SUPPLIER A

Fields to be completed by the Supplier

PLEASE FILL IN THE BLUE PARTS AND CHECK TH

0. CONTACT INFORMATION REGARDING THE PERSON FILLING IN THE FORM

Mr/Mrs/Miss : Edy Slim

Position held : General Manager (Mech)
Email: eslim@altaher.com

Phone Number 96899312993

Date : 11-Jun-17
Signature :

N.B : All documents which can illustrate your answers can be sent with the form

1. COMPANY INFORMATION

1.1 Gnral Information:

* Corporate Name ElectroMechanics LLC

* Creation date 4-May-05

* Mother company

* Object : Electro Mechanical Contracting

* Adress : P.O.Box 1413 - PC: 112 - Ruwi - Sultanate of Oman

* Phone : 96824600441

* Fax 96824605001

* Legal Status : L.L.C (Subject to Foreign Investment Rules)

No. under which entered in the Register of CR 1043480

* Commerce :

* SIRET or local id : CR 1043480

* Website: www.electromechanicsllc.com
www.altaher.com

* Main Activity: MEP Works *

if 'Others' Specify the specific Activity:

* Volume of Business :
Total turnover (in USD)
2016 $12,000,000
2015 $16,000,000
2014 $12,000,000

* Total Payroll
Engineers / Supervision including sales persons :
Employees / labour force :
R&D:
Temporary employees and contractors working in the premises :

* References :
MAIN CLIENTS

Sarooj Construction Company

1/10
1.2 History with Degrmont:
* Does your Company already work with Degremont in the Past?
Yes No x
if Yes,
When ? (year) : -
Name of the project(s): -
Degrmont Entity name: -

* Did your Company already sign Contract(s) with Degrmont?

Yes No
if Yes, specify by contract the following:
- Scope of the contrat (sub-contracting type):
Name of the project(s) REVERSE OSMOSIS DESALINATION PLANT OF 61.8 MIGD IN BARKA , SULTANATE OF OMAN
Degrmont Entity name: B 001032 - BARKA INDEPENDENT WATER PROJECT
- Expiration Date of the contract(s): B- 001032-ELE-PU-450-PG-001 dated March 6th 2017
(dd/mm/yyyy)

2. COMPANY CONTACT DETAILS

* Director
Function/ Title Managing Partner
Name : Mr. Fawzi Mushantaf
Direct Line : 96824600441
Mobile : 96899336190
eMail : fawzi @altaher.com

* Sales representative :
Name :
Direct Line :
Mobile :
eMail :

* Contract implementation representative

Name : Mr. Edy Slim
Direct Line : 96824600441
Mobile : 96899312993
eMail : eslim@altaher.com

* After-Sales Service representative :

Name : Mr. Sharath Kumar
Direct Line : 96824600441
Mobile : 96895328740
eMail : sharath@altaher.com

2/10
3. Management System

3.1 Quality
* Does your company have any Management system(s) ?
Yes No

* If Yes, which one(s) ?

Quality ? Environment ? Security ?

* Does your company have any certificate(s) ?

Yes No

* If Yes, which one(s) ?

ISO 9001 ? ISO 14001 ? OHSAS 18001 ?

* Does your company have a correspondant ? :

Quality ? Environment? Security ?
Name : Mr. Sitaram Sakamuri
Function : QHSE

3.2 Security
* Does the company analyse the causes of incidents and define corrective action plans ?
Yes No

* What is the frequency rate of incidents ?

Frequency Rate(1) 0 In 2016
Not calculated
(1) Frequency Rate calculation method : Number of lost-time incident(s) x 1 000 000
Number of worked hours (on the last 12 months)

* What are the frequency rates of incidents for the last 3 years ?
Year N-2 : 1.6
Year N-1 : 0.0
Year N : 0.0

* What is the severity rate of incidents ?

Severity Rate(2) 0 in 2016
Not calculated
(2) Severity Rate calculation method : Number of temporary disability lost days x 1 000
Number of worked hours (on the last 12 months)

* What are the frequency rates of incidents for the last 3 years ?
Year N-2 : 0
Year N-1 : 0
Year N : 0

* Did you record any fatal incident in the last 3 years ?

Year N-2 : 0
Year N-1 : 0
Year N : 0

3/10
4. ENVIRONMENT & ETHICS

4.1 Environment
* Do you have put measures in place concerning the environmental conservation and the sustainable development responsibility ? (Waste sorting, reducti
Yes No
If Yes, which one(s) ? Waste M

4.2 Energy
* Do you have put measures in place concerning the energy management ? (Energy recovery, Energy savings system, ...)
Yes No
If Yes, which one(s) ? NOT APPLICABLE SO FAR
What are your indicators (CO2, )

4.3 Ethics
* Do you have a policy concerning ethics ? (International labour laws, Business conduct)
Yes No
If yes, provide your ethics policy :

5. INSURANCES
In the frame of your activity :

* Do you have a civil liability insurance ? (1) : *

Yes No

If 'Others' or additionnal, specify :

* If yes, precise the name of the insurance company : - NEW INDIA INSURANCE COMPANY
Physical damage coverage amount :
Property damage coverage amount :
Consequential damage coverage amount : -

(1) Nota : Provide an attestation.

6. STUDIES / DEVELOPMENT
* What is the company headcount in Design Office ? :
Internal : 6
External : Upon Demand
Not Applicable

* Name of the Design Office correspondant :

Phone :
eMail :

7. TOOLS AND MANUFACTURING MATERIALS

* Does the company have its own tool material ?
Yes No

* If yes, which one(s) ?

Manufacturing Assembly

8. GEOGRAPHICAL REGION OF COVERAGE (Production, Delivery)

Number of sites by geography

Type of site (Country / Cities)

Production Site(s) -

4/10
 Commercial site(s) -

After-Sales Service(s) -

Region(s) of delivery (Supplies / Services) -

5/10
PPLIER ASSESSMENT FORM

S AND CHECK THE APPROPRIATE ORANGE BOXES

Complementary Activity: - (Slect with drop-down list)

if 'Others' Specify the specific Activity: -

Turnover with Degrmont (in ) Net annual results % R&D investment / turnover
-
-
-

50 Staff Memembers
130 Labor Force (Skilled / Unskilled)

12:00 PM

% of Turnover (year n-1) MAIN COMPETITORS

Shamel
B.E.C

6/10
7/10
Efficiency ? Others ?
If 'Others', precise :

ISO 50001 ? Others ?

If 'Others', precise :

Efficiency ? Others ?

8/10
Waste sorting, reduction of CO2 emissions, sustainable development policy,...)

Waste Management , Recycling of used paper

EM ETHICS POLICY

Do you have a defects insurance ? (1) :

Yes No

Not concerned

Testing

Capacity / Site Headcount / site

- -

9/10
- -

- -

- -

10/10