8q:The information provided for the review of environmental and social effects will be reviewed against national legislation of the country where the goods and/or services will be used and against international guidelines as laid down in the Common Approaches (HYPERLINK "http://www.oesorichtlijnen.nl/"OECD guidelines) The Common Approaches protocol prescribes how applications should be classified and reviewed. The applied international guidelines are the relevant aspects of the IFC Performance Standards, multilateral development bank or EU guidelines. In addition relevant aspects of any internationally recognised sector specific or issue specific standards can be applied to the transaction/project in case these are not addressed by the World Bank. Reviews of transaction and projects with potential significant adverse impacts are reported within the OECD to ensure the level playing field for applications within member countries. A further explanation of Atradius Dutch State Businessapproach on CSR can be found in the CSR brochure: http://www.atradius.com/nl/en/dutchstatebusiness/downloads/milieubrochure.jsp Question 8i:This question refers to the sectors as listed in Annex 1 of the Common Approaches. NB Annex 1 is an illustrative list and therefore does not cover all sensitive sectors. Question 8j:Sensitive locations include national parks and other protected areas identified by national or international law, and other sensitive locations of international, national or regional importance, such as wetlands, forests with high biodiversity value, areas of archaeological or cultural significance, and areas of importance for indigenous peoples or other vulnerable groups (see Common Approaches, Annex 1 point 26). Question 8k and m:Environmental Impact Assessment (EIA): an environmental impact report drawn up by an independent internationally-recognised environmental consultant in accordance with international guidelines. Environmental Impact Statement (EIS): an environmental statement with commentary. This statement has to be prepared on the basis of research results and at least state in quantified terms what the environmental effects are, how long they are expected to last and the measures taken to mitigate the adverse effects. Social Impact Assessment (SIA): a social impact report drawn up by an independent internationally-recognised environmental consultant in accordance with international guidelines. Environmental & Social Management Plan (ESMP): a management plan (based on an EIA and SIA) drawn up by an independent internationally-recognised consultant concerning the implementation of measures to mitigate the negative environmental and social effects. Question 8oIn the application form questions are being asked about the four core labour standards: freedom of association and collective bargaining, elimination of forced and compulsory labour, elimination of discrimination in respect of employment and occupation and abolition of child labour. In the review of the transaction/project all ILO labour standards, in so far as relevant, will be reviewed. The other ILO labour standards are: disciplinary practices, health and safety, working hours, and remuneration. If a well-founded concern exists that the labour standards will be violated in the project the application will be rejected. This is the policy of the Dutch Government.  Question 9b:A Direct Guarantee is an irrevocable, practically unconditional undertaking on the part of Atradius vis--vis the bank discounting bills of exchange or paying an advance under a letter of credit with extended payment terms. If sums in bills of exchange or promissory notes discounted, or advances paid under letters of credit, without recourse against the supplier, which sums or advances come under the Direct Guarantee, have not been paid by the end of the waiting period, the discounting or advancing bank will receive payment from Atradius for the cover percentage of those sums or advances. It is possible that you may not be entitled to indemnification on the basis of the insurance contract (policy) because you have not complied with all of the obligations arising from the contract with the buyer. In that case, you are obliged to refund to Atradius the indemnification paid to the discounting or advancing bank (Atradius's right of recourse). Question 9d:Supplementary Cover provides you with protection against the risk of the principal or another beneficiary invoking the guarantee wrongfully (for example, for political or economic reasons) and of you then having to compensate the guaranteeing bank. Invocation may also be connected with disputes about the performance of the contract. If it has been stated in a judicial or arbitral decision that the guarantee has been wrongfully invoked, this is also covered by the Supplementary Cover. Because such decisions often take a long time, Atradius may pay you an advance indemnification in the event of a dispute, provided that it has been proven to the satisfaction of Atradius that the guarantee was wrongfully invoked. If it later emerges, however, that the guarantee was correctly invoked, the advance indemnification will of course have to be repaid (Atradius's right of recourse). Question 9e:In principle it is not possible to insure with Atradius a guarantee that ends later than 12 months after delivery.Question 9f:A Counter-guarantee automatically entitles the guaranteeing bank to a refund of the amounts paid out under the guarantees insured by Atradius. The issue of the Counter-guarantee to the banker by Atradius results in your credit facility remaining unaffected for the amount of the Counter-guarantee. A Counter-guarantee may be issued to the bank only if Supplementary Cover has also been given and if the conditions for the issue of the Counter-guarantee have been fulfilled. Within 6 months after Atradius has paid the bank on the basis of the Counter-guarantee, you should repay that amount to Atradius (Atradius's right of recourse). This may also be earlier if it is established that you are not entitled to indemnification in accordance with the Supplementary Cover. Question 9g:Equipment cover covers the risk of a loss arising from the following in the country where the work is being carried out: - during the work, the equipment is damaged due to political causes or seized as a result of government measures: - after the work has been completed, the equipment is damaged due to political causes or is prevented from reaching the country of destination by such causes or by a government prohibition. The policy application should be accompanied by a list of the equipment to be used, the appraised value and the rate of depreciation of each item of equipment. Question 9j:Political risks are: - Moratorium - Transfer problems - Conversion problems - Force Majeure - Government Interference - Default by a public buyer Commercial risks are: - InsolvencyQuestion 10a:An insurance contract (policy) can be applied for when the contract with the principal has entered into force. A contract can be signed but not yet effective, as it can contain certain conditions precedent. If these are not included, then, generally, the contract enters into force by signing. In most cases your application relates to a contract that has not yet entered into force. Your application then refers to a promise of cover. Question 10c:Atradius may also have to exercise its right of recourse by virtue of the Buyer Credit Policy. This is because Atradius also has to pay indemnification to the bank if the failure to repay the loan is connected with a dispute about the performance of the contract. If it is later established by law that the borrower's (principal's) failure to pay is a consequence of the fact that you have failed to comply fully or by the due date(s) with your contractual obligations vis--vis the principal, you are obliged to repay to Atradius the indemnification paid by Atradius to the bank. In regard to this question, we are also interested in uninsured loans provided by a bank to the borrower (principal) for which you have provided security in any manner (known as side-financing). Question 10d: In your answer you must specify all subsidies that the Government of the Netherlands may in response to your application provide or is providing for the payment of the contract price or the interest or may lead to a reduction in the contractual interest itself. Question 10e :By virtue of international agreements in the context of the EU or OECD, Atradius is not allowed to take certain decisions, in particular decisions to insure a loan having a term in excess of 5 years, without first having consulted the foreign credit insurers and/or the authorities which are competent in matters of credit insurance. Information about the scope and nature of such consultation may be obtained verbally from Atradius.  Should you become aware of facts or circumstances that may be relevant to an assessment of the application by Atradius after you have submitted the application, you must notify Atradius in writing of such facts or circumstances as soon as possible. If it is found later that you were aware or ought to have been aware of such facts or circumstances after the submission of the application, this may result in the negation of the Promise of Cover or the Insurance Contract. SignatureThe Government aims to promote socially responsible business practice and therefore asks businesses that make use of export credit insurance facilities to issue a declaration of intent to apply the OECD Guidelines for Multinational Enterprises to the best of their ability. You may consult the OECD Guidelines via the Internet (www.oesorichtlijnen.nl). You may also request a copy of the guidelines from Atradius Dutch State Business .Important information on the public nature of the information - If a transaction after receiving the form is classified as an A-project (a project with potential significant adverse impacts), the project information (project name, location, project description and contact details) will, a soon as a possible but at least 30 calendar days before the issuing of the policy, be made publicly available . Information on the environmental and social effects or a summary of this will also, a soon as a possible but at least 30 calendar days before the issuing of the policy, be made publicly. - Publication and release of aforementioned information to third parties is a requirement under the Dutch legislation and forms part of international agreements. - Only in exceptional cases, based on well-founded objections provided by you could information or parts of the information will not be published or its publication will be postponed. This at the discretion of Atradius Dutch State Business. - Atradius Dutch State Business could use the provided information to meets its reporting obligations following from national and international agreements. The information that Atradius will publish about your transaction once it is in effect will be: - The country of delivery, the name of the exporter and any lender, a brief description of the transaction, - The maximum indemnification payable, the name of the buyer (lessee) and any guarantor, the results of the environmental and social review and any aid finance provided by the Government of the Netherlands. The period of one month after the issue of the policy set for publication of this information may only be deviated from in the case of very material interests, which shall be at the discretion of Atradius.       EMBED Word.Picture.8  Dutch State Business Atradius David Ricardostraat 1, Amsterdam. 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